Stereotypic movement disorder
diseaseOn this page
Also known as stereotyped repetitive movements NOS (finding)
Summary
Stereotypic movement disorder (MONDO:0002265) is a disease with 11 cohort genes.
At a glance
- Cohort genes: 11
- ClinVar variants: 14
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | stereotypic movement disorder |
| Mondo ID | MONDO:0002265 |
| MeSH | D019956 |
| DOID | DOID:2303 |
| SNOMED CT | 5507002 |
| UMLS | C0038273 |
| MedGen | 21320 |
| Is cancer (heuristic) | no |
Also known as: stereotyped repetitive movements NOS (finding)
Data availability: 14 ClinVar variants.
Disease family
Classification path: disease › human disease › disease by developmental or physiological process › psychiatric disorder › mental disorder › developmental disorder of mental health › specific developmental disorder › stereotypic movement disorder
Related subtypes (9): fetal alcohol spectrum disorder, oppositional defiant disorder, fetal nicotine spectrum disorder, communication disorder, tic disorder, learning disability, developmental coordination disorder, conduct disorder, attention deficit-hyperactivity disorder
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
ClinVar germline variants
14 retrieved; paginated sample, class counts are floors:
6 pathogenic, 3 pathogenic/likely pathogenic, 2 conflicting classifications of pathogenicity, 2 uncertain significance, 1 likely pathogenic
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 267937 | 46;XY;t(5;15)(q11.2;q24) | Pathogenic | criteria provided, single submitter | |
| 268039 | 46;XY;t(3;18)(q13.31;q22.1)dn | Pathogenic | criteria provided, single submitter | |
| 279598 | NM_001282531.3(ADNP):c.2188C>T (p.Arg730Ter) | ADNP | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 158186 | NM_001323289.2(CDKL5):c.622C>T (p.Gln208Ter) | CDKL5 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 224142 | NM_004408.4(DNM1):c.139G>A (p.Val47Met) | CIZ1 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 453289 | NM_005249.5(FOXG1):c.624C>A (p.Tyr208Ter) | FOXG1 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 225760 | NM_019597.5(HNRNPH2):c.616C>T (p.Arg206Trp) | HNRNPH2 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 156053 | NM_001110792.2(MECP2):c.413+1G>T | MECP2 | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 374054 | NM_001083962.2(TCF4):c.500-1G>A | TCF4 | Pathogenic | criteria provided, single submitter |
| 1803984 | NM_004973.4(JARID2):c.348G>T (p.Lys116Asn) | JARID2 | Likely pathogenic | criteria provided, single submitter |
| 1285534 | NM_130811.4(SNAP25):c.601A>T (p.Lys201Ter) | SNAP25 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 373940 | NM_006772.3(SYNGAP1):c.2115G>A (p.Lys705=) | SYNGAP1 | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 267927 | 46;XY;t(4;14)(p14;q11.2)dn | Uncertain significance | criteria provided, single submitter | |
| 523239 | GRCh37/hg19 18p11.32-11.31(chr18:1345040-3479168) | SMCHD1 | Uncertain significance | criteria provided, single submitter |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 28 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| SNAP25 | Orphanet:98914 | Presynaptic congenital myasthenic syndromes |
| CDKL5 | Orphanet:1934 | Early infantile developmental and epileptic encephalopathy |
| CDKL5 | Orphanet:3095 | Atypical Rett syndrome |
| CDKL5 | Orphanet:505652 | CDKL5-deficiency disorder |
| CDKL5 | Orphanet:697160 | Infantile epileptic spasms syndrome |
| SYNGAP1 | Orphanet:1942 | Epilepsy with myoclonic-atonic seizures |
| SYNGAP1 | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
| SYNGAP1 | Orphanet:544254 | SYNGAP1-related developmental and epileptic encephalopathy |
| TCF4 | Orphanet:171 | Primary sclerosing cholangitis |
| TCF4 | Orphanet:178469 | Autosomal dominant non-syndromic intellectual disability |
| TCF4 | Orphanet:2896 | Pitt-Hopkins syndrome |
| TCF4 | Orphanet:98974 | Fuchs endothelial corneal dystrophy |
| ADNP | Orphanet:404448 | Helsmoortel-Van der Aa syndrome |
| CIZ1 | Orphanet:420492 | Adult-onset cervical dystonia, DYT23 type |
| SMCHD1 | Orphanet:2250 | Hyposmia-nasal and ocular hypoplasia-hypogonadotropic hypogonadism syndrome |
| SMCHD1 | Orphanet:269 | Facioscapulohumeral dystrophy |
| FOXG1 | Orphanet:261144 | FOXG1 syndrome due to 14q12 microdeletion |
| FOXG1 | Orphanet:442835 | Non-specific early-onset epileptic encephalopathy |
| FOXG1 | Orphanet:598164 | FOXG1 syndrome due to intragenic alteration |
| HNRNPH2 | Orphanet:662198 | Neurodevelopmental delay-intellectual disability-skeletal defects syndrome |
| JARID2 | Orphanet:528084 | Non-specific syndromic intellectual disability |
| MECP2 | Orphanet:1762 | Proximal Xq28 duplication syndrome |
| MECP2 | Orphanet:209370 | MECP2-related severe neonatal encephalopathy |
| MECP2 | Orphanet:3077 | X-linked intellectual disability-psychosis-macroorchidism syndrome |
| MECP2 | Orphanet:3095 | Atypical Rett syndrome |
| MECP2 | Orphanet:536 | Systemic lupus erythematosus |
| MECP2 | Orphanet:777 | X-linked non-syndromic intellectual disability |
| MECP2 | Orphanet:778 | Rett syndrome |
Cohort genes → proteins
11 cohort genes, 11 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 11 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| SNAP25 | HGNC:11132 | ENSG00000132639 | P60880 | Synaptosomal-associated protein 25 | clinvar |
| CDKL5 | HGNC:11411 | ENSG00000008086 | O76039 | Cyclin-dependent kinase-like 5 | clinvar |
| SYNGAP1 | HGNC:11497 | ENSG00000197283 | Q96PV0 | Ras/Rap GTPase-activating protein SynGAP | clinvar |
| TCF4 | HGNC:11634 | ENSG00000196628 | P15884 | Transcription factor 4 | clinvar |
| ADNP | HGNC:15766 | ENSG00000101126 | Q9H2P0 | Activity-dependent neuroprotector homeobox protein | clinvar |
| CIZ1 | HGNC:16744 | ENSG00000148337 | Q9ULV3 | Cip1-interacting zinc finger protein | clinvar |
| SMCHD1 | HGNC:29090 | ENSG00000101596 | A6NHR9 | Structural maintenance of chromosomes flexible hinge domain-containing protein 1 | clinvar |
| FOXG1 | HGNC:3811 | ENSG00000176165 | P55316 | Forkhead box protein G1 | clinvar |
| HNRNPH2 | HGNC:5042 | ENSG00000126945 | P55795 | Heterogeneous nuclear ribonucleoprotein H2 | clinvar |
| JARID2 | HGNC:6196 | ENSG00000008083 | Q92833 | Protein Jumonji | clinvar |
| MECP2 | HGNC:6990 | ENSG00000169057 | P51608 | Methyl-CpG-binding protein 2 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| SNAP25 | Synaptosomal-associated protein 25 | t-SNARE involved in the molecular regulation of neurotransmitter release. |
| CDKL5 | Cyclin-dependent kinase-like 5 | Mediates phosphorylation of MECP2. |
| SYNGAP1 | Ras/Rap GTPase-activating protein SynGAP | Major constituent of the PSD essential for postsynaptic signaling. |
| TCF4 | Transcription factor 4 | Transcription factor that binds to the immunoglobulin enhancer Mu-E5/KE5-motif. |
| ADNP | Activity-dependent neuroprotector homeobox protein | May be involved in transcriptional regulation. |
| CIZ1 | Cip1-interacting zinc finger protein | May regulate the subcellular localization of CIP/WAF1. |
| SMCHD1 | Structural maintenance of chromosomes flexible hinge domain-containing protein 1 | Non-canonical member of the structural maintenance of chromosomes (SMC) protein family that plays a key role in epigenetic silencing by regulating chromatin architecture. |
| FOXG1 | Forkhead box protein G1 | Transcription repression factor which plays an important role in the establishment of the regional subdivision of the developing brain and in the development of the telencephalon. |
| HNRNPH2 | Heterogeneous nuclear ribonucleoprotein H2 | This protein is a component of the heterogeneous nuclear ribonucleoprotein (hnRNP) complexes which provide the substrate for the processing events that pre-mRNAs undergo before becoming functional, translatable mRNAs in the cytoplasm. |
| JARID2 | Protein Jumonji | Regulator of histone methyltransferase complexes that plays an essential role in embryonic development, including heart and liver development, neural tube fusion process and hematopoiesis. |
| MECP2 | Methyl-CpG-binding protein 2 | Chromosomal protein that binds to methylated DNA. |
Protein-family classification
Druggable: 1 · Difficult: 7 · Unknown: 3 · Druggable fraction: 0.09
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 |
|---|---|---|---|
| Transcription factor | 6 | 4.5× | 0.003 |
| Kinase | 1 | 2.5× | 0.641 |
| Scaffold/PPI | 1 | 1.6× | 0.641 |
| Other/Unknown | 3 | 0.5× | 0.987 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| SNAP25 | Other/Unknown | no | T_SNARE_dom, SNAP-25_dom, SNAP-25_N_SNARE_chord | |
| CDKL5 | Kinase | yes | 2.7.11.22 | Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf |
| SYNGAP1 | Scaffold/PPI | no | C2_dom, PH_domain, RasGAP_dom | |
| TCF4 | Transcription factor | no | 7.6.2.3 | bHLH_dom, HLH_DNA-bd_sf, NeuroDiff_E-box_TFs |
| ADNP | Transcription factor | no | HD, Homeodomain-like_sf, Znf_C2H2_type | |
| CIZ1 | Transcription factor | no | Matrin/U1-C_Znf_C2H2, Matrin/U1-like-C_Znf_C2H2, Znf_C2H2_type | |
| SMCHD1 | Other/Unknown | no | SMC_hinge, SMC_hinge_sf, HATPase_C_sf | |
| FOXG1 | Transcription factor | no | Fork_head_dom, TF_fork_head_CS_1, TF_fork_head_CS_2 | |
| HNRNPH2 | Transcription factor | no | RRM_dom, Nucleotide-bd_a/b_plait_sf, Znf_CHHC | |
| JARID2 | Transcription factor | no | ARID_dom, JmjC_dom, JmjN | |
| MECP2 | Other/Unknown | no | Methyl_CpG_DNA-bd, DNA-bd_dom_sf, Me_CpG-bd_MeCP2 |
Expression context
Cohort genes with no expression data: 0.
11 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) | 11 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| cortical plate | 3 |
| Brodmann (1909) area 23 | 2 |
| endothelial cell | 2 |
| cerebellar cortex | 1 |
| cerebellum | 1 |
| pons | 1 |
| frontal pole | 1 |
| adenohypophysis | 1 |
| pituitary gland | 1 |
| right uterine tube | 1 |
| pericardium | 1 |
| skin of hip | 1 |
| ganglionic eminence | 1 |
| ventricular zone | 1 |
| cerebellar hemisphere | 1 |
| right hemisphere of cerebellum | 1 |
| right ovary | 1 |
| blood | 1 |
| calcaneal tendon | 1 |
| colonic epithelium | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| SNAP25 | 220 | broad | marker | pons, cerebellar cortex, cerebellum |
| CDKL5 | 257 | ubiquitous | marker | frontal pole, Brodmann (1909) area 23, cortical plate |
| SYNGAP1 | 137 | ubiquitous | marker | pituitary gland, right uterine tube, adenohypophysis |
| TCF4 | 292 | ubiquitous | marker | endothelial cell, skin of hip, pericardium |
| ADNP | 295 | ubiquitous | marker | ganglionic eminence, cortical plate, ventricular zone |
| CIZ1 | 281 | ubiquitous | marker | right hemisphere of cerebellum, cerebellar hemisphere, right ovary |
| SMCHD1 | 290 | ubiquitous | marker | calcaneal tendon, colonic epithelium, blood |
| FOXG1 | 100 | broad | marker | cortical plate, endothelial cell, Brodmann (1909) area 23 |
| HNRNPH2 | 295 | ubiquitous | marker | choroid plexus epithelium, islet of Langerhans, seminal vesicle |
| JARID2 | 293 | ubiquitous | marker | secondary oocyte, oocyte, buccal mucosa cell |
| MECP2 | 277 | ubiquitous | marker | paraflocculus, Brodmann (1909) area 10, sural nerve |
Protein interactions among cohort
Intra-cohort edges: 2.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| MECP2 | 5,688 |
| JARID2 | 3,794 |
| TCF4 | 3,342 |
| ADNP | 2,228 |
| SYNGAP1 | 2,175 |
| CIZ1 | 2,160 |
| HNRNPH2 | 2,073 |
| SMCHD1 | 1,888 |
| CDKL5 | 1,357 |
| SNAP25 | 163 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| ADNP | FOXG1 | biogrid_interaction |
| CDKL5 | MECP2 | string_interaction |
Structural data
PDB: 9 · AlphaFold-only: 2 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| JARID2 | Q92833 | 16 |
| SNAP25 | P60880 | 14 |
| MECP2 | P51608 | 9 |
| TCF4 | P15884 | 5 |
| HNRNPH2 | P55795 | 4 |
| CDKL5 | O76039 | 3 |
| CIZ1 | Q9ULV3 | 1 |
| SMCHD1 | A6NHR9 | 1 |
| FOXG1 | P55316 | 1 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| SYNGAP1 | Q96PV0 | 60.43 |
| ADNP | Q9H2P0 | 57.07 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 61. Enrichment computed across 11 evidence-associated genes (8 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 8 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Regulation of MECP2 expression and activity | 2 | 92.1× | 0.012 | FOXG1, MECP2 |
| Loss of MECP2 binding ability to 5hmC-DNA | 1 | 1427.5× | 0.021 | MECP2 |
| Toxicity of botulinum toxin type C (botC) | 1 | 475.8× | 0.021 | SNAP25 |
| Toxicity of botulinum toxin type E (botE) | 1 | 475.8× | 0.021 | SNAP25 |
| MECP2 regulates transcription of genes involved in GABA signaling | 1 | 475.8× | 0.021 | MECP2 |
| Toxicity of botulinum toxin type A (botA) | 1 | 356.9× | 0.021 | SNAP25 |
| Loss of phosphorylation of MECP2 at T308 | 1 | 356.9× | 0.021 | MECP2 |
| Loss of MECP2 binding ability to 5mC-DNA | 1 | 356.9× | 0.021 | MECP2 |
| MECP2 regulates transcription factors | 1 | 285.5× | 0.024 | MECP2 |
| Loss of MECP2 binding ability to the NCoR/SMRT complex | 1 | 203.9× | 0.028 | MECP2 |
| Neurotoxicity of clostridium toxins | 1 | 178.4× | 0.028 | SNAP25 |
| MECP2 regulates transcription of neuronal ligands | 1 | 178.4× | 0.028 | MECP2 |
| Uptake and actions of bacterial toxins | 1 | 102.0× | 0.042 | SNAP25 |
| Acetylcholine Neurotransmitter Release Cycle | 1 | 84.0× | 0.042 | SNAP25 |
| FOXO-mediated transcription of cell cycle genes | 1 | 84.0× | 0.042 | FOXG1 |
| Serotonin Neurotransmitter Release Cycle | 1 | 79.3× | 0.042 | SNAP25 |
| Norepinephrine Neurotransmitter Release Cycle | 1 | 79.3× | 0.042 | SNAP25 |
| GABA synthesis, release, reuptake and degradation | 1 | 79.3× | 0.042 | SNAP25 |
| MECP2 regulates neuronal receptors and channels | 1 | 75.1× | 0.042 | MECP2 |
| Dopamine Neurotransmitter Release Cycle | 1 | 62.1× | 0.046 | SNAP25 |
| Other interleukin signaling | 1 | 59.5× | 0.046 | SNAP25 |
| Glutamate Neurotransmitter Release Cycle | 1 | 57.1× | 0.046 | SNAP25 |
| TGFBR3 expression | 1 | 57.1× | 0.046 | TCF4 |
| Neurotransmitter release cycle | 1 | 54.9× | 0.046 | SNAP25 |
| Myogenesis | 1 | 47.6× | 0.050 | TCF4 |
| Signaling by TGFBR3 | 1 | 46.0× | 0.050 | TCF4 |
| Bacterial Infection Pathways | 1 | 42.0× | 0.052 | SNAP25 |
| Nuclear events stimulated by ALK signaling in cancer | 1 | 40.8× | 0.052 | MECP2 |
| Transcriptional Regulation by MECP2 | 1 | 39.6× | 0.052 | MECP2 |
| Sensory processing of sound | 1 | 38.6× | 0.052 | SNAP25 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 11 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| random inactivation of X chromosome | 3 | 255.3× | 2e-05 | CIZ1, SMCHD1, JARID2 |
| negative regulation of neuron apoptotic process | 3 | 30.2× | 0.007 | SYNGAP1, ADNP, MECP2 |
| positive regulation of axon extension | 2 | 92.8× | 0.009 | CDKL5, ADNP |
| catecholamine secretion | 1 | 1532.0× | 0.010 | MECP2 |
| trans-synaptic signaling by BDNF | 1 | 1532.0× | 0.010 | MECP2 |
| protein localization to pericentric heterochromatin | 1 | 1532.0× | 0.010 | JARID2 |
| dendrite development | 2 | 71.3× | 0.010 | SYNGAP1, MECP2 |
| visual learning | 2 | 55.7× | 0.010 | SYNGAP1, MECP2 |
| long-term synaptic potentiation | 2 | 51.1× | 0.010 | SNAP25, MECP2 |
| cardiolipin metabolic process | 1 | 766.0× | 0.013 | MECP2 |
| positive regulation of DNA-templated DNA replication initiation | 1 | 766.0× | 0.013 | CIZ1 |
| nervous system process involved in regulation of systemic arterial blood pressure | 1 | 510.7× | 0.013 | MECP2 |
| biogenic amine metabolic process | 1 | 510.7× | 0.013 | MECP2 |
| pyramidal neuron migration to cerebral cortex | 1 | 510.7× | 0.013 | FOXG1 |
| intracellular nitric oxide homeostasis | 1 | 510.7× | 0.013 | ADNP |
| response to other organism | 1 | 510.7× | 0.013 | MECP2 |
| protein-DNA complex assembly | 1 | 510.7× | 0.013 | TCF4 |
| maintenance of postsynaptic specialization structure | 1 | 510.7× | 0.013 | SYNGAP1 |
| positive regulation of neuron differentiation | 2 | 36.0× | 0.013 | TCF4, FOXG1 |
| neuron apoptotic process | 2 | 33.7× | 0.013 | SYNGAP1, ADNP |
| proprioception | 1 | 383.0× | 0.015 | MECP2 |
| presynaptic dense core vesicle exocytosis | 1 | 383.0× | 0.015 | SNAP25 |
| axon midline choice point recognition | 1 | 306.4× | 0.018 | FOXG1 |
| glucocorticoid metabolic process | 1 | 255.3× | 0.020 | MECP2 |
| regulation of synapse structure or activity | 1 | 255.3× | 0.020 | SYNGAP1 |
| inositol metabolic process | 1 | 218.9× | 0.021 | MECP2 |
| nose development | 1 | 218.9× | 0.021 | SMCHD1 |
| autosome genomic imprinting | 1 | 218.9× | 0.021 | SMCHD1 |
| neuron fate determination | 1 | 191.5× | 0.022 | FOXG1 |
| positive regulation of microtubule nucleation | 1 | 191.5× | 0.022 | MECP2 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 3 · Undrugged: 8
Druggability breadth: 6 of 11 evidence-associated genes (55%) 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 |
|---|---|
| CDKL5 | FEDRATINIB |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| CDKL5 | 14 | 4 |
| TCF4 | 1 | 2 |
| SMCHD1 | 1 | 2 |
| SNAP25 | 0 | 0 |
| SYNGAP1 | 0 | 0 |
| ADNP | 0 | 0 |
| CIZ1 | 0 | 0 |
| FOXG1 | 0 | 0 |
| HNRNPH2 | 0 | 0 |
| JARID2 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| FEDRATINIB | 4 | CDKL5 |
| CAPMATINIB | 4 | CDKL5 |
| DEFACTINIB | 3 | CDKL5 |
| ALVOCIDIB | 3 | CDKL5 |
| LESTAURTINIB | 3 | CDKL5 |
| RUBOXISTAURIN | 3 | CDKL5 |
| FORETINIB | 2 | CDKL5 |
| RG-547 | 2 | CDKL5 |
| AT-7519 | 2 | CDKL5 |
| TOZASERTIB | 2 | CDKL5 |
| SALINOMYCIN | 2 | TCF4 |
| MOLIBRESIB | 2 | SMCHD1 |
| BMS-387032 | 1 | CDKL5 |
| PF-03758309 | 1 | CDKL5 |
| 5-(6-BENZOTHIAZOLYLMETHYLENE)-3,5-DIHYDRO-2-(((1S)-1-(METHOXYMETHYL)-3-METHYLBUTYL)AMINO)-4H-IMIDAZOL-4-ONE, (5Z)- | 1 | CDKL5 |
| AST-487 | 1 | CDKL5 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 2.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| CDKL5 | 74 | Binding:74 |
| TCF4 | 31 | Binding:31 |
| SMCHD1 | 7 | Binding:7 |
| HNRNPH2 | 2 | Binding:2 |
| MECP2 | 1 | Binding:1 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| CDKL5 | 2.7.11.22 | cyclin-dependent kinase |
| TCF4 | 7.6.2.3 | ABC-type glutathione-S-conjugate transporter |
Pharmacogenomics
Cohort genes with a PharmGKB record: 11; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
16 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) |
|---|---|---|
| FEDRATINIB | 4 | CDKL5 |
| CAPMATINIB | 4 | CDKL5 |
| DEFACTINIB | 3 | CDKL5 |
| ALVOCIDIB | 3 | CDKL5 |
| LESTAURTINIB | 3 | CDKL5 |
| RUBOXISTAURIN | 3 | CDKL5 |
| FORETINIB | 2 | CDKL5 |
| RG-547 | 2 | CDKL5 |
| AT-7519 | 2 | CDKL5 |
| TOZASERTIB | 2 | CDKL5 |
| SALINOMYCIN | 2 | TCF4 |
| MOLIBRESIB | 2 | SMCHD1 |
| BMS-387032 | 1 | CDKL5 |
| PF-03758309 | 1 | CDKL5 |
| 5-(6-BENZOTHIAZOLYLMETHYLENE)-3,5-DIHYDRO-2-(((1S)-1-(METHOXYMETHYL)-3-METHYLBUTYL)AMINO)-4H-IMIDAZOL-4-ONE, (5Z)- | 1 | CDKL5 |
| AST-487 | 1 | CDKL5 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | CDKL5 |
| B | Phased (≥1) drug, not yet approved | 2 | TCF4, SMCHD1 |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 8 | SNAP25, SYNGAP1, ADNP, CIZ1, FOXG1, HNRNPH2, JARID2, MECP2 |
Undrugged target profiles
8 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| SNAP25 | 0 | — |
| SYNGAP1 | 0 | — |
| ADNP | 0 | — |
| CIZ1 | 0 | — |
| FOXG1 | 0 | — |
| HNRNPH2 | 2 | — |
| JARID2 | 0 | — |
| MECP2 | 1 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 0.