APOBEC3A
geneOn this page
Also known as ARP3PHRBN
Summary
APOBEC3A (apolipoprotein B mRNA editing enzyme catalytic subunit 3A, HGNC:17343) is a protein-coding gene on chromosome 22q13.1, encoding DNA dC->dU-editing enzyme APOBEC-3A (P31941). DNA deaminase (cytidine deaminase) with restriction activity against viruses, foreign DNA and mobility of retrotransposons.
This gene is a member of the cytidine deaminase gene family. It is one of seven related genes or pseudogenes found in a cluster, thought to result from gene duplication, on chromosome 22. Members of the cluster encode proteins that are structurally and functionally related to the C to U RNA-editing cytidine deaminase APOBEC1. The protein encoded by this gene lacks the zinc binding activity of other family members. The protein plays a role in immunity, by restricting transmission of foreign DNA such as viruses. One mechanism of foreign DNA restriction is deamination of foreign double-stranded DNA cytidines to uridines, which leads to DNA degradation. However, other mechanisms are also thought to be involved, as anti-viral effect is not dependent on deaminase activity. Two transcript variants encoding different isoforms have been found for this gene.
Source: NCBI Gene 200315 — RefSeq curated summary.
At a glance
- GWAS associations: 4
- Clinical variants (ClinVar): 31 total — 1 likely-pathogenic
- Druggable target: yes — 4 molecules with ChEMBL bioactivity
- MANE Select transcript:
NM_145699
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:17343 |
| Approved symbol | APOBEC3A |
| Name | apolipoprotein B mRNA editing enzyme catalytic subunit 3A |
| Location | 22q13.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | ARP3, PHRBN |
| Ensembl gene | ENSG00000128383 |
| Ensembl biotype | protein_coding |
| OMIM | 607109 |
| Entrez | 200315 |
Gene structure
Transcript identifiers
Ensembl transcripts: 4 — 2 protein_coding, 1 retained_intron, 1 protein_coding_CDS_not_defined
ENST00000249116, ENST00000402255, ENST00000488758, ENST00000495988
RefSeq mRNA: 2 — MANE Select: NM_145699
NM_001270406, NM_145699
CCDS: CCDS13981
Canonical transcript exons
ENST00000249116 — 5 exons
| Exon | Start | End |
|---|---|---|
| ENSE00003473821 | 38959542 | 38959686 |
| ENSE00003843784 | 38957609 | 38957720 |
| ENSE00003850593 | 38962495 | 38963184 |
| ENSE00003894273 | 38961387 | 38961681 |
| ENSE00003895723 | 38962098 | 38962213 |
Expression profiles
Bgee: expression breadth ubiquitous, 213 present calls, max score 98.99.
FANTOM5 (CAGE): breadth broad, TPM avg 25.1058 / max 2732.6737, expressed in 285 samples.
FANTOM5 promoters (3 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 192283 | 21.7276 | 257 |
| 192281 | 3.1985 | 137 |
| 192284 | 0.1798 | 50 |
Top tissues by expression
288 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| monocyte | CL:0000576 | 98.99 | gold quality |
| mononuclear cell | CL:0000842 | 98.97 | gold quality |
| leukocyte | CL:0000738 | 98.89 | gold quality |
| palpebral conjunctiva | UBERON:0001812 | 98.70 | gold quality |
| granulocyte | CL:0000094 | 98.69 | gold quality |
| blood | UBERON:0000178 | 98.21 | gold quality |
| spleen | UBERON:0002106 | 94.49 | gold quality |
| periodontal ligament | UBERON:0008266 | 93.70 | gold quality |
| bone marrow cell | CL:0002092 | 92.44 | gold quality |
| right lung | UBERON:0002167 | 92.37 | gold quality |
| bone marrow | UBERON:0002371 | 92.29 | gold quality |
| amniotic fluid | UBERON:0000173 | 91.62 | gold quality |
| upper lobe of left lung | UBERON:0008952 | 87.83 | gold quality |
| eye | UBERON:0000970 | 87.19 | gold quality |
| lower esophagus mucosa | UBERON:0035834 | 87.09 | gold quality |
| trabecular bone tissue | UBERON:0002483 | 86.57 | gold quality |
| cervix epithelium | UBERON:0004801 | 86.08 | gold quality |
| upper lobe of lung | UBERON:0008948 | 85.84 | gold quality |
| gingival epithelium | UBERON:0001949 | 85.56 | gold quality |
| cervix squamous epithelium | UBERON:0006922 | 85.30 | gold quality |
| vermiform appendix | UBERON:0001154 | 83.02 | gold quality |
| gingiva | UBERON:0001828 | 82.39 | gold quality |
| gall bladder | UBERON:0002110 | 81.06 | gold quality |
| mucosa of transverse colon | UBERON:0004991 | 80.63 | gold quality |
| buccal mucosa cell | CL:0002336 | 80.05 | gold quality |
| mucosa of urinary bladder | UBERON:0001259 | 79.63 | gold quality |
| epithelium of nasopharynx | UBERON:0001951 | 79.03 | gold quality |
| nasopharynx | UBERON:0001728 | 79.02 | gold quality |
| oral cavity | UBERON:0000167 | 76.32 | gold quality |
| lung | UBERON:0002048 | 76.24 | gold quality |
Single-cell (SCXA)
Detected in 2 experiment(s), a significant marker in 2.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-MTAB-9801 | yes | 8.74 |
| E-ANND-3 | no | 0.00 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): TET1
miRNA regulators (miRDB)
22 targeting APOBEC3A, 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-4775 | 99.98 | 75.00 | 6394 |
| HSA-MIR-30A-3P | 99.87 | 69.74 | 2928 |
| HSA-MIR-30D-3P | 99.87 | 69.92 | 2917 |
| HSA-MIR-30E-3P | 99.87 | 69.68 | 2942 |
| HSA-MIR-12119 | 99.87 | 68.35 | 1653 |
| HSA-MIR-5010-3P | 99.83 | 70.60 | 2357 |
| HSA-MIR-374C-5P | 99.80 | 72.06 | 2910 |
| HSA-MIR-655-3P | 99.80 | 72.19 | 2909 |
| HSA-MIR-4251 | 99.40 | 69.19 | 3363 |
| HSA-MIR-4786-3P | 99.36 | 68.35 | 1390 |
| HSA-MIR-3152-3P | 99.10 | 66.35 | 678 |
| HSA-MIR-29A-5P | 99.08 | 68.59 | 1813 |
| HSA-MIR-7151-3P | 99.04 | 69.72 | 2370 |
| HSA-MIR-1207-3P | 98.99 | 66.22 | 1532 |
| HSA-MIR-29B-1-5P | 98.86 | 68.35 | 1364 |
| HSA-MIR-935 | 98.82 | 69.36 | 1072 |
| HSA-MIR-4297 | 98.77 | 66.95 | 2013 |
| HSA-MIR-3135B | 98.61 | 65.33 | 1470 |
| HSA-MIR-7843-3P | 98.31 | 67.94 | 803 |
| HSA-MIR-4303 | 98.01 | 68.13 | 2304 |
| HSA-MIR-5581-5P | 97.91 | 66.50 | 965 |
| HSA-MIR-890 | 97.47 | 68.67 | 982 |
Literature-anchored findings (GeneRIF, showing 40)
- APOBEC3A inhibits intracisternal A-particle retrotransposition via a novel mechanism. (PMID:16407327)
- results suggest that the A3G N-terminal domain carries determinants important for targeting the protein to viral NPCs. Transfer of this domain to A3A results in A3A targeting to viral NPCs and confers antiviral activity. (PMID:17727729)
- HIV-1 Vif(IIIB) induces the emigration from the nucleus to the cytosol and thereby causes net increases in the cytosolic concentrations and anti-HIV-1 activities of APOBEC3A and APOBEC3B. (PMID:17977970)
- study provides evidence of editing of human papillomavirus 1a and 16 DNA by APOBEC3 in plantar warts and precancerous cervix biopsies (PMID:18403710)
- results demonstrate that deaminase activity is not necessary for the antiviral activity of APOBEC3A against parvoviruses (PMID:19461882)
- Studies indicate the APOBEC family consists of 11 members: APOBEC-1 (Apo1), APOBEC-2 (Apo2), activation induced cytidine deaminase (AID), APOBEC- 3A, -3B, -3C, -3DE, -3F, -3H (Apo3A-H) and APOBEC- 4 (Apo4). (PMID:19911124)
- APOBEC3A is induced by interferon following DNA detection, and it deaminates foreign double-stranded DNA cytidines to uridines. (PMID:20062055)
- A single-point mutation in SIV Vpx (H82A) abrogated binding to APOBEC3A and single-round infection of monocytes by HIV-1. (PMID:20178977)
- Deaminase activity of APOBEC3A isoforms in monocytes and macrophages may play an important role in host defense against viruses. (PMID:20615867)
- THese results revealed an essential functional role for the predicted single-stranded DNA-docking groove located around the APOBEC3A catalytic site. (PMID:21123384)
- Use of the protein fragment complementation assay is a simple and reliable technique for the assessment of HIV-1 protein Vif interaction with APOBEC3 cytidine deaminase. (PMID:21279453)
- APOBEC3A can activate the DNA damage response and cause cell-cycle arrest. (PMID:21460793)
- The authors show that infrequent editing of HIV-1 reverse transcripts can also be mediated by APOBEC3 proteins supplied by the targets of infection. (PMID:21957290)
- Carriers of homozygous deletions in this gene show a significantly higher score in the alcohol dependence severity and increased response to alcohol cues (PMID:21995620)
- Data suggest that positive selection was apparent along a few branches which differed compared to positive selection in the carboxy-terminal of APOBEC3G (A3G) that clusters with APOBEC3A (A3A) among cytidine deaminases. (PMID:22272271)
- The authors show that APOBEC3A, APOBEC3B, and APOBEC3H haplotype 2 (A3H hapII) acted as potent inhibitors of HTLV-1. (PMID:22457529)
- While APOBEC3A was a strong deaminator of both C and 5-methylcytosine, AID and APOBEC3G were much weaker in their ability to deaminate this modified base. (PMID:22798497)
- APOBEC3A was able to deaminate dsDNA undergoing transcription suggests a genomic cost of a deamination-based retroviral restriction system. (PMID:22822074)
- Decreases in APOBAC3A and APOBAC3C in the cortex of psychotic patients support the hypothesis that an epigenetic misregulation of gene expression may be operative in the pathogenesis of psychotic disorders. (PMID:22948384)
- Tribbles 3 protects nuclear DNA from cytidine deamination by APOBEC3A (PMID:22977230)
- results implicate APOBEC3B/A in breast cancer hypermutation and give insight into the mechanism of kataegis (PMID:23599896)
- Monocytic cells use a cytoplasmic retention mechanism to control APOBEC3A and avert genotoxicity during innate immune responses. (PMID:23640892)
- These results afford novel mechanistic insights into APOBEC3A-mediated deamination. (PMID:23695684)
- A3A among all human PCDs can deaminate 5-methylcytidine in a variety of single stranded DNA substrates both in vitro and in transfected cells. (PMID:23840298)
- APOBEC3A induction may generate many of the lesions typical of a cancer genome. (PMID:23977391)
- Data indicate that APOBEC3A (Apo3A) activity and C motif deamination specificity exhibit a striking dependence on pH. (PMID:23979356)
- Examination of deaminase and nucleic acid binding properties of human APOBEC3A in the context of its 3D structure. (PMID:24163103)
- APOBEC3 deaminases upregulated by IFN-beta induce E2 hypermutation of HPV16 in cervical keratinocytes. (PMID:24227842)
- The APOBEC3A-APOBEC3B germline deletion allele confers cancer susceptibility through increased activity of APOBEC-dependent mutational processes. (PMID:24728294)
- We identified a recognition loop that altered APOBEC3A sequence specificity. (PMID:24827831)
- data provide a mechanistic explanation of how the APOBEC3A cytidine deaminase protein can inhibit L1 retrotransposition (PMID:24843014)
- Both A3A and A3G restrict infection by murine retroviruses: A3G was packaged into virions and caused extensive deamination of the retrovirus genomes while A3A was not packaged and instead restricted infection when expressed in target cells. (PMID:24851906)
- AFM image analyses reveal A3A binding to single-stranded DNA, and that this interaction becomes most evident ( approximately 80% complex yield) at high protein-to-DNA ratios (at least 100ratio1). A3A is predominantly monomeric when bound to single-stranded DNA. (PMID:24905100)
- Chimeric A3A mRNA resulting from DeltaA3B was more stable, resulting in higher intracellular A3A levels and greater DNA damage. (PMID:25298230)
- Collectively, these findings suggest that APOBEC3A acts as a restriction factor against human papillomavirus infection, but the induction of this restriction mechanism by human papillomavirus may come at a cost to the host by promoting cancer mutagenesis. (PMID:25355878)
- Expression of APOBEC3A or 3C in 293FT cells reduced the infectivity of HPV16 pseudovirions. The reduced infectivity of virions assembled in the presence of APOBEC3A, but not 3C, was attributed to decreased copy number of the encapsidated reporter plasmid. (PMID:25576866)
- The role of APOBEC3A in mediating this change was confirmed by A3A overexpression in Fujioka cells, which led to a significant increase in WT1 c.1303G>A mRNA editing. (PMID:25807502)
- This study demonstrates the cellular RNA editing activity of a member of the APOBEC3 family of innate restriction factors and expands the understanding of C>U RNA editing in mammals. (PMID:25898173)
- Structural studies show that specific binding of single-stranded DNA is regulated by the cooperative dimerization of APOBEC3A. (PMID:25914058)
- These results indicate that the mechanisms of APOBEC3 restriction of Koala Retro Virus by humanA3G and mouseA3 differ (deamination dependent vs. independent) and glyco-gag does not play a role in the restriction. (PMID:26253512)
Cross-species orthologs
0 orthologs
Paralogs (9): APOBEC3H (ENSG00000100298), APOBEC1 (ENSG00000111701), AICDA (ENSG00000111732), APOBEC2 (ENSG00000124701), APOBEC3F (ENSG00000128394), APOBEC3B (ENSG00000179750), APOBEC3G (ENSG00000239713), APOBEC3D (ENSG00000243811), APOBEC3C (ENSG00000244509)
Protein
Protein identifiers
DNA dC->dU-editing enzyme APOBEC-3A — P31941 (reviewed: P31941)
Alternative names: Phorbolin-1
All UniProt accessions (2): P31941, A0A0K0MJ49
UniProt curated annotations — full annotation on UniProt →
Function. DNA deaminase (cytidine deaminase) with restriction activity against viruses, foreign DNA and mobility of retrotransposons. Exhibits antiviral activity against adeno-associated virus (AAV) and human T-cell leukemia virus type 1 (HTLV-1) and may inhibit the mobility of LTR and non-LTR retrotransposons. Selectively targets single-stranded DNA and can deaminate both methylcytosine and cytosine in foreign DNA. Can induce somatic hypermutation in the nuclear and mitochondrial DNA. May also play a role in the epigenetic regulation of gene expression through the process of active DNA demethylation.
Subunit / interactions. Interacts with AGO2. Interacts with TRIB3 (via N-terminus).
Subcellular location. Nucleus. Cytoplasm.
Tissue specificity. Expressed in peripheral leukocytes with higher expression in CD14-positive phagocytic cells. Highly expressed in keratinocytes and in periphery blood monocytes. Also detected in non-lymphoid tissues including lung and adipose tissues. Found at high levels in colorectal adenocarcinoma, Burkitt’s lymphoma and chronic myelogenous leukemia.
Induction. Up-regulated by interferon and CpG single-stranded DNA (at protein level).
Miscellaneous. It is one of seven related genes or pseudogenes found in a cluster, thought to result from gene duplication, on chromosome 22. Enzymatically active. Enzymatically active.
Similarity. Belongs to the cytidine and deoxycytidylate deaminase family.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| P31941-1 | 1, Phorbolin-1 | yes |
| P31941-2 | 2 |
RefSeq proteins (2): NP_001257335, NP_663745* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR002125 | CMP_dCMP_dom | Domain |
| IPR016192 | APOBEC/CMP_deaminase_Zn-bd | Binding_site |
| IPR016193 | Cytidine_deaminase-like | Homologous_superfamily |
| IPR050610 | APOBEC_Cyt_Deaminase | Family |
Pfam: PF18782
Enzyme classification (BRENDA):
- EC 3.5.4.38 — single-stranded DNA cytosine deaminase (BRENDA: 8 organisms, 58 substrates, 4 inhibitors, 11 Km, 10 kcat entries)
Substrate kinetics (BRENDA)
2 substrates with measured Km, best-characterized 2. Km ranges are aggregated across organisms/conditions.
| Substrate | Km (mM) | Measurements |
|---|---|---|
| CCCA | 0.001–0.073 | 5 |
| TTCA | 0.001–0.019 | 5 |
Catalyzed reactions (Rhea), 1 shown:
- a 2’-deoxycytidine in single-stranded DNA + H2O + H(+) = a 2’-deoxyuridine in single-stranded DNA + NH4(+) (RHEA:50948)
UniProt features (41 total): mutagenesis site 15, strand 9, helix 7, binding site 3, turn 2, chain 1, domain 1, active site 1, splice variant 1, sequence variant 1
Structure
Experimental structures (PDB)
12 structures.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 8FIK | X-RAY DIFFRACTION | 1.91 |
| 8FIL | X-RAY DIFFRACTION | 2.01 |
| 5KEG | X-RAY DIFFRACTION | 2.2 |
| 8FIM | X-RAY DIFFRACTION | 2.22 |
| 8FIJ | X-RAY DIFFRACTION | 2.8 |
| 4XXO | X-RAY DIFFRACTION | 2.84 |
| 8FII | X-RAY DIFFRACTION | 2.94 |
| 5SWW | X-RAY DIFFRACTION | 3.15 |
| 2M65 | SOLUTION NMR | |
| 7D3V | SOLUTION NMR | |
| 7D3W | SOLUTION NMR | |
| 7D3X | SOLUTION NMR |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P31941-F1 | 87.64 | 0.66 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Catalytic / active sites (1): 72 (proton donor)
Ligand- & substrate-binding residues (3): 70; 101; 106
Mutagenesis-validated functional residues (15):
| Position | Phenotype |
|---|---|
| 30 | altered deaminase activity and restriction activity towards genetic invaders. |
| 57 | altered deaminase activity and restriction activity towards genetic invaders. |
| 60 | altered deaminase activity and restriction activity towards genetic invaders. |
| 69 | altered deaminase activity and restriction activity towards genetic invaders. |
| 70 | altered deaminase activity. |
| 72 | altered deaminase activity and restriction activity towards genetic invaders. |
| 98 | altered deaminase activity and restriction activity towards genetic invaders. |
| 106 | altered deaminase activity. |
| 128 | altered deaminase activity and restriction activity towards genetic invaders. |
| 130 | altered deaminase activity and restriction activity towards genetic invaders. |
| 131 | no effect on deaminase activity despite an altered restriction activity towards genetic invaders. |
| 133 | altered deaminase activity and restriction activity towards genetic invaders. |
| 136 | altered deaminase activity and restriction activity towards genetic invaders. |
| 28 | no effect on deaminase activity despite an altered restriction activity towards genetic invaders. |
| 29 | altered deaminase activity and restriction activity towards genetic invaders. |
Function
Pathways and Gene Ontology
Reactome pathways
4 pathways
| ID | Pathway |
|---|---|
| R-HSA-72200 | mRNA Editing: C to U Conversion |
| R-HSA-75094 | Formation of the Editosome |
| R-HSA-75072 | mRNA Editing |
| R-HSA-8953854 | Metabolism of RNA |
MSigDB gene sets: 188 (showing top):
ZHAN_MULTIPLE_MYELOMA_MF_UP, GOBP_NEGATIVE_REGULATION_OF_VIRAL_PROCESS, GOBP_DNA_MODIFICATION, GOBP_DEFENSE_RESPONSE_TO_OTHER_ORGANISM, GOBP_RNA_MODIFICATION, GNF2_S100A4, GOBP_VIRAL_GENOME_REPLICATION, GOBP_VIRAL_LIFE_CYCLE, GOBP_DNA_TEMPLATED_TRANSCRIPTION_INITIATION, GOBP_TRANSCRIPTION_INITIATION_AT_RNA_POLYMERASE_II_PROMOTER, GNF2_HCK, GOBP_DEFENSE_RESPONSE_TO_VIRUS, GOBP_CHROMATIN_REMODELING, GOBP_REGULATION_OF_VIRAL_GENOME_REPLICATION, GOBP_NEGATIVE_REGULATION_OF_VIRAL_GENOME_REPLICATION
GO Biological Process (10): transposable element silencing (GO:0010526), cytidine to uridine editing (GO:0016554), positive regulation of gene expression via chromosomal CpG island demethylation (GO:0044029), clearance of foreign intracellular DNA (GO:0044355), negative regulation of viral genome replication (GO:0045071), innate immune response (GO:0045087), negative regulation of single stranded viral RNA replication via double stranded DNA intermediate (GO:0045869), defense response to virus (GO:0051607), DNA cytosine deamination (GO:0070383), immune system process (GO:0002376)
GO Molecular Function (7): RNA binding (GO:0003723), cytidine deaminase activity (GO:0004126), zinc ion binding (GO:0008270), catalytic activity (GO:0003824), protein binding (GO:0005515), hydrolase activity (GO:0016787), metal ion binding (GO:0046872)
GO Cellular Component (4): P-body (GO:0000932), nucleus (GO:0005634), nucleoplasm (GO:0005654), cytoplasm (GO:0005737)
Reactome top-level categories
Rollup of top-3 pathways:
| Category | Pathways |
|---|---|
| mRNA Editing | 1 |
| mRNA Editing: C to U Conversion | 1 |
| Metabolism of RNA | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 2 |
| negative regulation of gene expression | 1 |
| retrotransposition | 1 |
| base conversion or substitution editing | 1 |
| transcription initiation-coupled chromatin remodeling | 1 |
| clearance of foreign intracellular nucleic acids | 1 |
| viral genome replication | 1 |
| regulation of viral genome replication | 1 |
| negative regulation of viral process | 1 |
| immune response | 1 |
| defense response to symbiont | 1 |
| single stranded viral RNA replication via double stranded DNA intermediate | 1 |
| negative regulation of viral genome replication | 1 |
| regulation of single stranded viral RNA replication via double stranded DNA intermediate | 1 |
| negative regulation of RNA biosynthetic process | 1 |
| defense response | 1 |
| response to virus | 1 |
| DNA deamination | 1 |
| biological_process | 1 |
| nucleic acid binding | 1 |
| hydrolase activity, acting on carbon-nitrogen (but not peptide) bonds, in cyclic amidines | 1 |
| deaminase activity | 1 |
| transition metal ion binding | 1 |
| molecular_function | 1 |
| binding | 1 |
| catalytic activity | 1 |
| cation binding | 1 |
| cytoplasmic ribonucleoprotein granule | 1 |
| intracellular membrane-bounded organelle | 1 |
| nuclear lumen | 1 |
| intracellular anatomical structure | 1 |
Protein interactions and networks
STRING
1272 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| APOBEC3A | CDA | P32320 | 917 |
| APOBEC3A | APOBEC4 | Q8WW27 | 800 |
| APOBEC3A | APOB | P04114 | 766 |
| APOBEC3A | UNG | P13051 | 683 |
| APOBEC3A | CUL5 | Q93034 | 606 |
| APOBEC3A | SAMHD1 | Q9Y3Z3 | 605 |
| APOBEC3A | CBX6 | O95503 | 543 |
| APOBEC3A | ADAR | P55265 | 520 |
| APOBEC3A | APOBEC3H | Q6NTF7 | 518 |
| APOBEC3A | PDGFB | P01127 | 497 |
| APOBEC3A | IFNA13 | P01562 | 480 |
| APOBEC3A | APOBEC3F | Q8IUX4 | 471 |
| APOBEC3A | APOBEC3C | Q9NRW3 | 470 |
| APOBEC3A | BST2 | Q10589 | 448 |
| APOBEC3A | A1CF | Q9NQ94 | 448 |
IntAct
20 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| C | APOBEC3A | psi-mi:“MI:0915”(physical association) | 0.560 |
| C | APOBEC3A | psi-mi:“MI:2364”(proximity) | 0.560 |
| STAMBP | APOBEC3A | psi-mi:“MI:0915”(physical association) | 0.560 |
| APOBEC3A | HAGH | psi-mi:“MI:0915”(physical association) | 0.560 |
| APOBEC3A | APOBEC3A | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| APOBEC3A | psi-mi:“MI:0985”(deamination reaction) | 0.440 | |
| CDK15 | A2ML1 | psi-mi:“MI:0914”(association) | 0.350 |
| DDX19B | IGLL5 | psi-mi:“MI:0914”(association) | 0.350 |
| AGPAT1 | A2ML1 | psi-mi:“MI:0914”(association) | 0.350 |
| SIK1 | KLK10 | psi-mi:“MI:0914”(association) | 0.350 |
| H2AB1 | NRDC | psi-mi:“MI:0914”(association) | 0.350 |
| SF3B1 | RBM10 | psi-mi:“MI:0914”(association) | 0.350 |
| SF3B1 | FAM83G | psi-mi:“MI:0914”(association) | 0.350 |
| APOBEC3A | STAMBP | psi-mi:“MI:0915”(physical association) | 0.000 |
| APOBEC3A | HAGH | psi-mi:“MI:0915”(physical association) | 0.000 |
BioGRID (15): APOBEC3A (Affinity Capture-MS), APOBEC3A (Affinity Capture-MS), APOBEC3A (Affinity Capture-Western), CUL2 (Affinity Capture-Western), TRIB3 (Reconstituted Complex), Trib3 (Reconstituted Complex), APOBEC3A (Synthetic Lethality), APOBEC3A (Two-hybrid), APOBEC3A (Two-hybrid), APOBEC3A (Affinity Capture-MS), APOBEC3A (Affinity Capture-MS), APOBEC3A (Affinity Capture-MS), APOBEC3A (Affinity Capture-MS), APOBEC3A (Affinity Capture-Western), VHL (Affinity Capture-Western)
ESM2 similar proteins: A2VDP6, A9QA56, G1SRW8, P0C7P3, P31941, P60704, P60705, Q08AF3, Q19Q52, Q1WBT4, Q2PT36, Q3SYR3, Q4VDN5, Q5RCA5, Q5XI89, Q68D06, Q694B4, Q694B5, Q694B6, Q694B7, Q694B8, Q694B9, Q694C0, Q694C1, Q694C2, Q694C4, Q694C5, Q6NTF7, Q75W64, Q7YR23, Q7YR24, Q7YR25, Q7Z7L1, Q8IUX4, Q8IXQ6, Q969Y0, Q96AK3, Q99J72, Q9BQQ7, Q9GZX7
Diamond homologs: A9QA56, P31941, P38483, P41238, P47855, P60704, P60705, Q19Q52, Q1WBT4, Q2PT36, Q4VDN5, Q694B3, Q694B5, Q694B6, Q694B7, Q694B8, Q694B9, Q694C0, Q694C1, Q694C2, Q694C4, Q694C5, Q6NTF7, Q75W64, Q7YR23, Q7YR24, Q7YR25, Q8IUX4, Q99J72, Q9EQP0, Q9GZX7, Q9HC16, Q9NRW3, Q9TUI7, Q9UH17, Q9WVE0, Q3SYR3, Q694B4, Q96AK3, Q9WV35
SIGNOR signaling
2 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| CUL2 | “down-regulates quantity by destabilization” | APOBEC3A | ubiquitination |
| APOBEC3A | up-regulates | “Clearance_of_foreign intracellular_DNA” |
Disease & clinical
Clinical variants and AI predictions
ClinVar
31 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 0 |
| Likely pathogenic | 1 |
| Uncertain significance | 21 |
| Likely benign | 4 |
| Benign | 4 |
Top pathogenic / likely-pathogenic (1)
| Variant ID | HGVS | Classification |
|---|---|---|
| 816479 | GRCh37/hg19 22q13.1(chr22:38431917-39392250)x1 | Likely pathogenic |
SpliceAI
657 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 22:38961382:TCTA:T | acceptor_loss | 1.0000 |
| 22:38961384:TA:T | acceptor_loss | 1.0000 |
| 22:38961385:A:AG | acceptor_gain | 1.0000 |
| 22:38961385:A:G | acceptor_loss | 1.0000 |
| 22:38961385:AG:A | acceptor_gain | 1.0000 |
| 22:38961386:G:GT | acceptor_gain | 1.0000 |
| 22:38961386:GG:G | acceptor_gain | 1.0000 |
| 22:38961386:GGC:G | acceptor_gain | 1.0000 |
| 22:38961386:GGCTA:G | acceptor_gain | 1.0000 |
| 22:38961677:CGATG:C | donor_gain | 1.0000 |
| 22:38961678:GATG:G | donor_gain | 1.0000 |
| 22:38961678:GATGG:G | donor_gain | 1.0000 |
| 22:38961679:ATG:A | donor_gain | 1.0000 |
| 22:38961679:ATGG:A | donor_loss | 1.0000 |
| 22:38961680:TG:T | donor_gain | 1.0000 |
| 22:38961680:TGGT:T | donor_loss | 1.0000 |
| 22:38961681:GG:G | donor_gain | 1.0000 |
| 22:38961681:GGTA:G | donor_loss | 1.0000 |
| 22:38961682:G:GG | donor_gain | 1.0000 |
| 22:38961682:GTAA:G | donor_loss | 1.0000 |
| 22:38961683:T:A | donor_loss | 1.0000 |
| 22:38962095:CAGAA:C | acceptor_gain | 1.0000 |
| 22:38962096:A:AC | acceptor_loss | 1.0000 |
| 22:38962096:A:AG | acceptor_gain | 1.0000 |
| 22:38962097:G:GC | acceptor_gain | 1.0000 |
| 22:38962097:GA:G | acceptor_gain | 1.0000 |
| 22:38962097:GAA:G | acceptor_gain | 1.0000 |
| 22:38962097:GAAT:G | acceptor_gain | 1.0000 |
| 22:38962097:GAATT:G | acceptor_gain | 1.0000 |
| 22:38952847:ACAGG:A | donor_loss | 0.9900 |
AlphaMissense
1326 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 22:38962121:T:C | F165L | 0.965 |
| 22:38962123:T:A | F165L | 0.965 |
| 22:38962123:T:G | F165L | 0.965 |
| 22:38962100:T:C | F158L | 0.955 |
| 22:38962102:T:A | F158L | 0.955 |
| 22:38962102:T:G | F158L | 0.955 |
| 22:38959576:T:C | F22L | 0.952 |
| 22:38959578:T:A | F22L | 0.952 |
| 22:38959578:T:G | F22L | 0.952 |
| 22:38961549:T:C | F113L | 0.949 |
| 22:38961551:C:A | F113L | 0.949 |
| 22:38961551:C:G | F113L | 0.949 |
| 22:38961495:T:C | F95L | 0.948 |
| 22:38961497:C:A | F95L | 0.948 |
| 22:38961497:C:G | F95L | 0.948 |
| 22:38961507:A:C | S99R | 0.945 |
| 22:38961509:C:A | S99R | 0.945 |
| 22:38961509:C:G | S99R | 0.945 |
| 22:38959564:T:C | F18L | 0.943 |
| 22:38959566:C:A | F18L | 0.943 |
| 22:38959566:C:G | F18L | 0.943 |
| 22:38962145:T:C | F173L | 0.936 |
| 22:38962147:C:A | F173L | 0.936 |
| 22:38962147:C:G | F173L | 0.936 |
| 22:38961671:G:A | M153I | 0.933 |
| 22:38961671:G:C | M153I | 0.933 |
| 22:38961671:G:T | M153I | 0.933 |
| 22:38959672:T:C | F54L | 0.923 |
| 22:38959674:T:A | F54L | 0.923 |
| 22:38959674:T:G | F54L | 0.923 |
dbSNP variants (sampled 300 via entrez): RS1000213836 (22:38960249 A>G), RS1000706253 (22:38955854 G>A), RS1000924375 (22:38961754 G>A), RS1001254289 (22:38958881 G>A), RS1001421218 (22:38957523 G>A), RS1001618695 (22:38959120 T>C), RS1004108511 (22:38963378 GCA>G), RS1004342071 (22:38957898 G>A), RS1004542211 (22:38963241 C>T), RS1004673603 (22:38959145 G>A,C), RS1005272450 (22:38956831 C>T), RS1005346202 (22:38956587 A>C), RS1006412868 (22:38955827 T>G), RS1006860664 (22:38962346 C>T), RS1007277557 (22:38956506 G>A)
Disease associations
OMIM: gene MIM:607109 | disease phenotypes:
GenCC curated gene-disease
Mondo (0):
Orphanet (0):
HPO phenotypes
0 total (0 of 0 shown, HPO-id order):
GWAS associations
4 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST000842_7 | Bladder cancer | 8.000000e-12 |
| GCST002240_10 | Bladder cancer | 1.000000e-11 |
| GCST004988_271 | Breast cancer | 5.000000e-12 |
| GCST90002404_412 | Red cell distribution width | 1.000000e-12 |
EFO canonical traits (1, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0009188 | Red cell distribution width |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: yes
ChEMBL targets (1): CHEMBL1741179 (SINGLE PROTEIN)
Molecules with ChEMBL bioactivity
4 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 16,679 (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 |
|---|---|---|---|
| CHEMBL3561076 | TRIMETAZIDINE DIHYDROCHLORIDE | 4 | 280 |
| CHEMBL474579 | CEFOTETAN | 4 | 15,647 |
| CHEMBL1716983 | ENISAMIUM IODIDE | 3 | 1 |
| CHEMBL1257065 | STILONIUM IODIDE | 2 | 751 |
PharmGKB: 1 entry (VIP=true, CPIC=false)
Binding affinities (BindingDB)
490 measured of 714 human assays (753 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.
| Ligand | Measure | Value |
|---|---|---|
| MLS000082581 | EC50 | 0.0948 nM |
| 5-cyclopentylidene-2-sulfanylidene-1,3-thiazolidin-4-one | IC50 | 240 nM |
| 4-amino-3-(4-methylphenyl)-5-[(4-methyl-1-piperazinyl)carbonyl]-1,3-thiazole-2(3H)-thione | IC50 | 250 nM |
| 6-bromo-N-piperonyl-pyrazolo[1,5-a]pyrimidine-2-carboxamide | IC50 | 363 nM |
| MLS000689390 | EC50 | 880 nM |
| MLS001208265 | IC50 | 892 nM |
| 3-chloranyl-N-(3-morpholin-4-ylpropyl)-6-nitro-1-benzothiophene-2-carboxamide | EC50 | 950 nM |
| trimethyl-[2-[oxo-(1-phenylcyclopentyl)methoxy]ethyl]ammonium;iodide | IC50 | 1060 nM |
| MLS000036597 | IC50 | 1070 nM |
| MLS001212885 | IC50 | 1080 nM |
| SMR000305231 | IC50 | 1140 nM |
| 1-ethyl-5-methyl-4-[(phenylsulfonyl)methyl]-1,3-dihydro-2H-imidazol-2-one | IC50 | 1230 nM |
| cid_6294434 | IC50 | 1240 nM |
| cid_6603239 | IC50 | 1300 nM |
| cid_16682258 | IC50 | 1310 nM |
| ethyl 5-(diethylamino)-2-hydroxyimino-pentanoate;iodanylmethane | IC50 | 1350 nM |
| SMR000279529 | IC50 | 1390 nM |
| SMR000283917 | IC50 | 1440 nM |
| 3-pyridinecarboxylic acid (3-acetyl-4-oxido-2-quinoxalin-4-iumyl)methyl ester | IC50 | 1480 nM |
| 2-{(E)-2-[3-Methoxy-4-(o-tolylcarbamoyl-methoxy)-phenyl]-vinyl}-1-methyl-pyridinium | IC50 | 1560 nM |
| 2-[[5-[[2-(3-chloroanilino)-4-thiazolyl]methyl]-4-(3-methoxypropyl)-1,2,4-triazol-3-yl]thio]acetic acid cyclohexyl ester | IC50 | 1560 nM |
| SMR000198590 | IC50 | 1580 nM |
| 1-phenyl-1-cyclopentanecarboxylic acid 3-(4-methyl-4-morpholin-4-iumyl)propyl ester;iodide | IC50 | 1610 nM |
| SMR000306192 | IC50 | 1610 nM |
| MLS001183995 | IC50 | 1610 nM |
| 3-[(2-methyl-5-oxidanylidene-3-phenyl-4H-imidazol-4-yl)diazenyl]benzoic acid | EC50 | 1640 nM |
| MLS000065559 | IC50 | 1640 nM |
| MLS000565397 | IC50 | 1660 nM |
| SMR000173748 | IC50 | 1670 nM |
| 2-(4,6-dimethyl-3-oxidanylidene-[1,2]thiazolo[5,4-b]pyridin-2-yl)-N-(3-fluorophenyl)ethanamide | EC50 | 1720 nM |
| MLS000689393 | EC50 | 1750 nM |
| 1-cyclohexyloxy-3-(2-ethyl-3-methyl-benzimidazol-3-ium-1-yl)propan-2-ol;iodide | IC50 | 1750 nM |
| 3,4-dimethyl-1-(2H-tetrazol-5-yl)-6-pyrano[2,3-c]pyrazolone | IC50 | 1760 nM |
| (1,3-dimethyl-1H-imidazol-3-ium-2-yl)methyl methylcarbamate | IC50 | 1760 nM |
| 1-O-tert-butyl 2-O-[2-oxo-2-(4-phenylphenyl)ethyl] 4-hydroxypyrrolidine-1,2-dicarboxylate | IC50 | 1790 nM |
| 1-heptylpyridin-4-imine;hydroiodide | IC50 | 1830 nM |
| cid_14262872 | IC50 | 1850 nM |
| 2-Cyano-3-(2-methyl-1H-indol-3-yl)-N-(1-phenyl-ethyl)-acrylamide | IC50 | 1870 nM |
| [(2Z)-2-(1,3-dioxolan-4-ylidene)ethyl]-trimethylammonium;iodide | IC50 | 1890 nM |
| SMR000518608 | IC50 | 1890 nM |
| MLS000333810 | IC50 | 1910 nM |
| cid_6473547 | IC50 | 1910 nM |
| MLS000688171 | IC50 | 1930 nM |
| (8S)-7-(3,3-diphenylpropanoyl)-3-[3-(2-methylprop-2-enoylamino)phenyl]-1-oxa-2,7-diazaspiro[4.4]non-2-ene-8-carboxamide | EC50 | 1940 nM |
| MLS000698163 | IC50 | 1960 nM |
| MLS000408951 | IC50 | 1970 nM |
| MLS000110102 | IC50 | 2010 nM |
| MLS000037873 | IC50 | 2020 nM |
| cid_2237442 | IC50 | 2030 nM |
| MLS000712970 | IC50 | 2030 nM |
ChEMBL bioactivities
372 potent at pChembl≥5 of 495 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).
| pChembl | Type | Value | Unit | Molecule |
|---|---|---|---|---|
| 6.05 | IC50 | 892 | nM | CHEMBL1586607 |
| 5.97 | IC50 | 1060 | nM | CHEMBL1362702 |
| 5.97 | IC50 | 1080 | nM | CHEMBL589711 |
| 5.97 | IC50 | 1070 | nM | CHEMBL1503187 |
| 5.94 | IC50 | 1140 | nM | CHEMBL3196851 |
| 5.92 | IC50 | 1190 | nM | CHEMBL255881 |
| 5.92 | IC50 | 1210 | nM | CHEMBL255881 |
| 5.91 | IC50 | 1240 | nM | CHEMBL1338153 |
| 5.90 | IC50 | 1270 | nM | CHEMBL1704847 |
| 5.89 | IC50 | 1300 | nM | CHEMBL1577127 |
| 5.88 | IC50 | 1310 | nM | CHEMBL1543727 |
| 5.87 | IC50 | 1350 | nM | CHEMBL1333873 |
| 5.87 | IC50 | 1350 | nM | CHEMBL3207528 |
| 5.86 | IC50 | 1390 | nM | CHEMBL1711351 |
| 5.84 | IC50 | 1440 | nM | CHEMBL1467678 |
| 5.83 | IC50 | 1480 | nM | CHEMBL1408132 |
| 5.82 | IC50 | 1530 | nM | CHEMBL1501432 |
| 5.82 | IC50 | 1510 | nM | CHEMBL1389035 |
| 5.81 | IC50 | 1550 | nM | CHEMBL1582492 |
| 5.81 | IC50 | 1560 | nM | CHEMBL1342158 |
| 5.80 | IC50 | 1580 | nM | CHEMBL1325780 |
| 5.79 | IC50 | 1640 | nM | CHEMBL1585158 |
| 5.79 | IC50 | 1610 | nM | CHEMBL1599302 |
| 5.79 | IC50 | 1610 | nM | CHEMBL1389793 |
| 5.79 | IC50 | 1610 | nM | CHEMBL1327723 |
| 5.78 | IC50 | 1670 | nM | CHEMBL1485727 |
| 5.78 | IC50 | 1660 | nM | CHEMBL1499690 |
| 5.77 | IC50 | 1700 | nM | CHEMBL1447034 |
| 5.76 | IC50 | 1750 | nM | CHEMBL1558595 |
| 5.76 | IC50 | 1750 | nM | CHEMBL1341547 |
| 5.75 | IC50 | 1790 | nM | CHEMBL1564678 |
| 5.75 | IC50 | 1760 | nM | CHEMBL1403277 |
| 5.75 | IC50 | 1760 | nM | CHEMBL1379279 |
| 5.74 | IC50 | 1830 | nM | CHEMBL590706 |
| 5.73 | IC50 | 1870 | nM | CHEMBL1523040 |
| 5.73 | IC50 | 1850 | nM | GLAUCINE METHIODIDE |
| 5.72 | IC50 | 1910 | nM | CHEMBL1377153 |
| 5.72 | IC50 | 1910 | nM | CHEMBL1559194 |
| 5.72 | IC50 | 1890 | nM | CHEMBL1375102 |
| 5.72 | IC50 | 1890 | nM | CHEMBL1733996 |
| 5.72 | IC50 | 1890 | nM | CHEMBL1525928 |
| 5.71 | IC50 | 1960 | nM | CHEMBL1536626 |
| 5.71 | IC50 | 1930 | nM | CHEMBL1309967 |
| 5.71 | IC50 | 1970 | nM | CHEMBL1547022 |
| 5.71 | IC50 | 1970 | nM | CHEMBL1405185 |
| 5.71 | IC50 | 1930 | nM | DIMETHYLPHENYLPIPERAZINIUM IODIDE |
| 5.71 | IC50 | 1970 | nM | CHEMBL1503015 |
| 5.71 | IC50 | 1930 | nM | CHEMBL1503187 |
| 5.70 | IC50 | 2010 | nM | CHEMBL1551307 |
| 5.70 | IC50 | 2020 | nM | CHEMBL1452833 |
PubChem BioAssay actives
4 with measured affinity, of 4 total; 1 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-(5-methylfuran-2-yl)-N-(5-pyridin-4-yl-1,3,4-thiadiazol-2-yl)quinoline-4-carboxamide | 1245743: Inhibition of APOBEC3A (unknown origin) by fluorescence-based ssDNA C-to-U deaminase assay | ic50 | 2.8000 | uM |
CTD chemical–gene interactions
21 total (human), top 21 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Acetaminophen | decreases expression, increases expression | 2 |
| Nickel | decreases expression, increases expression | 2 |
| triphenyl phosphate | affects expression | 1 |
| S-(1,2-dichlorovinyl)cysteine | affects response to substance, increases expression | 1 |
| gadodiamide | increases expression | 1 |
| di-n-butylphosphoric acid | affects expression | 1 |
| CGP 52608 | affects binding, increases reaction | 1 |
| 2,2’,4,4’-tetrabromodiphenyl ether | increases expression | 1 |
| (+)-JQ1 compound | decreases expression | 1 |
| 3-(2-hydroxy-4-(2-methylnonan-2-yl)phenyl)cyclohexan-1-ol | increases expression | 1 |
| Air Pollutants | affects expression, increases abundance | 1 |
| Air Pollutants, Occupational | decreases expression | 1 |
| Benzo(a)pyrene | decreases expression | 1 |
| Lipopolysaccharides | increases expression, affects response to substance | 1 |
| Ozone | affects expression, increases abundance | 1 |
| Silicon Dioxide | increases expression | 1 |
| Tobacco Smoke Pollution | increases expression | 1 |
| Urethane | decreases expression | 1 |
| Valproic Acid | increases methylation | 1 |
| Antirheumatic Agents | decreases expression | 1 |
| Copper Sulfate | increases expression | 1 |
ChEMBL screening assays
8 unique, capped per target: 4 functional, 4 binding
Representative assays (with source publication via chembl_document):
| Assay ID | Type | Description | Source paper |
|---|---|---|---|
| CHEMBL1737903 | Functional | PUBCHEM_BIOASSAY: Dose Response confirmation of APOBEC3G DNA Deaminase Inhibitors via a A3A counterscreen. (Class of assay: confirmatory) [Related pubchem assays (depositor defined):AID493012, AID493028] | PubChem BioAssay data set |
| CHEMBL3616266 | Binding | Inhibition of APOBEC3A (unknown origin) by fluorescence-based ssDNA C-to-U deaminase assay | Oxidative Reactivities of 2-Furylquinolines: Ubiquitous Scaffolds in Common High-Throughput Screening Libraries. — J Med Chem |
Cellosaurus cell lines
7 cell lines: 7 cancer cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_A0HB | THP18-deltaA3A | Cancer cell line | Male |
| CVCL_A0HC | THP18-deltaA3A/B | Cancer cell line | Male |
| CVCL_C7ZW | HAP1 APOBEC3A (-) 1 | Cancer cell line | Male |
| CVCL_C7ZX | HAP1 APOBEC3A (-) 2 | Cancer cell line | Male |
| CVCL_C7ZY | HAP1 APOBEC3A (-) 3 | Cancer cell line | Male |
| CVCL_C7ZZ | HAP1 APOBEC3A (-) 4 | Cancer cell line | Male |
| CVCL_E1QN | HAP1 APOBEC3A (-) 5 | Cancer cell line | Male |
Clinical trials (associated diseases)
0 trials via MONDO — disease-level, not drug-specific.
Related Atlas pages
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): urinary bladder carcinoma