Wilms tumor 6

Summary

Wilms tumor 6 (MONDO:0014779) is a cancer caused by REST (GenCC Strong), with 1 cohort gene (1 CIViC-evidence somatic driver; 58 ClinVar predisposition records).

At a glance

• Classification: Cancer
• Causal gene: REST (GenCC Strong)
• Cohort genes: 1
• ClinVar variants: 58

Clinical features

No curated clinical features (Orphanet) for this disease.

Identifiers

Disease identifiers

Field	Value
Canonical name	Wilms tumor 6
Mondo ID	MONDO:0014779
OMIM	616806
UMLS	C3891301
MedGen	855962
GARD	0016162
Is cancer (heuristic)	yes

Also known as: Wilms tumor 6 · Wilms tumor 6; WT6 · Wilms tumor type 6 · Wilms tumour 6, susceptibility to · Wilms tumour 6; WT6 · Wilms tumour type 6 · WT6

Data availability: 58 ClinVar variants · 4 GenCC gene-disease records.

Disease family

Classification path: disease › human disease › disease by etiologic mechanism › disease of genetic or genomic mechanism › hereditary disease › hereditary Wilms tumor › Wilms tumor 6

Related subtypes (6): Wilms tumor 1, Wilms tumor 2, Wilms tumor 3, Wilms tumor 4, Wilms tumor 5, Wilms tumor 7

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

58 retrieved; paginated sample, class counts are floors:

49 uncertain significance, 5 conflicting classifications of pathogenicity, 2 risk factor, 1 benign/likely benign, 1 pathogenic

ClinVar	Variant (HGVS)	Gene	Classification	Review
222002	NM_005612.5(REST):c.831_832del (p.Cys278fs)	REST	Pathogenic	criteria provided, single submitter
222003	NM_005612.5(REST):c.773_776del (p.Val258fs)	REST	risk factor	no assertion criteria provided
222004	NM_005612.5(REST):c.965A>G (p.His322Arg)	REST	risk factor	no assertion criteria provided
1019336	NM_005612.5(REST):c.843C>T (p.Cys281=)	REST	Conflicting classifications of pathogenicity	criteria provided, conflicting classifications
1135056	NM_005612.5(REST):c.1902G>A (p.Met634Ile)	REST	Conflicting classifications of pathogenicity	criteria provided, conflicting classifications
2631848	NM_005612.5(REST):c.2945G>A (p.Arg982His)	REST	Conflicting classifications of pathogenicity	criteria provided, conflicting classifications
3590636	NM_005612.5(REST):c.458G>A (p.Ser153Asn)	REST	Conflicting classifications of pathogenicity	criteria provided, conflicting classifications
944664	NM_005612.5(REST):c.3098A>G (p.His1033Arg)	REST	Conflicting classifications of pathogenicity	criteria provided, conflicting classifications
1000502	NM_005612.5(REST):c.2992G>A (p.Ala998Thr)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1013675	NM_005612.5(REST):c.1747A>G (p.Thr583Ala)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1021123	NM_005612.5(REST):c.2065C>T (p.Pro689Ser)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1025535	NM_005612.5(REST):c.1639G>T (p.Val547Leu)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1047303	NM_005612.5(REST):c.2068C>T (p.Pro690Ser)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1327569	NM_005612.5(REST):c.2989A>G (p.Met997Val)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1347535	NM_005612.5(REST):c.2050C>G (p.His684Asp)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1352070	NM_005612.5(REST):c.2307A>G (p.Ile769Met)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1357352	NM_005612.5(REST):c.2917A>G (p.Met973Val)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1418725	NM_005612.5(REST):c.416A>G (p.Asp139Gly)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1446534	NM_005612.5(REST):c.2780A>G (p.Asn927Ser)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1524176	NM_005612.5(REST):c.2032G>T (p.Ala678Ser)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
1691514	NM_005612.5(REST):c.1881G>T (p.Gln627His)	REST	Uncertain significance	criteria provided, single submitter
1931844	NM_005612.5(REST):c.2753A>G (p.His918Arg)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
2170568	NM_005612.5(REST):c.2741A>G (p.Asn914Ser)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
2174361	NM_005612.5(REST):c.608C>G (p.Ser203Cys)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
2178538	NM_005612.5(REST):c.3239A>G (p.Asn1080Ser)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
2181622	NM_005612.5(REST):c.2053A>G (p.Met685Val)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
2444866	NM_005612.5(REST):c.1882G>A (p.Val628Met)	REST	Uncertain significance	criteria provided, single submitter
2444874	NM_005612.5(REST):c.1701G>C (p.Glu567Asp)	REST	Uncertain significance	criteria provided, single submitter
2444899	NM_005612.5(REST):c.1583A>G (p.His528Arg)	REST	Uncertain significance	criteria provided, multiple submitters, no conflicts
2444901	NM_005612.5(REST):c.1367A>G (p.Asp456Gly)	REST	Uncertain significance	criteria provided, single submitter

Genes & proteins

Mendelian disease overlap and somatic drivers

GenCC: 10 · Orphanet: 2 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0

Somatic driver evidence (intOGen + CIViC, cohort fanout)

Gene	intOGen role	Cancer types	CIViC
REST	LoF	WT

GenCC gene–disease validity (cohort genes)

the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.

Gene	Classification	Inheritance	Disease	Records
REST	Strong	Autosomal dominant	Wilms tumor 6	10

Orphanet rare-disease linkage (cohort genes)

Gene	Orphanet ID	Rare disease
REST	Orphanet:2024	Hereditary gingival fibromatosis
REST	Orphanet:654	Nephroblastoma

Cohort genes → proteins

1 cohort genes, 1 distinct canonical proteins.

Evidence partition

Subset	Genes
multi_evidence	1

Cohort genes (full)

Symbol	HGNC	Ensembl	UniProt	Name	Evidence
REST	HGNC:9966	ENSG00000084093	Q13127	RE1-silencing transcription factor	gencc,clinvar

Cohort function summary

Lead sentence per gene, UniProt-curated.

Symbol	Protein name	Function (lead sentence)
REST	RE1-silencing transcription factor	Transcriptional repressor which binds neuron-restrictive silencer element (NRSE) and represses neuronal gene transcription in non-neuronal cells.

Protein-family classification

Druggable: 0 · Difficult: 1 · Unknown: 0 · Druggable fraction: 0.0

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	1	8.3×	0.121

Per-gene assignment

Symbol	Family	Druggable?	EC	InterPro (top 3)
REST	Transcription factor	no		Znf_C2H2_type, Znf_C2H2_sf, Zinc_finger/UBP_domain

Expression context

Cohort genes with no expression data: 0.

1 cohort gene 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)	1
unknown	0

Top tissues across cohort

Tissue	Cohort genes
male germ line stem cell (sensu Vertebrata) in testis	1
mucosa of paranasal sinus	1
primordial germ cell in gonad	1

Per-gene tissue summary (top 30)

Symbol	Bgee breadth	FANTOM5 breadth	SCXA	Top tissues
REST	281	ubiquitous	marker	primordial germ cell in gonad, mucosa of paranasal sinus, male germ line stem cell (sensu Vertebrata) in testis

Protein interactions among cohort

Intra-cohort edges: 0.

Hub genes (top 10 by interactor count)

Symbol	Interactor count
REST	2,499

Structural data

PDB: 1 · AlphaFold-only: 0 · No structure: 0

Cohort genes with PDB structures (top 30)

Symbol	UniProt	PDB entries
REST	Q13127	3

Function

Pathway analysis

Distinct Reactome pathways touched by cohort: 5. Enrichment computed across 1 evidence-associated genes (1 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 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

Pathway	Cohort genes	Fold	FDR	Sample cohort genes
Regulation of NPAS4 gene transcription	1	2284.0×	0.002	REST
NGF-stimulated transcription	1	285.5×	0.009	REST
Regulation of PTEN gene transcription	1	178.4×	0.009	REST
HDACs deacetylate histones	1	120.2×	0.009	REST
Potential therapeutics for SARS	1	114.2×	0.009	REST

GO biological processes by enrichment

Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.

GO term	Cohort genes	Fold	FDR	Sample cohort genes
negative regulation of dense core granule biogenesis	1	16852.0×	0.001	REST
negative regulation of amniotic stem cell differentiation	1	16852.0×	0.001	REST
modification of synaptic structure	1	8426.0×	0.001	REST
negative regulation of mesenchymal stem cell differentiation	1	8426.0×	0.001	REST
negative regulation of aldosterone biosynthetic process	1	4213.0×	0.002	REST
negative regulation of cortisol biosynthetic process	1	4213.0×	0.002	REST
negative regulation of calcium ion-dependent exocytosis	1	1872.4×	0.003	REST
cardiac muscle cell myoblast differentiation	1	1404.3×	0.003	REST
host-mediated suppression of viral transcription	1	1296.3×	0.003	REST
regulation of osteoblast differentiation	1	1296.3×	0.003	REST
cellular response to electrical stimulus	1	1296.3×	0.003	REST
nervous system process	1	1203.7×	0.003	REST
positive regulation of programmed cell death	1	1123.5×	0.003	REST
detection of mechanical stimulus involved in sensory perception of sound	1	936.2×	0.003	REST
cellular response to stress	1	842.6×	0.003	REST
auditory receptor cell stereocilium organization	1	842.6×	0.003	REST
neuronal stem cell population maintenance	1	674.1×	0.003	REST
negative regulation of neurogenesis	1	624.1×	0.003	REST
cellular response to glucocorticoid stimulus	1	624.1×	0.003	REST
negative regulation of miRNA transcription	1	624.1×	0.003	REST
negative regulation of insulin secretion	1	495.6×	0.004	REST
positive regulation of stem cell population maintenance	1	343.9×	0.005	REST
neuromuscular process controlling balance	1	330.4×	0.005	REST
negative regulation of neuron differentiation	1	271.8×	0.006	REST
response to ischemia	1	251.5×	0.006	REST
somatic stem cell population maintenance	1	247.8×	0.006	REST
regulation of alternative mRNA splicing, via spliceosome	1	244.2×	0.006	REST
hematopoietic progenitor cell differentiation	1	237.3×	0.006	REST
positive regulation of neuron differentiation	1	198.3×	0.007	REST
response to hypoxia	1	95.8×	0.013	REST

Therapeutics

Drug target analysis

Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 0 · Undrugged: 1

Druggability breadth: 0 of 1 evidence-associated genes (0%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).

Top cohort targets by molecule count

Symbol	Molecules	Max phase
REST	0	0

Bioactivity and enzyme data

Enzyme cohort genes (≥1 EC): 0.

Pharmacogenomics

Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.

No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).

Drug repurposing candidates

0 approved/phased drugs hit cohort targets but don’t yet appear in disease-level clinical trials. Target-inhibition rationale is strongest for cancer driver genes; a bioactivity hit is a screening signal, not a treatment claim.

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	0
D	Druggable family + AlphaFold only, no drug	0
E	Difficult family or no structure, no drug	1	REST

Undrugged target profiles

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

Symbol	ChEMBL assays	Drugged partners (top 3)
REST	0	—

Clinical trials & evidence

Clinical trials

Clinical trials: 0.