CAPN3

gene
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Also known as CANP3p94nCL-1

Summary

CAPN3 (calpain 3, HGNC:1480) is a protein-coding gene on chromosome 15q15.1, encoding Calpain-3 (P20807). Calcium-regulated non-lysosomal thiol-protease.

Calpain, a heterodimer consisting of a large and a small subunit, is a major intracellular protease, although its function has not been well established. This gene encodes a muscle-specific member of the calpain large subunit family that specifically binds to titin. Mutations in this gene are associated with limb-girdle muscular dystrophies type 2A. Alternate promoters and alternative splicing result in multiple transcript variants encoding different isoforms and some variants are ubiquitously expressed.

Source: NCBI Gene 825 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): muscular dystrophy, limb-girdle, autosomal dominant (Definitive, ClinGen) — +3 more curated relationships
  • GWAS associations: 28
  • Clinical variants (ClinVar): 2,151 total — 280 pathogenic, 180 likely-pathogenic
  • Phenotypes (HPO): 42
  • Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity no evidence
  • MANE Select transcript: NM_000070

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:1480
Approved symbolCAPN3
Namecalpain 3
Location15q15.1
Locus typegene with protein product
StatusApproved
AliasesCANP3, p94, nCL-1
Ensembl geneENSG00000092529
Ensembl biotypeprotein_coding
OMIM114240
Entrez825

Gene structure

Transcript identifiers

Ensembl transcripts: 58 — 33 protein_coding, 10 nonsense_mediated_decay, 8 retained_intron, 7 protein_coding_CDS_not_defined

ENST00000318023, ENST00000337571, ENST00000349748, ENST00000357568, ENST00000397163, ENST00000397200, ENST00000397204, ENST00000466222, ENST00000561817, ENST00000562199, ENST00000564503, ENST00000565173, ENST00000565274, ENST00000565559, ENST00000567071, ENST00000567817, ENST00000568153, ENST00000569136, ENST00000569827, ENST00000638141, ENST00000673646, ENST00000673658, ENST00000673684, ENST00000673687, ENST00000673692, ENST00000673705, ENST00000673743, ENST00000673750, ENST00000673771, ENST00000673774, ENST00000673813, ENST00000673839, ENST00000673851, ENST00000673854, ENST00000673886, ENST00000673890, ENST00000673893, ENST00000673928, ENST00000673936, ENST00000673939, ENST00000673950, ENST00000673978, ENST00000673987, ENST00000674011, ENST00000674012, ENST00000674018, ENST00000674027, ENST00000674041, ENST00000674052, ENST00000674064, ENST00000674093, ENST00000674119, ENST00000674130, ENST00000674135, ENST00000674139, ENST00000674140, ENST00000674146, ENST00000674149

RefSeq mRNA: 6 — MANE Select: NM_000070 NM_000070, NM_024344, NM_173087, NM_173088, NM_173089, NM_173090

CCDS: CCDS10085, CCDS10086, CCDS32207, CCDS45245, CCDS45246

Canonical transcript exons

ENST00000397163 — 24 exons

ExonStartEnd
ENSE000022048824235950142360114
ENSE000034608774240930342409380
ENSE000034648724239425642394341
ENSE000034767074238448342384552
ENSE000034835454240374142403777
ENSE000034873044238995342390096
ENSE000035078564240993142409995
ENSE000035081114240164142401810
ENSE000035111774240592642405943
ENSE000035150724240978742409844
ENSE000035223154241058842410666
ENSE000035436314239949242399652
ENSE000035605014241128742411345
ENSE000035632294238616742386285
ENSE000035733444238775342387886
ENSE000035897684241174742412317
ENSE000036009974239680042396877
ENSE000036069994241042842410496
ENSE000036173744238892842389096
ENSE000036392244240212442402135
ENSE000036561654241088442411000
ENSE000036875414240821142408324
ENSE000036880774239263942392722
ENSE000037602414240279442403002

Expression profiles

Bgee: expression breadth ubiquitous, 134 present calls, max score 99.41.

FANTOM5 (CAGE): breadth broad, TPM avg 15.8251 / max 1248.3055, expressed in 347 samples.

FANTOM5 promoters (22 alternative TSS)

Promoter IDTPM avgSamples expressed
1462626.0968211
1462452.935068
1462632.2170149
1462651.4619132
1462610.8524149
1462640.6783127
1462660.4513115
1462570.343252
1462460.330632
1462600.122254

Top tissues by expression

134 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
hindlimb stylopod muscleUBERON:000425299.41gold quality
skeletal muscle tissueUBERON:000113499.33gold quality
C1 segment of cervical spinal cordUBERON:000646999.31gold quality
gastrocnemiusUBERON:000138898.98gold quality
corpus callosumUBERON:000233698.98gold quality
muscle of legUBERON:000138398.30gold quality
substantia nigraUBERON:000203898.19gold quality
putamenUBERON:000187498.10gold quality
Ammon’s hornUBERON:000195497.64gold quality
primary visual cortexUBERON:000243697.18gold quality
caudate nucleusUBERON:000187396.98gold quality
temporal lobeUBERON:000187196.61gold quality
amygdalaUBERON:000187696.61gold quality
hypothalamusUBERON:000189895.41gold quality
left testisUBERON:000453394.99gold quality
right testisUBERON:000453494.92gold quality
nucleus accumbensUBERON:000188294.83gold quality
Brodmann (1909) area 9UBERON:001354094.80gold quality
muscle tissueUBERON:000238594.62gold quality
right frontal lobeUBERON:000281093.98gold quality
right lobe of liverUBERON:000111493.82gold quality
adult mammalian kidneyUBERON:000008293.66gold quality
sural nerveUBERON:001548893.61gold quality
frontal cortexUBERON:000187093.32gold quality
skin of abdomenUBERON:000141693.22gold quality
cerebral cortexUBERON:000095693.21gold quality
brainUBERON:000095593.17gold quality
dorsolateral prefrontal cortexUBERON:000983493.16gold quality
testisUBERON:000047393.14gold quality
zone of skinUBERON:000001493.13gold quality

Single-cell (SCXA)

Detected in 4 experiment(s), a significant marker in 4.

ExperimentMarker?Max mean expression
E-MTAB-8142yes968.39
E-GEOD-135922yes19.88
E-GEOD-84465yes11.85
E-ANND-3yes4.05

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

3 targets.

TargetRegulation
BCL2Activation
CFLARActivation
MYOD1Repression

miRNA regulators (miRDB)

27 targeting CAPN3, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-311999.9271.342390
HSA-MIR-76599.8468.242442
HSA-MIR-4760-5P99.8069.881619
HSA-MIR-11181-3P99.7566.382205
HSA-MIR-671-5P99.5267.111277
HSA-MIR-6797-3P99.1766.94668
HSA-MIR-4738-3P98.9867.981846
HSA-MIR-4802-5P98.9766.26833
HSA-MIR-181A-2-3P98.9167.601168
HSA-MIR-607698.6165.69637
HSA-MIR-4691-5P98.4166.771343
HSA-MIR-6792-3P98.4166.861359
HSA-MIR-6804-5P98.3965.771084
HSA-MIR-6509-3P98.3267.331343
HSA-MIR-7156-3P98.2567.66859
HSA-MIR-6881-5P98.1667.38665
HSA-MIR-447597.3666.95761
HSA-MIR-311697.0765.781324
HSA-MIR-4690-3P97.0264.72981
HSA-MIR-568597.0264.341004
HSA-MIR-6856-3P96.4766.27781
HSA-MIR-6782-5P96.4564.42612
HSA-MIR-6835-5P95.8164.27500
HSA-MIR-57195.3866.54671
HSA-MIR-6732-5P93.9764.65422
HSA-MIR-476593.1166.17737
HSA-MIR-29C-5P87.3666.9629

Functional genomics

ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • reduced expression of calpain 3 was associated with phenotypes related to obesity and insulin resistance (PMID:12075569)
  • effects of type of mutation, amount of calpain in the muscle, gender and ethnicity of affected patients on clinical course (age of onset and ascertainment) were analysed (PMID:12461690)
  • reaction analysis of calpain p94 autolysis and domains (PMID:12482600)
  • The enzyme is preferentially expressed in B- and T-lymphocytes, whereas it is poorly expressed in natural killer cells and almost undetectable in polymorphonuclear cells. (PMID:12882647)
  • The 550delA mutation was present on 76% of CAPN3 (calpain 3) chromosomes that led us to screen general population for this mutation (PMID:14981715)
  • Insertion sequence 1 of p94 acts as internal autoinhibitory propeptide, blocking the active site of p94 from substrates and inhibitors. (PMID:15073171)
  • Ten novel CAPN3 mutations found in concentrated in several exons in Muscular Dystrophies patients (PMID:15221789)
  • This study found that three novel mutations of calpain 3 gene in limb girdle muscular dystrophy type 2A (LGMD2A, calpainopathy). (PMID:15351423)
  • the time- and concentration-dependent changes in [Ca2+]i that occurred during concentric exercise fall near but below the level necessary to cause autolysis of calpains in vivo (PMID:16107503)
  • Efficient and stable CAPN3 transgene expression in mouse muscle restores enzyme proteolytic activity without evident toxicity in a calpain 3-deficient mouse model of limb-girdle muscular dystrophy type 2A. (PMID:16290124)
  • Thus, the proteolytic activity of the core of p94 and its deletion mutant lacking NS and IS1 was shown to be strictly Ca(2+)-dependent. We propose a two-stage model of activation of the proteolytic core of p94. (PMID:16533054)
  • the importance of p94-connectin interaction in the control of p94 functions by regulating autolytic decay of p94 (PMID:16627476)
  • This review summarizes the known biochemical and physiological features of calpain 3 and the mechanisms of the mutations that result in disease. (PMID:16934440)
  • Study provides evidence of the pathogenetic effect of specific CAPN3 gene mutations on protein function in limb girdle muscular dystrophy type 2A muscle and offers insights into the protein regions that are crucial for the autolytic activity of calpain-3. (PMID:16971480)
  • CAPN3 mRNAs which contain frame-shift mutations are degraded by nonsense-mediated mRNA decay in cells of limb girdle muscular dystrophy type 2A patients (PMID:17157502)
  • Three novel and six recurrent mutations are identified in Limb-girdle muscular dystrophy type 2A. (PMID:17318636)
  • amount of autolyzed calpain-3 unchanged immediately and 3 h after eccentric exercise but increased markedly 24 h after (PMID:17585039)
  • CAPN3 mutations may have a role in limb-girdle muscular dystrophy (PMID:17596655)
  • The c.550delA mutation in CAPN3 was found in 8.1% of limb girdle muscular dystrophy and 1.9% of hyperCKemia patients. Two mutations (Val509Phe and Gln565Stop) have not been reported before. (PMID:17702496)
  • nonsense-mediated messenger RNA decay as a mechanism for under-expression of CAPN3 associated to some specific variations (PMID:17979987)
  • IkappaB alpha is expressed following NF-kappaB activation independent of the CAPN3 status, whereas expression of c-FLIP is obtained only when CAPN3 is present. (PMID:18073330)
  • These results highlight the importance of conserved amino acids in domain IIb as well as in the p94-specific IS2 region. (PMID:18258189)
  • A mutation analysis of the CAPN3 gene (Athena Diagnostics) was performed and revealed a C > T transition at nucleotide position 551 leading to a Thr184Met substitution, a known disease-causing mutation. (PMID:18299526)
  • implicate the dynamic nature of connectin molecule as a regulatory scaffold of p94 functions (PMID:18310072)
  • AHNAK accumulates when calpain 3 is defective in skeletal muscle of calpainopathy patients; moreover, AHNAK fragments cleaved by CAPN3 have lost their affinity for dysferlin. (PMID:18334579)
  • CAPN3 mutation is associated with limb-girdle muscular dystrophy type 2A (PMID:18337726)
  • CAPN3 alternative splicing isoforms in white blood cells in limb-girdle muscular dystrophy 2A (PMID:18563459)
  • CAPN3 degraded AldoA; however, no accumulation of AldoA was observed in total extracts from CAPN3-deficient muscles suggesting that AldoA is not an in vivo substrate of CAPN3 (PMID:18676612)
  • Data show a high predictive value for reduced-absent calpain-3 or lost autolytic activity, and the biochemical assays are powerful tools for otherwise laborious genetic screening of cases with a high probability of being primary calpainopathy. (PMID:18854869)
  • Data show that loss of function of the full-length isoform of CAPN3, also known as p94, as the pathogenic isoform can explain the “progressive” development of muscular dystrophy. (PMID:18974005)
  • Finding its mutation is useful for genetic diagnosis of type2 limb-gardle muscular dystrophies. (PMID:19048948)
  • calpain 3 variants can play a proapoptotic role in melanoma cells and its downregulation, as observed in highly aggressive lesions, could contribute to melanoma progression. (PMID:19386580)
  • Immunohistochemistry with Calp3-2C4 has a similar pickup rate of LGMD2A as immunoblot and it may therefore be useful for distinguishing the majority of genuine CAPN3 defects from secondary protein reduction. (PMID:19556129)
  • calpain 3 participates in the establishment of the pool of reserve cells by decreasing the transcriptional activity of the key myogenic regulator MyoD via proteolysis independently of the ubiquitin-proteasome degradation pathway. (PMID:20139084)
  • Limb-girdle muscular dystrophy patients carried a new splicing site mutation (c.1536+1G>T) in the CAPN3 gene, which leads to complete retention of intron 12 of the CAPN3 gene and total calpain3 deficiency. (PMID:20477750)
  • The major c.550delA mutation in the CAPN3 gene was identified in 70% of Russian patients. (PMID:20517216)
  • The findings suggest that mutation analysis of the CAPN3 cDNA should use skeletal muscle tissue as materials instead of peripheral blood. (PMID:20533264)
  • Interactions with M-band titin and calpain 3 link myospryn (CMYA5) to tibial and limb-girdle muscular dystrophies. (PMID:20634290)
  • 5 different intronic variants (one novel) in CAPN3 that bioinformatic tools predicted would affect RNA splicing, underwent comprehensive studies which were designed to prove they are disease-causing. (PMID:20635405)
  • CARP and its regulator calpain 3 appear to occupy a central position in the important cell fate-governing NF-kappaB pathway in skeletal muscle (PMID:20860623)

Cross-species orthologs

13 orthologs

OrganismSymbolGene ID
danio_reriocapn3aENSDARG00000041864
danio_reriocapn3bENSDARG00000043035
mus_musculusCapn3ENSMUSG00000079110
rattus_norvegicusCapn3ENSRNOG00000008609
caenorhabditis_elegansWBGENE00000542
caenorhabditis_elegansclp-3WBGENE00000544
caenorhabditis_elegansWBGENE00000546
caenorhabditis_elegansWBGENE00000547
caenorhabditis_elegansWBGENE00006606
caenorhabditis_elegansclp-8WBGENE00009695
caenorhabditis_elegansclpr-3WBGENE00010417
caenorhabditis_elegansclpr-1WBGENE00012233
caenorhabditis_elegansclpr-3WBGENE00013184

Paralogs (20): CAPN1 (ENSG00000014216), SRI (ENSG00000075142), CAPN6 (ENSG00000077274), CAPN15 (ENSG00000103326), GCA (ENSG00000115271), ADGB (ENSG00000118492), CAPNS1 (ENSG00000126247), CAPN7 (ENSG00000131375), CAPN9 (ENSG00000135773), CAPN11 (ENSG00000137225), CAPN10 (ENSG00000142330), CAPN5 (ENSG00000149260), PEF1 (ENSG00000162517), CAPN2 (ENSG00000162909), CAPN13 (ENSG00000162949), CAPN12 (ENSG00000182472), CAPN8 (ENSG00000203697), CAPN14 (ENSG00000214711), PDCD6 (ENSG00000249915), CAPNS2 (ENSG00000256812)

Protein

Protein identifiers

Calpain-3P20807 (reviewed: P20807)

Alternative names: Calcium-activated neutral proteinase 3, Calpain L3, Calpain p94, Muscle-specific calcium-activated neutral protease 3, New calpain 1

All UniProt accessions (22): P20807, A0A0S2Z3E1, A0A0S2Z3E6, A0A669KAB9, A0A669KAU4, A0A669KAU6, A0A669KAX6, A0A669KB02, A0A669KB08, A0A669KB11, A0A669KB98, A0A669KBA3, A0A669KBE1, F8W8F5, H3BMH1, H3BNN7, H3BS30, H3BS77, H3BSA2, H3BUR3, H3BUZ3, H3BV08

UniProt curated annotations — full annotation on UniProt →

Function. Calcium-regulated non-lysosomal thiol-protease. Proteolytically cleaves CTBP1 at ‘His-409’. Mediates, with UTP25, the proteasome-independent degradation of p53/TP53.

Subunit / interactions. Homodimer; via EF-hand domain 4. Interacts with TTN/titin. Interacts with CMYA5; this interaction, which results in CMYA5 proteolysis, may protect CAPN3 from autolysis. Interacts with SIMC1. Interacts with UTP25; the interaction is required for CAPN3 translocation to the nucleolus.

Subcellular location. Cytoplasm. Nucleus. Nucleolus.

Tissue specificity. Isoform I is skeletal muscle specific.

Disease relevance. Muscular dystrophy, limb-girdle, autosomal recessive 1 (LGMDR1) [MIM:253600] An autosomal recessive degenerative myopathy characterized by progressive symmetrical atrophy and weakness of the proximal limb muscles and elevated serum creatine kinase. The symptoms usually begin during the first two decades of life, and the disease gradually worsens, often resulting in loss of walking ability 10 or 20 years after onset. The disease is caused by variants affecting the gene represented in this entry. Muscular dystrophy, limb-girdle, autosomal dominant 4 (LGMDD4) [MIM:618129] A form of autosomal dominant limb-girdle muscular dystrophy, a myopathy characterized by proximal and/or distal muscle weakness and atrophy. The age at onset is variable and can range from the first to the sixth decade, although later onset is less common. LGMDD4 is characterized by onset of proximal muscle weakness in young adulthood, gait difficulties, increased serum creatine kinase, myalgia, and back pain. Some patients may have upper limb involvement. Disease severity and expressivity are highly variable. The disease is caused by variants affecting the gene represented in this entry.

Activity regulation. Activated by micromolar concentrations of calcium and inhibited by calpastatin.

Similarity. Belongs to the peptidase C2 family.

Isoforms (5)

UniProt IDNamesCanonical?
P20807-1Iyes
P20807-2II
P20807-3III
P20807-4IV
P20807-5V

RefSeq proteins (6): NP_000061, NP_077320, NP_775110, NP_775111, NP_775112, NP_775113 (=MANE)

Domains & families (InterPro)

IDNameType
IPR000169Pept_cys_ASActive_site
IPR001300Peptidase_C2_calpain_catDomain
IPR002048EF_hand_domDomain
IPR011992EF-hand-dom_pairHomologous_superfamily
IPR018247EF_Hand_1_Ca_BSBinding_site
IPR022682Calpain_domain_IIIDomain
IPR022683Calpain_IIIDomain
IPR022684Calpain_cysteine_proteaseFamily
IPR029531CAPN3_PEFDomain
IPR032100Calpain_u2Domain
IPR033883C2_IIIDomain
IPR036213Calpain_III_sfHomologous_superfamily
IPR038765Papain-like_cys_pep_sfHomologous_superfamily
IPR054069CAPN3/13-like_C_EFhDomain

Pfam: PF00648, PF01067, PF13833, PF16648, PF21875

Enzyme classification (BRENDA):

  • EC 3.4.22.54 — calpain-3 (BRENDA: 10 organisms, 105 substrates, 12 inhibitors, 0 Km, 0 kcat entries)
  • EC 3.4.22.56 — caspase-3 (BRENDA: 15 organisms, 215 substrates, 504 inhibitors, 53 Km, 35 kcat entries)

Substrate kinetics (BRENDA)

33 substrates with measured Km, best-characterized 15. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
ACETYL-DEVD-7-AMIDO-4-METHYLCOUMARIN0.005–10.710
ACETYL-L-ASP-L-GLU-L-VAL-L-ASP-7-AMIDO-4-METHYLC0.0048–0.03356
BENZOYL-L-ASP-L-GLU-L-VAL-L-ASP-7-AMIDO-4-METHYL0.002–0.02556
5’-TETRAMETHYLRHODAMINE-5(6)-CARBOXAMIDE-DEVD-CY0.00161
AC-DEVD-4-METHYLCOUMARIN 7-AMIDE0.03371
ACETYL-DEVD-4-NITROANILIDE0.0111
ACETYL-DQMD-4-NITROANILIDE0.0441
ACETYL-L-ASP-L-GLU-L-VAL-L-ASP-4-NITROANILIDE0.0671
ACETYL-L-ASP-L-MET-L-GLN-L-ASP-4-NITROANILIDE1.61
ACETYL-L-ASP-L-VAL-L-ALA-L-ASP-4-NITROANILIDE0.2221
ACETYL-L-LEU-L-ASP-L-VAL-L-ALA-L-ASP-4-NITROANIL0.1471
ACETYL-L-VAL-L-ASP-L-VAL-L-ALA-L-ASP-4-NITROANIL0.1641
ACETYL-VDQMDGW-AMIDE0.21
ACETYL-VDVAD-4-NITROANILIDE0.0671
ACETYL-VEID-4-NITROANILIDE0.251

UniProt features (148 total): sequence variant 65, helix 22, strand 20, binding site 18, domain 5, region of interest 5, splice variant 5, active site 3, compositionally biased region 2, chain 1, mutagenesis site 1, turn 1

Structure

Experimental structures (PDB)

5 structures.

PDBMethodResolution (Å)
6BDTX-RAY DIFFRACTION2.3
4OKHX-RAY DIFFRACTION2.45
6BGPX-RAY DIFFRACTION2.75
6BJDX-RAY DIFFRACTION2.8
6BKJX-RAY DIFFRACTION3.2

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P20807-F179.180.44

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 (3): 129; 334; 358

Ligand- & substrate-binding residues (18): 662; 665; 667; 672; 705; 707; 709; 711; 716; 735; 737; 739

Mutagenesis-validated functional residues (1):

PositionPhenotype
129loss of activity. no effect on cmya5-binding. does not degradate p53/tp53.

Function

Pathways and Gene Ontology

Reactome pathways

2 pathways

IDPathway
R-HSA-1474228Degradation of the extracellular matrix
R-HSA-1474244Extracellular matrix organization

MSigDB gene sets: 417 (showing top): GOBP_POSITIVE_REGULATION_OF_CALCIUM_ION_TRANSPORT, GOBP_REGULATION_OF_CELL_ACTIVATION, GOBP_SKELETAL_MUSCLE_TISSUE_REGENERATION, TGCTGCT_MIR15A_MIR16_MIR15B_MIR195_MIR424_MIR497, GOBP_REGULATION_OF_DEVELOPMENTAL_GROWTH, PEREZ_TP63_TARGETS, GOBP_REGULATION_OF_PROTEIN_SUMOYLATION, GOBP_CANONICAL_NF_KAPPAB_SIGNAL_TRANSDUCTION, ASTON_MAJOR_DEPRESSIVE_DISORDER_DN, KENNY_CTNNB1_TARGETS_UP, GOBP_GROWTH, GOBP_MACROMOLECULE_CATABOLIC_PROCESS, GOBP_STRIATED_MUSCLE_CELL_DIFFERENTIATION, GOBP_REGENERATION, MEF2_02

GO Biological Process (28): proteolysis (GO:0006508), apoptotic process (GO:0006915), muscle organ development (GO:0007517), positive regulation of satellite cell activation involved in skeletal muscle regeneration (GO:0014718), response to muscle activity (GO:0014850), protein catabolic process (GO:0030163), myofibril assembly (GO:0030239), protein destabilization (GO:0031648), negative regulation of protein sumoylation (GO:0033234), negative regulation of apoptotic process (GO:0043066), regulation of canonical NF-kappaB signal transduction (GO:0043122), sarcomere organization (GO:0045214), regulation of myoblast differentiation (GO:0045661), positive regulation of proteolysis (GO:0045862), negative regulation of DNA-templated transcription (GO:0045892), positive regulation of DNA-templated transcription (GO:0045893), muscle cell cellular homeostasis (GO:0046716), positive regulation of release of sequestered calcium ion into cytosol (GO:0051281), response to calcium ion (GO:0051592), muscle structure development (GO:0061061), protein-containing complex assembly (GO:0065003), G1 to G0 transition involved in cell differentiation (GO:0070315), cellular response to calcium ion (GO:0071277), cellular response to salt stress (GO:0071472), protein localization to membrane (GO:0072657), self proteolysis (GO:0097264), calcium-dependent self proteolysis (GO:1990092), programmed cell death (GO:0012501)

GO Molecular Function (14): catalytic activity (GO:0003824), calcium-dependent cysteine-type endopeptidase activity (GO:0004198), calcium ion binding (GO:0005509), peptidase activity (GO:0008233), cysteine-type peptidase activity (GO:0008234), structural constituent of muscle (GO:0008307), sodium ion binding (GO:0031402), titin binding (GO:0031432), identical protein binding (GO:0042802), molecular adaptor activity (GO:0060090), protein binding (GO:0005515), hydrolase activity (GO:0016787), metal ion binding (GO:0046872), ligase regulator activity (GO:0055103)

GO Cellular Component (10): nucleus (GO:0005634), nucleolus (GO:0005730), cytoplasm (GO:0005737), cytosol (GO:0005829), plasma membrane (GO:0005886), myofibril (GO:0030016), Z disc (GO:0030018), T-tubule (GO:0030315), protein-containing complex (GO:0032991), endomembrane system (GO:0012505)

Reactome top-level categories

Rollup of top-1 pathways:

CategoryPathways
Extracellular matrix organization1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure5
protein metabolic process2
actomyosin structure organization2
DNA-templated transcription2
regulation of DNA-templated transcription2
molecular_function2
binding2
programmed cell death1
apoptotic signaling pathway1
execution phase of apoptosis1
animal organ development1
muscle structure development1
regulation of satellite cell activation involved in skeletal muscle regeneration1
satellite cell activation involved in skeletal muscle regeneration1
positive regulation of skeletal muscle tissue regeneration1
positive regulation of cell activation1
response to activity1
macromolecule catabolic process1
cellular component assembly involved in morphogenesis1
striated muscle cell development1
supramolecular fiber organization1
membraneless organelle assembly1
regulation of protein stability1
protein sumoylation1
regulation of protein sumoylation1
negative regulation of protein modification by small protein conjugation or removal1
apoptotic process1
regulation of apoptotic process1
negative regulation of programmed cell death1
canonical NF-kappaB signal transduction1
regulation of intracellular signal transduction1
myofibril assembly1
myoblast differentiation1
regulation of cell differentiation1
proteolysis1
regulation of proteolysis1
positive regulation of protein metabolic process1
negative regulation of RNA biosynthetic process1
positive regulation of RNA biosynthetic process1
cellular homeostasis1

Protein interactions and networks

STRING

1887 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
CAPN3TTNQ8WZ42997
CAPN3DYSFO75923985
CAPN3FKRPQ9H9S5859
CAPN3TRIM32Q13049858
CAPN3CASTP20810857
CAPN3SGCGQ13326852
CAPN3TRIM71Q2Q1W2844
CAPN3TCAPO15273843
CAPN3FLNCQ14315820
CAPN3SGCBQ16585819
CAPN3PARVBQ9HBI1801
CAPN3MYPNQ86TC9799
CAPN3DMDP11532794
CAPN3AHNAKQ09666786
CAPN3CAV3P56539778

IntAct

36 interactions, top by confidence:

ABTypeScore
OSGIN1CAPN3psi-mi:“MI:0915”(physical association)0.670
CAPN3OSGIN1psi-mi:“MI:0915”(physical association)0.670
NTAQ1CAPN3psi-mi:“MI:0915”(physical association)0.560
CAPN3TTNpsi-mi:“MI:0915”(physical association)0.550
CAPN3CAPN3psi-mi:“MI:0407”(direct interaction)0.440
TRIM63CAPN3psi-mi:“MI:0915”(physical association)0.400
TRIM54CAPN3psi-mi:“MI:0915”(physical association)0.400
GNAT3psi-mi:“MI:0915”(physical association)0.400
CAPN3HSP90B2Ppsi-mi:“MI:0915”(physical association)0.400
espY1CAPN3psi-mi:“MI:0915”(physical association)0.370
CAPN3E7psi-mi:“MI:0915”(physical association)0.370
CAPN3FXR1psi-mi:“MI:0915”(physical association)0.370
CAPN3UBE3Apsi-mi:“MI:0915”(physical association)0.370
CAPN3Ankrd1psi-mi:“MI:0915”(physical association)0.370
ATG16L1ESYT2psi-mi:“MI:0914”(association)0.350
CRYABCAPN3psi-mi:“MI:0915”(physical association)0.000
POMPCAPN3psi-mi:“MI:0915”(physical association)0.000
CAPN3TTNpsi-mi:“MI:0915”(physical association)0.000
CAPN3AMOTpsi-mi:“MI:0915”(physical association)0.000
CAPN3C1QTNF9psi-mi:“MI:0915”(physical association)0.000
CAPN3CMYA5psi-mi:“MI:0915”(physical association)0.000
FNDC3BCAPN3psi-mi:“MI:0915”(physical association)0.000
CAPN3MMP2psi-mi:“MI:0915”(physical association)0.000
MYBPC1CAPN3psi-mi:“MI:0915”(physical association)0.000
MYBPHCAPN3psi-mi:“MI:0915”(physical association)0.000
CAPN3PREPLpsi-mi:“MI:0915”(physical association)0.000

BioGRID (54): OSGIN1 (Two-hybrid), WDYHV1 (Two-hybrid), NECAB2 (Two-hybrid), YARS2 (Co-fractionation), CAPN3 (Two-hybrid), TFCP2 (Two-hybrid), CEP76 (Two-hybrid), CAPN3 (Affinity Capture-MS), CAPN3 (Synthetic Lethality), CAPN3 (Two-hybrid), CAPN3 (Two-hybrid), EXOC8 (Two-hybrid), GTPBP3 (Two-hybrid), CCDC102B (Two-hybrid), WDYHV1 (Two-hybrid)

ESM2 similar proteins: A0A0G2K344, A0A3Q1N1R0, E1BKH1, G3GTP0, G5EF51, O13728, O70481, P06814, P16259, P16885, P20807, P24135, P32871, P34529, P35875, P42336, P42337, P43368, P49917, P51186, P97393, Q09879, Q11208, Q13017, Q32TF8, Q32TG3, Q4V8Q1, Q5JST6, Q5JVL4, Q5R6L3, Q64691, Q6GL75, Q6GQ76, Q6J756, Q6NU25, Q758X6, Q803R5, Q8BTF7, Q8BTI9, Q8CIH5

Diamond homologs: A6NHC0, A8MX76, G3V7W1, O08529, O08688, O14815, O15484, O23184, O35350, O35646, O35920, O75808, O88456, O88501, P00789, P04574, P04632, P05044, P06813, P06814, P06815, P07384, P13135, P16259, P17655, P20807, P27398, P27730, P28676, P30626, P34308, P35750, P43367, P43368, P51186, P97571, Q07009, Q11002, Q22036, Q27970

SIGNOR signaling

6 interactions.

AEffectBMechanism
CAPN3“up-regulates activity”CDK5/CDK5R1cleavage
CAST“down-regulates activity”CAPN3binding
CAPN3“up-regulates activity”CDK5R1cleavage
CAPN3“down-regulates activity”MAPTcleavage
CAPN3“up-regulates activity”GSK3Acleavage
CAPN3“up-regulates activity”GSK3Bcleavage

Disease & clinical

Clinical variants and AI predictions

ClinVar

2151 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic280
Likely pathogenic180
Uncertain significance690
Likely benign654
Benign73

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1067511NM_000070.3(CAPN3):c.2380+1G>APathogenic
1068828NM_000070.3(CAPN3):c.389G>A (p.Trp130Ter)Pathogenic
1069050NM_000070.3(CAPN3):c.1788_1791del (p.Lys598fs)Pathogenic
1069199NM_000070.3(CAPN3):c.60del (p.Pro22fs)Pathogenic
1069414NM_000070.3(CAPN3):c.1985del (p.Ala662fs)Pathogenic
1071203NM_000070.3(CAPN3):c.2048_2051del (p.Lys683fs)Pathogenic
1071335NM_000070.3(CAPN3):c.1590dup (p.Lys531fs)Pathogenic
1071948NM_000070.3(CAPN3):c.1999G>T (p.Glu667Ter)Pathogenic
1072494NM_000070.3(CAPN3):c.1977_1978delinsCT (p.Lys659_Gln660delinsAsnTer)Pathogenic
1074226NM_000070.3(CAPN3):c.1740_1743del (p.Ser581fs)Pathogenic
1075864NM_000070.3(CAPN3):c.286C>T (p.Gln96Ter)Pathogenic
1076334NC_000015.9:g.(?42701491)(42703981_?)delPathogenic
1076819NM_000070.3(CAPN3):c.2019dup (p.Lys674fs)Pathogenic
1192502NM_000070.3(CAPN3):c.2217C>G (p.Ser739=)Pathogenic
1285364NM_000070.3(CAPN3):c.2257delinsAA (p.Asp753fs)Pathogenic
128570NM_000070.3(CAPN3):c.2243G>A (p.Arg748Gln)Pathogenic
1299546NM_000070.3(CAPN3):c.1363T>C (p.Trp455Arg)Pathogenic
1321461NM_000070.3(CAPN3):c.347C>A (p.Ala116Asp)Pathogenic
1325395NM_000070.3(CAPN3):c.966T>A (p.Tyr322Ter)Pathogenic
1325397NM_000070.3(CAPN3):c.743T>G (p.Met248Arg)Pathogenic
1325401NM_000070.3(CAPN3):c.703_704insA (p.Val235fs)Pathogenic
1352662NM_000070.3(CAPN3):c.1895_1913dup (p.Pro639fs)Pathogenic
1358312NM_000070.3(CAPN3):c.2050+1G>CPathogenic
1370170NM_000070.3(CAPN3):c.193del (p.His65fs)Pathogenic
1376842NM_000070.3(CAPN3):c.648C>G (p.Tyr216Ter)Pathogenic
1382408NM_000070.3(CAPN3):c.1012_1013del (p.Val338fs)Pathogenic
1398928NM_000070.3(CAPN3):c.1800+2T>CPathogenic
1451907NC_000015.9:g.(?42676661)(42684940_?)delPathogenic
1452007NM_000070.3(CAPN3):c.2050+1dupPathogenic
1453063NM_000070.3(CAPN3):c.1515_1518dup (p.Tyr507fs)Pathogenic

SpliceAI

4494 predictions. Top by Δscore:

VariantEffectΔscore
15:42360112:CCGG:Cdonor_loss1.0000
15:42360113:CGGT:Cdonor_loss1.0000
15:42360115:G:Cdonor_loss1.0000
15:42360116:T:Adonor_loss1.0000
15:42384549:C:Gdonor_gain1.0000
15:42387887:G:GGdonor_gain1.0000
15:42388925:A:AGacceptor_gain1.0000
15:42388925:AAG:Aacceptor_gain1.0000
15:42388926:A:Gacceptor_gain1.0000
15:42389093:TGATG:Tdonor_loss1.0000
15:42389094:GAT:Gdonor_gain1.0000
15:42389095:AT:Adonor_gain1.0000
15:42389095:ATG:Adonor_loss1.0000
15:42389096:TGT:Tdonor_loss1.0000
15:42389097:G:GAdonor_loss1.0000
15:42389097:G:GGdonor_gain1.0000
15:42389934:A:AGacceptor_gain1.0000
15:42399482:A:AGacceptor_gain1.0000
15:42399483:A:Gacceptor_gain1.0000
15:42399484:C:Gacceptor_gain1.0000
15:42399489:CAG:Cacceptor_loss1.0000
15:42399490:A:AGacceptor_gain1.0000
15:42399490:AG:Aacceptor_gain1.0000
15:42399490:AGGAT:Aacceptor_gain1.0000
15:42399491:G:GGacceptor_gain1.0000
15:42399491:GG:Gacceptor_gain1.0000
15:42399491:GGA:Gacceptor_gain1.0000
15:42399491:GGAT:Gacceptor_gain1.0000
15:42399491:GGATG:Gacceptor_gain1.0000
15:42401630:T:Aacceptor_gain1.0000

AlphaMissense

5519 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
15:42399610:T:AW438R1.000
15:42399610:T:CW438R1.000
15:42399612:G:CW438C1.000
15:42399612:G:TW438C1.000
15:42401737:T:CL484P1.000
15:42360100:T:AW99R0.999
15:42360100:T:CW99R0.999
15:42386175:T:AW130R0.999
15:42386175:T:CW130R0.999
15:42387756:T:AW168R0.999
15:42387756:T:CW168R0.999
15:42387771:T:AW173R0.999
15:42387771:T:CW173R0.999
15:42387852:T:CF200L0.999
15:42387854:C:AF200L0.999
15:42387854:C:GF200L0.999
15:42387855:T:AW201R0.999
15:42387855:T:CW201R0.999
15:42387868:T:CL205P0.999
15:42387883:C:AA210D0.999
15:42388930:T:CL212P0.999
15:42388951:T:CL219P0.999
15:42388983:G:CD230H0.999
15:42388984:A:CD230A0.999
15:42388984:A:TD230V0.999
15:42392706:T:AV338D0.999
15:42394296:G:CR357P0.999
15:42399540:C:GC414W0.999
15:42399583:T:AW429R0.999
15:42399583:T:CW429R0.999

dbSNP variants (sampled 300 via entrez): RS1000017273 (15:42409680 C>A,T), RS1000125333 (15:42370209 A>C), RS1000227619 (15:42404782 A>C), RS1000302062 (15:42404485 T>C), RS1000404097 (15:42398758 A>T), RS1000410616 (15:42399330 G>A), RS1000566330 (15:42406016 T>C), RS1000602794 (15:42364912 G>A), RS1000633868 (15:42365295 T>A), RS1000660846 (15:42398457 A>T), RS1000675940 (15:42361837 C>T), RS1000734984 (15:42400153 A>G), RS1000815894 (15:42358860 C>T), RS1000922984 (15:42374938 G>T), RS1000992904 (15:42394503 G>A)

Disease associations

OMIM: gene MIM:114240 | disease phenotypes: MIM:253600, MIM:618129, MIM:160750, MIM:255200, MIM:253601

GenCC curated gene-disease

DiseaseClassificationInheritance
autosomal recessive limb-girdle muscular dystrophy type 2ADefinitiveAutosomal recessive
muscular dystrophy, limb-girdle, autosomal dominant 4StrongAutosomal dominant

ClinGen Gene-Disease Validity (2)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
muscular dystrophy, limb-girdle, autosomal dominantDefinitiveAD
autosomal recessive limb-girdle muscular dystrophyDefinitiveAR

Mondo (14): autosomal recessive limb-girdle muscular dystrophy type 2A (MONDO:0009675), limb-girdle muscular dystrophy (MONDO:0016971), muscular dystrophy, limb-girdle, autosomal dominant 4 (MONDO:0029133), autosomal recessive limb-girdle muscular dystrophy (MONDO:0015152), familial idiopathic inflammatory myopathy (MONDO:0600024), migraine disorder (MONDO:0005277), myopathy (MONDO:0005336), cardiac rhythm disease (MONDO:0007263), progressive muscular atrophy (MONDO:0018687), congenital muscular dystrophy (MONDO:0019950), muscular dystrophy (MONDO:0020121), autosomal recessive disease (MONDO:0006025), myopathy, centronuclear, 2 (MONDO:0009709), autosomal recessive limb-girdle muscular dystrophy type 2B (MONDO:0009676)

Orphanet (10): Limb-girdle muscular dystrophy (Orphanet:263), Calpain-3-related limb-girdle muscular dystrophy R1 (Orphanet:267), Calpain-3-related limb-girdle muscular dystrophy D4 (Orphanet:565909), Autosomal recessive limb-girdle muscular dystrophy (Orphanet:102015), Progressive muscular atrophy (Orphanet:454706), Congenital muscular dystrophy (Orphanet:97242), Muscular dystrophy (Orphanet:98473), Qualitative or quantitative defects of calpain (Orphanet:207104), Autosomal recessive centronuclear myopathy (Orphanet:169186), Dysferlin-related limb-girdle muscular dystrophy R2 (Orphanet:268)

HPO phenotypes

42 total (30 of 42 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0001239Wrist flexion contracture
HP:0001288Gait disturbance
HP:0001371Flexion contracture
HP:0001880Increased total eosinophil count
HP:0002312Clumsiness
HP:0002987Elbow flexion contracture
HP:0003089Hamstring contractures
HP:0003198Myopathy
HP:0003236Elevated circulating creatine kinase concentration
HP:0003306Spinal rigidity
HP:0003307Hyperlordosis
HP:0003324Generalized muscle weakness
HP:0003326Myalgia
HP:0003418Back pain
HP:0003551Difficulty climbing stairs
HP:0003555Muscle fiber splitting
HP:0003557Increased variability in muscle fiber diameter
HP:0003560Muscular dystrophy
HP:0003584Late onset
HP:0003596Middle age onset
HP:0003621Juvenile onset
HP:0003687Centrally nucleated skeletal muscle fibers
HP:0003691Scapular winging
HP:0003701Proximal muscle weakness
HP:0005879Congenital finger flexion contractures
HP:0006466Ankle flexion contracture
HP:0007126Proximal amyotrophy
HP:0007340Lower limb muscle weakness

GWAS associations

28 associations (top):

StudyTraitp-value
GCST000758_13Triglycerides2.000000e-08
GCST002216_11Triglycerides2.000000e-11
GCST002897_4Triglycerides4.000000e-10
GCST003194_22Fibrinogen levels2.000000e-09
GCST004121_6Fibrinogen levels6.000000e-10
GCST004608_196Granulocyte percentage of myeloid white cells2.000000e-10
GCST004609_212Monocyte percentage of white cells8.000000e-13
GCST004625_150Monocyte count7.000000e-10
GCST008070_10HDL cholesterol levels6.000000e-06
GCST008074_120Triglyceride levels x alcohol consumption (regular vs non-regular drinkers) interaction (2df)5.000000e-12
GCST008074_144Triglyceride levels x alcohol consumption (regular vs non-regular drinkers) interaction (2df)2.000000e-12
GCST008075_177HDL cholesterol levels x alcohol consumption (regular vs non-regular drinkers) interaction (2df)7.000000e-11
GCST008075_70HDL cholesterol levels x alcohol consumption (regular vs non-regular drinkers) interaction (2df)2.000000e-09
GCST008076_41Triglyceride levels1.000000e-07
GCST008076_65Triglyceride levels3.000000e-08
GCST008083_120Triglyceride levels x alcohol consumption (drinkers vs non-drinkers) interaction (2df)9.000000e-11
GCST008083_7Triglyceride levels x alcohol consumption (drinkers vs non-drinkers) interaction (2df)2.000000e-11
GCST008084_203HDL cholesterol levels x alcohol consumption (drinkers vs non-drinkers) interaction (2df)3.000000e-11
GCST008084_95HDL cholesterol levels x alcohol consumption (drinkers vs non-drinkers) interaction (2df)1.000000e-08
GCST008085_101HDL cholesterol levels in current drinkers4.000000e-07
GCST008085_167HDL cholesterol levels in current drinkers2.000000e-08
GCST008087_123Triglyceride levels in current drinkers3.000000e-12
GCST008087_14Triglyceride levels in current drinkers2.000000e-12
GCST009363_35Triglyceride levels x short total sleep time interaction (2df test)7.000000e-15
GCST009391_661Metabolite levels6.000000e-06
GCST010244_65Triglyceride levels2.000000e-31
GCST90002393_604Monocyte count7.000000e-36
GCST90002394_489Monocyte percentage of white cells1.000000e-38

EFO canonical traits (7, from GWAS)

EFO IDTrait name
EFO:0004530triglyceride measurement
EFO:0007997granulocyte percentage of myeloid white cells
EFO:0007989monocyte percentage of leukocytes
EFO:0005091monocyte count
EFO:0004612high density lipoprotein cholesterol measurement
EFO:0004329alcohol drinking
EFO:0010507lactose measurement

MeSH disease descriptors (8)

DescriptorNameTree numbers
D008881Migraine DisordersC10.228.140.546.399.750
D009136Muscular DystrophiesC05.651.534.500; C10.668.491.175.500; C16.320.577
D049288Muscular Dystrophies, Limb-GirdleC05.651.534.500.280; C10.668.491.175.500.149; C16.320.577.280
C000598744Idiopathic inflammatory myopathy, familial (supp.)
C538640Limb-girdle muscular dystrophy autosomal recessive (supp.)
C535895Limb-girdle muscular dystrophy type 2A (supp.)
C535899Limb-girdle muscular dystrophy, type 2B (supp.)
C562934Myopathy, Centronuclear, Autosomal Recessive (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

36 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Aflatoxin B1affects expression, increases methylation3
Benzo(a)pyrenedecreases expression, increases methylation2
Valproic Acidaffects cotreatment, increases expression2
propionaldehydeincreases expression1
aflatoxin B2decreases methylation1
CGP 52608affects binding, increases reaction1
pinostrobinincreases expression1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideaffects cotreatment, increases expression1
dorsomorphinaffects cotreatment, increases expression1
bisphenol Sdecreases expression, affects cotreatment1
Resveratrolaffects cotreatment, increases expression1
Decitabinedecreases expression1
Sunitinibdecreases expression1
Leflunomideincreases expression1
Air Pollutantsincreases abundance, increases expression1
Amiodaroneincreases expression1
Cannabidioldecreases expression1
Dexamethasoneaffects cotreatment, decreases expression1
Succimeraffects cotreatment, decreases expression1
Doxorubicindecreases expression1
Indomethacinaffects cotreatment, decreases expression1
Pesticidesincreases methylation1
Plant Extractsaffects cotreatment, increases expression1
Smokedecreases expression1
Testosteronedecreases expression1
Tetrachlorodibenzodioxinaffects expression1
Tobacco Smoke Pollutiondecreases expression1
Tretinoinincreases expression1
Triclosandecreases expression1
1-Methyl-3-isobutylxanthineaffects cotreatment, decreases expression1

Cellosaurus cell lines

7 cell lines: 5 induced pluripotent stem cell, 2 transformed cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_9S72iPSC 08-26Induced pluripotent stem cellFemale
CVCL_9S73iPSC 09-24Induced pluripotent stem cellFemale
CVCL_A7HIiPSC 08-46Induced pluripotent stem cellMale
CVCL_A7HJiPSC 09-25Induced pluripotent stem cellMale
CVCL_BT39GM17726Transformed cell lineFemale
CVCL_BV68GM23426Transformed cell lineMale
CVCL_UM91iPSC 09-89Induced pluripotent stem cellFemale

Clinical trials (associated diseases)

300 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00174395PHASE4COMPLETEDA Trial to Study of the Effects of Eletriptan 40mg on Mild vs Moderate to Severe Pain Intensity of Migraine
NCT00208065PHASE4COMPLETEDEvaluation of Histamine, CGRP and VIP as Markers for Activation of Trigeminal and Parasympathetic Nerve Fibers
NCT00210496PHASE4COMPLETEDPotential Impact (Benefit) of Preventative Treatment With Topamax on the Effectiveness of Axert in the Acute Treatment of Migraine
NCT00210509PHASE4COMPLETEDA Study of the Effectiveness and Safety of Almotriptan Versus Placebo in the Treatment of Migraine Headache
NCT00212810PHASE4COMPLETEDEvaluation of the Effectiveness of Topiramate in Preventing the Transformation From Episodic Migraine to Chronic Daily Headache.
NCT00212823PHASE4COMPLETEDThe Effectiveness of Almotriptan Malate (AXERT®) 12.5 Milligrams When Taken at the Onset of Migraine Pain
NCT00216736PHASE4COMPLETEDOral Dexamethasone for Treatment of Migraine
NCT00259636PHASE4WITHDRAWNZonisamide for Fibromyalgia & Migraine
NCT00259649PHASE4COMPLETEDProspective Survey of Menstrual Migraine & Prevention With Eletriptan
NCT00297375PHASE4COMPLETEDA Study Comparing the Effectiveness and Safety of ULTRACET® (Tramadol HCl/Acetaminophen) Versus Placebo for the Treatment of Acute Pain From a Migraine Headache
NCT00335777PHASE4COMPLETEDA Research Study Examining Migranal and Skin Sensitivity in Subjects With Migraine
NCT00363506PHASE4UNKNOWNAmerican Migraine Prevention Study
NCT00364806PHASE4COMPLETEDProchlorperazine vs Metoclopramide
NCT00391755PHASE4TERMINATEDA Double-Blind Placebo-Controlled Trial of Rozerem in Migraine Headaches
NCT00397254PHASE4COMPLETEDTwo Rizatriptan Prescribing Portions for Treatment of Migraine
NCT00443352PHASE4COMPLETEDA Research Study Examining The Use Of Duloxetine In The Prevention Of Migraine Headache
NCT00449787PHASE4COMPLETEDComparing Naproxen to Sumatriptan for Emergency Headache Patients
NCT00632385PHASE4COMPLETEDEfficacy and Safety of Eletriptan for the Treatment of Migraine in Patients Not Satisfied With Rizatriptan Therapy
NCT00634985PHASE4COMPLETEDSafety and Efficacy of Eletriptan for the Treatment of Migraine in Subjects Unsuccessfully Treated With Nonsteroidal Anti-inflammatory Drugs
NCT00637286PHASE4COMPLETEDZAP, US. Zomig for Appropriate for Primary Care
NCT00753311PHASE4COMPLETEDRizatriptan in Acute Treatment of Migraine in Patients With Unilateral Trigeminal-autonomic Symptoms.
NCT00792636PHASE4COMPLETEDA Study to Determine the Effect of Sumatriptan and Naproxen Sodium Combination Tablet, Sumatriptan Tablet, and Naproxen Sodium Tablet on Blood Pressure When Treating Migraine Headaches That Occur During a 6-month Period
NCT00799045PHASE4COMPLETEDClopidogrel For the Prevention of New Onset Migraine Headache Following Transcatheter Closure of Atrial Septal Defects
NCT00812214PHASE4COMPLETEDTreatment of Insomnia in Migraineurs
NCT00846495PHASE4COMPLETEDPilot Study to Compare Frovatriptan vs. Topiramate for Prevention of Migraine
NCT00893737PHASE4COMPLETEDCompleteness of Response Following Treatment With Treximet™ for Migraine
NCT00910689PHASE4COMPLETEDDrug and Non-Drug Treatment Of Severe Migraine
NCT00915473PHASE4COMPLETEDGreater Occipital Nerve Block for Migraine Prophylaxis
NCT01016834PHASE4COMPLETEDEvaluation of Treatment Satisfaction and Preference for Sumavel DosePro in the Treatment of Migraine
NCT01057160PHASE4COMPLETEDRizatriptan 10 MG RPD in the Treatment of Acute Migraine
NCT01060111PHASE4COMPLETEDAn Efficacy and Tolerability Study of Topiramate in Participants With Migraine
NCT01071096PHASE4COMPLETEDCalcitonin Gene-related Peptide Levels in Chronic Migraine
NCT01071317PHASE4COMPLETEDTrial of Comprehensive Migraine Intervention
NCT01090050PHASE4COMPLETEDTreximet in the Treatment of Chronic Migraine
NCT01138150PHASE4COMPLETEDIctal and Interictal Inflammatory Markers in Migraine
NCT01211145PHASE4COMPLETEDZomig - Treatment of Acute Migraine Headache in Adolescents
NCT01267864PHASE4COMPLETEDValproate Versus Ketorolac Versus Metoclopramide
NCT01300546PHASE4COMPLETEDTreximet Trademark (TM) in the Prevention and Modification of Disease Progression in Migraine
NCT01319825PHASE4UNKNOWNPreventive Treatment of Episodic and Chronic Migraine
NCT01332864PHASE4COMPLETEDEffect of Osteopathic Manipulative Treatment for Patients With Chronic Headache