Specific language impairment
diseaseOn this page
Also known as language impairment (disease)
Summary
Specific language impairment (MONDO:0000724) is a disease (an umbrella term covering 5 Mondo subtypes) with 21 cohort genes (30 GWAS associations across 6 studies) and 12 clinical trials.
At a glance
- Umbrella term: 5 Mondo subtypes
- Cohort genes: 21
- GWAS associations: 30
- Clinical trials: 12
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | specific language impairment |
| Mondo ID | MONDO:0000724 |
| EFO | EFO:1001510 |
| OMIM | 606711 |
| Orphanet | 458713 |
| DOID | DOID:0060244 |
| ICD-11 | 862918022 |
| UMLS | C0454651 |
| MedGen | 627772 |
| Is cancer (heuristic) | no |
Also known as: language impairment (disease)
Data availability: 30 GWAS associations (6 studies).
Disease family
An umbrella term covering 5 Mondo subtypes.
Classification path: disease › human disease › disease by developmental or physiological process › psychiatric disorder › mental disorder › developmental disorder of mental health › specific developmental disorder › communication disorder › language disorder › specific language impairment
Related subtypes (5): aphasia, stutter disorder, expressive language disorder, mixed receptive-expressive language disorder, articulation disorder
Subtypes (5): specific language impairment 1, specific language impairment 2, specific language impairment 3, specific language impairment 4, specific language impairment 5
Genetics & variants
GWAS landscape
30 GWAS associations across 6 studies. Top hits map to 17 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs183826546 | 7e-09 | RPL6P22 - RPL10AP3 | A | 2.73 |
| rs3787751 | 2e-07 | HLCS | ? | 0.39 |
| rs59197085 | 3e-07 | CCDC136 | A | 5.12 |
| rs10504229 | 4e-07 | LINC00588 | ? | 0.51 |
| rs5995177 | 5e-07 | RBFOX2 | A | 5.03 |
| rs12121864 | 7e-07 | MIR34AHG | ? | 0.64 |
| rs10774547 | 1e-06 | RPS27P25 - COX6A1 | T | 4.85 |
| rs1711745 | 1e-06 | INIP | A | 4.89 |
| rs5761618 | 2e-06 | TPST2 - CRYBB1 | ? | 0.35 |
| rs722208 | 3e-06 | ESR1 | G | 0.22 |
| rs3789867 | 3e-06 | TNC, DELEC1 | ? | 0.34 |
| rs28655387 | 3e-06 | PMFBP1 - LINC01572 | T | 4.65 |
| rs1025370 | 3e-06 | MIR4268 - EPHA4 | A | 4.67 |
| rs1559831 | 4e-06 | LINC02694 | T | 0.34 |
| rs6496012 | 4e-06 | LINC02694 | G | 0.34 |
| rs3789868 | 4e-06 | DELEC1, TNC | G | |
| rs4895970 | 5e-06 | TARID | ? | 0.35 |
| rs4796604 | 5e-06 | HAP1 | ? | 0.36 |
| rs72626581 | 6e-06 | ZFP64 | T | 4.53 |
| rs2180386 | 7e-06 | MIR493HG, RTL1, MEG8 | A | 0.21 |
| rs141994868 | 7e-06 | STK24 | T | 4.51 |
| rs13384469 | 9e-06 | LINC02973 - RNU6ATAC37P | T | 4.45 |
| rs6737417 | 9e-06 | MIR4268 - EPHA4 | A | 4.45 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST90271931 | Nudel R | 2023 | 610 | 17,770 | Developmental language disorder - a comprehensive study of more than 46,000 individuals. |
| GCST003396 | Kornilov SA | 2016 | 149 | 0 | Genome-Wide Association and Exome Sequencing Study of Language Disorder in an Isolated Population. |
| GCST003397 | Kornilov SA | 2016 | 149 | 0 | Genome-Wide Association and Exome Sequencing Study of Language Disorder in an Isolated Population. |
| GCST003398 | Kornilov SA | 2016 | 149 | 0 | Genome-Wide Association and Exome Sequencing Study of Language Disorder in an Isolated Population. |
| GCST004401 | Gialluisi A | 2014 | 0 | 0 | Genome-wide screening for DNA variants associated with reading and language traits. |
| GCST004402 | Gialluisi A | 2014 | 0 | 0 | Genome-wide screening for DNA variants associated with reading and language traits. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 1 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 22 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 22 |
| low_freq (0.01-0.05) | 1 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 19 |
| intergenic_variant | 3 |
| missense_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs183826546 | 8 | 34217842 | G>A | 0.05 | intron_variant | RPL6P22 - RPL10AP3 | 7e-09 | Tier 4: intronic/intergenic |
| rs3787751 | 21 | 36787862 | T>A,C | 0.448 | intron_variant | HLCS | 2e-07 | Tier 4: intronic/intergenic |
| rs59197085 | 7 | 128820702 | G>A | 0.08 | intron_variant | CCDC136 | 3e-07 | Tier 4: intronic/intergenic |
| rs10504229 | 8 | 57283936 | A>G | 0.162 | intron_variant | LINC00588 | 4e-07 | Tier 4: intronic/intergenic |
| rs5995177 | 22 | 35913505 | G>A,C | 0.08 | intron_variant | RBFOX2 | 5e-07 | Tier 4: intronic/intergenic |
| rs12121864 | 1 | 9145273 | C>A | 0.088 | intron_variant | MIR34AHG | 7e-07 | Tier 4: intronic/intergenic |
| rs10774547 | 12 | 120424913 | T>A,C | 0.33 | intergenic_variant | RPS27P25 - COX6A1 | 1e-06 | Tier 4: intronic/intergenic |
| rs1711745 | 9 | 112690629 | C>A,T | 0.091 | intron_variant | INIP | 1e-06 | Tier 4: intronic/intergenic |
| rs5761618 | 22 | 26597742 | T>G | 0.494 | intron_variant | TPST2 - CRYBB1 | 2e-06 | Tier 4: intronic/intergenic |
| rs722208 | 6 | 152001750 | A>G | 0.35 | intron_variant | ESR1 | 3e-06 | Tier 4: intronic/intergenic |
| rs3789867 | 9 | 115113409 | A>C,G,T | 0.469 | intron_variant | TNC, DELEC1 | 3e-06 | Tier 4: intronic/intergenic |
| rs28655387 | 16 | 72225293 | T>A,G | 0.054 | intergenic_variant | PMFBP1 - LINC01572 | 3e-06 | Tier 4: intronic/intergenic |
| rs1025370 | 2 | 221346292 | G>A | 0.462 | intron_variant | MIR4268 - EPHA4 | 3e-06 | Tier 4: intronic/intergenic |
| rs1559831 | 15 | 38844103 | G>A,C,T | 0.06 | intron_variant | LINC02694 | 4e-06 | Tier 4: intronic/intergenic |
| rs6496012 | 15 | 38858723 | G>A | 0.06 | intron_variant | LINC02694 | 4e-06 | Tier 4: intronic/intergenic |
| rs3789868 | 9 | 115113402 | T>A,C,G | 0.47 | intron_variant | DELEC1, TNC | 4e-06 | Tier 4: intronic/intergenic |
| rs4895970 | 6 | 133543112 | T>A,C,G | 0.497 | intron_variant | TARID | 5e-06 | Tier 4: intronic/intergenic |
| rs4796604 | 17 | 41734624 | T>A,C,G | 0.444 | missense_variant | HAP1 | 5e-06 | Tier 1: coding |
| rs72626581 | 20 | 52166910 | T>A,C,G | 0.254 | intron_variant | ZFP64 | 6e-06 | Tier 4: intronic/intergenic |
| rs2180386 | 14 | 100898928 | C>A,G,T | 0.38 | intron_variant | MIR493HG, RTL1, MEG8 | 7e-06 | Tier 4: intronic/intergenic |
| rs141994868 | 13 | 98570168 | C>G,T | 0.027 | intron_variant | STK24 | 7e-06 | Tier 4: intronic/intergenic |
| rs13384469 | 2 | 7509390 | G>T | 0.118 | intergenic_variant | LINC02973 - RNU6ATAC37P | 9e-06 | Tier 4: intronic/intergenic |
| rs6737417 | 2 | 221348323 | A>G | 0.462 | intron_variant | MIR4268 - EPHA4 | 9e-06 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 8 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| OPN1SW | Orphanet:88629 | Tritanopia |
| COX6A1 | Orphanet:435998 | Autosomal recessive intermediate Charcot-Marie-Tooth disease type D |
| ESR1 | Orphanet:785 | Estrogen resistance syndrome |
| FLNC | Orphanet:171445 | Muscle filaminopathy |
| FLNC | Orphanet:63273 | FLNC-related handgrip and calf weakness-distal myopathy |
| FLNC | Orphanet:75249 | Familial isolated restrictive cardiomyopathy |
| HLCS | Orphanet:79242 | Holocarboxylase synthetase deficiency |
| TNC | Orphanet:90635 | Rare autosomal dominant non-syndromic sensorineural deafness type DFNA |
Cohort genes → proteins
21 cohort genes, 20 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 21 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| OPN1SW | HGNC:1012 | ENSG00000128617 | P03999 | Short-wave-sensitive opsin 1 | gwas |
| SRSF9 | HGNC:10791 | ENSG00000111786 | Q13242 | Serine/arginine-rich splicing factor 9 | gwas |
| STK24 | HGNC:11403 | ENSG00000102572 | Q9Y6E0 | Serine/threonine-protein kinase 24 | gwas |
| MEG8 | HGNC:14574 | ENSG00000225746 | maternally expressed 8, small nucleolar RNA host gene | gwas | |
| CALU | HGNC:1458 | ENSG00000128595 | O43852 | Calumenin | gwas |
| DYNLL1 | HGNC:15476 | ENSG00000088986 | P63167 | Dynein light chain 1, cytoplasmic | gwas |
| ZFP64 | HGNC:15940 | ENSG00000020256 | Q9NTW7 | Zinc finger protein 64 | gwas |
| ATP6V1F | HGNC:16832 | ENSG00000128524 | Q16864 | V-type proton ATPase subunit F | gwas |
| CCDC136 | HGNC:22225 | ENSG00000128596 | Q96JN2 | Coiled-coil domain-containing protein 136 | gwas |
| COX6A1 | HGNC:2277 | ENSG00000111775 | P12074 | Cytochrome c oxidase subunit 6A1, mitochondrial | gwas |
| KIAA1958 | HGNC:23427 | ENSG00000165185 | Q8N8K9 | Uncharacterized protein KIAA1958 | gwas |
| LINC00588 | HGNC:24494 | ENSG00000215117 | Q9Y4M8 | Putative uncharacterized protein encoded by LINC00588 | gwas |
| INIP | HGNC:24994 | ENSG00000148153 | Q9NRY2 | SOSS complex subunit C | gwas |
| GATC | HGNC:25068 | ENSG00000257218 | O43716 | Glutamyl-tRNA(Gln) amidotransferase subunit C, mitochondrial | gwas |
| TRIAP1 | HGNC:26937 | ENSG00000170855 | O43715 | TP53-regulated inhibitor of apoptosis 1 | gwas |
| ESR1 | HGNC:3467 | ENSG00000091831 | P03372 | Estrogen receptor | gwas |
| FLNC | HGNC:3756 | ENSG00000128591 | Q14315 | Filamin-C | gwas |
| HLCS | HGNC:4976 | ENSG00000159267 | P50747 | Biotin–protein ligase | gwas |
| TNC | HGNC:5318 | ENSG00000041982 | P24821 | Tenascin | gwas |
| APEX1 | HGNC:587 | ENSG00000100823 | P27695 | DNA repair nuclease/redox regulator APEX1 | gwas |
| RBFOX2 | HGNC:9906 | ENSG00000100320 | O43251 | RNA binding protein fox-1 homolog 2 | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| OPN1SW | Short-wave-sensitive opsin 1 | Visual pigments are the light-absorbing molecules that mediate vision. |
| SRSF9 | Serine/arginine-rich splicing factor 9 | Plays a role in constitutive splicing and can modulate the selection of alternative splice sites. |
| STK24 | Serine/threonine-protein kinase 24 | Serine/threonine-protein kinase that acts on both serine and threonine residues and promotes apoptosis in response to stress stimuli and caspase activation. |
| CALU | Calumenin | Involved in regulation of vitamin K-dependent carboxylation of multiple N-terminal glutamate residues. |
| DYNLL1 | Dynein light chain 1, cytoplasmic | Component of dynein, a family of motor proteins essential for movement along microtubules. |
| ZFP64 | Zinc finger protein 64 | May be involved in the regulation of mesenchymal cell differentiation through transactivation of NOTCH1 target genes. |
| ATP6V1F | V-type proton ATPase subunit F | Subunit of the V1 complex of vacuolar(H+)-ATPase (V-ATPase), a multisubunit enzyme composed of a peripheral complex (V1) that hydrolyzes ATP and a membrane integral complex (V0) that translocates protons. |
| CCDC136 | Coiled-coil domain-containing protein 136 | May play a role in acrosome formation in spermatogenesis and in fertilization. |
| COX6A1 | Cytochrome c oxidase subunit 6A1, mitochondrial | Component of the cytochrome c oxidase, the last enzyme in the mitochondrial electron transport chain which drives oxidative phosphorylation. |
| INIP | SOSS complex subunit C | Component of the SOSS complex, a multiprotein complex that functions downstream of the MRN complex to promote DNA repair and G2/M checkpoint. |
| GATC | Glutamyl-tRNA(Gln) amidotransferase subunit C, mitochondrial | Allows the formation of correctly charged Gln-tRNA(Gln) through the transamidation of misacylated Glu-tRNA(Gln) in the mitochondria. |
| TRIAP1 | TP53-regulated inhibitor of apoptosis 1 | Involved in the modulation of the mitochondrial apoptotic pathway by ensuring the accumulation of cardiolipin (CL) in mitochondrial membranes. |
| ESR1 | Estrogen receptor | Nuclear hormone receptor. |
| FLNC | Filamin-C | Muscle-specific filamin, which plays a central role in sarcomere assembly and organization. |
| HLCS | Biotin–protein ligase | Biotin–protein ligase catalyzing the biotinylation of the 4 biotin-dependent carboxylases acetyl-CoA-carboxylase, pyruvate carboxylase, propionyl-CoA carboxylase, and methylcrotonyl-CoA carboxylase. |
| TNC | Tenascin | Extracellular matrix protein implicated in guidance of migrating neurons as well as axons during development, synaptic plasticity as well as neuronal regeneration. |
| APEX1 | DNA repair nuclease/redox regulator APEX1 | Multifunctional protein that plays a central role in the cellular response to oxidative stress. |
| RBFOX2 | RNA binding protein fox-1 homolog 2 | RNA-binding protein that regulates alternative splicing events by binding to 5’-UGCAUGU-3’ elements. |
Protein-family classification
Druggable: 7 · Difficult: 1 · Unknown: 13 · Druggable fraction: 0.33
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Nuclear receptor | 1 | 18.4× | 0.424 |
| Phosphatase | 1 | 4.0× | 0.594 |
| Antibody/Immunoglobulin | 2 | 2.8× | 0.594 |
| Other/Unknown | 13 | 1.1× | 0.739 |
| Kinase | 1 | 1.3× | 0.789 |
| GPCR | 1 | 1.1× | 0.789 |
| Enzyme (other) | 1 | 0.6× | 0.934 |
| Transcription factor | 1 | 0.4× | 0.934 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| OPN1SW | GPCR | yes | GPCR_Rhodpsn, Opsin_blue, Opsin | |
| SRSF9 | Other/Unknown | no | RRM_dom, Nucleotide-bd_a/b_plait_sf, SRSF9_RRM1 | |
| STK24 | Kinase | yes | Prot_kinase_dom, Kinase-like_dom_sf, Protein_kinase_ATP_BS | |
| MEG8 | Other/Unknown | no | ||
| CALU | Other/Unknown | no | EF_hand_dom, EF-hand-dom_pair, EF_Hand_1_Ca_BS | |
| DYNLL1 | Other/Unknown | no | Dynein_light_chain_typ-1/2, Dynein_light_1/2_CS, DLC_sf | |
| ZFP64 | Transcription factor | no | Znf_C2H2_type, Znf_C2H2_sf, C2H2-ZF_domain-containing | |
| ATP6V1F | Other/Unknown | no | ATPase_V1-cplx_fsu_euk, ATPase_V1-cplx_f_g_su, ATPase_V1_fsu_sf | |
| CCDC136 | Other/Unknown | no | Cent_Immune-Sig_Mod | |
| COX6A1 | Other/Unknown | no | Cyt_c_oxidase_su6a, Cyt_c_oxidase_su6a_CS, Cyt_c_oxidase_su6a_sf | |
| KIAA1958 | Other/Unknown | no | ZMYM2-like_C, KIAA1958 | |
| LINC00588 | Other/Unknown | no | ||
| INIP | Other/Unknown | no | SOSSC | |
| GATC | Enzyme (other) | yes | 6.3.5.7 | GatC, Asp/Glu-ADT_sf_sub_c |
| TRIAP1 | Other/Unknown | no | MDM35_apoptosis | |
| ESR1 | Nuclear receptor | yes | Nucl_hrmn_rcpt_lig-bd, Estr_rcpt, Znf_hrmn_rcpt | |
| FLNC | Antibody/Immunoglobulin | yes | Filamin/ABP280_rpt, Actinin_actin-bd_CS, CH_dom | |
| HLCS | Other/Unknown | no | BPL_C, BPL_LPL_catalytic, Biotin_CoA_COase_ligase | |
| TNC | Antibody/Immunoglobulin | yes | EGF, Fibrinogen_a/b/g_C_dom, FN3_dom | |
| APEX1 | Phosphatase | yes | 4.2.99.18 | AP_endonuc_1, Endo/exonuclease/phosphatase, AP_endonuclease_F1_BS |
| RBFOX2 | Other/Unknown | no | RRM_dom, Nucleotide-bd_a/b_plait_sf, RBFOX1-3 |
Expression context
Cohort genes with no expression data: 0.
18 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 21 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| tendon of biceps brachii | 3 |
| prefrontal cortex | 3 |
| secondary oocyte | 2 |
| frontal pole | 2 |
| gingival epithelium | 2 |
| left testis | 2 |
| right testis | 2 |
| kidney epithelium | 2 |
| male germ line stem cell (sensu Vertebrata) in testis | 2 |
| embryo | 2 |
| ganglionic eminence | 2 |
| Brodmann (1909) area 46 | 1 |
| sural nerve | 1 |
| vena cava | 1 |
| body of pancreas | 1 |
| endometrium epithelium | 1 |
| monocyte | 1 |
| amniotic fluid | 1 |
| esophagus squamous epithelium | 1 |
| adenohypophysis | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| OPN1SW | 95 | tissue_specific | yes | vena cava, sural nerve, Brodmann (1909) area 46 |
| SRSF9 | 302 | ubiquitous | marker | endometrium epithelium, monocyte, body of pancreas |
| STK24 | 295 | ubiquitous | marker | secondary oocyte, esophagus squamous epithelium, amniotic fluid |
| MEG8 | 163 | tissue_specific | marker | adrenal tissue, calcaneal tendon, adenohypophysis |
| CALU | 303 | ubiquitous | marker | stromal cell of endometrium, smooth muscle tissue, tendon of biceps brachii |
| DYNLL1 | 295 | ubiquitous | marker | prefrontal cortex, frontal pole, gingival epithelium |
| ZFP64 | 288 | ubiquitous | yes | germinal epithelium of ovary, gingival epithelium, secondary oocyte |
| ATP6V1F | 294 | ubiquitous | marker | prefrontal cortex, left testis, right testis |
| CCDC136 | 215 | ubiquitous | marker | sperm, left testis, right testis |
| COX6A1 | 145 | ubiquitous | marker | prefrontal cortex, primary visual cortex, frontal cortex |
| KIAA1958 | 200 | ubiquitous | marker | kidney epithelium, primordial germ cell in gonad, male germ line stem cell (sensu Vertebrata) in testis |
| LINC00588 | 26 | yes | male germ line stem cell (sensu Vertebrata) in testis, cortex of kidney, testis | |
| INIP | 256 | ubiquitous | marker | ileal mucosa, kidney epithelium, pons |
| GATC | 258 | ubiquitous | marker | tendon of biceps brachii, medial globus pallidus, globus pallidus |
| TRIAP1 | 291 | ubiquitous | marker | tendon of biceps brachii, tongue squamous epithelium, triceps brachii |
| ESR1 | 216 | broad | marker | oviduct epithelium, cervix epithelium, mammalian vulva |
| FLNC | 255 | ubiquitous | marker | gastrocnemius, hindlimb stylopod muscle, tibialis anterior |
| HLCS | 205 | ubiquitous | marker | paraflocculus, frontal pole, middle frontal gyrus |
| TNC | 272 | ubiquitous | marker | saphenous vein, tibial artery, popliteal artery |
| APEX1 | 294 | ubiquitous | marker | ganglionic eminence, embryo, ventricular zone |
| RBFOX2 | 144 | ubiquitous | marker | cortical plate, embryo, ganglionic eminence |
Protein interactions among cohort
Intra-cohort edges: 4.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| ESR1 | 12,382 |
| APEX1 | 5,100 |
| DYNLL1 | 4,541 |
| FLNC | 3,174 |
| SRSF9 | 2,949 |
| HLCS | 2,554 |
| RBFOX2 | 2,274 |
| ATP6V1F | 2,214 |
| STK24 | 2,041 |
| CALU | 2,013 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| CCDC136 | DYNLL1 | intact |
| CCDC136 | RBFOX2 | string_interaction |
| COX6A1 | ESR1 | intact |
| ESR1 | RBFOX2 | string_interaction |
Structural data
PDB: 13 · AlphaFold-only: 7 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| ESR1 | P03372 | 478 |
| APEX1 | P27695 | 67 |
| STK24 | Q9Y6E0 | 40 |
| DYNLL1 | P63167 | 21 |
| TNC | P24821 | 21 |
| FLNC | Q14315 | 14 |
| ATP6V1F | Q16864 | 8 |
| TRIAP1 | O43715 | 6 |
| COX6A1 | P12074 | 3 |
| INIP | Q9NRY2 | 3 |
| ZFP64 | Q9NTW7 | 2 |
| OPN1SW | P03999 | 1 |
| RBFOX2 | O43251 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| CALU | O43852 | 79.82 |
| GATC | O43716 | 78.61 |
| HLCS | P50747 | 77.33 |
| SRSF9 | Q13242 | 69.97 |
| CCDC136 | Q96JN2 | 69.24 |
| KIAA1958 | Q8N8K9 | 60.57 |
| LINC00588 | Q9Y4M8 | 49.41 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 105. Enrichment computed across 21 evidence-associated genes (14 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 14 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Defective visual phototransduction due to OPN1SW loss of function | 1 | 815.7× | 0.082 | OPN1SW |
| Abasic sugar-phosphate removal via the single-nucleotide replacement pathway | 1 | 271.9× | 0.082 | APEX1 |
| Resolution of AP sites via the multiple-nucleotide patch replacement pathway | 1 | 203.9× | 0.082 | APEX1 |
| Activation of BIM and translocation to mitochondria | 1 | 203.9× | 0.082 | DYNLL1 |
| Resolution of AP sites via the single-nucleotide replacement pathway | 1 | 163.1× | 0.082 | APEX1 |
| Defects in biotin (Btn) metabolism | 1 | 163.1× | 0.082 | HLCS |
| RUNX1 regulates estrogen receptor mediated transcription | 1 | 135.9× | 0.082 | ESR1 |
| RUNX1 regulates transcription of genes involved in WNT signaling | 1 | 135.9× | 0.082 | ESR1 |
| The retinoid cycle in cones (daylight vision) | 1 | 116.5× | 0.082 | OPN1SW |
| Defective HLCS causes multiple carboxylase deficiency | 1 | 116.5× | 0.082 | HLCS |
| Post-translational protein phosphorylation | 2 | 14.3× | 0.082 | CALU, TNC |
| POLB-Dependent Long Patch Base Excision Repair | 1 | 90.6× | 0.083 | APEX1 |
| Opsins | 1 | 90.6× | 0.083 | OPN1SW |
| Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs) | 2 | 12.4× | 0.083 | CALU, TNC |
| Resolution of Abasic Sites (AP sites) | 1 | 81.6× | 0.083 | APEX1 |
| Displacement of DNA glycosylase by APEX1 | 1 | 74.2× | 0.083 | APEX1 |
| Biotin transport and metabolism | 1 | 74.2× | 0.083 | HLCS |
| TFAP2 (AP-2) family regulates transcription of growth factors and their receptors | 1 | 54.4× | 0.101 | ESR1 |
| Base Excision Repair | 1 | 51.0× | 0.101 | APEX1 |
| Cell-extracellular matrix interactions | 1 | 48.0× | 0.101 | FLNC |
| Regulation of MITF-M-dependent genes involved in lysosome biogenesis and autophagy | 1 | 48.0× | 0.101 | ATP6V1F |
| Developmental Lineage of Mammary Gland Alveolar Cells | 1 | 45.3× | 0.101 | ESR1 |
| Defects in vitamin and cofactor metabolism | 1 | 42.9× | 0.101 | HLCS |
| Mitochondrial unfolded protein response (UPRmt) | 1 | 42.9× | 0.101 | ESR1 |
| TP53 Regulates Transcription of Genes Involved in Cytochrome C Release | 1 | 38.8× | 0.107 | TRIAP1 |
| PCNA-Dependent Long Patch Base Excision Repair | 1 | 37.1× | 0.108 | APEX1 |
| Apoptotic cleavage of cellular proteins | 1 | 34.0× | 0.109 | STK24 |
| Apoptotic execution phase | 1 | 34.0× | 0.109 | STK24 |
| Developmental Lineage of Mammary Gland Luminal Epithelial Cells | 1 | 32.6× | 0.109 | ESR1 |
| Syndecan interactions | 1 | 30.2× | 0.110 | TNC |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 17 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| estrogen receptor signaling pathway | 2 | 86.2× | 0.035 | ESR1, RBFOX2 |
| regulation of epithelial cell apoptotic process | 1 | 991.3× | 0.038 | ESR1 |
| mesenchymal-epithelial cell signaling involved in prostate gland development | 1 | 495.6× | 0.038 | TNC |
| response to biotin | 1 | 495.6× | 0.038 | HLCS |
| telomere maintenance via base-excision repair | 1 | 495.6× | 0.038 | APEX1 |
| negative regulation of DNA strand resection involved in replication fork processing | 1 | 495.6× | 0.038 | DYNLL1 |
| positive regulation of nitric-oxide synthase activity | 1 | 330.4× | 0.038 | ESR1 |
| bud outgrowth involved in lung branching | 1 | 330.4× | 0.038 | TNC |
| prostate epithelial cord elongation | 1 | 330.4× | 0.038 | ESR1 |
| glutaminyl-tRNAGln biosynthesis via transamidation | 1 | 330.4× | 0.038 | GATC |
| biotin metabolic process | 1 | 247.8× | 0.038 | HLCS |
| mammary gland branching involved in pregnancy | 1 | 247.8× | 0.038 | ESR1 |
| antral ovarian follicle growth | 1 | 198.3× | 0.038 | ESR1 |
| regulation of translational fidelity | 1 | 198.3× | 0.038 | GATC |
| steroid hormone receptor signaling pathway | 1 | 198.3× | 0.038 | ESR1 |
| regulation of branching involved in prostate gland morphogenesis | 1 | 198.3× | 0.038 | ESR1 |
| absorption of visible light | 1 | 165.2× | 0.038 | OPN1SW |
| RNA metabolic process | 1 | 165.2× | 0.038 | RBFOX2 |
| negative regulation of phosphorylation | 1 | 165.2× | 0.038 | DYNLL1 |
| epithelial cell proliferation involved in mammary gland duct elongation | 1 | 165.2× | 0.038 | ESR1 |
| regulation of membrane lipid distribution | 1 | 165.2× | 0.038 | TRIAP1 |
| regulation of axon regeneration | 1 | 141.6× | 0.038 | STK24 |
| prostate epithelial cord arborization involved in prostate glandular acinus morphogenesis | 1 | 141.6× | 0.038 | ESR1 |
| cellular response to prostaglandin D stimulus | 1 | 141.6× | 0.038 | TNC |
| positive regulation of phospholipid transport | 1 | 141.6× | 0.038 | TRIAP1 |
| peripheral nervous system axon regeneration | 1 | 123.9× | 0.038 | TNC |
| nuclear receptor-mediated steroid hormone signaling pathway | 1 | 123.9× | 0.038 | ESR1 |
| mesenchymal cell differentiation | 1 | 123.9× | 0.038 | ZFP64 |
| response to fibroblast growth factor | 1 | 123.9× | 0.038 | TNC |
| regulation of alternative mRNA splicing, via spliceosome | 2 | 28.7× | 0.038 | SRSF9, RBFOX2 |
Therapeutics
Drug target analysis
Approved (phase 4): 3 · Phase ≥3: 3 · Phased (≥1): 4 · Undrugged: 17
Druggability breadth: 9 of 21 evidence-associated genes (43%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| STK24 | NERATINIB |
| ESR1 | CANDESARTAN CILEXETIL |
| APEX1 | CEFOTAXIME SODIUM |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| ESR1 | 162 | 4 |
| APEX1 | 53 | 4 |
| STK24 | 18 | 4 |
| DYNLL1 | 1 | 2 |
| OPN1SW | 0 | 0 |
| SRSF9 | 0 | 0 |
| MEG8 | 0 | 0 |
| CALU | 0 | 0 |
| ZFP64 | 0 | 0 |
| ATP6V1F | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| NERATINIB | 4 | STK24 |
| BOSUTINIB | 4 | STK24 |
| GILTERITINIB | 4 | STK24 |
| NINTEDANIB | 4 | STK24 |
| SUNITINIB | 4 | STK24 |
| QUIZARTINIB | 4 | STK24 |
| CANDESARTAN CILEXETIL | 4 | ESR1 |
| DIENESTROL | 4 | ESR1 |
| BEXAROTENE | 4 | ESR1 |
| VARENICLINE | 4 | ESR1 |
| ACETOPHENAZINE | 4 | ESR1 |
| ARIPIPRAZOLE | 4 | ESR1 |
| RALOXIFENE HYDROCHLORIDE | 4 | ESR1 |
| NORETHINDRONE | 4 | ESR1 |
| TRIMETREXATE | 4 | ESR1 |
| ESTRADIOL ACETATE | 4 | ESR1 |
| ETHYLESTRENOL | 4 | ESR1 |
| ETHYNODIOL DIACETATE | 4 | ESR1 |
| CHLOROTRIANISENE | 4 | ESR1 |
| ESTRADIOL CYPIONATE | 4 | ESR1 |
| MESTRANOL | 4 | ESR1 |
| QUINESTROL | 4 | ESR1 |
| RIBOFLAVIN 5’-PHOSPHATE | 4 | ESR1 |
| ESTETROL ANHYDROUS | 4 | ESR1 |
| OXYBUTYNIN | 4 | ESR1 |
| MILTEFOSINE | 4 | ESR1 |
| MIFEPRISTONE | 4 | ESR1 |
| LENVATINIB | 4 | ESR1 |
| CLOFAZIMINE | 4 | ESR1 |
| BUTOCONAZOLE | 4 | ESR1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 2.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| ESR1 | 2,435 | Binding:2037, Functional:363, ADMET:35 |
| STK24 | 314 | Binding:314 |
| APEX1 | 49 | Binding:45, Functional:4 |
| HLCS | 8 | Binding:8 |
| DYNLL1 | 7 | Binding:7 |
| SRSF9 | 2 | Binding:2 |
| CALU | 1 | Binding:1 |
| COX6A1 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| GATC | 6.3.5.7 | glutaminyl-tRNA synthase (glutamine-hydrolysing) |
| APEX1 | 4.2.99.18 | DNA-(apurinic or apyrimidinic site) lyase |
Cohort genes with high screening signal
≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.
| Symbol | ChEMBL assays |
|---|---|
| STK24 | 314 |
| ESR1 | 2,435 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 21; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| NERATINIB | 4 | STK24 |
| BOSUTINIB | 4 | STK24 |
| GILTERITINIB | 4 | STK24 |
| NINTEDANIB | 4 | STK24 |
| SUNITINIB | 4 | STK24 |
| QUIZARTINIB | 4 | STK24 |
| CANDESARTAN CILEXETIL | 4 | ESR1 |
| DIENESTROL | 4 | ESR1 |
| BEXAROTENE | 4 | ESR1 |
| VARENICLINE | 4 | ESR1 |
| ACETOPHENAZINE | 4 | ESR1 |
| ARIPIPRAZOLE | 4 | ESR1 |
| RALOXIFENE HYDROCHLORIDE | 4 | ESR1 |
| NORETHINDRONE | 4 | ESR1 |
| TRIMETREXATE | 4 | ESR1 |
| ESTRADIOL ACETATE | 4 | ESR1 |
| ETHYLESTRENOL | 4 | ESR1 |
| ETHYNODIOL DIACETATE | 4 | ESR1 |
| CHLOROTRIANISENE | 4 | ESR1 |
| ESTRADIOL CYPIONATE | 4 | ESR1 |
| MESTRANOL | 4 | ESR1 |
| QUINESTROL | 4 | ESR1 |
| RIBOFLAVIN 5’-PHOSPHATE | 4 | ESR1 |
| ESTETROL ANHYDROUS | 4 | ESR1 |
| OXYBUTYNIN | 4 | ESR1 |
| MILTEFOSINE | 4 | ESR1 |
| MIFEPRISTONE | 4 | ESR1 |
| LENVATINIB | 4 | ESR1 |
| CLOFAZIMINE | 4 | ESR1 |
| BUTOCONAZOLE | 4 | ESR1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 3 | STK24, ESR1, APEX1 |
| B | Phased (≥1) drug, not yet approved | 1 | DYNLL1 |
| C | Druggable family + PDB, no drug | 3 | OPN1SW, FLNC, TNC |
| D | Druggable family + AlphaFold only, no drug | 1 | GATC |
| E | Difficult family or no structure, no drug | 13 | SRSF9, MEG8, CALU, ZFP64, ATP6V1F, CCDC136, COX6A1, KIAA1958, LINC00588, INIP (+3 more) |
Undrugged target profiles
17 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| OPN1SW | 0 | — |
| SRSF9 | 2 | — |
| MEG8 | 0 | — |
| CALU | 1 | — |
| ZFP64 | 0 | — |
| ATP6V1F | 0 | — |
| CCDC136 | 0 | — |
| COX6A1 | 1 | — |
| KIAA1958 | 0 | — |
| LINC00588 | 0 | — |
| INIP | 0 | — |
| GATC | 0 | — |
| TRIAP1 | 0 | — |
| FLNC | 0 | — |
| HLCS | 8 | — |
| TNC | 0 | — |
| RBFOX2 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 12.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 12 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04558541 | Not specified | RECRUITING | A Developmental Framework For Linking Phonological And Morpho-syntactic Sequential Pattern Rules In DLD: Production |
| NCT06995014 | Not specified | RECRUITING | Retrieval-based Word Learning in Developmental Language Disorder: Adaptive Retrieval Schedule |
| NCT07048392 | Not specified | RECRUITING | Retrieval-Based Word Learning in Developmental Language Disorder During Book Reading II |
| NCT07136636 | Not specified | RECRUITING | Speech of Kids After Neonatal Encephalopathy |
| NCT01829360 | Not specified | COMPLETED | Accelerating Word Learning in Children With Language Impairment |
| NCT03438760 | Not specified | TERMINATED | Improving STEM Outcomes for Young Children With Language Learning Disabilities |
| NCT04141332 | Not specified | COMPLETED | Specific Language Impairment (SLI) in Children May Caused by Epileptic Brain Activity |
| NCT04531514 | Not specified | COMPLETED | A Framework For Linking Sequential Pattern Rules in DLD: Perception in Toddlers |
| NCT04996472 | Not specified | COMPLETED | A Framework For Linking Sequential Pattern Rules in DLD: Perception in Adults |
| NCT05325333 | Not specified | COMPLETED | Retrieval-Based Word Learning in Developmental Language Disorder |
| NCT06001866 | Not specified | COMPLETED | Retrieval-Based Word Learning in Developmental Language Disorder: Verb Learning |
| NCT06026124 | Not specified | COMPLETED | Retrieval-Based Word Learning in Developmental Language Disorder During Book Reading |