Summary
Vogt-Koyanagi-Harada disease (MONDO:0018092) is a disease with 9 cohort genes (4 GWAS associations across 1 studies) and 12 clinical trials. The dominant Reactome pathway is Translocation of ZAP-70 to Immunological synapse (4 cohort genes). Top therapeutic interventions include bevacizumab and s-rolipram.
At a glance
- Prevalence: 1-9 / 1 000 000 (United States) [Orphanet-validated]
- Cohort genes: 9
- GWAS associations: 4
- Phenotypes (HPO): 37
- Clinical trials: 12
Clinical features
Epidemiology
Prevalence records
1 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|
| Annual incidence | 1-9 / 1 000 000 | 0.38 | United States | Validated |
Signs & symptoms
Clinical features (HPO)
37 HPO clinical features (Orphanet curated; top 37 by frequency):
| HPO ID | Term | Frequency |
|---|
| HP:0000499 | Abnormal eyelash morphology | Very frequent (80-99%) |
| HP:0000534 | Abnormal eyebrow morphology | Very frequent (80-99%) |
| HP:0001045 | Vitiligo | Very frequent (80-99%) |
| HP:0001053 | Hypopigmented skin patches | Very frequent (80-99%) |
| HP:0002209 | Sparse scalp hair | Very frequent (80-99%) |
| HP:0002216 | Premature graying of hair | Very frequent (80-99%) |
| HP:0002290 | Poliosis | Very frequent (80-99%) |
| HP:0002315 | Headache | Very frequent (80-99%) |
| HP:0012229 | CSF pleocytosis | Very frequent (80-99%) |
| HP:0100543 | Cognitive impairment | Very frequent (80-99%) |
| HP:0000360 | Tinnitus | Frequent (30-79%) |
| HP:0000407 | Sensorineural hearing impairment | Frequent (30-79%) |
| HP:0000505 | Visual impairment | Frequent (30-79%) |
| HP:0000518 | Cataract | Frequent (30-79%) |
| HP:0000541 | Retinal detachment | Frequent (30-79%) |
| HP:0000554 | Uveitis | Frequent (30-79%) |
| HP:0000622 | Blurred vision | Frequent (30-79%) |
| HP:0001094 | Iridocyclitis | Frequent (30-79%) |
| HP:0004322 | Short stature | Frequent (30-79%) |
| HP:0007787 | Posterior subcapsular cataract | Frequent (30-79%) |
| HP:0007906 | Ocular hypertension | Frequent (30-79%) |
| HP:0020120 | Retinal nerve fiber edema | Frequent (30-79%) |
| HP:0030953 | Conjunctival hyperemia | Frequent (30-79%) |
| HP:0031179 | Nuchal rigidity | Frequent (30-79%) |
| HP:0040030 | Chorioretinal hypopigmentation | Frequent (30-79%) |
| HP:0000501 | Glaucoma | Occasional (5-29%) |
| HP:0000613 | Photophobia | Occasional (5-29%) |
| HP:0001596 | Alopecia | Occasional (5-29%) |
| HP:0001945 | Fever | Occasional (5-29%) |
| HP:0002018 | Nausea | Occasional (5-29%) |
| HP:0002321 | Vertigo | Occasional (5-29%) |
| HP:0002381 | Aphasia | Occasional (5-29%) |
| HP:0009926 | Epiphora | Occasional (5-29%) |
| HP:0011484 | Posterior synechiae of the anterior chamber | Occasional (5-29%) |
| HP:0025341 | Corneal keratic precipitates | Occasional (5-29%) |
| HP:0100809 | Scalp tenderness | Occasional (5-29%) |
| HP:6000710 | Dalen Fuchs nodules | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|
| Canonical name | Vogt-Koyanagi-Harada disease |
| Mondo ID | MONDO:0018092 |
| MeSH | D014607 |
| Orphanet | 3437 |
| DOID | DOID:12297 |
| ICD-10-CM | H20.82, H30.81 |
| NCIT | C85218 |
| SNOMED CT | 193497004 |
| UMLS | C0042170 |
| MedGen | 22599 |
| GARD | 0007862 |
| NORD | 1829 |
| Is cancer (heuristic) | no |
Also known as: Harada’s disease · Uveomenigitic syndrome · uveomeningoencephalitic syndrome · VKH disease · VKH syndrome · Vogt-Koyanagi syndrome · Vogt-Koyanagi-Harada syndrome
Data availability: 4 GWAS associations (1 study).
Disease family
Classification path: disease › human disease › disease by body system or component › disorder of orbital region › eye disorder › uveal disorder › uveitis › panuveitis › Vogt-Koyanagi-Harada disease
Related subtypes (3): infectious panuveitis, idiopathic panuveitis, sympathetic ophthalmia
Genetics & variants
GWAS landscape
4 GWAS associations across 1 studies. Top hits map to 3 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|
| rs114800139 | 1e-119 | HLA-DRB9 | A | 3.02 |
| rs3021304 | 1e-118 | HLA-DRB1 - HLA-DQA1 | G | 2.97 |
| rs117633859 | 3e-21 | IL23R, C1orf141 | G | 1.82 |
| rs442309 | 3e-11 | LINC02929 - ALDH7A1P4 | T | 1.37 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|
| GCST002562 | Hou S | 2014 | 774 | 2,009 | Genome-wide association analysis of Vogt-Koyanagi-Harada syndrome identifies two new susceptibility loci at 1p31.2 and 10q21.3. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 4 |
MAF distribution
| Bucket | Variants |
|---|
| common (>=0.05) | 4 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|
| intron_variant | 3 |
| intergenic_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|
| rs114800139 | 6 | 32460938 | | 0.345 | intron_variant | HLA-DRB9 | 1e-119 | Tier 4: intronic/intergenic |
| rs3021304 | 6 | 32607881 | G>C,T | 0.346 | intergenic_variant | HLA-DRB1 - HLA-DQA1 | 1e-118 | Tier 4: intronic/intergenic |
| rs117633859 | 1 | 67162145 | A>G | 0.095 | intron_variant | IL23R, C1orf141 | 3e-21 | Tier 4: intronic/intergenic |
| rs442309 | 10 | 62730735 | C>A,T | 0.256 | intron_variant | LINC02929 - ALDH7A1P4 | 3e-11 | Tier 4: intronic/intergenic |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 0 · Orphanet: 23 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 1
Dual-evidence genes (GWAS + Mendelian — highest-confidence targets)
| Gene | HGNC | Evidence routes |
|---|
| HLA-DRB1 | HLA-DRB1 | GWAS, Orphanet |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|
| ZNF365 | Orphanet:2073 | Narcolepsy type 1 |
| ZNF365 | Orphanet:83465 | Narcolepsy type 2 |
| IL23R | Orphanet:117 | Behçet disease |
| EGR2 | Orphanet:101084 | Charcot-Marie-Tooth disease type 1D |
| EGR2 | Orphanet:64748 | Dejerine-Sottas syndrome |
| EGR2 | Orphanet:99951 | Charcot-Marie-Tooth disease type 4E |
| HLA-DQA1 | Orphanet:391490 | Adult-onset myasthenia gravis |
| HLA-DQA1 | Orphanet:930 | Idiopathic achalasia |
| HLA-DRA | Orphanet:505 | Graham Little-Piccardi-Lassueur syndrome |
| HLA-DRB1 | Orphanet:2073 | Narcolepsy type 1 |
| HLA-DRB1 | Orphanet:220393 | Diffuse cutaneous systemic sclerosis |
| HLA-DRB1 | Orphanet:220402 | Limited cutaneous systemic sclerosis |
| HLA-DRB1 | Orphanet:220407 | Limited systemic sclerosis |
| HLA-DRB1 | Orphanet:3437 | Vogt-Koyanagi-Harada disease |
| HLA-DRB1 | Orphanet:397 | Giant cell arteritis |
| HLA-DRB1 | Orphanet:477738 | Pediatric multiple sclerosis |
| HLA-DRB1 | Orphanet:536 | Systemic lupus erythematosus |
| HLA-DRB1 | Orphanet:545 | Follicular lymphoma |
| HLA-DRB1 | Orphanet:703 | Bullous pemphigoid |
| HLA-DRB1 | Orphanet:747 | Autoimmune pulmonary alveolar proteinosis |
| HLA-DRB1 | Orphanet:797 | Sarcoidosis |
| HLA-DRB1 | Orphanet:83465 | Narcolepsy type 2 |
| HLA-DRB1 | Orphanet:85414 | Systemic-onset juvenile idiopathic arthritis |
Cohort genes → proteins
9 cohort genes, 9 distinct canonical proteins.
Evidence partition
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|
| ZNF365 | HGNC:18194 | ENSG00000138311 | Q70YC4 | Talanin | gwas |
| IL23R | HGNC:19100 | ENSG00000162594 | Q5VWK5 | Interleukin-23 receptor | gwas |
| ADO | HGNC:23506 | ENSG00000181915 | Q96SZ5 | 2-aminoethanethiol dioxygenase | gwas |
| C1orf141 | HGNC:32044 | ENSG00000203963 | Q5JVX7 | Uncharacterized protein C1orf141 | gwas |
| EGR2 | HGNC:3239 | ENSG00000122877 | P11161 | E3 SUMO-protein ligase EGR2 | gwas |
| HLA-DQA1 | HGNC:4942 | ENSG00000196735 | P01909 | HLA class II histocompatibility antigen, DQ alpha 1 chain | gwas |
| HLA-DRA | HGNC:4947 | ENSG00000204287 | P01903 | HLA class II histocompatibility antigen, DR alpha chain | gwas |
| HLA-DRB1 | HGNC:4948 | ENSG00000196126 | P01911 | HLA class II histocompatibility antigen, DRB1 beta chain | gwas |
| HLA-DRB5 | HGNC:4953 | ENSG00000198502 | Q30154 | HLA class II histocompatibility antigen, DR beta 5 chain | gwas |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|
| ZNF365 | Talanin | May play a role in uric acid excretion. |
| IL23R | Interleukin-23 receptor | Associates with IL12RB1 to form the interleukin-23 receptor. |
| ADO | 2-aminoethanethiol dioxygenase | Plays a vital role in regulating thiol metabolism and preserving oxygen homeostasis by oxidizing the sulfur of cysteamine and N-terminal cysteine-containing proteins to their corresponding sulfinic acids using O2 as a cosubstrate. |
| EGR2 | E3 SUMO-protein ligase EGR2 | Sequence-specific DNA-binding transcription factor. |
| HLA-DQA1 | HLA class II histocompatibility antigen, DQ alpha 1 chain | Binds peptides derived from antigens that access the endocytic route of antigen presenting cells (APC) and presents them on the cell surface for recognition by the CD4 T-cells. |
| HLA-DRA | HLA class II histocompatibility antigen, DR alpha chain | An alpha chain of antigen-presenting major histocompatibility complex class II (MHCII) molecule. |
| HLA-DRB1 | HLA class II histocompatibility antigen, DRB1 beta chain | A beta chain of antigen-presenting major histocompatibility complex class II (MHCII) molecule. |
| HLA-DRB5 | HLA class II histocompatibility antigen, DR beta 5 chain | Binds peptides derived from antigens that access the endocytic route of antigen presenting cells (APC) and presents them on the cell surface for recognition by the CD4 T-cells. |
Protein-family classification
Druggable: 6 · Difficult: 2 · Unknown: 1 · Druggable fraction: 0.67
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 |
|---|
| Antibody/Immunoglobulin | 5 | 16.2× | 2e-05 |
| Transcription factor | 2 | 1.8× | 0.598 |
| Enzyme (other) | 1 | 1.3× | 0.724 |
| Other/Unknown | 1 | 0.2× | 0.999 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|
| ZNF365 | Transcription factor | no | | GenomicStab_NeuMorph_Reg, FBX41/ZN365_Znf-C2H2 |
| IL23R | Antibody/Immunoglobulin | yes | | FN3_dom, Ig-like_fold, FN3_sf |
| ADO | Enzyme (other) | yes | 1.13.11.19 | RmlC_Cupin_sf, PCO/ADO, RmlC-like_jellyroll |
| C1orf141 | Other/Unknown | no | | DUF4545 |
| EGR2 | Transcription factor | no | | Znf_C2H2_type, EGR_N, Znf_C2H2_sf |
| HLA-DQA1 | Antibody/Immunoglobulin | yes | | MHC_II_a_N, Ig/MHC_CS, Ig_C1-set |
| HLA-DRA | Antibody/Immunoglobulin | yes | | MHC_II_a_N, Ig/MHC_CS, Ig_C1-set |
| HLA-DRB1 | Antibody/Immunoglobulin | yes | | MHC_II_b_N, Ig/MHC_CS, Ig_C1-set |
| HLA-DRB5 | Antibody/Immunoglobulin | yes | | MHC_II_b_N, Ig/MHC_CS, Ig_C1-set |
Expression context
Cohort genes with no expression data: 0.
7 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) | 9 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|
| granulocyte | 3 |
| vermiform appendix | 3 |
| secondary oocyte | 2 |
| gall bladder | 2 |
| monocyte | 2 |
| Brodmann (1909) area 23 | 1 |
| lateral nuclear group of thalamus | 1 |
| middle temporal gyrus | 1 |
| adrenal tissue | 1 |
| oocyte | 1 |
| male germ cell | 1 |
| sperm | 1 |
| male germ line stem cell (sensu Vertebrata) in testis | 1 |
| right uterine tube | 1 |
| testis | 1 |
| tibial nerve | 1 |
| rectum | 1 |
| leukocyte | 1 |
| right lung | 1 |
| lymph node | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|
| ZNF365 | 206 | broad | yes | middle temporal gyrus, lateral nuclear group of thalamus, Brodmann (1909) area 23 |
| IL23R | 39 | tissue_specific | marker | secondary oocyte, oocyte, adrenal tissue |
| ADO | 291 | ubiquitous | yes | sperm, male germ cell, secondary oocyte |
| C1orf141 | 63 | tissue_specific | marker | right uterine tube, male germ line stem cell (sensu Vertebrata) in testis, testis |
| EGR2 | 143 | ubiquitous | marker | gall bladder, tibial nerve, granulocyte |
| HLA-DQA1 | 244 | broad | marker | gall bladder, rectum, monocyte |
| HLA-DRA | 132 | broad | marker | monocyte, leukocyte, vermiform appendix |
| HLA-DRB1 | 131 | tissue_specific | marker | vermiform appendix, granulocyte, right lung |
| HLA-DRB5 | 130 | tissue_specific | marker | granulocyte, lymph node, vermiform appendix |
Protein interactions among cohort
Intra-cohort edges: 9.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|
| HLA-DRB1 | 3,448 |
| EGR2 | 3,269 |
| HLA-DRA | 3,244 |
| HLA-DRB5 | 1,897 |
| IL23R | 1,577 |
| C1orf141 | 594 |
| ADO | 397 |
| HLA-DQA1 | 196 |
| ZNF365 | 26 |
Intra-cohort edges
| A | B | Sources |
|---|
| ADO | C1orf141 | string_interaction |
| ADO | EGR2 | string_interaction |
| ADO | IL23R | string_interaction |
| C1orf141 | EGR2 | string_interaction |
| C1orf141 | IL23R | string_interaction |
| HLA-DQA1 | HLA-DRB5 | intact |
| HLA-DRA | HLA-DRB1 | biogrid_interaction, intact, string_interaction |
| HLA-DRA | HLA-DRB5 | biogrid_interaction, intact, string_interaction |
| HLA-DRB1 | HLA-DRB5 | biogrid_interaction, intact |
Structural data
PDB: 6 · AlphaFold-only: 3 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|
| HLA-DRA | P01903 | 140 |
| HLA-DRB1 | P01911 | 108 |
| HLA-DQA1 | P01909 | 28 |
| ADO | Q96SZ5 | 9 |
| IL23R | Q5VWK5 | 4 |
| HLA-DRB5 | Q30154 | 4 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|
| EGR2 | P11161 | 49.02 |
| C1orf141 | Q5JVX7 | 47.74 |
| ZNF365 | Q70YC4 | 30.21 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 17. Enrichment computed across 9 evidence-associated genes (7 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 7 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| Translocation of ZAP-70 to Immunological synapse | 4 | 362.5× | 2e-09 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| Phosphorylation of CD3 and TCR zeta chains | 4 | 310.8× | 2e-09 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| Co-inhibition by PD-1 | 4 | 296.6× | 2e-09 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| Generation of second messenger molecules | 4 | 197.8× | 9e-09 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| Downstream TCR signaling | 4 | 73.3× | 4e-07 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| Interferon gamma signaling | 4 | 71.7× | 4e-07 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| MHC class II antigen presentation | 4 | 51.0× | 1e-06 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| Interleukin-23 signaling | 1 | 181.3× | 0.012 | IL23R |
| Degradation of cysteine and homocysteine | 1 | 135.9× | 0.014 | ADO |
| Sulfur amino acid metabolism | 1 | 81.6× | 0.021 | ADO |
| EGR2 and SOX10-mediated initiation of Schwann cell myelination | 1 | 52.6× | 0.029 | EGR2 |
| NGF-stimulated transcription | 1 | 40.8× | 0.034 | EGR2 |
| Transcriptional regulation of white adipocyte differentiation | 1 | 18.5× | 0.069 | EGR2 |
| Interleukin-4 and Interleukin-13 signaling | 1 | 14.7× | 0.080 | IL23R |
| Activation of anterior HOX genes in hindbrain development during early embryogenesis | 1 | 13.1× | 0.084 | EGR2 |
| Metabolism of amino acids and derivatives | 1 | 9.7× | 0.105 | ADO |
| Metabolism | 1 | 1.7× | 0.468 | ADO |
GO biological processes 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.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|
| peptide antigen assembly with MHC class II protein complex | 4 | 526.6× | 3e-09 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| antigen processing and presentation of exogenous peptide antigen via MHC class II | 4 | 271.8× | 3e-08 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| positive regulation of immune response | 4 | 240.7× | 3e-08 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| positive regulation of T cell activation | 4 | 221.7× | 3e-08 | HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| positive regulation of memory T cell differentiation | 3 | 702.2× | 1e-07 | IL23R, HLA-DRA, HLA-DRB1 |
| antigen processing and presentation of endogenous peptide antigen via MHC class II | 2 | 2106.5× | 3e-06 | HLA-DRA, HLA-DRB1 |
| positive regulation of T cell mediated cytotoxicity | 3 | 191.5× | 5e-06 | IL23R, HLA-DRA, HLA-DRB1 |
| myeloid dendritic cell antigen processing and presentation | 2 | 1404.3× | 7e-06 | HLA-DRA, HLA-DRB1 |
| regulation of T-helper cell differentiation | 2 | 1053.2× | 1e-05 | HLA-DRA, HLA-DRB1 |
| positive regulation of CD4-positive, alpha-beta T cell activation | 2 | 1053.2× | 1e-05 | HLA-DRA, HLA-DRB1 |
| positive regulation of CD4-positive, CD25-positive, alpha-beta regulatory T cell differentiation | 2 | 842.6× | 2e-05 | HLA-DRA, HLA-DRB1 |
| adaptive immune response | 3 | 31.6× | 7e-04 | HLA-DQA1, HLA-DRA, HLA-DRB5 |
| antigen processing and presentation of peptide or polysaccharide antigen via MHC class II | 1 | 2106.5× | 0.002 | HLA-DRA |
| rhombomere 3 structural organization | 1 | 2106.5× | 0.002 | EGR2 |
| rhombomere 3 formation | 1 | 2106.5× | 0.002 | EGR2 |
| rhombomere 5 structural organization | 1 | 2106.5× | 0.002 | EGR2 |
| rhombomere 5 formation | 1 | 2106.5× | 0.002 | EGR2 |
| cerebellar molecular layer morphogenesis | 1 | 2106.5× | 0.002 | ZNF365 |
| regulation of interleukin-4 production | 1 | 2106.5× | 0.002 | HLA-DRB1 |
| regulation of DNA strand resection involved in replication fork processing | 1 | 2106.5× | 0.002 | ZNF365 |
| immune response | 3 | 17.6× | 0.002 | HLA-DQA1, HLA-DRA, HLA-DRB1 |
| rhythmic behavior | 1 | 1053.2× | 0.004 | EGR2 |
| positive regulation of Schwann cell differentiation | 1 | 1053.2× | 0.004 | EGR2 |
| regulation of interleukin-10 production | 1 | 1053.2× | 0.004 | HLA-DRB1 |
| gamma-tubulin complex localization | 1 | 702.2× | 0.005 | ZNF365 |
| brain segmentation | 1 | 702.2× | 0.005 | EGR2 |
| positive regulation of NK T cell activation | 1 | 421.3× | 0.008 | IL23R |
| interleukin-23-mediated signaling pathway | 1 | 351.1× | 0.009 | IL23R |
| positive regulation of T cell mediated immune response to tumor cell | 1 | 300.9× | 0.010 | HLA-DRB1 |
| Schwann cell differentiation | 1 | 300.9× | 0.010 | EGR2 |
Therapeutics
Drugs indicated for this disease
0 approved, 1 in late-stage (phase 3) trials. Disease-direct ChEMBL indications, not inferred from the associated-gene cohort below.
| Drug | Development status |
|---|
| Bevacizumab | Phase 3 (in late-stage trials) |
Earlier-phase candidates (phase 2, investigational — efficacy not yet established): Triamcinolone Acetonide.
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 9
Druggability breadth: 4 of 9 evidence-associated genes (44%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|
| ZNF365 | 0 | 0 |
| IL23R | 0 | 0 |
| ADO | 0 | 0 |
| C1orf141 | 0 | 0 |
| EGR2 | 0 | 0 |
| HLA-DQA1 | 0 | 0 |
| HLA-DRA | 0 | 0 |
| HLA-DRB1 | 0 | 0 |
| HLA-DRB5 | 0 | 0 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|
| HLA-DRB1 | 17 | Binding:17 |
| IL23R | 13 | Binding:13 |
| HLA-DQA1 | 2 | Binding:2 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|
| ADO | 1.13.11.19 | cysteamine dioxygenase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 9; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
0 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.
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 6 | IL23R, ADO, HLA-DQA1, HLA-DRA, HLA-DRB1, HLA-DRB5 |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 3 | ZNF365, C1orf141, EGR2 |
Undrugged target profiles
9 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|
| ZNF365 | 0 | — |
| IL23R | 13 | — |
| ADO | 0 | — |
| C1orf141 | 0 | — |
| EGR2 | 0 | — |
| HLA-DQA1 | 2 | — |
| HLA-DRA | 0 | — |
| HLA-DRB1 | 17 | — |
| HLA-DRB5 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 12.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|
| Not specified | 10 |
| PHASE3 | 1 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|
| NCT00407121 | PHASE3 | WITHDRAWN | Intravitreal Bevacizumab for Inflammatory Neovascular Membranes |
| NCT05031143 | PHASE2/PHASE3 | COMPLETED | Suprachoroidal Triamcinolone Acetonide in Harada’s Retinal Detachment |
| NCT03399175 | Not specified | RECRUITING | Early Immunosuppressive Therapy on the Course of Vogt-Koyanagi-Harada Disease |
| NCT05590416 | Not specified | RECRUITING | A Study of Adalimumab in Acute Vogt-Koyanagi-Harada Disease |
| NCT03811366 | Not specified | COMPLETED | Multimodal Analysis and Electroretinogram in VKH From Acute Onset - Part I |
| NCT04025476 | Not specified | UNKNOWN | Immune Profile of Acute VKH Patients PBMC |
| NCT04101604 | Not specified | UNKNOWN | Biomarkers of Common Eye Diseases |
| NCT04126850 | Not specified | UNKNOWN | Pilot Project: The Amplicon and Metatranscriptomic Study of Intra and Extra Intestinal Microbiome in Non-infectious Uveitis Disease |
| NCT05120687 | Not specified | UNKNOWN | Corticosteroid Combining Noncorticosteroid Systemic Immunomodulatory Therapy in VKH |
| NCT05496530 | Not specified | UNKNOWN | Custom Needle Preparation for Suprachoroidal Steroid Injection (One Year Results) |
| NCT05627739 | Not specified | UNKNOWN | A Study of Mycophenolate Mofetil Combined With Glucocorticoid Therapy in Relapse Vogt-Koyanagi-Harada Disease |
| NCT07405489 | Not specified | COMPLETED | Oral Prednisolone Versus Posterior Sub-Tenon Triamcinolone for Acute Ocular VKH |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|
| BEVACIZUMAB | 4 | 1 |
| S-ROLIPRAM | 0 | 1 |