CLOCK

gene
On this page

Also known as KIAA0334KAT13DbHLHe8

Summary

CLOCK (clock circadian regulator, HGNC:2082) is a protein-coding gene on chromosome 4q12, encoding Circadian locomoter output cycles protein kaput (O15516). Transcriptional activator which forms a core component of the circadian clock.

The protein encoded by this gene plays a central role in the regulation of circadian rhythms. The protein encodes a transcription factor of the basic helix-loop-helix (bHLH) family and contains DNA binding histone acetyltransferase activity. The encoded protein forms a heterodimer with ARNTL (BMAL1) that binds E-box enhancer elements upstream of Period (PER1, PER2, PER3) and Cryptochrome (CRY1, CRY2) genes and activates transcription of these genes. PER and CRY proteins heterodimerize and repress their own transcription by interacting in a feedback loop with CLOCK/ARNTL complexes. Polymorphisms in this gene may be associated with behavioral changes in certain populations and with obesity and metabolic syndrome. Alternative splicing results in multiple transcript variants.

Source: NCBI Gene 9575 — RefSeq curated summary.

At a glance

  • GWAS associations: 22
  • Clinical variants (ClinVar): 107 total — 1 pathogenic
  • Transcription factor: yes — 72 downstream targets (CollecTRI)
  • MANE Select transcript: NM_004898

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:2082
Approved symbolCLOCK
Nameclock circadian regulator
Location4q12
Locus typegene with protein product
StatusApproved
AliasesKIAA0334, KAT13D, bHLHe8
Ensembl geneENSG00000134852
Ensembl biotypeprotein_coding
OMIM601851
Entrez9575

Gene structure

Transcript identifiers

Ensembl transcripts: 22 — 15 protein_coding, 4 retained_intron, 3 protein_coding_CDS_not_defined

ENST00000309964, ENST00000381322, ENST00000435527, ENST00000479384, ENST00000506747, ENST00000506923, ENST00000508049, ENST00000509151, ENST00000511124, ENST00000513033, ENST00000513440, ENST00000882369, ENST00000882370, ENST00000882371, ENST00000882372, ENST00000882373, ENST00000882374, ENST00000926584, ENST00000926585, ENST00000926586, ENST00000962774, ENST00000962775

RefSeq mRNA: 2 — MANE Select: NM_004898 NM_001267843, NM_004898

CCDS: CCDS3500

Canonical transcript exons

ENST00000513440 — 23 exons

ExonStartEnd
ENSE000009168885545305455453129
ENSE000009168895545009155450232
ENSE000009168905544939655449496
ENSE000009168955543828255438537
ENSE000009168965542790355435594
ENSE000010018775548937455489465
ENSE000010018785550991255510065
ENSE000011880225554678255546909
ENSE000017922705545367755453824
ENSE000034882605545889255459010
ENSE000034923185544243255442634
ENSE000035033985544463355444785
ENSE000035633675546368555463805
ENSE000035784955545914855459261
ENSE000035981835544368755443896
ENSE000036253455547881555478963
ENSE000036324575545621855456300
ENSE000036491175548273955482828
ENSE000036492245547964055479699
ENSE000036579105545589755456003
ENSE000036746235544877955448868
ENSE000036779305547071755470806
ENSE000036856385547596355476054

Expression profiles

Bgee: expression breadth ubiquitous, 294 present calls, max score 97.83.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 5.6737 / max 199.4382, expressed in 1674 samples.

FANTOM5 promoters (5 alternative TSS)

Promoter IDTPM avgSamples expressed
521651.56891033
521641.4358889
521631.3253836
521660.8415562
521670.5022274

Top tissues by expression

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

TissueAnatomy IDExpression scoreQuality
secondary oocyteCL:000065597.83gold quality
oocyteCL:000002397.00gold quality
germinal epithelium of ovaryUBERON:000130494.22gold quality
caput epididymisUBERON:000435894.16gold quality
cauda epididymisUBERON:000436093.89gold quality
pigmented layer of retinaUBERON:000178293.81gold quality
retinaUBERON:000096693.79gold quality
male germ line stem cell (sensu Vertebrata) in testisCL:0000089 ∩ UBERON:000047393.65gold quality
tibiaUBERON:000097993.21gold quality
tibialis anteriorUBERON:000138593.21gold quality
gingival epitheliumUBERON:000194993.09gold quality
gingivaUBERON:000182893.08gold quality
lower lobe of lungUBERON:000894993.07gold quality
biceps brachiiUBERON:000150792.96gold quality
heart right ventricleUBERON:000208092.92gold quality
corpus epididymisUBERON:000435992.70gold quality
skeletal muscle tissue of biceps brachiiUBERON:000450292.50gold quality
jejunal mucosaUBERON:000039992.21gold quality
mammalian vulvaUBERON:000099791.85gold quality
seminal vesicleUBERON:000099891.76gold quality
oral cavityUBERON:000016791.74gold quality
cerebellar vermisUBERON:000472091.69gold quality
parietal pleuraUBERON:000240091.56gold quality
urethraUBERON:000005791.53gold quality
jejunumUBERON:000211591.50gold quality
deltoidUBERON:000147691.47silver quality
esophagus squamous epitheliumUBERON:000692091.37gold quality
calcaneal tendonUBERON:000370191.22gold quality
left ventricle myocardiumUBERON:000656691.17gold quality
spermCL:000001991.16gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-ANND-3yes11.45

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

72 targets.

TargetRegulation
ABCB1
ACOX1Unknown
ATF4Activation
ATF5Repression
ATG14
BHLHE40Activation
BHLHE41Activation
BMAL1Repression
CACNB2
CCK
CIART
CLOCK
CREBBP
CRY1Activation
CRY2Activation
CYP8B1Unknown
DBPUnknown
DEFB1Unknown
DELEC1Activation
DLST
DPYDActivation
DUSP1
EP300Unknown
F3
FKBP5Activation
GYS2Activation
ICAM1
INS
JUN
KAT5Unknown

JASPAR motifs

MotifNameFamily
MA0819.1CLOCKPAS domain factors
MA0819.2CLOCKPAS domain factors
MA0819.3CLOCKPAS domain factors

JASPAR matrix evidence (PMIDs): PMID:24591654

Upstream regulators (CollecTRI, top): BHLHE40, BHLHE41, BMAL1, CLOCK, ID2, KAT2B, MTA1, MYC, NR0B2, NR1D1, PASD1, RAI1

miRNA regulators (miRDB)

539 targeting CLOCK, 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-4668-3P100.0068.742635
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-30A-5P100.0076.313233
HSA-MIR-30B-5P100.0076.293248
HSA-MIR-30C-5P100.0076.293248
HSA-MIR-30D-5P100.0076.323233
HSA-MIR-30E-5P100.0076.323242
HSA-LET-7A-3P100.0074.033932
HSA-LET-7B-3P100.0074.083913
HSA-LET-7F-1-3P100.0074.023928
HSA-MIR-98-3P100.0074.083907
HSA-MIR-3646100.0073.565283
HSA-MIR-1277-5P100.0073.955056
HSA-MIR-5692A100.0074.406850
HSA-MIR-6833-3P100.0070.633197
HSA-MIR-200B-3P100.0073.312693
HSA-MIR-200C-3P100.0073.352685
HSA-MIR-429100.0073.442698
HSA-MIR-190A-3P100.0080.355520
HSA-MIR-9-5P100.0072.282361
HSA-MIR-340-5P100.0072.504437
HSA-MIR-4768-5P100.0069.492861
HSA-MIR-1252-5P100.0069.802774
HSA-MIR-4682100.0068.891258
HSA-MIR-450A-1-3P100.0069.331837
HSA-MIR-4673100.0066.641490
HSA-MIR-4510100.0066.602050
HSA-MIR-6127100.0066.762188
HSA-MIR-6129100.0066.462080
HSA-MIR-6130100.0066.692012

Literature-anchored findings (GeneRIF, showing 40)

  • essential regulator of circadian rhythms (PMID:10198158)
  • BMAL1 and CLOCK have roles in circadian system control (PMID:12897057)
  • a role for the CLOCK gene polymorphism in the regulation of long-term illness recurrence in bipolar disorder (PMID:14582141)
  • CLOCK was cloned & sequenced and its circadian expression studied. (PMID:14750904)
  • Findings suggest the significance of the association of the 3111C/C allele of hClock with evening preference in a Japanese population sample. (PMID:15578592)
  • RNA interference against beta-TRCP greatly decreases Clock-dependent gene expression in tissue culture cells, indicating that beta-TRCP controls endogenous Per1 activity and the circadian clock by directly targeting Per1 for degradation (PMID:15917222)
  • Findings may suggest that CLOCK genotype influences the time course of insomnia during antidepressant treatment. (PMID:15952199)
  • Single Nucleotide Polymorphism in the 3’-untranslated region of clock gene is associated with Sleep Disorders (PMID:16024980)
  • Single nucleotide polymorphism is not associated with narcolepsy. (PMID:16125818)
  • a molecular genetic screen in mammalian cells to identify mutants of the circadian transcriptional activators CLOCK and BMAL1. (PMID:16474406)
  • The results of this study suggests that the T3111C polymorphism of the CLOCK gene is associated with schizophrenia. (PMID:17116390)
  • compared to T/T homozygotes, bipolar depressed carriers of the C allele had a similar degree of severity of depression, but showed higher activity levels in the evening, a delayed sleep onset and a reduced amount of sleep during the night (PMID:17221848)
  • These results show that there is no association between either polymorphism T3111C or T257G in the Clock gene with diurnal preference or delayed sleep phase syndrome (DSPS). (PMID:17364575)
  • CLOCK 3111 T/C SNP was associated with activity levels in the second part of the day, neuropsychological performance and BOLD fMRI correlates (interaction of genotype and moral valence of the stimuli). (PMID:17428266)
  • The difference between the mean value for the lowest expression individual (DeltaCT 8.8) and the highest expression individual (DeltaCT 3.7) revealed an approximately 34-fold difference in relative clock gene expression levels. (PMID:17469042)
  • polymorphism of the CLOCK gene confers a predisposition to a lifetime lower body weight in patients with anorexia nervosa and bulimia nervosa (PMID:17516548)
  • Our study suggests a potential role of the CLOCK polymorphisms and their haplotypes in susceptibility to nonalcoholic fatty liver disease and disease severity. (PMID:17696255)
  • Allelic variants interaction of CLOCK gene and GNB3 subunit gene with diurnal preference. (PMID:17701674)
  • peripheral clock in vascular endothelial cells regulates TM gene expression and that the oscillation of TM expression may contribute to the circadian variation of cardiovascular events (PMID:17848551)
  • This is the first study suggesting that a polymorphism of a gene within the circadian “clock” mechanism is a direct or linked contributing factor in adult ADHD (PMID:17948273)
  • CLOCK/BMAL1-mediated activation of PER1 by AP1 and E-Box elements is distinct from peripheral transcriptional modulation via cAMP-induced CREB and C/EBP. (PMID:17994337)
  • the Clock gene CGC haplotype may be protective for the development of obesity and support the hypothesis that genetic variation in the Clock gene may play a role in the development of the metabolic syndrome, type 2 diabetes and cardiovascular disease. (PMID:18071340)
  • A multi-locus interaction between rs6442925 in the 5’ upstream of BHLHB2, rs1534891 in CSNK1E, and rs534654 near the 3’ end of the CLOCK gene, however, is significantly associated with bipolar disorder (PMID:18228528)
  • study does not support the hypothesis that the T3111C CLOCK polymorphism is associated with cluster headache (PMID:18283403)
  • Present findings show for the first time that the 3111T/C SNP of the CLOCK gene is not associated to human obesity and/or BED, but it seems to predispose obese individuals to a higher BMI. (PMID:18314271)
  • No relationship between hCLOCK T3111C polymorphism and endometriosis, nor any effect of the polymorphism on the relationship of shift work to endometriosis. (PMID:18379422)
  • DEC1, along with DEC2, plays a role in the finer regulation and robustness of the molecular clock CLOCK/BMAL1 (PMID:18411297)
  • Evidence linking circadian rhythms, the Clock gene, and bipolar disorder is discussed, along with the possible biology that underlies this connection. Review. (PMID:18419323)
  • The regulators of clock-controlled transcription PER2, CRY1 and CRY2 differ in their capacity to interact with each single component of the BMAL1-CLOCK heterodimer and, in the case of BMAL1, also in their interaction sites. (PMID:18430226)
  • HAT gene expression is required for cisplatin resistance and Clock and Tip60 regulate not only transcription, but also DNA repair, through periodic histone acetylation (PMID:18458078)
  • Putative role of the CLOCK polymorphism and related haplotypes in susceptibility to obesity. (PMID:18541547)
  • The transcription of human nocturnin gene displayed circadian oscillations in Huh7 cells (a human hepatoma cell line) and was regulated by CLOCK/BMAL1 heterodimer via the E-box of nocturnin promoter. (PMID:18587630)
  • Impairment of the circadian clock protein appears to be closely associated with the pathophysiology of type 2 diabetes in humans. (PMID:18974966)
  • Data show that there are not significant association between CLOCK gene and pathophysiology of Japanese schizophrenia, bipolar disorder and major depressive disorder. (PMID:19224106)
  • expression of CLOCK in breast cancer is associated significantly with 3-year survival (PMID:19296127)
  • Results indicate that CLOCK genotype may be a predictor of fluvoxamine treatment response in Japanese major depressive disorder. (PMID:19347611)
  • PER2 is inhibited by BMAL2-CLOCK, which reemphasizes its negative role and a positive role of BMAL2 in circadian transcription (PMID:19605937)
  • Evidence suggests metabolic processes feed back into the circadian clock, affecting clock and per2 gene expression and timing of behaviour. (PMID:19714310)
  • CLOCK polymorphisms interact with fatty acids to modulate metabolic syndrome X traits. (PMID:19846548)
  • A novel association of genetic variation at CLOCK with total energy intake, which was particularly relevant for single nucleotide polymorphism rs3749474. (PMID:19888304)

Cross-species orthologs

8 orthologs

OrganismSymbolGene ID
danio_rerioclockbENSDARG00000003631
danio_rerioclockaENSDARG00000011703
mus_musculusClockENSMUSG00000029238
rattus_norvegicusClockENSRNOG00000002175
drosophila_melanogasterMetFBGN0002723
drosophila_melanogastergceFBGN0261703
drosophila_melanogastertgoFBGN0264075
caenorhabditis_elegansaha-1WBGENE00000095

Paralogs (6): BMAL2 (ENSG00000029153), BMAL1 (ENSG00000133794), ARNT (ENSG00000143437), PASD1 (ENSG00000166049), NPAS2 (ENSG00000170485), ARNT2 (ENSG00000172379)

Protein

Protein identifiers

Circadian locomoter output cycles protein kaputO15516 (reviewed: O15516)

Alternative names: Class E basic helix-loop-helix protein 8

All UniProt accessions (2): C9JK03, O15516

UniProt curated annotations — full annotation on UniProt →

Function. Transcriptional activator which forms a core component of the circadian clock. The circadian clock, an internal time-keeping system, regulates various physiological processes through the generation of approximately 24 hour circadian rhythms in gene expression, which are translated into rhythms in metabolism and behavior. It is derived from the Latin roots ‘circa’ (about) and ‘diem’ (day) and acts as an important regulator of a wide array of physiological functions including metabolism, sleep, body temperature, blood pressure, endocrine, immune, cardiovascular, and renal function. Consists of two major components: the central clock, residing in the suprachiasmatic nucleus (SCN) of the brain, and the peripheral clocks that are present in nearly every tissue and organ system. Both the central and peripheral clocks can be reset by environmental cues, also known as Zeitgebers (German for ’timegivers’). The predominant Zeitgeber for the central clock is light, which is sensed by retina and signals directly to the SCN. The central clock entrains the peripheral clocks through neuronal and hormonal signals, body temperature and feeding-related cues, aligning all clocks with the external light/dark cycle. Circadian rhythms allow an organism to achieve temporal homeostasis with its environment at the molecular level by regulating gene expression to create a peak of protein expression once every 24 hours to control when a particular physiological process is most active with respect to the solar day. Transcription and translation of core clock components (CLOCK, NPAS2, BMAL1, BMAL2, PER1, PER2, PER3, CRY1 and CRY2) plays a critical role in rhythm generation, whereas delays imposed by post-translational modifications (PTMs) are important for determining the period (tau) of the rhythms (tau refers to the period of a rhythm and is the length, in time, of one complete cycle). A diurnal rhythm is synchronized with the day/night cycle, while the ultradian and infradian rhythms have a period shorter and longer than 24 hours, respectively. Disruptions in the circadian rhythms contribute to the pathology of cardiovascular diseases, cancer, metabolic syndromes and aging. A transcription/translation feedback loop (TTFL) forms the core of the molecular circadian clock mechanism. Transcription factors, CLOCK or NPAS2 and BMAL1 or BMAL2, form the positive limb of the feedback loop, act in the form of a heterodimer and activate the transcription of core clock genes and clock-controlled genes (involved in key metabolic processes), harboring E-box elements (5’-CACGTG-3’) within their promoters. The core clock genes: PER1/2/3 and CRY1/2 which are transcriptional repressors form the negative limb of the feedback loop and interact with the CLOCK|NPAS2-BMAL1|BMAL2 heterodimer inhibiting its activity and thereby negatively regulating their own expression. This heterodimer also activates nuclear receptors NR1D1/2 and RORA/B/G, which form a second feedback loop and which activate and repress BMAL1 transcription, respectively. Regulates the circadian expression of ICAM1, VCAM1, CCL2, THPO and MPL and also acts as an enhancer of the transactivation potential of NF-kappaB. Plays an important role in the homeostatic regulation of sleep. The CLOCK-BMAL1 heterodimer regulates the circadian expression of SERPINE1/PAI1, VWF, B3, CCRN4L/NOC, NAMPT, DBP, MYOD1, PPARGC1A, PPARGC1B, SIRT1, GYS2, F7, NGFR, GNRHR, BHLHE40/DEC1, ATF4, MTA1, KLF10 and also genes implicated in glucose and lipid metabolism. Promotes rhythmic chromatin opening, regulating the DNA accessibility of other transcription factors. The CLOCK-BMAL2 heterodimer activates the transcription of SERPINE1/PAI1 and BHLHE40/DEC1. The preferred binding motif for the CLOCK-BMAL1 heterodimer is 5’-CACGTGA-3’, which contains a flanking adenine nucleotide at the 3-prime end of the canonical 6-nucleotide E-box sequence. CLOCK specifically binds to the half-site 5’-CAC-3’, while BMAL1 binds to the half-site 5’-GTGA-3’. The CLOCK-BMAL1 heterodimer also recognizes the non-canonical E-box motifs 5’-AACGTGA-3’ and 5’-CATGTGA-3’. CLOCK has an intrinsic acetyltransferase activity, which enables circadian chromatin remodeling by acetylating histones and nonhistone proteins, including its own partner BMAL1. Represses glucocorticoid receptor NR3C1/GR-induced transcriptional activity by reducing the association of NR3C1/GR to glucocorticoid response elements (GREs) via the acetylation of multiple lysine residues located in its hinge region. The acetyltransferase activity of CLOCK is as important as its transcription activity in circadian control. Acetylates metabolic enzymes IMPDH2 and NDUFA9 in a circadian manner. Facilitated by BMAL1, rhythmically interacts and acetylates argininosuccinate synthase 1 (ASS1) leading to enzymatic inhibition of ASS1 as well as the circadian oscillation of arginine biosynthesis and subsequent ureagenesis. Drives the circadian rhythm of blood pressure through transcriptional activation of ATP1B1.

Subunit / interactions. Component of the circadian clock oscillator which includes the CRY proteins, CLOCK or NPAS2, BMAL1 or BMAL2, CSNK1D and/or CSNK1E, TIMELESS and the PER proteins. Interacts with KMT2A; in a circadian manner. Forms a heterodimer with BMAL1. The CLOCK-BMAL1 heterodimer is required for E-box-dependent transactivation, for CLOCK nuclear translocation and degradation, and for phosphorylation of both CLOCK and BMAL1. Interacts with NR3C1 in a ligand-dependent fashion. Interacts with ESR1 and estrogen stimulates this interaction. Interacts with the complex p35/CDK5. Interacts with RELA/p65. Interacts with KAT2B, CREBBP, EP300. Interacts with ID1 and ID3. Interacts with ID2. Interacts with MTA1. Interacts with OGA. Interacts with SIRT1. Interacts with CIPC. Interacts with EZH2. Interacts with EIF4E, PIWIL1 and DDX4. Interacts with PER2 and CRY1 and the interaction with PER and CRY proteins requires translocation to the nucleus. Interacts with PER1 and CRY2. Interaction of the CLOCK-BMAL1 heterodimer with PER or CRY inhibits transcription activation. Interaction of the CLOCK-BMAL1 with CRY1 is independent of DNA but with PER2 is off DNA. The CLOCK-BMAL1 heterodimer interacts with GSK3B. Interacts with KDM5A. Interacts with MYBBP1A. Interacts with THRAP3. Interacts with MED1; this interaction requires the presence of THRAP3. Interacts with NCOA2. The CLOCK-BMAL1 heterodimer interacts with PASD1. Interacts with ASS1 and IMPDH2; in a circadian manner. Interacts with NDUFA9. Interacts with PIWIL2 (via PIWI domain). Interacts with HNF4A.

Subcellular location. Nucleus. Cytoplasm. Cytosol.

Tissue specificity. Hair follicles (at protein level). Expressed in all tissues examined including spleen, thymus, prostate, testis, ovary, small intestine, colon, leukocytes, heart, brain, placenta, lung, liver, skeletal muscle, kidney and pancreas. Highest levels in testis and skeletal muscle. Low levels in thymus, lung and liver. Expressed in all brain regions with highest levels in cerebellum. Highly expressed in the suprachiasmatic nucleus (SCN).

Post-translational modifications. Ubiquitinated, leading to its proteasomal degradation. O-glycosylated; contains O-GlcNAc. O-glycosylation by OGT prevents protein degradation by inhibiting ubiquitination. It also stabilizes the CLOCK-BMAL1 heterodimer thereby increasing CLOCK-BMAL1-mediated transcriptional activation of PER1/2/3 and CRY1/2. Phosphorylation is dependent on the CLOCK-BMAL1 heterodimer formation. Phosphorylation enhances the transcriptional activity, alters the subcellular localization and decreases the stability of the heterodimer by promoting its degradation. Phosphorylation shows circadian variations in the liver. May be phosphorylated by CSNK1D and CKSN1E. Sumoylation enhances its transcriptional activity and interaction with ESR1, resulting in up-regulation of ESR1 activity. Estrogen stimulates sumoylation. Desumoylation by SENP1 negatively regulates its transcriptional activity. Sumoylation stimulates cell proliferation and increases the proportion of S phase cells in breast cancer cell lines. Undergoes lysosome-mediated degradation in a time-dependent manner in the liver.

Activity regulation. There is conflicting data about the effect of NAD cofactors on activity. PubMed:11441146 suggests that the redox state of the cell can modulate the transcriptional activity of the CLOCK-BMAL1 heterodimer; NADH and NADPH enhance the DNA-binding activity of the heterodimer. PubMed:23229515 reports that NADH and NADPH have no significant effect on DNA-binding activity of the CLOCK-BMAL1 heterodimer.

Miscellaneous. CLOCK-BMAL1 double mutations within the PAS domains result in synergistic desensitization to high levels of CRY on repression of CLOCK-BMAL1 transcriptional activity of PER1 and disrupt circadian rhythmicity.

RefSeq proteins (2): NP_001254772, NP_004889* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000014PASDomain
IPR001067Nuc_translocatFamily
IPR001610PACRepeat
IPR011598bHLH_domDomain
IPR013767PAS_foldDomain
IPR035965PAS-like_dom_sfHomologous_superfamily
IPR036638HLH_DNA-bd_sfHomologous_superfamily
IPR047230CLOCK-likeFamily

Pfam: PF00010, PF00989, PF14598

Enzyme classification (BRENDA):

  • EC 2.3.1.48 — histone acetyltransferase (BRENDA: 41 organisms, 681 substrates, 1134 inhibitors, 140 Km, 96 kcat entries)

Substrate kinetics (BRENDA)

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

SubstrateKm (mM)Measurements
ACETYL-COA0.0002–0.04651
HISTONE H30.007–2.0923
HISTONE H411
HISTONE H4 PEPTIDE0.0208–0.1977
HISTONE0.075–1.46
HISTONE H3 TAIL PEPTIDE0.044–0.1124
PICCOLONUA4 PEPTIDE0.135–0.3724
3-AZIDOPROPIONYL-COA0.0002–0.00863
4-PENTYNOYL-COA0.0009–0.08593
SPERMIDINE0.18–0.273
5-HEXYNOYL-COA0.0006–0.01172
6-HEPTYNOYL-COA0.0003–0.02372
HISTONE H3-PEPTIDE0.05–0.492
PROTEIN P531.28–4.632
3-AZIDOPROPANOYL-COA0.01031

Catalyzed reactions (Rhea), 1 shown:

  • L-lysyl-[protein] + acetyl-CoA = N(6)-acetyl-L-lysyl-[protein] + CoA + H(+) (RHEA:45948)

UniProt features (64 total): mutagenesis site 12, helix 9, region of interest 8, modified residue 7, strand 6, compositionally biased region 5, domain 4, site 4, sequence variant 4, cross-link 2, chain 1, short sequence motif 1, sequence conflict 1

Structure

Experimental structures (PDB)

2 structures.

PDBMethodResolution (Å)
6QPJX-RAY DIFFRACTION2.31
4H10X-RAY DIFFRACTION2.4

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-O15516-F161.900.33

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 (4): 39 (interaction with e-box dna); 43 (interaction with e-box dna); 47 (interaction with e-box dna); 84 (important for interaction with bmal1)

Post-translational modifications (9): 38, 42, 408, 427, 431, 451, 461, 67, 842

Mutagenesis-validated functional residues (12):

PositionPhenotype
38phosphomimetic mutant with no effect on dna binding or clock-bmal1 transcriptional activity.
42phosphomimetic mutant with no effect on dna binding or clock-bmal1 transcriptional activity.
50no effect on bmal1 binding.
84impaired bmal1 binding.
1163-fold increase in per1 reporter activity by clock-bmal1. some reduction of cry1 inhibition of clock-bmal1 transcription
3323-fold increase in per1 reporter activity by clock-bmal1. some reduction of cry1 inhibition of clock-bmal1 transcription
3603-fold increase in per1 reporter activity by clock-bmal1. some reduction of cry1 inhibition of clock-bmal1 transcription
3673-fold increase in per1 reporter activity by clock-bmal1. some reduction of cry1 inhibition of clock-bmal1 transcription
451significant loss in phosphorylation.
461significant loss in phosphorylation.
6013-fold increase in per1 reporter activity by clock-bmal1. some reduction of cry1 inhibition of clock-bmal1 transcription
8403-fold increase in per1 reporter activity by clock-bmal1. some reduction of cry1 inhibition of clock-bmal1 transcription

Function

Pathways and Gene Ontology

Reactome pathways

9 pathways

IDPathway
R-HSA-1368108BMAL1:CLOCK,NPAS2 activates circadian expression
R-HSA-1989781PPARA activates gene expression
R-HSA-3214847HATs acetylate histones
R-HSA-9707616Heme signaling
R-HSA-9931509Expression of BMAL (ARNTL), CLOCK, and NPAS2
R-HSA-9931510Phosphorylated BMAL1:CLOCK (ARNTL:CLOCK) activates expression of core clock genes
R-HSA-9931512Phosphorylation of CLOCK, acetylation of BMAL1 (ARNTL) at target gene promoters
R-HSA-9931521The CRY:PER:kinase complex represses transactivation by the BMAL:CLOCK (ARNTL:CLOCK) complex
R-HSA-9931529Phosphorylation and nuclear translocation of BMAL1 (ARNTL) and CLOCK

MSigDB gene sets: 565 (showing top): GOBP_CIRCADIAN_RHYTHM, MORF_RAGE, CREL_01, GOBP_RESPONSE_TO_IONIZING_RADIATION, GOBP_EPITHELIUM_DEVELOPMENT, MORF_FLT1, MORF_MSH3, GOBP_INFLAMMATORY_RESPONSE, TGCTGCT_MIR15A_MIR16_MIR15B_MIR195_MIR424_MIR497, GOBP_CELLULAR_RESPONSE_TO_LIPID, GOBP_EPITHELIAL_CELL_DEVELOPMENT, GOBP_PHOTOPERIODISM, GOBP_INSULIN_SECRETION, MORF_ATRX, GOBP_CELL_CYCLE_PHASE_TRANSITION

GO Biological Process (28): DNA damage checkpoint signaling (GO:0000077), regulation of DNA-templated transcription (GO:0006355), regulation of transcription by RNA polymerase II (GO:0006357), protein acetylation (GO:0006473), signal transduction (GO:0007165), spermatogenesis (GO:0007283), circadian rhythm (GO:0007623), photoperiodism (GO:0009648), gene expression (GO:0010467), circadian regulation of gene expression (GO:0032922), regulation of hair cycle (GO:0042634), regulation of circadian rhythm (GO:0042752), positive regulation of circadian rhythm (GO:0042753), proteasome-mediated ubiquitin-dependent protein catabolic process (GO:0043161), negative regulation of DNA-templated transcription (GO:0045892), positive regulation of DNA-templated transcription (GO:0045893), positive regulation of inflammatory response (GO:0050729), regulation of insulin secretion (GO:0050796), obsolete positive regulation of NF-kappaB transcription factor activity (GO:0051092), response to redox state (GO:0051775), cellular response to ionizing radiation (GO:0071479), regulation of type B pancreatic cell development (GO:2000074), negative regulation of nuclear receptor-mediated glucocorticoid signaling pathway (GO:2000323), chromatin remodeling (GO:0006338), DNA damage response (GO:0006974), regulation of gene expression (GO:0010468), positive regulation of transcription by RNA polymerase II (GO:0045944), rhythmic process (GO:0048511)

GO Molecular Function (15): RNA polymerase II cis-regulatory region sequence-specific DNA binding (GO:0000978), DNA-binding transcription factor activity, RNA polymerase II-specific (GO:0000981), DNA-binding transcription activator activity, RNA polymerase II-specific (GO:0001228), DNA binding (GO:0003677), DNA-binding transcription factor activity (GO:0003700), histone acetyltransferase activity (GO:0004402), chromatin DNA binding (GO:0031490), sequence-specific DNA binding (GO:0043565), protein dimerization activity (GO:0046983), E-box binding (GO:0070888), sequence-specific double-stranded DNA binding (GO:1990837), protein binding (GO:0005515), transferase activity (GO:0016740), acyltransferase activity (GO:0016746), protein-lysine-acetyltransferase activity (GO:0061733)

GO Cellular Component (9): chromatin (GO:0000785), nucleus (GO:0005634), nucleoplasm (GO:0005654), chromosome (GO:0005694), cytosol (GO:0005829), chromatoid body (GO:0033391), CLOCK-BMAL transcription complex (GO:1990513), transcription regulator complex (GO:0005667), cytoplasm (GO:0005737)

Reactome top-level categories

Rollup of top-4 pathways:

CategoryPathways
Circadian clock6
Regulation of lipid metabolism by PPARalpha1
Chromatin modifying enzymes1
Cellular responses to stress1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
regulation of DNA-templated transcription4
cellular anatomical structure4
DNA-templated transcription3
circadian rhythm3
RNA polymerase II transcription regulatory region sequence-specific DNA binding3
regulation of gene expression2
DNA binding2
DNA integrity checkpoint signaling1
signal transduction in response to DNA damage1
regulation of RNA biosynthetic process1
transcription by RNA polymerase II1
protein acylation1
cell communication1
cellular process1
signaling1
regulation of cellular process1
cellular response to stimulus1
developmental process involved in reproduction1
male gamete generation1
rhythmic process1
response to light stimulus1
macromolecule biosynthetic process1
hair cycle1
regulation of multicellular organismal process1
regulation of biological process1
regulation of circadian rhythm1
positive regulation of biological process1
ubiquitin-dependent protein catabolic process1
proteasomal protein catabolic process1
negative regulation of RNA biosynthetic process1
positive regulation of RNA biosynthetic process1
inflammatory response1
positive regulation of defense response1
positive regulation of response to external stimulus1
regulation of inflammatory response1
insulin secretion1
regulation of protein secretion1
regulation of peptide hormone secretion1
response to stimulus1
cis-regulatory region sequence-specific DNA binding1

Protein interactions and networks

STRING

1704 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
CLOCKCRY1Q16526996
CLOCKSIRT1Q96EB6995
CLOCKBMAL1O00327991
CLOCKCRY2Q49AN0984
CLOCKEP300Q09472983
CLOCKKDM5AP29375983
CLOCKCREBBPQ92793965
CLOCKBMAL2Q8WYA1962
CLOCKNR1D1P20393951
CLOCKTIMELESSQ9UNS1949
CLOCKNPAS2Q99743943
CLOCKBHLHE41Q9C0J9915
CLOCKCSNK1EP49674887
CLOCKNR1D2Q14995886
CLOCKKDM1AO60341885

IntAct

90 interactions, top by confidence:

ABTypeScore
CLOCKBMAL1psi-mi:“MI:0915”(physical association)0.880
BMAL1CLOCKpsi-mi:“MI:0914”(association)0.880
CLOCKBMAL1psi-mi:“MI:0914”(association)0.880
BMAL1CLOCKpsi-mi:“MI:0915”(physical association)0.880
BMAL1CLOCKpsi-mi:“MI:0914”(association)0.720
BMAL1CLOCKpsi-mi:“MI:0915”(physical association)0.720
BMAL2CLOCKpsi-mi:“MI:0914”(association)0.670
CLOCKBMAL2psi-mi:“MI:0915”(physical association)0.670
Cry1CLOCKpsi-mi:“MI:0915”(physical association)0.550
BMAL2CLOCKpsi-mi:“MI:0915”(physical association)0.550
BMAL2CLOCKpsi-mi:“MI:0914”(association)0.550
TEKT4CLOCKpsi-mi:“MI:0914”(association)0.530
CIPCCLOCKpsi-mi:“MI:0914”(association)0.530
CRY1CLOCKpsi-mi:“MI:0914”(association)0.530
POC1ATXNDC9psi-mi:“MI:0914”(association)0.480

BioGRID (132): CLOCK (Two-hybrid), CLOCK (Two-hybrid), CRY1 (Two-hybrid), CRY2 (Two-hybrid), DEC1 (Two-hybrid), BHLHE41 (Two-hybrid), NPAS2 (Two-hybrid), PPP2R5D (Two-hybrid), PPP2R5E (Two-hybrid), CSNK2B (Two-hybrid), PPP2R1B (Two-hybrid), NR1D2 (Two-hybrid), PER2 (Two-hybrid), PPP1CA (Two-hybrid), PPP1CB (Two-hybrid)

ESM2 similar proteins: A2BID7, B1AWL2, B4F6U4, H2L008, O08785, O15164, O15516, P57071, P70121, Q08BR4, Q0P5J0, Q0VCJ6, Q2TAL8, Q3UA37, Q3UTQ7, Q502P7, Q56R14, Q58NQ5, Q5FWL0, Q5NBY9, Q5RAK8, Q5RAX9, Q5RGA4, Q5XJV7, Q62415, Q64127, Q6DJT9, Q6E2N3, Q6INA9, Q6YGZ4, Q7Z3K3, Q8BZH4, Q8K0L9, Q8N187, Q8N9N5, Q8QG78, Q8QGQ6, Q8R515, Q8VBU8, Q91YB0

Diamond homologs: A0MLS5, A6NFD8, O00327, O02219, O02748, O08785, O15516, O15945, O61734, O88529, P27540, P41739, P53762, P79832, P90953, P97460, Q2NL18, Q2VPD4, Q5R4T2, Q5RAK8, Q5ZQU2, Q61324, Q6YGZ4, Q6YGZ5, Q78E60, Q7TS99, Q8BGD7, Q8IUM7, Q8QGQ6, Q8QGQ7, Q8WYA1, Q91YA8, Q91YA9, Q91YB0, Q91YB2, Q99743, Q9BE97, Q9DBX7, Q9DG12, Q9EPW1

SIGNOR signaling

17 interactions.

AEffectBMechanism
CDK5up-regulatesCLOCKphosphorylation
CLOCK“down-regulates activity”MAGEL2binding
CLOCK“down-regulates quantity by repression”NR3C1“transcriptional regulation”
CLOCK“form complex”BMAL1/NPAS2binding
GSK3B“down-regulates quantity by destabilization”CLOCKphosphorylation
CLOCK“up-regulates quantity by expression”NR0B2“transcriptional regulation”
RAI1“up-regulates quantity by expression”CLOCK“transcriptional regulation”
CLOCK“up-regulates quantity by expression”CRY1“transcriptional regulation”
CLOCK“up-regulates quantity by expression”CRY2“transcriptional regulation”
CLOCK“up-regulates quantity by expression”PER1“transcriptional regulation”
CLOCK“up-regulates quantity by expression”PER2“transcriptional regulation”
CLOCK“up-regulates quantity by expression”PER3“transcriptional regulation”
CLOCK“form complex”CLOCK/BMAL1binding
CLOCK“form complex”CLOCK/BMAL2binding
CLOCK“up-regulates quantity by expression”DPYD“transcriptional regulation”

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 58 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.

GO biological processes:

GO termPartnersFoldFDR
endocytic recycling525.7×2e-04
circadian regulation of gene expression522.5×2e-04
protein transport97.6×2e-04

Disease & clinical

Clinical variants and AI predictions

ClinVar

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

ClassificationCount (floor)
Pathogenic1
Likely pathogenic0
Uncertain significance77
Likely benign6
Benign4

Top pathogenic / likely-pathogenic (1)

Variant IDHGVSClassification
1703552GRCh37/hg19 4q12(chr4:53688710-56491447)Pathogenic

SpliceAI

3991 predictions. Top by Δscore:

VariantEffectΔscore
4:55438277:ATTAC:Adonor_loss1.0000
4:55438278:TTAC:Tdonor_loss1.0000
4:55438279:TAC:Tdonor_loss1.0000
4:55438280:A:Cdonor_loss1.0000
4:55442435:ATCTG:Adonor_gain1.0000
4:55442436:T:Cdonor_gain1.0000
4:55443839:C:CTacceptor_gain1.0000
4:55443839:C:Tacceptor_gain1.0000
4:55443894:CAT:Cacceptor_gain1.0000
4:55443897:C:CCacceptor_gain1.0000
4:55443898:T:Cacceptor_gain1.0000
4:55443899:T:Cacceptor_gain1.0000
4:55444629:TTA:Tdonor_loss1.0000
4:55444630:TACC:Tdonor_loss1.0000
4:55444631:AC:Adonor_loss1.0000
4:55444632:CCT:Cdonor_loss1.0000
4:55444794:CCATG:Cacceptor_gain1.0000
4:55444795:CA:Cacceptor_gain1.0000
4:55444796:A:ACacceptor_gain1.0000
4:55444796:A:Cacceptor_gain1.0000
4:55449391:CTTA:Cdonor_loss1.0000
4:55449393:TA:Tdonor_loss1.0000
4:55449394:A:AGdonor_loss1.0000
4:55449395:CCTGA:Cdonor_gain1.0000
4:55449492:TGTTG:Tacceptor_gain1.0000
4:55449493:GTTG:Gacceptor_gain1.0000
4:55449494:TTG:Tacceptor_gain1.0000
4:55449495:TG:Tacceptor_gain1.0000
4:55449496:GC:Gacceptor_loss1.0000
4:55449497:C:CAacceptor_loss1.0000

AlphaMissense

5597 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
4:55444661:A:GL555P1.000
4:55444682:A:GL548P1.000
4:55444691:T:GQ545P1.000
4:55444727:C:GR533P1.000
4:55444736:A:GL530S1.000
4:55453694:A:CC371W1.000
4:55453695:C:TC371Y1.000
4:55453696:A:GC371R1.000
4:55453701:A:TI369N1.000
4:55453703:A:CF368L1.000
4:55453703:A:TF368L1.000
4:55453704:A:GF368S1.000
4:55453705:A:GF368L1.000
4:55453710:G:TP366Q1.000
4:55453711:G:AP366S1.000
4:55453721:C:AW362C1.000
4:55453721:C:GW362C1.000
4:55453722:C:GW362S1.000
4:55453723:A:GW362R1.000
4:55453723:A:TW362R1.000
4:55453732:A:CY359D1.000
4:55453737:A:TI357N1.000
4:55453749:G:AT353I1.000
4:55453755:A:GL351P1.000
4:55453755:A:TL351H1.000
4:55453759:A:GW350R1.000
4:55453759:A:TW350R1.000
4:55453765:A:GW348R1.000
4:55453765:A:TW348R1.000
4:55453775:C:AK344N1.000

dbSNP variants (sampled 300 via entrez): RS1000057798 (4:55486337 G>A), RS1000070451 (4:55440593 C>A,G), RS1000071144 (4:55484065 A>G), RS1000088900 (4:55433483 G>C), RS1000121491 (4:55433152 T>C), RS1000128370 (4:55476816 G>A), RS10001323 (4:55532849 C>A,G), RS1000141496 (4:55524603 T>C), RS1000172448 (4:55539656 G>A,C), RS1000190331 (4:55462801 G>A), RS1000227283 (4:55547394 T>C,G), RS1000246312 (4:55500844 G>A,T), RS1000251264 (4:55468597 A>G), RS10002541 (4:55528844 T>C), RS1000330241 (4:55492432 T>C)

Disease associations

OMIM: gene MIM:601851 | disease phenotypes: MIM:172800

GenCC curated gene-disease

Mondo (1): piebaldism (MONDO:0008244)

Orphanet (1): Piebaldism (Orphanet:2884)

HPO phenotypes

0 total (0 of 0 shown, HPO-id order):

GWAS associations

22 associations (top):

StudyTraitp-value
GCST000273_2Personality dimensions2.000000e-06
GCST002647_23Height8.000000e-09
GCST005962_39Waist-to-hip ratio adjusted for BMI x sex x age interaction (4df test)2.000000e-06
GCST010699_101Brain morphology (min-P)1.000000e-11
GCST010701_29Cortical surface area (MOSTest)2.000000e-31
GCST010702_108Subcortical volume (MOSTest)1.000000e-09
GCST010703_345Brain morphology (MOSTest)4.000000e-10
GCST010866_51Coronary artery disease5.000000e-08
GCST012227_1028Hip circumference adjusted for BMI7.000000e-10
GCST90002399_422Neutrophil percentage of white cells3.000000e-09
GCST90020024_701A body shape index7.000000e-12
GCST90020025_321Waist-to-hip ratio adjusted for BMI4.000000e-16
GCST90020025_322Waist-to-hip ratio adjusted for BMI2.000000e-25
GCST90020026_283Hip index7.000000e-16
GCST90020026_284Hip index2.000000e-08
GCST90020026_286Hip index2.000000e-16
GCST90020027_1896Waist-hip index6.000000e-16
GCST90020027_1897Waist-hip index2.000000e-26
GCST90020028_1927Hip circumference adjusted for BMI3.000000e-08
GCST90020028_1932Hip circumference adjusted for BMI9.000000e-16
GCST90020028_1933Hip circumference adjusted for BMI4.000000e-14
GCST90020029_697Waist circumference adjusted for body mass index5.000000e-11

EFO canonical traits (8, from GWAS)

EFO IDTrait name
EFO:0004365personality trait
EFO:0007788BMI-adjusted waist-hip ratio
EFO:0008007age at assessment
EFO:0008343sex interaction measurement
EFO:0004346neuroimaging measurement
EFO:0008039BMI-adjusted hip circumference
EFO:0007990neutrophil percentage of leukocytes
EFO:0007789BMI-adjusted waist circumference

MeSH disease descriptors (1)

DescriptorNameTree numbers
D016116PiebaldismC16.320.290.040.600; C16.320.565.100.102.600; C16.320.850.080.600; C17.800.621.440.102.600; C17.800.827.080.600; C18.452.648.100.102.600

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

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

PharmGKB clinical annotations

2 annotations.

VariantTypeLevelDrugsPhenotypes
rs1522113Efficacy3salbutamolAsthma
rs1801260Toxicity4lithiumBipolar Disorder

PharmGKB variants

4 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs1522113CLOCK30.001salbutamol
rs1801260CLOCK, TMEM1654-1.501lithium
rs3736544CLOCK, TMEM1650.000
rs34897046CLOCK0.000

GtoPdb / IUPHAR curated pharmacology

(IUPHAR/BPS Guide to Pharmacology — expert-curated)

Target class: enzyme — 2.3.1.48 Histone acetyltransferases (HATs)

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
Valproic Aciddecreases expression, decreases methylation3
epigallocatechin gallateaffects cotreatment, affects expression, affects reaction, decreases expression2
Air Pollutantsaffects cotreatment, increases abundance, increases expression, decreases expression2
Hydrogen Peroxideaffects cotreatment, affects expression, affects reaction2
Particulate Matterincreases abundance, decreases expression2
aristolochic acid Idecreases expression1
methylmercuric chloridedecreases expression1
triphenyl phosphateaffects expression1
alpha-pineneaffects cotreatment, increases expression, increases abundance1
2,5,2’,5’-tetrachlorobiphenylincreases expression1
2,4,5,2’,4’,5’-hexachlorobiphenylincreases activity1
butyraldehydedecreases expression1
perfluorooctanoic acidincreases expression1
potassium chromate(VI)affects cotreatment, decreases expression1
methacrylaldehydeaffects cotreatment, increases expression, increases abundance1
pentanaldecreases expression1
gallocatecholaffects cotreatment, affects expression, affects reaction1
2-(4-(2-carboxyethyl)phenethylamino)-5’-N-ethylcarboxamidoadenosineincreases expression1
epicatechin gallateaffects reaction, affects cotreatment, affects expression1
di-n-butylphosphoric acidaffects expression1
PCB 180affects expression1
jinfukangdecreases expression1
KL001decreases expression, decreases reaction, increases expression1
Sunitinibincreases expression1
Acroleinincreases abundance, affects cotreatment, increases expression1
Vehicle Emissionsincreases abundance, decreases expression1
Benzo(a)pyreneincreases expression1
Caffeinedecreases phosphorylation1
Cisplatindecreases expression1
Clozapineaffects response to substance1

Cellosaurus cell lines

5 cell lines: 5 cancer cell line

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

CellosaurusNameCategorySex
CVCL_B1NKAbcam HeLa CLOCK KO 1Cancer cell lineFemale
CVCL_B1NLAbcam HeLa CLOCK KO 2Cancer cell lineFemale
CVCL_B8DVAbcam HCT 116 CLOCK KOCancer cell lineMale
CVCL_B8U7Abcam MCF-7 CLOCK KOCancer cell lineFemale
CVCL_B9G3Abcam A-549 CLOCK KOCancer cell lineMale

Clinical trials (associated diseases)

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

TrialPhaseStatusTitle
NCT01377077PHASE4UNKNOWNPunchgrafting Techniques for Vitiligo
NCT01640678PHASE4UNKNOWNAutologous Cell Suspension Grafting Using ReCell in Vitiligo and Piebaldism Patients
NCT02458417PHASE4COMPLETEDAutologous Cell Suspension Grafting Using ReCell in Vitiligo and Piebaldism Patients
NCT02156427PHASE3COMPLETEDEvaluation of Non-cultured Epidermal Cellular Grafting vs Hyaluronic Acid for Repigmenting Vitiligo and Piebaldism
NCT04919993Not specifiedCOMPLETEDCBT for Insomnia in Primary Brain Tumor Patients
  • Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): piebaldism