Type 1 diabetes mellitus

disease
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Also known as diabetes mellitis type 1diabetes mellitis type IIDDMimmune mediated diabetesinsulin dependent diabetesjuvenile diabetesT1DT1DMtype 1 diabetestype I diabetestype I diabetes mellitus

Summary

Type 1 diabetes mellitus (MONDO:0005147) is a disease with 75 cohort genes (1,437 GWAS associations across 95 studies) and 2,024 clinical trials. The dominant Reactome pathway is Interferon gamma signaling (13 cohort genes). Top therapeutic interventions include insulin glargine, insulin lispro, and glucagon.

At a glance

  • Cohort genes: 75
  • GWAS associations: 1,437
  • ClinVar variants: 165
  • Clinical trials: 2,024

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

FieldValue
Canonical nametype 1 diabetes mellitus
Mondo IDMONDO:0005147
MeSHD003922
OMIM222100
Orphanet243377
DOIDDOID:9744
ICD-10-CME10
ICD-111651053999
NCITC2986
SNOMED CT46635009
UMLSC0011854
MedGen41522
Is cancer (heuristic)no

Also known as: diabetes mellitis type 1 · diabetes mellitis type I · IDDM · immune mediated diabetes · insulin dependent diabetes · juvenile diabetes · T1D · T1DM · type 1 diabetes · type I diabetes · type I diabetes mellitus

Data availability: 165 ClinVar variants · 1,437 GWAS associations (95 studies) · 155 cell lines.

Disease family

An umbrella term covering 1 Mondo subtype.

Classification path: disease › human disease › disease by body system or component › endocrine system disorderautoimmune disorder of endocrine systemtype 1 diabetes mellitus

Related subtypes (12): autoimmune thyroid disease, immune dysregulation-polyendocrinopathy-enteropathy-X-linked syndrome, autoimmune enteropathy and endocrinopathy - susceptibility to chronic infections syndrome, autoimmune pancreatitis, autoimmune hepatitis, autoimmune polyendocrinopathy, autoimmune hypoparathyroidism, insulin autoimmune syndrome, IgG4-related sclerosing cholangitis, lymphocytic hypophysitis, autoimmune oophoritis, autoimmune primary ovarian failure

Subtypes (1): latent autoimmune diabetes in adults

Genetics & variants

GWAS landscape

1,437 GWAS associations across 95 studies. Top hits map to 11 distinct genes (as reported by GWAS).

Top associations by p-value

rsIDp-valueGeneRisk alleleOdds ratio
rs92713658e-317HLA-DRB1 - HLA-DQA1T1.3
chr6:326849382e-308A0.29
chr6:315173242e-308C2.56
chr6:324056014e-308T6.98
chr6:325353772e-306A0.11
rs92733676e-306HLA-DQA1 - HLA-DQB1T0.73
chr6:322344321e-305C3.25
chr6:316359931e-302G2.71
chr6:312750402e-286A0.44
chr6:320614287e-285A3.12
chr6:319510831e-283G3.1
chr6:317998964e-282TA3.08
chr6:313952493e-279T2.42
chr6:328367939e-273A2.24
chr6:308019491e-271T2.38
rs97847581e-237HLA-DOB - TAP2?
rs17702e-232HLA-DQB1-AS1, HLA-DQB1G4.28
chr6:311354182e-219G2.57
rs11507552e-217TNXB?
chr6:309645322e-202T1.99
chr6:329788299e-202C2.7
rs6895e-196INS-IGF2, INSA
rs37633653e-191TAP2 - PSMB8?
chr6:331602102e-151C1.77
chr6:303874072e-151G2.26
rs5809626e-149HLA-DMA?
rs92733635e-138HLA-DQA1 - HLA-DQB1A5.48
rs24766015e-135AP4B1-AS1, PTPN22A1.72
rs92723465e-134HLA-DQA1G5.49
chr6:306850042e-133T2.17

Top studies (by case count)

StudyLead authorYearCasesControlsTitle
GCST011539Inshaw JRJ202181,591834,224Analysis of overlapping genetic association in type 1 and type 2 diabetes.
GCST90013445Robertson CC202120,06533,065Fine-mapping, trans-ancestral and genomic analyses identify causal variants, cells, genes and drug targets for type 1 diabetes.
GCST90014023Chiou J202118,942501,638Interpreting type 1 diabetes risk with genetics and single-cell epigenomics.
GCST90013791Crouch DJM202515,573158,408Bayesian Effect Size Ranking to Prioritise Genetic Risk Variants in Common Diseases for Follow-Up Studies.
GCST90013446Robertson CC202113,45820,143Fine-mapping, trans-ancestral and genomic analyses identify causal variants, cells, genes and drug targets for type 1 diabetes.
GCST005321Broce I201812,57723,475Immune-related genetic enrichment in frontotemporal dementia: An analysis of genome-wide association studies.
GCST001255Bradfield JP20119,93416,956A genome-wide meta-analysis of six type 1 diabetes cohorts identifies multiple associated loci.
GCST010681Forgetta V20209,26615,574Rare Genetic Variants of Large Effect Influence Risk of Type 1 Diabetes.
GCST001191Plagnol V20118,50610,596Genome-wide association analysis of autoantibody positivity in type 1 diabetes cases.
GCST000392Barrett JC20097,5149,045Genome-wide association study and meta-analysis find that over 40 loci affect risk of type 1 diabetes.

Variant details and genetic-evidence tiers

Tier distribution (top 50 variants)

TierVariants
Tier 1: coding1
Tier 2: splice/UTR2
Tier 3: regulatory2
Tier 4: intronic/intergenic45

MAF distribution

BucketVariants
common (>=0.05)15
low_freq (0.01-0.05)0
rare (<0.01)0
unknown35

Functional consequences

ConsequenceCount
unknown35
intergenic_variant6
intron_variant4
splice_region_variant2
TF_binding_site_variant1
missense_variant1
regulatory_region_variant1

Top variants

rsIDChrPosAllelesMAFConsequenceGenep-valueTier
rs9271365632619017T>A,C,G0.05intergenic_variantHLA-DRB1 - HLA-DQA1Tier 4: intronic/intergenic
chr6:326849382e-308Tier 4: intronic/intergenic
chr6:315173242e-308Tier 4: intronic/intergenic
chr6:324056014e-308Tier 4: intronic/intergenic
chr6:325353772e-306Tier 4: intronic/intergenic
rs9273367632658661A>C,T0.05TF_binding_site_variantHLA-DQA1 - HLA-DQB16e-306Tier 3: regulatory
chr6:322344321e-305Tier 4: intronic/intergenic
chr6:316359931e-302Tier 4: intronic/intergenic
chr6:312750402e-286Tier 4: intronic/intergenic
chr6:320614287e-285Tier 4: intronic/intergenic
chr6:319510831e-283Tier 4: intronic/intergenic
chr6:317998964e-282Tier 4: intronic/intergenic
chr6:313952493e-279Tier 4: intronic/intergenic
chr6:328367939e-273Tier 4: intronic/intergenic
chr6:308019491e-271Tier 4: intronic/intergenic
rs9784758632820734T>C0.05intron_variantHLA-DOB - TAP21e-237Tier 4: intronic/intergenic
rs1770632660056A>G,T0.46splice_region_variantHLA-DQB1-AS1, HLA-DQB12e-232Tier 2: splice/UTR
chr6:311354182e-219Tier 4: intronic/intergenic
rs1150755632070773C>A,G,T0.05intron_variantTNXB2e-217Tier 4: intronic/intergenic
chr6:309645322e-202Tier 4: intronic/intergenic
chr6:329788299e-202Tier 4: intronic/intergenic
rs689112160994A>G,T0.05splice_region_variantINS-IGF2, INS5e-196Tier 2: splice/UTR
rs3763365632839676A>C,G0.05intergenic_variantTAP2 - PSMB83e-191Tier 4: intronic/intergenic
chr6:331602102e-151Tier 4: intronic/intergenic
chr6:303874072e-151Tier 4: intronic/intergenic
rs580962632957915C>T0.05intergenic_variantHLA-DMA6e-149Tier 4: intronic/intergenic
rs9273363632658495C>A,G0.13intergenic_variantHLA-DQA1 - HLA-DQB15e-138Tier 4: intronic/intergenic
rs24766011113834946A>G,T0.103missense_variantAP4B1-AS1, PTPN225e-135Tier 1: coding
rs9272346632636595G>A,T0.39intergenic_variantHLA-DQA15e-134Tier 4: intronic/intergenic
chr6:306850042e-133Tier 4: intronic/intergenic

ClinVar germline variants

165 retrieved; paginated sample, class counts are floors:

86 uncertain significance, 28 conflicting classifications of pathogenicity, 11 pathogenic, 10 likely pathogenic, 9 benign, 8 likely benign, 7 benign/likely benign, 4 uncertain significance/uncertain risk allele, 1 pathogenic/likely pathogenic/likely risk allele, 1 pathogenic/likely pathogenic

ClinVarVariant (HGVS)GeneClassificationReview
129235NM_000545.8(HNF1A):c.608G>A (p.Arg203His)HNF1APathogenicreviewed by expert panel
14927NM_000545.8(HNF1A):c.872dup (p.Gly292fs)HNF1APathogenicreviewed by expert panel
14928NM_000545.8(HNF1A):c.1340C>T (p.Pro447Leu)HNF1APathogenicreviewed by expert panel
1693221NM_000545.8(HNF1A):c.1556C>T (p.Pro519Leu)HNF1APathogenicreviewed by expert panel
3574303NM_000545.8(HNF1A):c.1456C>T (p.Gln486Ter)HNF1APathogeniccriteria provided, single submitter
36824NM_000545.5(HNF1A):c.598C>T (p.Arg200Trp)HNF1APathogenicreviewed by expert panel
372380NM_000545.8(HNF1A):c.526C>T (p.Gln176Ter)HNF1APathogenicreviewed by expert panel
379138NM_000545.8(HNF1A):c.788G>A (p.Arg263His)HNF1APathogenicreviewed by expert panel
420064NM_000545.8(HNF1A):c.685C>T (p.Arg229Ter)HNF1APathogenicreviewed by expert panel
447503NM_000545.8(HNF1A):c.814C>T (p.Arg272Cys)HNF1APathogenicreviewed by expert panel
562373NM_000545.8(HNF1A):c.392G>A (p.Arg131Gln)HNF1APathogenicreviewed by expert panel
817605NM_000545.8(HNF1A):c.864delinsCC (p.Gly292fs)HNF1APathogenic/Likely pathogeniccriteria provided, multiple submitters, no conflicts
13392NM_000207.3(INS):c.163C>T (p.Arg55Cys)INSPathogenic/Likely pathogenic/Likely risk allelecriteria provided, multiple submitters, no conflicts
1179147NM_000545.8(HNF1A):c.1310-2A>GHNF1ALikely pathogeniccriteria provided, multiple submitters, no conflicts
3574277NM_000545.8(HNF1A):c.-64_-55delinsGCHNF1ALikely pathogeniccriteria provided, multiple submitters, no conflicts
3574278NM_000545.8(HNF1A):c.3G>A (p.Met1Ile)HNF1ALikely pathogeniccriteria provided, single submitter
3574308NM_000545.8(HNF1A):c.1555_1556dup (p.Gln520fs)HNF1ALikely pathogeniccriteria provided, single submitter
3574309NM_000545.8(HNF1A):c.1575_1576delinsA (p.Asp526fs)HNF1ALikely pathogeniccriteria provided, single submitter
3574311NM_000545.8(HNF1A):c.1715del (p.Pro572fs)HNF1ALikely pathogeniccriteria provided, single submitter
3574313NM_000545.8(HNF1A):c.1720delinsGGCATCCAGCACCG (p.Ser574fs)HNF1ALikely pathogeniccriteria provided, single submitter
36832NM_000545.8(HNF1A):c.827C>G (p.Ala276Gly)HNF1ALikely pathogenicreviewed by expert panel
430837NM_000545.8(HNF1A):c.1501+1G>AHNF1ALikely pathogenicreviewed by expert panel
435424NM_000545.8(HNF1A):c.864del (p.Pro291fs)HNF1ALikely pathogenicreviewed by expert panel
994545NM_000545.8(HNF1A):c.1769T>C (p.Val590Ala)C12orf43Uncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
402948NM_000545.8(HNF1A):c.923C>T (p.Pro308Leu)HNF1AUncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
882514NM_000545.8(HNF1A):c.1727A>C (p.Gln576Pro)HNF1AUncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
884166NM_000545.8(HNF1A):c.499G>A (p.Val167Ile)HNF1AUncertain significance/Uncertain risk allelecriteria provided, multiple submitters, no conflicts
36813NM_000545.8(HNF1A):c.1854C>G (p.Ile618Met)C12orf43Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
268095NM_014009.4(FOXP3):c.398C>T (p.Pro133Leu)FOXP3Conflicting classifications of pathogenicitycriteria provided, conflicting classifications
1025247NM_000545.8(HNF1A):c.780G>A (p.Thr260=)HNF1AConflicting classifications of pathogenicitycriteria provided, conflicting classifications

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 0 · Orphanet: 67 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 2

Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)

GeneHGNCEvidence routes
INSINSGWAS, Orphanet
CDKN1CCDKN1CGWAS, Orphanet

Orphanet rare-disease linkage (cohort genes)

GeneOrphanet IDRare disease
INSOrphanet:552MODY
INSOrphanet:99885Isolated permanent neonatal diabetes mellitus
CFBOrphanet:544472Atypical hemolytic uremic syndrome with complement gene abnormality
SLC1A2Orphanet:442835Non-specific early-onset epileptic encephalopathy
STAT4Orphanet:117Behçet disease
STAT4Orphanet:536Systemic lupus erythematosus
STAT4Orphanet:85408Rheumatoid factor-negative polyarticular juvenile idiopathic arthritis
STAT4Orphanet:85410Oligoarticular juvenile idiopathic arthritis
STAT4Orphanet:93552Pediatric systemic lupus erythematosus
BTNL2Orphanet:797Sarcoidosis
SUOXOrphanet:99731Isolated sulfite oxidase deficiency
TBPOrphanet:98759Spinocerebellar ataxia type 17
HNF1AOrphanet:319303Chromophobe renal cell carcinoma
HNF1AOrphanet:324575Hyperinsulinism due to HNF1A deficiency
HNF1AOrphanet:404511Clear cell papillary renal cell carcinoma
HNF1AOrphanet:552MODY
THOrphanet:101150Autosomal recessive dopa-responsive dystonia
TLL1Orphanet:99103Atrial septal defect, ostium secundum type
TLL1Orphanet:99106Atrial septal defect, ostium primum type
TNFAIP3Orphanet:536Systemic lupus erythematosus
TNFAIP3Orphanet:674762Early-onset autoinflammatory syndrome due to A20 haploinsufficiency
TNFSF15Orphanet:186Primary biliary cholangitis
CD40LGOrphanet:101088X-linked hyper-IgM syndrome
FASLGOrphanet:3261Autoimmune lymphoproliferative syndrome
TNXBOrphanet:230839Classical-like Ehlers-Danlos syndrome type 1
TNXBOrphanet:289365Familial vesicoureteral reflux
TYK2Orphanet:300865Primary cutaneous anaplastic large cell lymphoma
TYK2Orphanet:331226Susceptibility to infection due to TYK2 deficiency
TYK2Orphanet:98842Lymphomatoid papulosis
UMODOrphanet:88950UMOD-related autosomal dominant tubulointerstitial kidney disease
IKZF1Orphanet:317473Common variable immunodeficiency phenotype due to IKAROS functional haploinsufficiency
IKZF1Orphanet:36426Stevens-Johnson syndrome
IKZF1Orphanet:585909B-lymphoblastic leukemia/lymphoma with t(9;22)(q34.1;q11.2)
IKZF1Orphanet:695172Combined immunodeficiency due to dimerization defective IKAROS mutation
IKZF1Orphanet:697414Early-onset combined immunodeficiency with low Ig due to dominant negative IKAROS mutation
IKZF3Orphanet:67038B-cell chronic lymphocytic leukemia
IKZF3Orphanet:699590Immune dysregulation with immunodeficiency due to AIOLOS haploinsufficiency
IKZF3Orphanet:699593Combined immunodeficiency-lymphopenia-cancer predisposing syndrome due to AIOLOS deficiency
BCL11AOrphanet:251380Hereditary persistence of fetal hemoglobin-sickle cell disease syndrome
BCL11AOrphanet:619233Hereditary persistence of fetal hemoglobin-intellectual disability syndrome
SLC4A10Orphanet:664430Neurodevelopmental disorder-slit-like lateral ventricles-intellectual disability syndrome
PRDM16Orphanet:154Familial isolated dilated cardiomyopathy
PRDM16Orphanet:16061p36 deletion syndrome
PRDM16Orphanet:54260Left ventricular noncompaction
BACH2Orphanet:714472Inflammatory bowel disease-autoimmunity-sinopulmonary infections-lymphadenopathy syndrome
MEG3Orphanet:254525Temple syndrome due to paternal 14q32.2 microdeletion
MEG3Orphanet:254528Kagami-Ogata syndrome due to maternal 14q32.2 microdeletion
MEG3Orphanet:254531Temple syndrome due to paternal 14q32.2 hypomethylation
MEG3Orphanet:254534Kagami-Ogata syndrome due to maternal 14q32.2 hypermethylation
MEG3Orphanet:96184Temple syndrome due to maternal uniparental disomy of chromosome 14

Cohort genes → proteins

75 cohort genes, 72 distinct canonical proteins.

Evidence partition

SubsetGenes
gwas_only73
gwas_and_clinvar1
multi_evidence1

Cohort genes (full)

SymbolHGNCEnsemblUniProtNameEvidence
INSHGNC:6081ENSG00000254647P01308Insulingwas,clinvar
CFBHGNC:1037ENSG00000243649P00751Complement factor Bgwas
RUNX3HGNC:10473ENSG00000020633Q13761Runt-related transcription factor 3gwas
SLC1A2HGNC:10940ENSG00000110436P43004Excitatory amino acid transporter 2gwas
BTF3P11HGNC:1126ENSG00000118903basic transcription factor 3 pseudogene 11gwas
STAT4HGNC:11365ENSG00000138378Q14765Signal transducer and activator of transcription 4gwas
BTN3A1HGNC:1138ENSG00000026950O00481Butyrophilin subfamily 3 member A1gwas
BTNL2HGNC:1142ENSG00000204290Q9UIR0Butyrophilin-like protein 2gwas
SUOXHGNC:11460ENSG00000139531P51687Sulfite oxidase, mitochondrialgwas
TBPHGNC:11588ENSG00000112592P20226TATA-box-binding proteingwas
HNF1AHGNC:11621ENSG00000135100P20823Hepatocyte nuclear factor 1-alphaclinvar
DYNLT2HGNC:11695ENSG00000184786Q8IZS6Dynein light chain Tctex-type protein 2gwas
THHGNC:11782ENSG00000180176P07101Tyrosine 3-monooxygenasegwas
TLL1HGNC:11843ENSG00000038295O43897Tolloid-like protein 1gwas
TNFHGNC:11892ENSG00000232810P01375Tumor necrosis factorgwas
TNFAIP3HGNC:11896ENSG00000118503P21580Tumor necrosis factor alpha-induced protein 3gwas
TNFRSF6BHGNC:11921ENSG00000243509O95407Tumor necrosis factor receptor superfamily member 6Bgwas
TNFSF15HGNC:11931ENSG00000181634O95150Tumor necrosis factor ligand superfamily member 15gwas
TNFSF18HGNC:11932ENSG00000120337Q9UNG2Tumor necrosis factor ligand superfamily member 18gwas
CD40LGHGNC:11935ENSG00000102245P29965CD40 ligandgwas
FASLGHGNC:11936ENSG00000117560P48023Tumor necrosis factor ligand superfamily member 6gwas
TNP2HGNC:11952ENSG00000178279Q05952Nuclear transition protein 2gwas
TNXBHGNC:11976ENSG00000168477P22105Tenascin-Xgwas
EIPR1HGNC:12383ENSG00000032389Q53HC9EARP and GARP complex-interacting protein 1gwas
TYK2HGNC:12440ENSG00000105397P29597Non-receptor tyrosine-protein kinase TYK2gwas
UBASH3AHGNC:12462ENSG00000160185P57075Ubiquitin-associated and SH3 domain-containing protein Agwas
UMODHGNC:12559ENSG00000169344P07911Uromodulingwas
IKZF1HGNC:13176ENSG00000185811Q13422DNA-binding protein Ikarosgwas
IKZF3HGNC:13178ENSG00000161405Q9UKT9Zinc finger protein Aiolosgwas
IKZF4HGNC:13179ENSG00000123411Q9H2S9Zinc finger protein Eosgwas
BCL11AHGNC:13221ENSG00000119866Q9H165BCL11 transcription factor Agwas
DEXIHGNC:13267ENSG00000182108O95424Dexamethasone-induced proteingwas
PRM3HGNC:13732ENSG00000178257Q9NNZ6Protamine-3gwas
SLC4A10HGNC:13811ENSG00000144290Q6U841Sodium-driven chloride bicarbonate exchangergwas
PRRC2AHGNC:13918ENSG00000204469P48634Protein PRRC2Agwas
TSBP1HGNC:13922ENSG00000204296Q5SRN2Testis-expressed basic protein 1gwas
C6orf15HGNC:13927ENSG00000204542Q6UXA7Uncharacterized protein C6orf15gwas
PRDM16HGNC:14000ENSG00000142611Q9HAZ2Histone-lysine N-methyltransferase PRDM16gwas
IGF2-ASHGNC:14062ENSG00000099869Q6U949Putative insulin-like growth factor 2 antisense gene proteingwas
BACH2HGNC:14078ENSG00000112182Q9BYV9Transcription regulator protein BACH2gwas
LPAR3HGNC:14298ENSG00000171517Q9UBY5Lysophosphatidic acid receptor 3gwas
PLEKHA1HGNC:14335ENSG00000107679Q9HB21Pleckstrin homology domain-containing family A member 1gwas
C1QTNF6HGNC:14343ENSG00000133466Q9BXI9Complement C1q tumor necrosis factor-related protein 6gwas
MEG3HGNC:14575ENSG00000214548maternally expressed 3gwas
CAMK4HGNC:1464ENSG00000152495Q16566Calcium/calmodulin-dependent protein kinase type IVgwas
RTL1HGNC:14665ENSG00000254656A6NKG5Retrotransposon-like protein 1gwas
QRFPRHGNC:15565ENSG00000186867Q96P65Pyroglutamylated RF-amide peptide receptorgwas
TAGAPHGNC:15669ENSG00000164691Q8N103T-cell activation Rho GTPase-activating proteingwas
SEPTIN6HGNC:15848ENSG00000125354Q14141Septin-6gwas
ORMDL3HGNC:16038ENSG00000172057Q8N138ORM1-like protein 3gwas

Cohort function summary

Lead sentence per gene, UniProt-curated.

SymbolProtein nameFunction (lead sentence)
INSInsulinInsulin decreases blood glucose concentration.
CFBComplement factor BPrecursor of the catalytic component of the C3 and C5 convertase complexes of the alternative pathway of the complement system, a cascade of proteins that leads to phagocytosis and breakdown of pathogens and signaling that strengthens the…
RUNX3Runt-related transcription factor 3Forms the heterodimeric complex core-binding factor (CBF) with CBFB.
SLC1A2Excitatory amino acid transporter 2Sodium-dependent, high-affinity amino acid transporter that mediates the uptake of L-glutamate and also L-aspartate and D-aspartate.
STAT4Signal transducer and activator of transcription 4Transcriptional regulator mainly expressed in hematopoietic cells that plays a critical role in cellular growth, differentiation and immune response.
BTN3A1Butyrophilin subfamily 3 member A1Plays a role in T-cell activation and in the adaptive immune response.
BTNL2Butyrophilin-like protein 2Negative regulator of T-cell proliferation.
SUOXSulfite oxidase, mitochondrialCatalyzes the oxidation of sulfite to sulfate, the terminal reaction in the oxidative degradation of sulfur-containing amino acids.
TBPTATA-box-binding proteinThe TFIID basal transcription factor complex plays a major role in the initiation of RNA polymerase II (Pol II)-dependent transcription.
HNF1AHepatocyte nuclear factor 1-alphaTranscriptional activator that regulates the tissue specific expression of multiple genes, especially in pancreatic islet cells and in liver.
DYNLT2Dynein light chain Tctex-type protein 2Component of dynein, a family of motor proteins essential for movement along microtubules.
THTyrosine 3-monooxygenaseCatalyzes the conversion of L-tyrosine to L-dihydroxyphenylalanine (L-Dopa), the rate-limiting step in the biosynthesis of catecholamines, dopamine, noradrenaline, and adrenaline.
TLL1Tolloid-like protein 1Protease which processes procollagen C-propeptides, such as chordin, pro-biglycan and pro-lysyl oxidase.
TNFTumor necrosis factorCytokine that binds to TNFRSF1A/TNFR1 and TNFRSF1B/TNFBR.
TNFAIP3Tumor necrosis factor alpha-induced protein 3Ubiquitin-editing enzyme that contains both ubiquitin ligase and deubiquitinase activities.
TNFRSF6BTumor necrosis factor receptor superfamily member 6BDecoy receptor that can neutralize the cytotoxic ligands TNFS14/LIGHT, TNFSF15 and TNFSF6/FASL.
TNFSF15Tumor necrosis factor ligand superfamily member 15Receptor for TNFRSF25 and TNFRSF6B.
TNFSF18Tumor necrosis factor ligand superfamily member 18Cytokine that binds to TNFRSF18/AITR/GITR.
CD40LGCD40 ligandCytokine that acts as a ligand to CD40/TNFRSF5.
FASLGTumor necrosis factor ligand superfamily member 6Cytokine that binds to TNFRSF6/FAS, a receptor that transduces the apoptotic signal into cells.
TNP2Nuclear transition protein 2Plays a key role in the replacement of histones to protamine in the elongating spermatids of mammals.
TNXBTenascin-XAppears to mediate interactions between cells and the extracellular matrix.
EIPR1EARP and GARP complex-interacting protein 1Acts as a component of endosomal retrieval machinery that is involved in protein transport from early endosomes to either recycling endosomes or the trans-Golgi network.
TYK2Non-receptor tyrosine-protein kinase TYK2Tyrosine kinase of the non-receptor type involved in numerous cytokines and interferons signaling, which regulates cell growth, development, cell migration, innate and adaptive immunity.
UBASH3AUbiquitin-associated and SH3 domain-containing protein AInterferes with CBL-mediated down-regulation and degradation of receptor-type tyrosine kinases.
UMODUromodulinFunctions in biogenesis and organization of the apical membrane of epithelial cells of the thick ascending limb of Henle’s loop (TALH), where it promotes formation of complex filamentous gel-like structure that may play a role in the water…
IKZF1DNA-binding protein IkarosTranscription regulator of hematopoietic cell differentiation.
IKZF3Zinc finger protein AiolosTranscription factor that plays an important role in the regulation of lymphocyte differentiation.
IKZF4Zinc finger protein EosDNA-binding protein that binds to the 5’GGGAATRCC-3’ Ikaros-binding sequence.
BCL11ABCL11 transcription factor ATranscription factor.
PRM3Protamine-3Protamines substitute for histones in the chromatin of sperm during the haploid phase of spermatogenesis.
SLC4A10Sodium-driven chloride bicarbonate exchangerSodium/bicarbonate cotransporter which plays an important role in regulating intracellular pH.
PRRC2AProtein PRRC2AMay play a role in the regulation of pre-mRNA splicing.
PRDM16Histone-lysine N-methyltransferase PRDM16Transcription regulator that acts both as a histone methyltransferase or chromatin adapter, depending on the context.
BACH2Transcription regulator protein BACH2Transcriptional regulator that acts as a repressor or activator.
LPAR3Lysophosphatidic acid receptor 3Receptor for lysophosphatidic acid (LPA), a mediator of diverse cellular activities.
PLEKHA1Pleckstrin homology domain-containing family A member 1Binds specifically to phosphatidylinositol 3,4-diphosphate (PtdIns3,4P2), but not to other phosphoinositides.
CAMK4Calcium/calmodulin-dependent protein kinase type IVCalcium/calmodulin-dependent protein kinase that operates in the calcium-triggered CaMKK-CaMK4 signaling cascade and regulates, mainly by phosphorylation, the activity of several transcription activators, such as CREB1, MEF2D, JUN and RORA…
RTL1Retrotransposon-like protein 1Plays an essential role in capillaries endothelial cells for the maintenance of feto-maternal interface and for development of the placenta.
QRFPRPyroglutamylated RF-amide peptide receptorReceptor for the orexigenic neuropeptide QRFP.
TAGAPT-cell activation Rho GTPase-activating proteinMay function as a GTPase-activating protein and may play important roles during T-cell activation.
SEPTIN6Septin-6Filament-forming cytoskeletal GTPase.
ORMDL3ORM1-like protein 3Plays an essential role in the homeostatic regulation of sphingolipid de novo biosynthesis by modulating the activity of the serine palmitoyltransferase (SPT) in response to ceramide levels.
CCR5C-C chemokine receptor type 5Receptor for a number of inflammatory CC-chemokines including CCL3/MIP-1-alpha, CCL4/MIP-1-beta and RANTES and subsequently transduces a signal by increasing the intracellular calcium ion level.
CCR7C-C chemokine receptor type 7Receptor for the MIP-3-beta chemokine.
TRIM31E3 ubiquitin-protein ligase TRIM31E3 ubiquitin-protein ligase that acts as a regulator of antiviral immune response and inflammation by mediating ubiquitination of substrates.
CARD9Caspase recruitment domain-containing protein 9Adapter protein that plays a key role in innate immune response against fungi by forming signaling complexes downstream of C-type lectin receptors.
FARP2FERM, ARHGEF and pleckstrin domain-containing protein 2Functions as a guanine nucleotide exchange factor that activates RAC1.
ZMIZ1Zinc finger MIZ domain-containing protein 1Acts as a transcriptional coactivator.
KLF3Krueppel-like factor 3Binds to the CACCC box of erythroid cell-expressed genes.

Protein-family classification

Druggable: 22 · Difficult: 20 · Unknown: 33 · Druggable fraction: 0.29

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.

FamilyGenesFoldFDR
Transcription factor151.6×0.303
Antibody/Immunoglobulin51.9×0.402
Kinase51.9×0.402
GPCR51.6×0.459
Protease31.5×0.606
Scaffold/PPI51.1×0.658
Phosphatase11.1×0.764
Other/Unknown330.8×0.985
Enzyme (other)30.5×0.985

Per-gene assignment

SymbolFamilyDruggable?ECInterPro (top 3)
INSOther/UnknownnoInsulin, Insulin-like, Ins/IGF/rlx
CFBProteaseyes3.4.21.47Sushi_SCR_CCP_dom, Trypsin_dom, Peptidase_S1A
RUNX3Transcription factornoAML1_Runt, p53-like_TF_DNA-bd_sf, p53/RUNT-type_TF_DNA-bd_sf
SLC1A2Other/UnknownnoNa-dicarboxylate_symporter, Na-dicarboxylate_symporter_CS, Na:dicarbo_symporter_sf
BTF3P11Other/Unknownno
STAT4Transcription factornoSH2, STAT, p53-like_TF_DNA-bd_sf
BTN3A1Antibody/ImmunoglobulinyesB30.2/SPRY, Ig_sub, SPRY_dom
BTNL2Antibody/ImmunoglobulinyesIg_C1-set, Ig_sub, Ig-like_dom
SUOXEnzyme (other)yes1.8.3.1OxRdtase_Mopterin-bd_dom, Cyt_B5-like_heme/steroid-bd, MoCF_OxRdtse_dimer
TBPOther/UnknownnoTBP, TBP_dom_sf, TBP_CS
HNF1ATranscription factornoHD, HNF1b_C, HNF1a_C
DYNLT2Other/UnknownnoTctex-1-like, Tctex-1-like_sf
THEnzyme (other)yes1.14.16.2ArAA_hydroxylase, Tyr_3_mOase, ArAA_hydroxylase_Fe/CU_BS
TLL1ProteaseyesEGF-type_Asp/Asn_hydroxyl_site, EGF, CUB_dom
TNFOther/UnknownnoTNF_alpha, TNF_dom, TNF
TNFAIP3Transcription factornoZnf_A20, OTU_dom, OTU_Deubiquitinase
TNFRSF6BOther/UnknownnoTNFR/NGFR_Cys_rich_reg, TNFRSF6B_N, TNFRSF_decoy_receptor
TNFSF15Other/UnknownnoTNF_dom, TNF, Tumour_necrosis_fac-like_dom
TNFSF18Other/UnknownnoTNF_dom, Tumour_necrosis_fac-like_dom, TNFSF18
CD40LGOther/UnknownnoCD40L, TNF_dom, Tumour_necrosis_fac-like_dom
FASLGOther/UnknownnoTNF_dom, TNF, Tumour_necrosis_fac-like_dom
TNP2Other/UnknownnoTP2
TNXBAntibody/ImmunoglobulinyesEGF, Fibrinogen_a/b/g_C_dom, FN3_dom
EIPR1Scaffold/PPInoWD40_rpt, WD40/YVTN_repeat-like_dom_sf, WD40_repeat_CS
TYK2Kinaseyes2.7.10.2FERM_domain, Prot_kinase_dom, SH2
UBASH3APhosphataseyesSH3_domain, UBA-like_sf, His_Pase_superF_clade-1
UMODOther/UnknownnoEGF-type_Asp/Asn_hydroxyl_site, EGF, ZP_dom
IKZF1Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, Ikaros_C2H2-ZF
IKZF3Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, Ikaros_C2H2-ZF
IKZF4Transcription factornoZnf_C2H2_type, Znf_C2H2_sf, Ikaros_C2H2-ZF
BCL11ATranscription factornoZnf_C2H2_type, Znf_C2H2_sf, Dev/Hematopoietic_TF
DEXIOther/UnknownnoDexamethasone-induced
PRM3Other/UnknownnoPRMP3
SLC4A10Other/UnknownnoHCO3_transpt_euk, Na/HCO3_transpt, HCO3_transpt-like_TM_dom
PRRC2AOther/UnknownnoBAT2_N, PRRC2
TSBP1Other/UnknownnoTSBP1
C6orf15Other/UnknownnoC6orf15
PRDM16Transcription factorno2.1.1.367SET_dom, Znf_C2H2_type, Znf_C2H2_sf
IGF2-ASOther/Unknownno
BACH2Transcription factornoBTB/POZ_dom, bZIP_Maf, bZIP
LPAR3GPCRyesGPCR_Rhodpsn, LPA_rcpt, LPA_rcpt_EDG7
PLEKHA1Scaffold/PPInoPH_domain, PH-like_dom_sf, PI-Interact_SigTrans_Reg
C1QTNF6Other/UnknownnoC1q_dom, Collagen, Tumour_necrosis_fac-like_dom
MEG3Other/Unknownno
CAMK4Kinaseyes2.7.11.17Prot_kinase_dom, Ser/Thr_kinase_AS, Kinase-like_dom_sf
RTL1ProteaseyesPeptidase_aspartic_dom_sf, RTL1/1-8/LDOC_capsid-like, RTL1-rel
QRFPRGPCRyesGPCR_Rhodpsn, NPY_rcpt, GPCR_Rhodpsn_7TM
TAGAPOther/UnknownnoRhoGAP_dom, Rho_GTPase_activation_prot, ARHGAP20-like_RhoGAP
SEPTIN6Other/UnknownnoSeptin, P-loop_NTPase, G_SEPTIN_dom
ORMDL3Other/UnknownnoORMDL

Expression context

Cohort genes with no expression data: 0.

59 cohort genes are a single-cell marker in ≥1 SCXA experiment.

Breadth distribution (Bgee present_calls)

BucketGenes
narrow (1-5 tissues)0
moderate (6-20)0
broad (>20)75
unknown0

Top tissues across cohort

TissueCohort genes
granulocyte11
lymph node8
male germ line stem cell (sensu Vertebrata) in testis8
left testis7
ventricular zone5
right testis5
blood5
cortical plate5
adrenal tissue5
right lobe of liver4
Brodmann (1909) area 234
primordial germ cell in gonad4
sural nerve4
testis4
adenohypophysis4
body of pancreas3
type B pancreatic cell3
gall bladder3
buccal mucosa cell3
middle temporal gyrus3

Per-gene tissue summary (top 30)

SymbolBgee breadthFANTOM5 breadthSCXATop tissues
INS137tissue_specificmarkertype B pancreatic cell, islet of Langerhans, body of pancreas
CFB134broadmarkerright lobe of liver, liver, gall bladder
RUNX3220broadmarkergranulocyte, buccal mucosa cell, lymph node
SLC1A2227broadmarkerendothelial cell, entorhinal cortex, Brodmann (1909) area 23
BTF3P1176yesmale germ line stem cell (sensu Vertebrata) in testis, endometrium epithelium, Brodmann (1909) area 10
STAT4201broadmarkergranulocyte, sperm, middle temporal gyrus
BTN3A1272ubiquitousmarkergranulocyte, spleen, pancreatic ductal cell
BTNL2106yessural nerve, ventricular zone, primordial germ cell in gonad
SUOX267ubiquitousmarkerright lobe of liver, right adrenal gland, right adrenal gland cortex
TBP246ubiquitousmarkerleft testis, right testis, testis
HNF1A81tissue_specificyesright lobe of liver, mucosa of transverse colon, liver
DYNLT2131ubiquitousyesmale germ line stem cell (sensu Vertebrata) in testis, left testis, testis
TH147tissue_specificmarkersubstantia nigra pars reticulata, substantia nigra pars compacta, male germ line stem cell (sensu Vertebrata) in testis
TLL1162broadmarkersecondary oocyte, buccal mucosa cell, primordial germ cell in gonad
TNF119broadmarkergranulocyte, male germ line stem cell (sensu Vertebrata) in testis, bone marrow
TNFAIP3274ubiquitousmarkervena cava, mucosa of paranasal sinus, vermiform appendix
TNFRSF6B127broadyesolfactory segment of nasal mucosa, spleen, subcutaneous adipose tissue
TNFSF15149broadmarkercartilage tissue, jejunal mucosa, duodenum
TNFSF1898broadyesmale germ line stem cell (sensu Vertebrata) in testis, gall bladder, stromal cell of endometrium
CD40LG124tissue_specificmarkergranulocyte, lymph node, blood
FASLG118tissue_specificmarkergranulocyte, blood, lymph node
TNP232tissue_specificyessperm, male germ cell, left testis
TNXB134ubiquitousmarkerapex of heart, right adrenal gland cortex, right adrenal gland
EIPR1249ubiquitousmarkerprefrontal cortex, adenohypophysis, nucleus accumbens
TYK2288ubiquitousmarkergranulocyte, right hemisphere of cerebellum, adenohypophysis
UBASH3A133broadmarkergranulocyte, blood, lymph node
UMOD104tissue_specificmarkerrenal medulla, adult organism, adult mammalian kidney
IKZF1225broadmarkerleukocyte, monocyte, mononuclear cell
IKZF3155broadmarkergranulocyte, lymph node, epithelium of nasopharynx
IKZF4242ubiquitousmarkerbuccal mucosa cell, left adrenal gland, adrenal cortex

Protein interactions among cohort

Intra-cohort edges: 35.

Hub genes (top 10 by interactor count)

SymbolInteractor count
INS11,670
TNF11,116
CDK29,236
TBP7,225
FASLG4,373
IKZF14,096
TYK23,932
TNFAIP33,716
CARD93,636
TH3,526

Intra-cohort edges

ABSources
BACH2C1QTNF6string_interaction
BACH2TAGAPstring_interaction
BACH2UBASH3Astring_interaction
BTNL2TSBP1string_interaction
C1QTNF6TAGAPstring_interaction
C1QTNF6UBASH3Astring_interaction
C6orf15PSORS1C1string_interaction
CAMK4TNP2string_interaction
CCR7CD69string_interaction
CCR7ZMIZ1biogrid_interaction
CD40LGICOSLGstring_interaction
CDK2CDKN1Cbiogrid_interaction, intact, string_interaction
DYNLT2PHF10string_interaction
FASLGFNBP1biogrid_interaction, intact
FASLGTNFstring_interaction
FASLGTNFRSF6Bbiogrid_interaction, intact, string_interaction
HNF1AINSstring_interaction
ICOSLGTNFSF18string_interaction
IKZF1IKZF4biogrid_interaction, intact
IKZF1RUNX3string_interaction
IKZF3IKZF4intact
IKZF3ORMDL3string_interaction
IKZF3RUNX3string_interaction
IKZF4SUOXstring_interaction
KLF3PRDM16intact
PHF10TNP2biogrid_interaction
PRM3TNP2string_interaction
PSORS1C1TSBP1string_interaction
STAT4TYK2string_interaction
TNFTNFRSF6Bstring_interaction
TNFTSBP1string_interaction
TNFUMODstring_interaction
TNFRSF6BTNFSF15biogrid_interaction, intact, string_interaction
TNFSF15TNFSF18string_interaction
TNXBTSBP1string_interaction

Structural data

PDB: 49 · AlphaFold-only: 23 · No structure: 3

Cohort genes with PDB structures (top 30)

SymbolUniProtPDB entries
CDK2P24941521
INSP01308382
TBPP2022677
TNFP0137552
TYK2P2959752
BTN3A1O0048144
CFBP0075126
CCR5P5168126
TNFAIP3P2158017
BCL11AQ9H16517
ORMDL3Q8N13813
UMODP0791110
IKZF1Q1342210
TNFRSF6BO954078
CD40LGP299658
CARD9Q9H2578
SLC1A2P430047
THP071017
TNFSF15O951507
TNFSF18Q9UNG27
CCR7P322487
CELP198357
HNF1AP208236
CD69Q071086
SEPTIN6Q141414
RBFOX1Q9NWB14
FASLGP480233
TNXBP221053
MYDGFQ969H83
EMSYQ7Z5893

AlphaFold-only cohort genes (top 30 by pLDDT)

SymbolUniProtpLDDT
EIPR1Q53HC989.26
STAT4Q1476586.87
BTNL2Q9UIR085.97
LPAR3Q9UBY581.63
SBK1Q52WX277.87
C1QTNF6Q9BXI977.42
DYNLT2Q8IZS677.20
FARP2O9488776.34
SLC4A10Q6U84171.37
DEXIO9542469.88
CDKN1CP4991863.93
TNP2Q0595259.17
RTL1A6NKG558.74
PRM3Q9NNZ658.43
IGF2-ASQ6U94957.72
TAGAPQ8N10357.36
PSORS1C1Q9UIG555.10
KLF3P5768254.04
IKZF3Q9UKT948.06
TSBP1Q5SRN245.58
C6orf15Q6UXA743.65
PRRC2AP4863440.07
ZNF365Q70YC430.21

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 811. Enrichment computed across 250 evidence-associated genes (162 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 162 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

PathwayCohort genesFoldFDRSample cohort genes
Interferon gamma signaling1310.1×3e-07TRIM31, HLA-A, HLA-C, HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DQB1, HLA-DRA (+5 more)
Phosphorylation of CD3 and TCR zeta chains723.5×4e-06HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DRA, HLA-DRB1, PTPN22, PTPRC
Interleukin-23 signaling539.2×2e-05STAT4, TYK2, IL23R, IL12B, JAK2
MAPK1 (ERK2) activation535.2×2e-05TYK2, IL6R, IL6ST, JAK2, PTPN11
Translocation of ZAP-70 to Immunological synapse623.5×2e-05HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DRA, HLA-DRB1, PTPN22
MAPK3 (ERK1) activation532.0×3e-05TYK2, IL6R, IL6ST, JAK2, PTPN11
Interleukin-6 signaling529.4×4e-05TYK2, IL6R, IL6ST, JAK2, PTPN11
Co-inhibition by PD-1619.2×4e-05HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DRA, HLA-DRB1, PTPN11
Interleukin-4 and Interleukin-13 signaling117.0×4e-05TNF, FASLG, TYK2, IL23R, GATA3, IL10, IL12B, IL6R (+3 more)
RUNX1 and FOXP3 control the development of regulatory T lymphocytes (Tregs)428.2×6e-04CTLA4, IL2, IL2RA, FOXP3
Interleukin-35 Signalling423.5×0.001STAT4, TYK2, IL6ST, JAK2
Downstream TCR signaling86.3×0.002HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DRA, HLA-DRB1, PRKCQ, PSMB1, PSMB2
Interleukin receptor SHC signaling512.6×0.003IL2, IL2RA, IL2RB, IL5, JAK2
TNFs bind their physiological receptors512.2×0.003TNFRSF6B, TNFSF15, TNFSF18, FASLG, LTA
Generation of second messenger molecules510.7×0.005HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DRA, HLA-DRB1
Interferon alpha/beta signaling76.6×0.005TYK2, HLA-A, HLA-C, IRF1, IRF2, IRF4, PTPN11
FCGR3A-mediated IL10 synthesis59.0×0.010ADCY3, ADCY7, FCGR3A, IL10, ITPR3
Interleukin-37 signaling412.8×0.011IL18R1, SMAD3, PTPN11, PTPN2
TNFR2 non-canonical NF-kB pathway66.7×0.011TNF, CD40LG, FASLG, LTA, PSMB1, PSMB2
Opioid Signalling58.2×0.014CAMK4, ADCY3, ADCY7, ITPR3, POMC
Interleukin-27 signaling319.2×0.016TYK2, IL6ST, JAK2
Activation of STAT3 by cadherin engagement66.0×0.016TYK2, IL6R, IL6ST, JAK2, PSMB1, PSMB2
MHC class II antigen presentation84.4×0.016CTSB, CTSH, KIF18A, HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DRA, HLA-DRB1
Interleukin-2 signaling317.6×0.018IL2, IL2RA, IL2RB
Interleukin-20 family signaling410.4×0.018STAT4, TYK2, JAK2, PTPN11
Immunoregulatory interactions between a Lymphoid and a non-Lymphoid cell84.3×0.018CD40LG, CD226, NCR3, FCGR3A, HLA-A, HLA-C, ITGB7, KLRG1
Interleukin-12 signaling410.1×0.018STAT4, TYK2, IL12B, JAK2
Interleukin-10 signaling57.2×0.018TNF, TYK2, CCR5, IL10, IL12B
Immune System252.0×0.018STAT4, BTN3A1, BTNL2, CD40LG, FASLG, CCR5, CARD9, CD226 (+17 more)
Differentiation of naive CD4+ T cells to T helper 1 cells (Th1 cells)316.3×0.018RUNX3, STAT4, TNF

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 217 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO termCohort genesFoldFDRSample cohort genes
immune response306.5×6e-13TNF, TNFSF15, TYK2, CCR5, CCR7, NCR3, CTLA4, CTSH (+22 more)
positive regulation of type II interferon production1414.5×6e-10BTN3A1, TNF, TYK2, CD226, IL23R, HLA-A, HLA-DPA1, IL12B (+6 more)
positive regulation of interleukin-17 production925.0×3e-08TYK2, CARD9, IL23R, NOD2, IL12B, IL2, IL21, JAK2 (+1 more)
adaptive immune response187.0×6e-08BTN3A1, TNFSF18, CAMK4, ICOSLG, CTLA4, CTSH, ERAP2, GPR183 (+10 more)
positive regulation of T cell proliferation1113.1×2e-07BTNL2, CD40LG, TYK2, IL23R, CCDC88B, HLA-DPA1, IL12B, IL21 (+3 more)
T cell receptor signaling pathway139.1×6e-07BTN3A1, BTNL2, ICOSLG, CTLA4, FOSL2, GATA3, HLA-A, HLA-DQB1 (+5 more)
positive regulation of T-helper 17 type immune response638.8×1e-06TYK2, CARD9, IL23R, IL12B, JAK2, PRKCQ
positive regulation of T cell mediated cytotoxicity818.8×2e-06IL23R, TAP2, HLA-A, HLA-C, HLA-DRA, HLA-DRB1, IL12B, PTPRC
T cell mediated cytotoxicity631.1×4e-06CTSH, TAP2, HLA-A, IL7R, MICA, PRF1
positive regulation of T cell activation816.4×5e-06CCDC88B, HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DQB1, HLA-DRA, HLA-DRB1, PRKCQ
regulation of T-helper cell differentiation477.7×5e-06GATA3, HLA-DRA, HLA-DRB1, IRF4
peptide antigen assembly with MHC class II protein complex629.1×5e-06HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DQB1, HLA-DRA, HLA-DRB1
positive regulation of natural killer cell proliferation532.4×4e-05TYK2, IL23R, FCGR3A, IL12B, JAK2
inflammatory response213.6×5e-05TNF, TNFAIP3, CD40LG, UMOD, CAMK4, CCR5, CCR7, TRIM31 (+13 more)
negative regulation of inflammatory response117.0×7e-05TNFAIP3, CD69, GATA3, IER3, IL10, IL2, IL2RA, SMAD3 (+3 more)
humoral immune response810.3×1e-04TNF, GPR183, AIRE, GATA3, HLA-DQB1, HLA-DRB1, LTA, NOTCH2
positive regulation of cytokine production810.0×1e-04INS, BTN3A1, TNF, CARD9, CCDC88B, IL10, IL21, PTGER4
platelet-derived growth factor receptor signaling pathway615.5×2e-04PLEKHA1, JAK2, NR4A3, NRP1, PTPN11, BCAR1
antigen processing and presentation of exogenous peptide antigen via MHC class II615.0×3e-04HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DQB1, HLA-DRA, HLA-DRB1
interleukin-12-mediated signaling pathway434.5×3e-04STAT4, TYK2, IL12B, JAK2
positive regulation of memory T cell differentiation434.5×3e-04IL23R, HLA-DRA, HLA-DRB1, IL12B
positive regulation of immunoglobulin production613.3×4e-04TNF, IL10, IL2, IL21, IL5, PTPRC
positive regulation of immune response613.3×4e-04HLA-DPA1, HLA-DQA1, HLA-DQA2, HLA-DQB1, HLA-DRA, HLA-DRB1
positive regulation of extrinsic apoptotic signaling pathway612.6×6e-04TNF, TNFSF15, CD40LG, FASLG, LTA, PTPRC
T follicular helper cell differentiation425.9×1e-03ICOSLG, GPR183, IL21, ASCL2
positive regulation of tumor necrosis factor production96.3×1e-03CARD9, LRRK2, IFIH1, FCGR3A, NOD2, IL12B, JAK2, PTPN11 (+1 more)
positive regulation of activated T cell proliferation515.5×0.001ICOSLG, IL23R, IL12B, IL2, IL2RA
hemopoiesis78.6×0.001RUNX3, KLF3, DLL1, IL10, IL7R, NOTCH2, NOTCH4
positive regulation of humoral immune response mediated by circulating immunoglobulin346.6×0.001TNF, LTA, PTPRC
positive regulation of CD4-positive, CD25-positive, alpha-beta regulatory T cell differentiation346.6×0.001HLA-DRA, HLA-DRB1, FOXP3

Therapeutics

Drugs indicated for this disease

6 approved, 53 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.

DrugDevelopment status
Dasiglucagon HydrochlorideApproved (phase 4)
Insulin DetemirApproved (phase 4)
Insulin GlargineApproved (phase 4)
Insulin IcodecApproved (phase 4)
SotagliflozinApproved (phase 4)
TeplizumabApproved (phase 4)
AcipimoxPhase 3 (in late-stage trials)
BasiliximabPhase 3 (in late-stage trials)
CandesartanPhase 3 (in late-stage trials)
Candesartan CilexetilPhase 3 (in late-stage trials)
CaptoprilPhase 3 (in late-stage trials)
CholecalciferolPhase 3 (in late-stage trials)
CyclosporinePhase 3 (in late-stage trials)
DIAPEP-277Phase 3 (in late-stage trials)
DaclizumabPhase 3 (in late-stage trials)
DapagliflozinPhase 3 (in late-stage trials)
EmpagliflozinPhase 3 (in late-stage trials)
ErgocalciferolPhase 3 (in late-stage trials)
EtanerceptPhase 3 (in late-stage trials)
ExenatidePhase 3 (in late-stage trials)
Folic AcidPhase 3 (in late-stage trials)
GLUTAMATE DECARBOXYLASE 2Phase 3 (in late-stage trials)
GlucagonPhase 3 (in late-stage trials)
InositolPhase 3 (in late-stage trials)
Insulin AspartPhase 3 (in late-stage trials)
Insulin DegludecPhase 3 (in late-stage trials)
Insulin Efsitora AlfaPhase 3 (in late-stage trials)
Insulin GlulisinePhase 3 (in late-stage trials)
Insulin HumanPhase 3 (in late-stage trials)
Insulin LisproPhase 3 (in late-stage trials)
Insulin PeglisproPhase 3 (in late-stage trials)
Insulin PorkPhase 3 (in late-stage trials)
Insulin Susp Isophane BeefPhase 3 (in late-stage trials)
Insulin Susp Isophane Recombinant HumanPhase 3 (in late-stage trials)
Insulin, IsophanePhase 3 (in late-stage trials)
IpragliflozinPhase 3 (in late-stage trials)
LadarixinPhase 3 (in late-stage trials)
LansoprazolePhase 3 (in late-stage trials)
Lipoic Acid, AlphaPhase 3 (in late-stage trials)
LiraglutidePhase 3 (in late-stage trials)
MetforminPhase 3 (in late-stage trials)
MiglitolPhase 3 (in late-stage trials)
Mycophenolate MofetilPhase 3 (in late-stage trials)
Mycophenolic AcidPhase 3 (in late-stage trials)
OmeprazolePhase 3 (in late-stage trials)
OtelixizumabPhase 3 (in late-stage trials)
PitavastatinPhase 3 (in late-stage trials)
PramlintidePhase 3 (in late-stage trials)
QuinaprilPhase 3 (in late-stage trials)
RamiprilPhase 3 (in late-stage trials)
ReparixinPhase 3 (in late-stage trials)
RuboxistaurinPhase 3 (in late-stage trials)
SemaglutidePhase 3 (in late-stage trials)
SirolimusPhase 3 (in late-stage trials)
Sodium ChloridePhase 3 (in late-stage trials)
Starch, CornPhase 3 (in late-stage trials)
Tacrolimus AnhydrousPhase 3 (in late-stage trials)
VerapamilPhase 3 (in late-stage trials)
VildagliptinPhase 3 (in late-stage trials)

Earlier-phase candidates (phase 2, investigational — efficacy not yet established): .ALPHA.1-PROTEINASE INHIBITOR HUMAN, Abatacept, Abrocitinib, Acetaminophen, Albiglutide, Aldesleukin, Alefacept, Alemtuzumab, Aluminum Hydroxide, Anakinra, Atorvastatin, Baricitinib, Belatacept, Bromocriptine, Calcitriol, Canakinumab, Chlorthalidone, Cinnamon, Curcumin, Dasiglucagon, Doconexent, Dulaglutide, Ebselen, Efalizumab, Eflornithine, Enalapril, Filgrastim, Frexalimab, Ganciclovir, Gevokizumab, Glyburide, Golimumab, HOKT3, Heparin, Honey, Hyaluronidase (Human Recombinant), Hydroxychloroquine, Ibuprofen, Infliximab, Interferon Alfa, Ixekizumab, Losartan, Methyldopa, Naloxone, OMEGA-3-ACID ETHYL ESTERS, Pantoprazole, Pegfilgrastim, Pentamidine, Propranolol, Ribavirin, Ritlecitinib, Rituximab, Secukinumab, Simvastatin, Sitagliptin, Somatostatin, Sorafenib, Sulfamethoxazole, Taurolithocholic Acid, Tocilizumab, Trimethoprim, Ubidecarenone, Ustekinumab.

Drug target analysis

Approved (phase 4): 11 · Phase ≥3: 14 · Phased (≥1): 14 · Undrugged: 61

Druggability breadth: 117 of 250 evidence-associated genes (47%) 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.

SymbolExample approved molecule
CFBIPTACOPAN
BTN3A1ZOLEDRONIC ACID
TNFPREDNISOLONE
TYK2FEDRATINIB
IKZF1POMALIDOMIDE
IKZF3POMALIDOMIDE
CAMK4RUXOLITINIB
CCR5TERFENADINE
SBK1AFATINIB
CDK2PALBOCICLIB
STK39FEDRATINIB

Top cohort targets by molecule count

SymbolMoleculesMax phase
CDK2854
TYK2724
CCR5154
CAMK4144
SBK1144
TNF124
STK39104
CD6973
IKZF354
IKZF134

Drugs targeting cohort genes (top 30)

MoleculeMax phaseTargets in cohort
IPTACOPAN4CFB
ZOLEDRONIC ACID4BTN3A1
RISEDRONIC ACID4BTN3A1
PREDNISOLONE4TNF
POMALIDOMIDE4IKZF1, IKZF3, TNF
PENTOXIFYLLINE4TNF
MESALAMINE4TNF
LENALIDOMIDE4IKZF1, IKZF3, TNF
FEDRATINIB4SBK1, STK39, TYK2
RUXOLITINIB4CAMK4, SBK1, STK39, TYK2
TOFACITINIB4TYK2
UPADACITINIB4TYK2
BARICITINIB4TYK2
FILGOTINIB4TYK2
ABROCITINIB4TYK2
DEUCRAVACITINIB4TYK2
MOMELOTINIB4CDK2, TYK2
AXITINIB4TYK2
RUXOLITINIB PHOSPHATE4TYK2
INFIGRATINIB PHOSPHATE4TYK2
INFIGRATINIB4TYK2
PACRITINIB4CDK2, TYK2
TOFACITINIB CITRATE4TYK2
BOSUTINIB4STK39, TYK2
PEFICITINIB4TYK2
CRAVACITINIB4TYK2
PAZOPANIB4TYK2
NINTEDANIB4CAMK4, CDK2, SBK1, STK39, TYK2
SUNITINIB4CAMK4, SBK1, STK39, TYK2
DASATINIB4SBK1, TYK2

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 9.

Cohort genes with ChEMBL bioactivity (full, sorted by assay count)

SymbolAssaysType breakdown
CDK22,469Binding:2394, Functional:59, ADMET:14, Toxicity:2
TYK21,083Binding:1043, Functional:39, ADMET:1
CCR5409Binding:243, Functional:166
CAMK4342Binding:342
TNF193Binding:162, Functional:31
STK39136Binding:136
IKZF1106Binding:105, Functional:1
IKZF3101Binding:100, Functional:1
SBK197Binding:97
SLC1A290Binding:84, Functional:6
BTN3A175Binding:75
LPAR374Functional:56, Binding:18
CCR746Binding:33, Functional:13
CFB33Binding:33
QRFPR26Binding:13, Functional:13
CD6922Binding:22
STAT420Binding:20
INS8Binding:7, ADMET:1
TH8Binding:8
CD40LG8Binding:8
CEL7Binding:7
ICOSLG6Binding:6
TLL15Binding:5
BACH23Binding:3
FASLG2Binding:2
PRDM162Binding:2
HNF1A1Binding:1
TNFAIP31Binding:1
UBASH3A1Binding:1
PRRC2A1Binding:1
PLEKHA11Binding:1
SEPTIN61Binding:1
ORMDL31Binding:1

Cohort enzymes (BRENDA EC)

SymbolEC numbersNames
CFB3.4.21.47alternative-complement-pathway C3/C5 convertase
SUOX1.8.3.1sulfite oxidase
TH1.14.16.2tyrosine 3-monooxygenase
TYK22.7.10.2non-specific protein-tyrosine kinase
PRDM162.1.1.367, 2.1.1.370[histone H3]-lysine9 N-methyltransferase, [histone H3]-lysine4 N-dimethyltransferase
CAMK42.7.11.17Ca2+/calmodulin-dependent protein kinase
CDK22.7.11.22cyclin-dependent kinase
STK392.7.11.1non-specific serine/threonine protein kinase
CEL3.1.1.13sterol esterase

Cohort genes with high screening signal

≥100 ChEMBL assays — a studied-ness signal; see Therapeutics for approved-drug status.

SymbolChEMBL assays
TNF193
TYK21,083
IKZF1106
IKZF3101
CAMK4342
CCR5409
CDK22,469
STK39136

Pharmacogenomics

Cohort genes with a PharmGKB record: 75; 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.

CompoundMax phaseCohort target (bioactivity)
IPTACOPAN4CFB
ZOLEDRONIC ACID4BTN3A1
RISEDRONIC ACID4BTN3A1
PREDNISOLONE4TNF
POMALIDOMIDE4IKZF1, IKZF3, TNF
PENTOXIFYLLINE4TNF
MESALAMINE4TNF
LENALIDOMIDE4IKZF1, IKZF3, TNF
FEDRATINIB4SBK1, STK39, TYK2
RUXOLITINIB4CAMK4, SBK1, STK39, TYK2
TOFACITINIB4TYK2
UPADACITINIB4TYK2
BARICITINIB4TYK2
FILGOTINIB4TYK2
ABROCITINIB4TYK2
DEUCRAVACITINIB4TYK2
MOMELOTINIB4CDK2, TYK2
AXITINIB4TYK2
RUXOLITINIB PHOSPHATE4TYK2
INFIGRATINIB PHOSPHATE4TYK2
INFIGRATINIB4TYK2
PACRITINIB4CDK2, TYK2
TOFACITINIB CITRATE4TYK2
BOSUTINIB4STK39, TYK2
PEFICITINIB4TYK2
CRAVACITINIB4TYK2
PAZOPANIB4TYK2
NINTEDANIB4CAMK4, CDK2, SBK1, STK39, TYK2
SUNITINIB4CAMK4, SBK1, STK39, TYK2
DASATINIB4SBK1, TYK2

Druggability pyramid

Cohort genes binned by druggability tier (high → low):

TierDefinitionGenesSymbols
AApproved (phase 4 drug)11CFB, BTN3A1, TNF, TYK2, IKZF1, IKZF3, CAMK4, CCR5, SBK1, CDK2 (+1 more)
BPhased (≥1) drug, not yet approved3SLC1A2, CCR7, CD69
CDruggable family + PDB, no drug10SUOX, TH, TLL1, TNXB, UBASH3A, QRFPR, CD226, ICOSLG, CEL, ADGRL2
DDruggable family + AlphaFold only, no drug3BTNL2, LPAR3, RTL1
EDifficult family or no structure, no drug48INS, RUNX3, BTF3P11, STAT4, TBP, HNF1A, DYNLT2, TNFAIP3, TNFRSF6B, TNFSF15 (+38 more)

Undrugged target profiles

61 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).

SymbolChEMBL assaysDrugged partners (top 3)
RUNX30IKZF1
STAT420TYK2
CDKN1C0CDK2
INS8
BTF3P110
BTNL20
SUOX0
TBP0
HNF1A1
DYNLT20
TH8
TLL15
TNFAIP31
TNFRSF6B0
TNFSF150
TNFSF180
CD40LG8
FASLG2
TNP20
TNXB0
EIPR10
UBASH3A1
UMOD0
IKZF40
BCL11A0
DEXI0
PRM30
SLC4A100
PRRC2A1
TSBP10

Clinical trials & evidence

Clinical trials

Clinical trials: 2,024.

Phase distribution (across all retrieved trials)

PhaseTrials
Not specified400
PHASE2190
PHASE1143
PHASE3115
PHASE4106
PHASE1/PHASE278
EARLY_PHASE137
PHASE2/PHASE331

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03463564PHASE4RECRUITINGInsulin Pump vs Multiple Daily Injections of Insulin and Glyco-metabolic Control in Type 1 Diabetic Patients
NCT03878459PHASE4RECRUITINGDapagliflozin Plus Pioglitazone in T1DM
NCT04698330PHASE4NOT_YET_RECRUITINGEffects Of Berberine Plus Inulin On Diabetes Care in Patients With LADA
NCT05641753PHASE4RECRUITINGCholesterol Lowering and Residual Risk in Diabetes, Type 1
NCT06021145PHASE4RECRUITINGEffectiveness of Empagliflozin Added to Automated Insulin Delivery (AID) Systems in Adults With Type 1 Diabetes With Sub-optimal Glycemic Outcomes
NCT06532682PHASE4ACTIVE_NOT_RECRUITINGEfficacy of Dapagliflozin in Early Diabetic Nephropathy in Type 1 Diabetes
NCT06600776PHASE4NOT_YET_RECRUITINGMealtime or Post-meal Dosing of URLi in Medtronic 780G Hybrid Closed Loop System
NCT06922656PHASE4NOT_YET_RECRUITINGCan the Addition of Pioglitazone to SGLT2 Inhibitor in Type 1 Diabetic Patients Amplify the Decrease in HbA1c and Prevent the Increase in Plasma Ketone Concentration?
NCT07293715PHASE4RECRUITINGPermissive Versus Strict Intrapartum Glucose Management in Type 1 Diabetes (PRISM-T1D)
NCT07427251PHASE4NOT_YET_RECRUITINGThe Postprandial Hypo-Avoid Study
NCT00145353PHASE4UNKNOWNInsulin NovoRapid Versus Actrapid in Treatment of Type 1 Diabetic Patients During Daily Adjustment of Insulin Dose
NCT00145379PHASE4COMPLETEDThe Effect of Metformin in Overweight Patients With Dysregulated Type 1 Diabetes Mellitus
NCT00206401PHASE4COMPLETEDLantus in the Treatment of Type 1 Diabetes Children
NCT00276393PHASE4COMPLETEDTreatment Trial Evaluating Long Acting Insulin in Type 1 Diabetes
NCT00291772PHASE4COMPLETEDContinuous Subcutaneous Infusion of Pramlintide and Insulin
NCT00315952PHASE4COMPLETEDStudy to Estimate the Effects of Inhaled Versus Intravenous (IV) Infusion of Human Insulin in Subjects With Type 1 Diabetes
NCT00340613PHASE4COMPLETEDLunch Time Insulin Injection by School Nurse for Poorly Controlled Diabetes
NCT00346996PHASE4COMPLETEDInsulin Analogues and Severe Hypoglycaemia
NCT00360984PHASE4COMPLETEDPrevention of Severe Hypoglycemia in Type 1 Diabetes
NCT00372086PHASE4COMPLETEDRosiglitazone and Insulin in T1DM Adolescents
NCT00442767PHASE4COMPLETEDPost-meal Insulin Dosing With Adjuvant Pre-meal Pramlintide in Children With Type 1 Diabetes Mellitus
NCT00453934PHASE4TERMINATEDPatient Preference of h-Patch vs. Pen or Needle/Syringe as Insulin Administration Device
NCT00461331PHASE4COMPLETEDComparison of Insulins Aspart and Lispro in Insulin Pumps
NCT00472875PHASE4UNKNOWNDo Sulphonylureas Preserve Cortical Function During Hypoglycaemia?
NCT00497536PHASE4COMPLETEDPharmacokinetics of IAsp Following CSII in Patients With T1DM
NCT00502138PHASE4COMPLETEDA Pilot Study of Continuous Subcutaneous Pramlintide Infusion Therapy in Patients With Type 1 Diabetes
NCT00505882PHASE4WITHDRAWNEfficacy of Pramlintide on Prevention of Weight Gain Early Onset of Type 1 Diabetes
NCT00530023PHASE4COMPLETEDFeasibility Study for Training Pump Naïve Subjects To Use The Paradigm® System And Evaluate Effectiveness
NCT00542399PHASE4COMPLETEDComparing the Metabolic Control of Once to Twice-daily Insulin Detemir Injections
NCT00564395PHASE4COMPLETEDDetemir: Role in Type 1 Diabetes
NCT00814476PHASE4COMPLETEDThe Effects of Regular Home Use Vs Diabetic Team- Supported Use of the Medtronic CareLink Therapy Management System.
NCT00898534PHASE4COMPLETEDEffect of Immediate Hemoglobin A1c on Glycemic Control in Children With Type I Diabetes Mellitus
NCT00913497PHASE4COMPLETEDThe Effect of Insulin Glulisine Compared With Insulin Aspart on Breakfast Post Prandial Glucose Levels in Prepubertal Children
NCT00978796PHASE4COMPLETEDAssessing Glucose Effects of Sitagliptin (Januvia) in Adult Patients With Type 1 Diabetes
NCT01019486PHASE4COMPLETEDRegadenoson Blood Flow in Type 1 Diabetes (RABIT1D)
NCT01235819PHASE4COMPLETEDComparison Between GLP 1 Analogues and DPP 4 Inhibitors in Type 1 Diabetes Mellitus
NCT01269034PHASE4COMPLETEDNew Onset Type 1 Diabetes: Role of Exenatide
NCT01269047PHASE4COMPLETEDUse of Exenatide and Pramlintide to Decrease Post-prandial Hyperglycemia
NCT01280682PHASE4COMPLETEDImmune Intervention With Rituximab to Preserve Beta Cell Function in Early Onset Type 1 Diabetes
NCT01331343PHASE4COMPLETEDEffectiveness Study of the Guardian RT in Type 1 Diabetics

Drugs tested across these trials (top 30)

MoleculeMax phaseTrials referencing
INSULIN GLARGINE438
INSULIN LISPRO426
GLUCAGON417
PRAMLINTIDE414
INSULIN HUMAN412
SOTAGLIFLOZIN412
INSULIN ASPART411
INSULIN DEGLUDEC49
INSULIN GLULISINE49
SAXAGLIPTIN ANHYDROUS49
TEPLIZUMAB48
SEMAGLUTIDE47
BASILIXIMAB45
TIRZEPATIDE45
ALPRAZOLAM43
ANAKINRA43
BELATACEPT43
EFALIZUMAB43
EXENATIDE43
FIBRINOGEN I 12543
FINERENONE43
SITAGLIPTIN43
USTEKINUMAB43
ALEMTUZUMAB42
AMINOHIPPURIC ACID42
DAPAGLIFLOZIN PROPANEDIOL42
EFLORNITHINE42
EZETIMIBE42
HYALURONIDASE42
LANSOPRAZOLE42