ACTR2
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Also known as ARP2
Summary
ACTR2 (actin related protein 2, HGNC:169) is a protein-coding gene on chromosome 2p14, encoding Actin-related protein 2 (P61160). ATP-binding component of the Arp2/3 complex, a multiprotein complex that mediates actin polymerization upon stimulation by nucleation-promoting factor (NPF). It is a common-essential gene (DepMap: required in 98.3% of cancer cell lines).
The specific function of this gene has not yet been determined; however, the protein it encodes is known to be a major constituent of the ARP2/3 complex. This complex is located at the cell surface and is essential to cell shape and motility through lamellipodial actin assembly and protrusion. Two transcript variants encoding different isoforms have been found for this gene.
Source: NCBI Gene 10097 — RefSeq curated summary.
At a glance
- GWAS associations: 7
- Clinical variants (ClinVar): 36 total — 3 pathogenic, 3 likely-pathogenic
- Druggable target: yes — 1 molecules with ChEMBL bioactivity
- Cancer dependency (DepMap): dependent in 98.3% of screened cell lines (common-essential)
- MANE Select transcript:
NM_005722
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:169 |
| Approved symbol | ACTR2 |
| Name | actin related protein 2 |
| Location | 2p14 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | ARP2 |
| Ensembl gene | ENSG00000138071 |
| Ensembl biotype | protein_coding |
| OMIM | 604221 |
| Entrez | 10097 |
Gene structure
Transcript identifiers
Ensembl transcripts: 13 — 11 protein_coding, 2 nonsense_mediated_decay
ENST00000260641, ENST00000377982, ENST00000471552, ENST00000476840, ENST00000880426, ENST00000880427, ENST00000880428, ENST00000880429, ENST00000880430, ENST00000880431, ENST00000922450, ENST00000922451, ENST00000958822
RefSeq mRNA: 2 — MANE Select: NM_005722
NM_001005386, NM_005722
CCDS: CCDS1881, CCDS46307
Canonical transcript exons
ENST00000260641 — 9 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000443287 | 65255545 | 65255694 |
| ENSE00000758608 | 65251027 | 65251099 |
| ENSE00000758609 | 65253728 | 65253864 |
| ENSE00000932761 | 65261247 | 65261392 |
| ENSE00000932762 | 65265043 | 65265175 |
| ENSE00001006428 | 65227831 | 65227957 |
| ENSE00001351368 | 65268564 | 65271253 |
| ENSE00003471512 | 65246524 | 65246739 |
| ENSE00003576050 | 65239852 | 65239962 |
Expression profiles
Bgee: expression breadth ubiquitous, 303 present calls, max score 99.43.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 73.0309 / max 1107.9898, expressed in 1821 samples.
FANTOM5 promoters (4 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 20621 | 66.5624 | 1820 |
| 20620 | 3.2256 | 1470 |
| 20619 | 3.2203 | 1416 |
| 20622 | 0.0226 | 6 |
Top tissues by expression
303 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| monocyte | CL:0000576 | 99.43 | gold quality |
| mononuclear cell | CL:0000842 | 99.41 | gold quality |
| leukocyte | CL:0000738 | 99.35 | gold quality |
| trabecular bone tissue | UBERON:0002483 | 99.15 | gold quality |
| epithelium of nasopharynx | UBERON:0001951 | 99.13 | gold quality |
| nasopharynx | UBERON:0001728 | 99.11 | gold quality |
| vermiform appendix | UBERON:0001154 | 99.01 | gold quality |
| palpebral conjunctiva | UBERON:0001812 | 99.01 | gold quality |
| lymph node | UBERON:0000029 | 98.97 | gold quality |
| caecum | UBERON:0001153 | 98.97 | gold quality |
| esophagus squamous epithelium | UBERON:0006920 | 98.93 | gold quality |
| mucosa of sigmoid colon | UBERON:0004993 | 98.86 | gold quality |
| bone element | UBERON:0001474 | 98.85 | gold quality |
| bone marrow | UBERON:0002371 | 98.82 | gold quality |
| visceral pleura | UBERON:0002401 | 98.81 | gold quality |
| bone marrow cell | CL:0002092 | 98.78 | gold quality |
| pylorus | UBERON:0001166 | 98.71 | gold quality |
| cauda epididymis | UBERON:0004360 | 98.71 | gold quality |
| colonic mucosa | UBERON:0000317 | 98.70 | gold quality |
| parietal pleura | UBERON:0002400 | 98.68 | gold quality |
| corpus epididymis | UBERON:0004359 | 98.62 | gold quality |
| colonic epithelium | UBERON:0000397 | 98.61 | gold quality |
| oral cavity | UBERON:0000167 | 98.59 | gold quality |
| caput epididymis | UBERON:0004358 | 98.58 | gold quality |
| secondary oocyte | CL:0000655 | 98.54 | gold quality |
| rectum | UBERON:0001052 | 98.54 | gold quality |
| pericardium | UBERON:0002407 | 98.54 | gold quality |
| tongue squamous epithelium | UBERON:0006919 | 98.53 | gold quality |
| pleura | UBERON:0000977 | 98.47 | gold quality |
| islet of Langerhans | UBERON:0000006 | 98.44 | gold quality |
Single-cell (SCXA)
Detected in 2 experiment(s), a significant marker in 2.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-MTAB-10042 | yes | 6.93 |
| E-ANND-3 | no | 0.00 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): E2F1
miRNA regulators (miRDB)
154 targeting ACTR2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-3163 | 100.00 | 77.23 | 8605 |
| HSA-MIR-5011-5P | 100.00 | 83.46 | 5820 |
| HSA-MIR-5692B | 100.00 | 71.32 | 2622 |
| HSA-MIR-5692C | 100.00 | 71.32 | 2622 |
| HSA-MIR-1277-5P | 100.00 | 73.95 | 5056 |
| HSA-MIR-4262 | 100.00 | 73.26 | 3931 |
| HSA-MIR-4476 | 100.00 | 68.18 | 2030 |
| HSA-MIR-6876-5P | 100.00 | 67.68 | 2126 |
| HSA-MIR-513A-5P | 100.00 | 69.77 | 2465 |
| HSA-MIR-3925-3P | 100.00 | 69.95 | 1237 |
| HSA-MIR-190A-3P | 100.00 | 80.35 | 5520 |
| HSA-MIR-3662 | 99.99 | 73.82 | 5684 |
| HSA-MIR-548C-3P | 99.99 | 74.01 | 7587 |
| HSA-MIR-186-5P | 99.99 | 70.83 | 3707 |
| HSA-MIR-4282 | 99.99 | 75.36 | 6408 |
| HSA-MIR-371B-5P | 99.99 | 75.34 | 4759 |
| HSA-MIR-181A-5P | 99.99 | 72.96 | 2995 |
| HSA-MIR-181B-5P | 99.99 | 72.97 | 2996 |
| HSA-MIR-181C-5P | 99.99 | 72.95 | 2996 |
| HSA-MIR-181D-5P | 99.99 | 73.04 | 2997 |
| HSA-MIR-223-3P | 99.99 | 70.14 | 1140 |
| HSA-MIR-373-5P | 99.98 | 75.36 | 4753 |
| HSA-MIR-616-5P | 99.98 | 75.58 | 4775 |
| HSA-MIR-103A-3P | 99.98 | 69.14 | 1595 |
| HSA-MIR-107 | 99.98 | 69.14 | 1595 |
| HSA-MIR-12136 | 99.98 | 72.81 | 5713 |
| HSA-MIR-607 | 99.97 | 73.62 | 5593 |
| HSA-MIR-3148 | 99.97 | 75.06 | 6478 |
| HSA-MIR-302C-5P | 99.97 | 72.56 | 3642 |
| HSA-MIR-590-3P | 99.96 | 74.34 | 6478 |
Functional genomics
DepMap (CRISPR cell-line fitness): dependent in 98.3% of screened cell lines, common-essential.
Literature-anchored findings (GeneRIF, showing 40)
- Arp2/3 complex is required for actin polymerization during platelet shape change. (PMID:12036877)
- Platelets activate Arp2/3 complex, assemble actin, and change shape in the absence of WASp, indicating a more specialized role for WASp in these cells. (PMID:12200375)
- Results suggest that recruitment of factors by Wiskott-Aldrich Syndrome protein (WASP) and Scar1 stimulates cellular actin-based motility and actin nucleation with the Arp2/3 complex. (PMID:12429845)
- Arp2/3 complex contribution to actin filament nucleation in platelets and fibroblasts importantly requires free barbed ends generated by severing and uncapping. (PMID:12464680)
- cortactin links receptor endocytosis to actin polymerization by binding both CD2AP and the Arp2/3 complex, which may facilitate the trafficking of internalized growth factor receptors (PMID:12672817)
- ARP2-mediated actin polymerization is regulated by phosphorylation of WASP protein. (PMID:12791263)
- The interaction between cortactin and Arp2/3 complex plays an important role in S1P-mediated remodeling of endothelial cells. (PMID:15242766)
- existence of an Arp2/3 complex-dependent event during the early phase of the life cycles of both primate lentiviruses and intracellular mature vaccinia virus (PMID:15385624)
- signalling pathways leading to Arp2/3-dependent actin nucleation play an important role in Salmonella typhimurium invasion, but are not involved in intracellular Salmonella-induced actin assembly (PMID:15469433)
- T-plastin increases Arp2/3-mediated actin-based movement (PMID:15741236)
- These results indicate that interaction between the Arp2/3 complex and WASP stimulates actin polymerization and integrin beta-1-mediated adhesion during MCP-1-induced chemotaxis of THP-1 cells. (PMID:16004967)
- the binding of the C terminus of SPIN90 with both the Arp2/3 complex (actin-related proteins Arp 2 and Arp 3) and G-actin activates the former, leading to actin polymerization (PMID:16253999)
- in activation of the Arp2/3 complex, the C domain first primes the complex by inducing a necessary conformational change and then initiates nucleus assembly by bringing an actin monomer into proximity of the primed complex (PMID:16403731)
- Coexpression of Arp2 and WAVE2 is correlated with poorer patient outcome. (PMID:16638851)
- signal-induced relief of the autoinhibited fold of IQGAP1 allows activation of N-WASP to stimulate Arp2/3-dependent actin assembly (PMID:17085436)
- High mRNA levels of Arp2 were significantly associated with liver metastasis of colorectal cancer. (PMID:17459058)
- Data show that Chlamydia trachomatis activates Rac and promotes its interaction with WAVE2 and Abi-1 to activate the Arp2/3 complex resulting in the induction of actin cytoskeletal rearrangements that are required for invasion. (PMID:17501982)
- Results suggest that WAVE and the Arp2/3 complex jointly orchestrate different types of actin-based plasma membrane protrusions by promoting ruffling and inhibiting mDia2-induced filopodia. (PMID:18516090)
- Arp2-depleted Jurkat T lymphocytes exhibit defects in spreading on anti-CD3; Arp2-depleted Jurkats exhibit defects in ruffle assembly but not in assembly of mitotic linear protrusions. (PMID:18720401)
- the exchange rate of N-WASP controls the rate of ARP2/3-complex-dependent actin-based motility by regulating the extent of actin polymerization by antagonizing filament capping (PMID:19262673)
- The Arp2/3 complex, an actin-nucleating factor, is recruited at the ring structure and is important for parasite entry. (PMID:19286135)
- Loss of Arp2/3 function led to defects in cell adhesion and actin assembly at the junction with the target cell (the lytic synapse) (PMID:19913427)
- key residues at this interface were crucial for actin nucleation and Y-branching, high-affinity F-actin binding, and Y-branch stability, demonstrating that the affinity of Arp2/3 complex for F actin independently modulates branch formation and stability. (PMID:20404198)
- the centrosome transiently recruits Arp2/3 to perform processes such as centrosome separation prior to mitotic entry. (PMID:21108927)
- Anthrax edema toxin induced transendothelial cell tunnels are resealed by MIM via Arp2/3-driven actin polymerization. (PMID:22100162)
- Using molecular dynamics simulations and biochemical assays with recombinant Arp2/3 complex, we now show how phosphorylation of Arp2 induces conformational changes permitting activation. (PMID:22125478)
- We demonstrate that WAVE2-Arp2/3 is a major nucleator of actin assembly at the zonula adherens and likely acts in response to junctional Rac signaling (PMID:23051739)
- Neural Wiskott-Aldrich syndrome protein (N-WASP)-mediated p120-catenin interaction with Arp2-Actin complex stabilizes endothelial adherens junctions. (PMID:23212915)
- The Arp2/Arp3 complex has a role in osmotic signaling. (PMID:24344184)
- Cortactin has a role as a scaffold for Arp2/3 and WAVE2 at the epithelial zonula adherens (PMID:24469447)
- study unveils an ARP2/3:VCA-independent function of nuclear-WASp in TH1 gene activation that is uncoupled from its cytoplasmic role in actin polymerization. (PMID:24872192)
- Coronin3 can regulate gastric cancer (GC) invasion and metastasis through Arp2, and the combination of Coronin3 and Arp2 provides a potential marker for predicting GC prognosis. (PMID:24918434)
- The loss of the Arp2/3 complex acts as a stress that initiates cell cycle arrest by triggering p16INK4a/p14Arf transcription. (PMID:25264243)
- Platelet actin nodule formation is dependent on WASp and the ARP2/3 complex. (PMID:26028144)
- Suggest alpha5beta1/Arp2/Arp3/FHOD3 pathway reprograms the actin cytoskeleton to promote invasive migration and local invasion in vivo. (PMID:26370503)
- demonstrate that the Arp2/3 complex in higher eukaryotes is actually a family of complexes with different properties (PMID:26655834)
- RARalpha regulates Arp2/3-mediated actin cytoskeletal dynamics through a non-genomic signaling pathway (PMID:26848712)
- miR-24-1*/let-7a*-ARP2/3 complex-RAC isoforms pathway may represent a novel pathogenic mechanism for Hirschsprung disease. (PMID:26991540)
- Kv3.3 regulates Arp2/3-dependent cortical actin nucleation mediated by Hax-1; resulting cortical actin structures interact with the channel’s gating machinery to slow its inactivation rate during sustained membrane depolarizations; a mutation that leads to late-onset spinocerebellar ataxia type 13. (PMID:26997484)
- These findings indicate that inhibition of the Rac1WAVE2Arp2/3 signaling pathway may promote radiosensitivity, which may partially result from the downregulation of CFL1 in U251 human glioma cells. (PMID:27052944)
Cross-species orthologs
6 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | actr2a | ENSDARG00000052438 |
| danio_rerio | actr2b | ENSDARG00000070076 |
| mus_musculus | Actr2 | ENSMUSG00000020152 |
| rattus_norvegicus | Actr2 | ENSRNOG00000004959 |
| drosophila_melanogaster | Arp2 | FBGN0011742 |
| caenorhabditis_elegans | WBGENE00000200 |
Paralogs (26): ACTR6 (ENSG00000075089), ACTB (ENSG00000075624), ACTL6B (ENSG00000077080), ACTR5 (ENSG00000101442), ACTR3C (ENSG00000106526), ACTA2 (ENSG00000107796), ACTR8 (ENSG00000113812), ACTR1B (ENSG00000115073), ACTR3 (ENSG00000115091), ACTL8 (ENSG00000117148), ACTRT1 (ENSG00000123165), ACTR10 (ENSG00000131966), ACTR3B (ENSG00000133627), ACTL6A (ENSG00000136518), ACTR1A (ENSG00000138107), ACTA1 (ENSG00000143632), ACTL7B (ENSG00000148156), ACTC1 (ENSG00000159251), ACTG2 (ENSG00000163017), ACTBL2 (ENSG00000169067), ACTRT2 (ENSG00000169717), ACTL9 (ENSG00000181786), ACTG1 (ENSG00000184009), ACTRT3 (ENSG00000184378), ACTL7A (ENSG00000187003), ACTL10 (ENSG00000288649)
Protein
Protein identifiers
Actin-related protein 2 — P61160 (reviewed: P61160)
Alternative names: Actin-like protein 2
All UniProt accessions (3): P61160, A0A1B0GWD0, A0A1B0GWH0
UniProt curated annotations — full annotation on UniProt →
Function. ATP-binding component of the Arp2/3 complex, a multiprotein complex that mediates actin polymerization upon stimulation by nucleation-promoting factor (NPF). The Arp2/3 complex mediates the formation of branched actin networks in the cytoplasm, providing the force for cell motility. Seems to contact the pointed end of the daughter actin filament. In podocytes, required for the formation of lamellipodia downstream of AVIL and PLCE1 regulation. In addition to its role in the cytoplasmic cytoskeleton, the Arp2/3 complex also promotes actin polymerization in the nucleus, thereby regulating gene transcription and repair of damaged DNA. The Arp2/3 complex promotes homologous recombination (HR) repair in response to DNA damage by promoting nuclear actin polymerization, leading to drive motility of double-strand breaks (DSBs).
Subunit / interactions. Component of the Arp2/3 complex composed of ACTR2/ARP2, ACTR3/ARP3, ARPC1B/p41-ARC, ARPC2/p34-ARC, ARPC3/p21-ARC, ARPC4/p20-ARC and ARPC5/p16-ARC. Interacts with AVIL.
Subcellular location. Cytoplasm. Cytoskeleton. Cell projection. Nucleus.
Similarity. Belongs to the actin family. ARP2 subfamily.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| P61160-1 | 1 | yes |
| P61160-2 | 2 |
RefSeq proteins (2): NP_001005386, NP_005713* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR004000 | Actin | Family |
| IPR020902 | Actin/actin-like_CS | Conserved_site |
| IPR043129 | ATPase_NBD | Homologous_superfamily |
Pfam: PF00022
UniProt features (10 total): binding site 3, modified residue 3, sequence conflict 2, chain 1, splice variant 1
Structure
Experimental structures (PDB)
5 structures.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 9I2B | ELECTRON MICROSCOPY | 3 |
| 8P94 | ELECTRON MICROSCOPY | 3.3 |
| 6UHC | ELECTRON MICROSCOPY | 3.9 |
| 6YW6 | ELECTRON MICROSCOPY | 4.2 |
| 6YW7 | ELECTRON MICROSCOPY | 4.5 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P61160-F1 | 93.96 | 0.88 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Ligand- & substrate-binding residues (3): 160–162; 214–218; 305–310
Post-translational modifications (3): 1, 299, 322
Function
Pathways and Gene Ontology
Reactome pathways
25 pathways
| ID | Pathway |
|---|---|
| R-HSA-2029482 | Regulation of actin dynamics for phagocytic cup formation |
| R-HSA-3928662 | EPHB-mediated forward signaling |
| R-HSA-5663213 | RHO GTPases Activate WASPs and WAVEs |
| R-HSA-6798695 | Neutrophil degranulation |
| R-HSA-8856828 | Clathrin-mediated endocytosis |
| R-HSA-9664422 | FCGR3A-mediated phagocytosis |
| R-HSA-1266738 | Developmental Biology |
| R-HSA-162582 | Signal Transduction |
| R-HSA-1643685 | Disease |
| R-HSA-168249 | Innate Immune System |
| R-HSA-168256 | Immune System |
| R-HSA-194315 | Signaling by Rho GTPases |
| R-HSA-195258 | RHO GTPase Effectors |
| R-HSA-199991 | Membrane Trafficking |
| R-HSA-2029480 | Fcgamma receptor (FCGR) dependent phagocytosis |
| R-HSA-2682334 | EPH-Ephrin signaling |
| R-HSA-422475 | Axon guidance |
| R-HSA-5653656 | Vesicle-mediated transport |
| R-HSA-5663205 | Infectious disease |
| R-HSA-9658195 | Leishmania infection |
| R-HSA-9664407 | Parasite infection |
| R-HSA-9664417 | Leishmania phagocytosis |
| R-HSA-9675108 | Nervous system development |
| R-HSA-9716542 | Signaling by Rho GTPases, Miro GTPases and RHOBTB3 |
| R-HSA-9824443 | Parasitic Infection Pathways |
MSigDB gene sets: 368 (showing top):
GOBP_MEIOTIC_CHROMOSOME_SEGREGATION, GOBP_REGULATION_OF_DOUBLE_STRAND_BREAK_REPAIR, GOBP_REGULATION_OF_DNA_RECOMBINATION, RODRIGUES_THYROID_CARCINOMA_ANAPLASTIC_UP, REACTOME_INNATE_IMMUNE_SYSTEM, GOBP_ESTABLISHMENT_OR_MAINTENANCE_OF_CELL_POLARITY, RODRIGUES_THYROID_CARCINOMA_POORLY_DIFFERENTIATED_UP, GNF2_BNIP2, TGCTGCT_MIR15A_MIR16_MIR15B_MIR195_MIR424_MIR497, GOBP_RESPONSE_TO_PEPTIDE, GOCC_SECRETORY_GRANULE, MODULE_151, chr2p14, GOBP_SPINDLE_LOCALIZATION, GOBP_CHROMOSOME_LOCALIZATION
GO Biological Process (14): establishment or maintenance of cell polarity (GO:0007163), asymmetric cell division (GO:0008356), positive regulation of lamellipodium assembly (GO:0010592), meiotic chromosome movement towards spindle pole (GO:0016344), cytosolic transport (GO:0016482), meiotic cytokinesis (GO:0033206), Arp2/3 complex-mediated actin nucleation (GO:0034314), positive regulation of transcription by RNA polymerase II (GO:0045944), spindle localization (GO:0051653), cilium assembly (GO:0060271), cellular response to type II interferon (GO:0071346), positive regulation of double-strand break repair via homologous recombination (GO:1905168), actin cytoskeleton organization (GO:0030036), meiotic cell cycle (GO:0051321)
GO Molecular Function (6): actin binding (GO:0003779), structural constituent of cytoskeleton (GO:0005200), ATP binding (GO:0005524), nucleotide binding (GO:0000166), protein binding (GO:0005515), actin filament binding (GO:0051015)
GO Cellular Component (16): extracellular region (GO:0005576), nucleus (GO:0005634), cytoplasm (GO:0005737), cytosol (GO:0005829), Arp2/3 protein complex (GO:0005885), focal adhesion (GO:0005925), cell cortex (GO:0005938), actin cytoskeleton (GO:0015629), membrane (GO:0016020), actin cap (GO:0030478), azurophil granule lumen (GO:0035578), site of double-strand break (GO:0035861), cell projection (GO:0042995), extracellular exosome (GO:0070062), ficolin-1-rich granule lumen (GO:1904813), cytoskeleton (GO:0005856)
Reactome top-level categories
Rollup of top-14 pathways:
| Category | Pathways |
|---|---|
| Innate Immune System | 2 |
| Fcgamma receptor (FCGR) dependent phagocytosis | 1 |
| EPH-Ephrin signaling | 1 |
| RHO GTPase Effectors | 1 |
| Membrane Trafficking | 1 |
| Leishmania phagocytosis | 1 |
| Immune System | 1 |
| Signaling by Rho GTPases, Miro GTPases and RHOBTB3 | 1 |
| Signaling by Rho GTPases | 1 |
| Vesicle-mediated transport | 1 |
| Axon guidance | 1 |
| Nervous system development | 1 |
| Disease | 1 |
| Parasitic Infection Pathways | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 6 |
| meiotic cell cycle | 2 |
| meiotic cell cycle process | 2 |
| cytoskeleton organization | 2 |
| cytoskeleton | 2 |
| cytoplasm | 2 |
| cellular process | 1 |
| cell division | 1 |
| regulation of lamellipodium assembly | 1 |
| lamellipodium assembly | 1 |
| positive regulation of plasma membrane bounded cell projection assembly | 1 |
| positive regulation of lamellipodium organization | 1 |
| meiotic chromosome segregation | 1 |
| chromosome movement towards spindle pole | 1 |
| cytosol | 1 |
| intracellular transport | 1 |
| cytoskeleton-dependent cytokinesis | 1 |
| actin nucleation | 1 |
| regulation of transcription by RNA polymerase II | 1 |
| transcription by RNA polymerase II | 1 |
| positive regulation of DNA-templated transcription | 1 |
| cell cycle process | 1 |
| organelle localization | 1 |
| axoneme assembly | 1 |
| intraciliary transport involved in cilium assembly | 1 |
| cilium organization | 1 |
| protein localization to cilium | 1 |
| organelle assembly | 1 |
| trans-Golgi to periciliary membrane compartment transport | 1 |
| plasma membrane bounded cell projection assembly | 1 |
| ciliary transition zone assembly | 1 |
| response to type II interferon | 1 |
| cellular response to cytokine stimulus | 1 |
| double-strand break repair via homologous recombination | 1 |
| regulation of double-strand break repair via homologous recombination | 1 |
| positive regulation of DNA recombination | 1 |
| positive regulation of double-strand break repair | 1 |
| actin filament-based process | 1 |
| cell cycle | 1 |
| sexual reproduction | 1 |
Protein interactions and networks
STRING
4010 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| ACTR2 | ARPC3 | O15145 | 998 |
| ACTR2 | ARPC5 | O15511 | 998 |
| ACTR2 | WAS | P42768 | 998 |
| ACTR2 | ARPC2 | O15144 | 997 |
| ACTR2 | WASL | O00401 | 994 |
| ACTR2 | ARPC1B | O15143 | 991 |
| ACTR2 | ACTR3 | P32391 | 985 |
| ACTR2 | ACTR3C | Q9C0K3 | 976 |
| ACTR2 | ACTR3B | Q9P1U1 | 976 |
| ACTR2 | ARPC1A | Q92747 | 950 |
| ACTR2 | CFL1 | P23528 | 920 |
| ACTR2 | CFL2 | Q9Y281 | 917 |
| ACTR2 | HCLS1 | P14317 | 890 |
| ACTR2 | CTTN | Q14247 | 890 |
| ACTR2 | WASF2 | Q9Y6W5 | 888 |
IntAct
196 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| ARPC1B | ARPC2 | psi-mi:“MI:0915”(physical association) | 0.920 |
| ARPC1B | ARPC2 | psi-mi:“MI:0914”(association) | 0.920 |
| ARPC4 | ARPC1B | psi-mi:“MI:0914”(association) | 0.910 |
| ARPC1A | ARPC2 | psi-mi:“MI:0914”(association) | 0.900 |
| ARPC1A | ARPC2 | psi-mi:“MI:0915”(physical association) | 0.900 |
| ARPC5 | ARPC1B | psi-mi:“MI:0914”(association) | 0.890 |
| ACTR3 | ARPC1B | psi-mi:“MI:0914”(association) | 0.890 |
BioGRID (527): ACTR2 (Affinity Capture-MS), ACTR2 (Affinity Capture-MS), ACTR2 (Affinity Capture-MS), ACTR2 (Affinity Capture-MS), ACTR2 (Affinity Capture-MS), ACTR2 (Affinity Capture-MS), ACTR2 (Affinity Capture-RNA), ACTR2 (Co-fractionation), ACTR2 (Co-fractionation), ACTR2 (Co-fractionation), ACTR2 (Co-fractionation), ACTR2 (Co-fractionation), ACTR2 (Co-fractionation), ACTR2 (Co-fractionation), ACTR2 (Co-fractionation)
ESM2 similar proteins: A2YUL5, A4IFE3, A7MB62, O94241, O94630, O96621, P02583, P20360, P32381, P38673, P38696, P42023, P42025, P45888, P45889, P53487, P53488, P53489, P53503, P61160, P61161, P61162, P61163, P61164, P85515, Q2TA43, Q4R6J9, Q4R821, Q54HE7, Q54HE9, Q54I79, Q56A35, Q5BL41, Q5M7U6, Q5R4K0, Q5XIK1, Q61JZ2, Q641W9, Q6Z256, Q7SXW6
Diamond homologs: A2YUL5, A3C6D7, A7MB62, O13419, O18840, O65315, O96621, P02578, P04751, P07837, P0C539, P10365, P10984, P10986, P10990, P10995, P11426, P15475, P20359, P20399, P26197, P30162, P30163, P32381, P43239, P45888, P48465, P48975, P49055, P53455, P53458, P53459, P53460, P53470, P53479, P53480, P53482, P53485, P53487, P53488
SIGNOR signaling
3 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| BMP7 | up-regulates | ACTR2 | binding |
| GDF11 | up-regulates | ACTR2 | binding |
| ACTR2 | “form complex” | ARP2/3 | binding |
Enriched among interaction partners
Reactome pathways and GO biological processes over-represented among this gene’s 177 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.
Reactome pathways:
| Pathway | Partners | Fold | FDR |
|---|---|---|---|
| Parasite infection | 11 | 32.5× | 3e-12 |
| Leishmania phagocytosis | 11 | 32.5× | 3e-12 |
| RHO GTPases Activate WASPs and WAVEs | 11 | 29.8× | 6e-12 |
| RHO GTPases activate PAKs | 6 | 27.9× | 3e-06 |
| Fcgamma receptor (FCGR) dependent phagocytosis | 11 | 26.2× | 3e-11 |
| EPHB-mediated forward signaling | 10 | 22.7× | 1e-09 |
| FCGR3A-mediated phagocytosis | 14 | 22.4× | 7e-13 |
| Regulation of actin dynamics for phagocytic cup formation | 13 | 20.5× | 6e-12 |
GO biological processes:
| GO term | Partners | Fold | FDR |
|---|---|---|---|
| Arp2/3 complex-mediated actin nucleation | 8 | 57.7× | 4e-10 |
| actin polymerization or depolymerization | 5 | 26.2× | 2e-04 |
| actin filament polymerization | 6 | 19.8× | 1e-04 |
| cellular response to type II interferon | 6 | 8.6× | 8e-03 |
| actin cytoskeleton organization | 12 | 6.5× | 1e-04 |
| cilium assembly | 10 | 5.0× | 5e-03 |
Disease & clinical
Clinical variants and AI predictions
ClinVar
36 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 3 |
| Likely pathogenic | 3 |
| Uncertain significance | 17 |
| Likely benign | 0 |
| Benign | 0 |
Top pathogenic / likely-pathogenic (6)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1327542 | NC_000002.11:g.65335411_65479694del | Pathogenic |
| 443261 | GRCh37/hg19 2p15-14(chr2:63234780-67908846)x1 | Pathogenic |
| 687379 | GRCh37/hg19 2p15-14(chr2:63536353-65793944)x1 | Pathogenic |
| 3897632 | NM_005722.4(ACTR2):c.752_753del (p.Ile251fs) | Likely pathogenic |
| 443366 | GRCh37/hg19 2p15-14(chr2:61701437-65731084)x1 | Likely pathogenic |
| 4682541 | GRCh37/hg19 2p16.1-14(chr2:56466440-65809354)x3 | Likely pathogenic |
SpliceAI
1550 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 2:65227927:G:GT | donor_gain | 1.0000 |
| 2:65227928:A:T | donor_gain | 1.0000 |
| 2:65239837:A:AG | acceptor_gain | 1.0000 |
| 2:65239837:ACT:A | acceptor_gain | 1.0000 |
| 2:65239839:T:TA | acceptor_gain | 1.0000 |
| 2:65239845:A:AG | acceptor_gain | 1.0000 |
| 2:65239846:T:G | acceptor_gain | 1.0000 |
| 2:65239850:A:AG | acceptor_gain | 1.0000 |
| 2:65239850:AGTTT:A | acceptor_gain | 1.0000 |
| 2:65239851:G:GT | acceptor_gain | 1.0000 |
| 2:65239851:GT:G | acceptor_gain | 1.0000 |
| 2:65239851:GTT:G | acceptor_gain | 1.0000 |
| 2:65239851:GTTT:G | acceptor_gain | 1.0000 |
| 2:65239851:GTTTG:G | acceptor_gain | 1.0000 |
| 2:65239960:AAGG:A | donor_loss | 1.0000 |
| 2:65239961:AGG:A | donor_loss | 1.0000 |
| 2:65239963:G:GG | donor_gain | 1.0000 |
| 2:65239963:GT:G | donor_loss | 1.0000 |
| 2:65239964:T:G | donor_loss | 1.0000 |
| 2:65246738:AGGT:A | donor_loss | 1.0000 |
| 2:65246741:T:G | donor_loss | 1.0000 |
| 2:65251021:TTACA:T | acceptor_loss | 1.0000 |
| 2:65251022:TACAG:T | acceptor_loss | 1.0000 |
| 2:65251024:CAG:C | acceptor_loss | 1.0000 |
| 2:65251025:A:C | acceptor_loss | 1.0000 |
| 2:65251026:G:A | acceptor_loss | 1.0000 |
| 2:65255543:A:AG | acceptor_gain | 1.0000 |
| 2:65255544:G:GG | acceptor_gain | 1.0000 |
| 2:65255676:ATT:A | donor_gain | 1.0000 |
| 2:65255691:TACAG:T | donor_loss | 1.0000 |
AlphaMissense
2568 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 2:65227943:G:C | D12H | 1.000 |
| 2:65227944:A:C | D12A | 1.000 |
| 2:65227944:A:T | D12V | 1.000 |
| 2:65227949:G:C | G14R | 1.000 |
| 2:65227949:G:T | G14C | 1.000 |
| 2:65227950:G:A | G14D | 1.000 |
| 2:65227950:G:T | G14V | 1.000 |
| 2:65227953:C:T | T15I | 1.000 |
| 2:65227955:G:T | G16W | 1.000 |
| 2:65227956:G:A | G16E | 1.000 |
| 2:65239860:G:C | K19N | 1.000 |
| 2:65239860:G:T | K19N | 1.000 |
| 2:65239865:G:A | G21E | 1.000 |
| 2:65239913:G:A | G37E | 1.000 |
| 2:65246593:G:C | G77R | 1.000 |
| 2:65246594:G:A | G77D | 1.000 |
| 2:65246594:G:T | G77V | 1.000 |
| 2:65246629:T:A | W89R | 1.000 |
| 2:65246629:T:C | W89R | 1.000 |
| 2:65246693:C:T | T110I | 1.000 |
| 2:65251074:G:C | Q141H | 1.000 |
| 2:65251074:G:T | Q141H | 1.000 |
| 2:65251082:T:C | L144P | 1.000 |
| 2:65251088:T:G | L146W | 1.000 |
| 2:65251099:G:C | G150R | 1.000 |
| 2:65253739:G:C | G154R | 1.000 |
| 2:65253740:G:A | G154D | 1.000 |
| 2:65253740:G:T | G154V | 1.000 |
| 2:65253751:G:C | D158H | 1.000 |
| 2:65253752:A:C | D158A | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000149032 (2:65251793 A>G), RS1000197628 (2:65249204 T>C), RS1000205038 (2:65263713 C>T), RS1000223679 (2:65266992 C>G,T), RS1000314381 (2:65246067 A>G), RS1000349797 (2:65268902 A>G), RS1000367944 (2:65245484 C>A,G,T), RS1000377398 (2:65271748 C>T), RS1000383291 (2:65228865 G>A), RS1000466409 (2:65257417 C>T), RS1000503818 (2:65261853 A>G), RS1000689455 (2:65227866 G>A), RS1000744440 (2:65234237 A>T), RS1000795725 (2:65245766 T>C), RS1001004203 (2:65245612 A>G)
Disease associations
OMIM: gene MIM:604221 | disease phenotypes:
GenCC curated gene-disease
Mondo (1): intellectual disability (MONDO:0001071)
Orphanet (1): NON RARE IN EUROPE: Unexplained intellectual disability (Orphanet:319658)
HPO phenotypes
0 total (0 of 0 shown, HPO-id order):
GWAS associations
7 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST004744_46 | Lung adenocarcinoma | 3.000000e-06 |
| GCST004748_81 | Lung cancer | 2.000000e-06 |
| GCST005194_80 | Coronary artery disease | 8.000000e-07 |
| GCST006979_7 | Heel bone mineral density | 8.000000e-12 |
| GCST009391_1542 | Metabolite levels | 7.000000e-06 |
| GCST009870_8 | Calcific aortic valve stenosis | 1.000000e-06 |
| GCST010866_35 | Coronary artery disease | 6.000000e-09 |
EFO canonical traits (3, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0009270 | heel bone mineral density |
| EFO:0010510 | NG-monomethyl-arginine measurement |
| EFO:0000266 | aortic stenosis |
MeSH disease descriptors (1)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D008607 | Intellectual Disability | C10.597.606.360; C23.888.592.604.646; F01.700.687; F03.625.539 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: yes
ChEMBL targets (1): CHEMBL6090 (SINGLE PROTEIN)
Molecules with ChEMBL bioactivity
1 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 903 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).
| Molecule | Name | Phase | Patents |
|---|---|---|---|
| CHEMBL514201 | TALMAPIMOD | 2 | 903 |
PharmGKB: 1 entry (VIP=true, CPIC=false)
ChEMBL bioactivities
3 potent at pChembl≥5 of 5 total, top 3 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).
| pChembl | Type | Value | Unit | Molecule |
|---|---|---|---|---|
| 8.40 | Kd | 4 | nM | TALMAPIMOD |
| 6.76 | Kd | 174.4 | nM | CHEMBL3752910 |
| 6.76 | ED50 | 174.4 | nM | CHEMBL3752910 |
PubChem BioAssay actives
2 with measured affinity, of 254 total; 2 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.
| Compound | Assay | Type | Value | Unit |
|---|---|---|---|---|
| 2-[6-chloro-5-[(2R,5S)-4-[(4-fluorophenyl)methyl]-2,5-dimethylpiperazine-1-carbonyl]-1-methylindol-3-yl]-N,N-dimethyl-2-oxoacetamide | 1424898: Kinobeads (epsilon), multiple immobilized ATP-competitive broad spectrum kinase inhibitors, used to assess residual binding of ~300 proteins simultaneously from cell lysate in the presence of a compound. Quantitative readout performed by mass spectrometry. | kd | 0.0040 | uM |
| 4-methyl-3-[(1-methyl-6-pyridin-3-ylpyrazolo[3,4-d]pyrimidin-4-yl)amino]-N-[3-(trifluoromethyl)phenyl]benzamide | 2147798: Binding affinity to human ACTR2 incubated for 45 mins by Kinobead based pull down assay | kd | 0.1744 | uM |
CTD chemical–gene interactions
43 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| bisphenol F | increases expression, affects cotreatment | 2 |
| bisphenol A | decreases expression, increases expression | 2 |
| Nickel | increases expression | 2 |
| Tobacco Smoke Pollution | affects expression, increases expression | 2 |
| TAK-243 | increases sumoylation | 1 |
| geldanamycin | increases expression | 1 |
| uranyl acetate | affects expression | 1 |
| pyrogallol 1,3-dimethyl ether | affects cotreatment, affects localization, decreases expression | 1 |
| trichostatin A | increases expression | 1 |
| cobaltous chloride | decreases expression | 1 |
| beta-methylcholine | affects expression | 1 |
| perfluorooctane sulfonic acid | decreases expression | 1 |
| chloropicrin | increases expression | 1 |
| nickel acetate | affects expression | 1 |
| nutlin 3 | affects cotreatment, increases secretion | 1 |
| bisphenol B | increases expression | 1 |
| bisphenol S | increases expression | 1 |
| jinfukang | decreases expression | 1 |
| bisphenol AF | increases expression | 1 |
| Resveratrol | affects cotreatment, increases expression | 1 |
| Air Pollutants | increases abundance, affects expression | 1 |
| Cadmium | decreases expression | 1 |
| Dactinomycin | affects cotreatment, increases secretion | 1 |
| Dexamethasone | affects cotreatment, increases expression | 1 |
| Furaldehyde | affects cotreatment, affects localization, increases expression | 1 |
| Indomethacin | affects cotreatment, increases expression | 1 |
| Ivermectin | decreases expression | 1 |
| Methotrexate | decreases expression | 1 |
| Ozone | affects expression, increases abundance | 1 |
| Plant Extracts | affects cotreatment, increases expression | 1 |
ChEMBL screening assays
23 unique, capped per target: 23 binding
Representative assays (with source publication via chembl_document):
| Assay ID | Type | Description | Source paper |
|---|---|---|---|
| CHEMBL1035863 | Binding | Binding affinity to human ACTR2 at 10 uM relative to control | Assessment of chemical coverage of kinome space and its implications for kinase drug discovery. — J Med Chem |
Clinical trials (associated diseases)
197 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT05657860 | PHASE4 | COMPLETED | Guanfacine Extended Release for the Reduction of Aggression and Self-injurious Behavior Associated With Prader-Willi Syndrome |
| NCT05744479 | PHASE4 | RECRUITING | Metformin for Antipsychotic-induced Weight Gain in Adults With Intellectual Disability |
| NCT06107829 | PHASE4 | WITHDRAWN | Valbenazine Treatment of Tardive Dyskinesia in Adults With Intellectual/Developmental Disabilities |
| NCT06997198 | PHASE4 | NOT_YET_RECRUITING | Deutetrabenazine Treatment for Tardive Dyskinesia in Intellectual/Developmental Disabilities |
| NCT02270736 | PHASE3 | COMPLETED | Clinical Study to Investigate the Efficacy and Safety of NT 201 Compared to Placebo in the Treatment of Chronic Troublesome Drooling Associated With Neurological Disorders and/or Intellectual Disability |
| NCT02304302 | PHASE2 | COMPLETED | Down Syndrome Memantine Follow-up Study |
| NCT03862950 | PHASE2 | COMPLETED | A Trial of Metformin in Individuals With Fragile X Syndrome (Met) |
| NCT04529226 | PHASE2 | UNKNOWN | Study to Compare Clozapine vs Treatment as Usual in People With Intellectual Disability & Treatment-resistant Psychosis |
| NCT04821856 | PHASE2 | COMPLETED | Evaluation of the Effectiveness of Cannabidiol in Treating Severe Behavioural Problems in Children and Adolescents With Intellectual Disability |
| NCT05273320 | PHASE1 | COMPLETED | Clinical Trial of Nabilone for Aggression in Adults With Intellectual and Developmental Disabilities |
| NCT05301361 | PHASE1 | ENROLLING_BY_INVITATION | Sensitivity of the NIH Toolbox to Stimulant Treatment in Intellectual Disabilities |
| NCT06016764 | PHASE1 | COMPLETED | Use of MRI and cTBS for Catatonia in Autism |
| NCT06586827 | PHASE1 | COMPLETED | Impact of Competency-Based Training and Technical Assistance Employment Outcomes of Individuals With ID/DD |
| NCT07531940 | PHASE1 | NOT_YET_RECRUITING | Escalating Doses of Memantine in Down Syndrome (MEDS-123) |
| NCT03479476 | PHASE2/PHASE3 | COMPLETED | A Trial of Metformin in Individuals With Fragile X Syndrome |
| NCT02616796 | PHASE1/PHASE2 | COMPLETED | Effects of Social Gaze Training on Brain and Behavior in Fragile X Syndrome |
| NCT06860672 | EARLY_PHASE1 | RECRUITING | Clinical Trial of the Dual Vector Base Editor for the Treatment of the CHD3-R1025W Mutation |
| NCT00597948 | Not specified | COMPLETED | Healthy Lifestyles for People With Intellectual Disabilities |
| NCT01087320 | Not specified | RECRUITING | Genome Medical Sequencing for Gene Discovery |
| NCT01652963 | Not specified | UNKNOWN | Picture-based Computerised Assessment and Training of Cognitive Behaviour Therapy Skills |
| NCT01695395 | Not specified | COMPLETED | Mental Health Care Provision for Adults With Intellectual Disability and a Mental Disorder |
| NCT01867554 | Not specified | COMPLETED | Research and Characterization of New Genes Involved in Intellectual Disability |
| NCT01915381 | Not specified | COMPLETED | Improving Adherence Healthy Lifestyle With a Smartphone Application Based on Adults With Intellectual Disabilities |
| NCT01988623 | Not specified | COMPLETED | Pivotal Response Treatment for Individuals With Intellectual Disabilities |
| NCT02099773 | Not specified | COMPLETED | Support Staff-client Interactions With Augmentative and Alternative Communication |
| NCT02136849 | Not specified | COMPLETED | Inter-regional Project of the Great Western Exploration Approach for Exome Molecular Causes Severe Intellectual Disability Isolated or Syndromic |
| NCT02225041 | Not specified | COMPLETED | Sedation Strategy and Cognitive Outcome After Critical Illness in Early Childhood |
| NCT02414438 | Not specified | COMPLETED | Establishing the Clinical Utility of First StepDx PLUS and NextStepDx PLUS Study |
| NCT02451761 | Not specified | COMPLETED | Apparently Balanced Chromosomal Translocation/ Next-generation Sequencing/ Intellectual Disability |
| NCT02461420 | Not specified | ACTIVE_NOT_RECRUITING | Mapping the Genotype, Phenotype, and Natural History of Phelan-McDermid Syndrome |
| NCT02461459 | Not specified | ACTIVE_NOT_RECRUITING | Autism Spectrum Disorder (ASD) and Intellectual Disability (ID) Determinants in Tuberous Sclerosis Complex (TSC) |
| NCT02486081 | Not specified | COMPLETED | Development and Application-Smart Football for Movement Evaluation and Training in the Special Education Population |
| NCT02504502 | Not specified | COMPLETED | Enhancing Genomic Laboratory Reports to Enhance Communication and Empower Patients |
| NCT02513277 | Not specified | COMPLETED | Diabetes Screening & Prevention for People With Learning (Intellectual) Disabilities:STOP Diabetes Study |
| NCT02561754 | Not specified | COMPLETED | Weight Management for Adolescents With IDD |
| NCT02591446 | Not specified | COMPLETED | Transcranial Magnetic Stimulation Studies in Autism Spectrum Disorders |
| NCT02714868 | Not specified | COMPLETED | Evaluation of Project TEAM (Teens Making Environmental and Activity Modifications) |
| NCT02721394 | Not specified | UNKNOWN | FCT With Young Children With ID in the UK: A Feasibility Project V.1 |
| NCT02746614 | Not specified | COMPLETED | Psychomotor Therapy Effects in Adaptive Behavior and Motor Proficiency in Intellectual Disability |
| NCT02836405 | Not specified | COMPLETED | TMS for the Investigation of Brain Plasticity in Autism Spectrum Disorders |
Related Atlas pages
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): aortic valve calcification, lung adenocarcinoma