COL18A1

gene
On this page

Also known as KSKNO1

Summary

COL18A1 (collagen type XVIII alpha 1 chain, HGNC:2195) is a protein-coding gene on chromosome 21q22.3, encoding Collagen alpha-1(XVIII) chain (P39060). Probably plays a major role in determining the retinal structure as well as in the closure of the neural tube.

This gene encodes the alpha chain of type XVIII collagen. This collagen is one of the multiplexins, extracellular matrix proteins that contain multiple triple-helix domains (collagenous domains) interrupted by non-collagenous domains. A long isoform of the protein has an N-terminal domain that is homologous to the extracellular part of frizzled receptors. Proteolytic processing at several endogenous cleavage sites in the C-terminal domain results in production of endostatin, a potent antiangiogenic protein that is able to inhibit angiogenesis and tumor growth. Mutations in this gene are associated with Knobloch syndrome. The main features of this syndrome involve retinal abnormalities, so type XVIII collagen may play an important role in retinal structure and in neural tube closure. Alternative splicing results in multiple transcript variants.

Source: NCBI Gene 80781 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): Knobloch syndrome 1 (Definitive, ClinGen) — +2 more curated relationships
  • GWAS associations: 16
  • Clinical variants (ClinVar): 3,099 total — 137 pathogenic, 62 likely-pathogenic
  • Phenotypes (HPO): 75
  • Druggable target: yes
  • MANE Select transcript: NM_001379500

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:2195
Approved symbolCOL18A1
Namecollagen type XVIII alpha 1 chain
Location21q22.3
Locus typegene with protein product
StatusApproved
AliasesKS, KNO1
Ensembl geneENSG00000182871
Ensembl biotypeprotein_coding
OMIM120328
Entrez80781

Gene structure

Transcript identifiers

Ensembl transcripts: 31 — 29 protein_coding, 1 protein_coding_CDS_not_defined, 1 retained_intron

ENST00000342220, ENST00000355480, ENST00000359759, ENST00000423214, ENST00000459895, ENST00000473212, ENST00000651438, ENST00000859059, ENST00000859060, ENST00000859061, ENST00000859062, ENST00000859063, ENST00000859064, ENST00000859065, ENST00000859066, ENST00000859067, ENST00000859068, ENST00000859069, ENST00000930594, ENST00000930595, ENST00000930596, ENST00000930597, ENST00000930598, ENST00000930599, ENST00000930600, ENST00000930601, ENST00000930602, ENST00000970097, ENST00000970098, ENST00000970099, ENST00000970100

RefSeq mRNA: 3 — MANE Select: NM_001379500 NM_001379500, NM_030582, NM_130444

CCDS: CCDS42971, CCDS42972, CCDS77643

Canonical transcript exons

ENST00000651438 — 42 exons

ExonStartEnd
ENSE000015425014551218845513720
ENSE000015950824547832745478353
ENSE000016015914550441645504556
ENSE000016039694540537945405473
ENSE000016172124548046745480520
ENSE000016190084548070045480858
ENSE000016270034547741145477487
ENSE000016380494547775045477965
ENSE000016386544550401145504054
ENSE000016406224547389545473981
ENSE000016493444549253545492564
ENSE000016541354546824245468786
ENSE000016549434549316345493225
ENSE000016650174548196345482025
ENSE000016774454548948645489521
ENSE000016859254547990245479964
ENSE000017016264549268745492713
ENSE000017056364548744745487509
ENSE000017121554548841845488444
ENSE000017171544550583845505966
ENSE000017172824549759945497661
ENSE000017227094547547645475535
ENSE000017258364550535845505431
ENSE000017401044547635145476480
ENSE000017426814549122545491314
ENSE000017486524548279545482821
ENSE000017585724548007045480156
ENSE000017598754549027545490346
ENSE000017608454548686145486992
ENSE000017612114550513445505278
ENSE000017928834549083645490871
ENSE000022388264550756145507593
ENSE000035233404549350145493575
ENSE000035633784549486245494915
ENSE000035821474549650045496568
ENSE000035828834550935645509601
ENSE000035885044551111145511226
ENSE000035945594549454545494571
ENSE000036015284549535845495432
ENSE000036247484549705045497092
ENSE000036431784551006445510261
ENSE000038476864540516545405241

Expression profiles

Bgee: expression breadth ubiquitous, 266 present calls, max score 99.37.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 61.4264 / max 1630.6824, expressed in 1479 samples.

FANTOM5 promoters (4 alternative TSS)

Promoter IDTPM avgSamples expressed
18954651.96171468
1895498.9132567
1895480.5261221
2093430.02549

Top tissues by expression

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

TissueAnatomy IDExpression scoreQuality
right coronary arteryUBERON:000162599.37gold quality
popliteal arteryUBERON:000225099.32gold quality
tibial arteryUBERON:000761099.32gold quality
descending thoracic aortaUBERON:000234599.23gold quality
right lobe of liverUBERON:000111499.21gold quality
aortaUBERON:000094799.20gold quality
thoracic aortaUBERON:000151599.09gold quality
ascending aortaUBERON:000149699.07gold quality
endocervixUBERON:000045899.05gold quality
metanephros cortexUBERON:001053399.05gold quality
left ovaryUBERON:000211998.97gold quality
right ovaryUBERON:000211898.96gold quality
left coronary arteryUBERON:000162698.95gold quality
coronary arteryUBERON:000162198.89gold quality
right uterine tubeUBERON:000130298.88gold quality
ectocervixUBERON:001224998.10gold quality
left uterine tubeUBERON:000130397.95gold quality
liverUBERON:000210797.64gold quality
body of uterusUBERON:000985397.64gold quality
sural nerveUBERON:001548897.64gold quality
tibial nerveUBERON:000132397.47gold quality
adenohypophysisUBERON:000219697.44gold quality
omental fat padUBERON:001041497.00gold quality
peritoneumUBERON:000235896.99gold quality
right lobe of thyroid glandUBERON:000111996.97gold quality
left lobe of thyroid glandUBERON:000112096.97gold quality
blood vessel layerUBERON:000479796.95gold quality
renal medullaUBERON:000036296.88gold quality
right atrium auricular regionUBERON:000663196.84gold quality
pituitary glandUBERON:000000796.78gold quality

Single-cell (SCXA)

Detected in 22 experiment(s), a significant marker in 20.

ExperimentMarker?Max mean expression
E-MTAB-6701yes1135.72
E-HCAD-11yes1023.34
E-MTAB-8142yes944.15
E-GEOD-137537yes580.07
E-ENAD-20yes138.20
E-HCAD-31yes27.34
E-MTAB-5061yes27.12
E-MTAB-8410yes26.38
E-GEOD-135922yes25.35
E-GEOD-81547yes22.55
E-HCAD-10yes17.96
E-MTAB-6678yes13.49
E-CURD-46yes10.58
E-GEOD-134144yes8.54
E-ANND-3yes8.06

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): FOXA2, NFIC, SP1, TP53

Literature-anchored findings (GeneRIF, showing 40)

  • Hypoxia down-regulates endostatin production by microvascular endothelial cells and pericytes (PMID:11700031)
  • An increase of about one-third of normal endostatin serum levels may represent an effective therapeutic dose to significantly inhibit many solid tumours. (PMID:11781696)
  • Endostatin causes G1 arrest of endothelial cells through inhibition of cyclin D1. (PMID:11815623)
  • Endostatin plays a crucial role in endothelial tubule stabilization, maintenance and integrity during angiogenesis. (PMID:11911017)
  • type XV and XVIII collagens are expressed in specialized basement membranes. (PMID:11937714)
  • production in head and neck carcinoma modulated by hsp47 (PMID:12174873)
  • Serum levels of angiogenin, basic fibroblast growth factor and endostatin in patients receiving intensive chemotherapy for acute myelogenous leukemia. (PMID:12209593)
  • There is a positive correlation between the levels of tissue endostatin and malignancy grades in gliomas. The endostatin may be released near the tumor blood vessels with hyperplasia to counteract angiogenic stimuli in malignant gliomas. (PMID:12231538)
  • Data are consistent with a model of endostatin with two binding sites: one mainly to laminin in the basement membrane and the other to heparan sulfates on the cell surface. (PMID:12237301)
  • Collagen XVIII is a heparan sulfate proteoglycan associated with vascular amyloid beta and senile plaques in Alzheimer Disease. (PMID:12408231)
  • Molecular analysis of collagen XVIII reveals novel mutations, presence of a third isoform, and possible genetic heterogeneity in Knobloch syndrome (PMID:12415512)
  • Accumulation of endostatin/collagenXVIII in brains of patients who died with cerebral malaria. (PMID:12458056)
  • Aberrant neuronal and paracellular deposition of endostatin in brains of patients with Alzheimer’s disease. (PMID:12486154)
  • endostatin competes with fibronectin/RGD cyclic peptide to bind alpha 5 beta 1 integrin (PMID:12682293)
  • A recombinant fusion version of this protein may be a therapeutic agent for breast cancer. (PMID:12839947)
  • level of endostatin was lower in the group of chronic lymphocytic leukemia patients with progressive disease as compared to patients with stable disease (PMID:12857600)
  • Data indicate that serum endostatin levels are higher in multiple myeloma patients than in healthy controls, with the highest values found during the active phase of the disease. (PMID:14514474)
  • analyses of age-matched study groups revealed elevated medians of endostatin concentration for severely and mildly preeclamptic patients (PMID:14519482)
  • Analysis of knobloch syndrome-associated mutations in COL18A1 and genetic variation in endostatin. (PMID:14695535)
  • Plasma endostatin increased after surgical removal of primary tumor. Decreased intratumoral microvessels in patients with higher endostatin levels may be due to apoptosis-inducing effect of endostatin on microvascular endothelial cells. (PMID:14732364)
  • Pleural mesothelial cells play a key role in the antiangiogenesis process by producing endostatin in the pleural space (PMID:14760864)
  • there is a putative integrin-binding sequence with anti-migratory activity within endostatin (PMID:14973128)
  • Lentivirus-mediated gene transfer might represent an effective strategy for expression of angioinhibitory peptides to achieve inhibition of human bladder cancer proliferation and tumor progression. (PMID:15014038)
  • E-selectin is required for the antiangiogenic activity of endostatin in vivo and ex vivo and confers endostatin sensitivity to nonresponsive human endothelial cells in vitro (PMID:15148373)
  • Collagen XVIII and enamelysin were co-localized in the developing enamel matrix and stratum intermedium and in the enamel-like tumor matrix of odontogenic tumors. (PMID:15296943)
  • Expression of collagen XVIII in tumor tissue is strongly associated with a poorer outcome in non-small-cell lung cancer and correlates with elevated levels of circulating serum endostatin. (PMID:15328173)
  • Naked endostatin plasmid intratumoral injection can get a similar gene transfection efficiency to liposome-DNA complex when used in situ in inhibiting cell growth. (PMID:15334690)
  • Hypoxia downregulates the concentration of endostatin in the culture media of human endometrial stromal cells. (PMID:15374730)
  • Spatial and temporal expression of endostatin/collagen XVIII in cartilaginous tissue and its inactivation of VEGF signalling suggests that it is important for development and maintenance of avascular zones in cartilage and fibrocartilage. (PMID:15464359)
  • Endostatin diminishes the levels of nitric oxide (NO) whereas NO donors enhanced VEGF expression and collagen XVIII expression. (PMID:15540202)
  • Increased endostatin/collagen XVIII expression correlated with hepatoma progression and predicted poor prognosis for patients with hepatocellular carcinoma. (PMID:15605080)
  • angiostatic function is heparan sulfate-dependent, and in situ-binding of endostatin to endothelial cells is increased by heparan sulfates (PMID:15694132)
  • Biologically active endostatin, generated by matrix metalloproteases from collagen XVIII, may participate in the inhibition of endothelial cell proliferation, migration and angiogenesis. (PMID:15950618)
  • results demonstrate that there is a direct connection between dependence of endostatin activity on heparin-like glycosaminoglycans and its ability to antagonize bFGF (PMID:15985216)
  • Overexpression of endostatin effectively inhibits the growth of ovarian cancer. (PMID:16008891)
  • Elevated serum levels of endostatin were observed in patients with idiopathic pulmonary fibrosis (PMID:16025479)
  • Mechanically induced VEGF is involved in the destruction and endostatin in the maintenance of avascular tissues of the bone and joint system. (review) (PMID:16320826)
  • Significantly higher serum concentrations of endostatin are associated with lung carcinoma (PMID:16358965)
  • data show that inhibition of PI3K/protein kinase B (PKB) increased endostatin-induced apoptosis, and that endostatin-induced cell death is physiologically linked to PKB-mediated cell survival through caspase-8 (PMID:16466644)
  • The results indicate that the antiangiogenic functions of endostatin(ES) critically depend on the mode of delivery and the site of expression. (PMID:16793908)

Cross-species orthologs

4 orthologs

OrganismSymbolGene ID
danio_reriocol18a1aENSDARG00000036558
danio_reriocol18a1bENSDARG00000095901
mus_musculusCol18a1ENSMUSG00000001435
rattus_norvegicusCol18a1ENSRNOG00000001229

Paralogs (37): COL9A2 (ENSG00000049089), COL23A1 (ENSG00000050767), COL11A1 (ENSG00000060718), COL17A1 (ENSG00000065618), COL5A3 (ENSG00000080573), COL4A4 (ENSG00000081052), COL16A1 (ENSG00000084636), COL9A3 (ENSG00000092758), COL20A1 (ENSG00000101203), COL1A1 (ENSG00000108821), COL9A1 (ENSG00000112280), COL7A1 (ENSG00000114270), COL21A1 (ENSG00000124749), COL5A1 (ENSG00000130635), COL4A2 (ENSG00000134871), COL2A1 (ENSG00000139219), COL6A1 (ENSG00000142156), COL6A2 (ENSG00000142173), EDA (ENSG00000158813), COL26A1 (ENSG00000160963), COL1A2 (ENSG00000164692), COL3A1 (ENSG00000168542), COL4A3 (ENSG00000169031), COL22A1 (ENSG00000169436), COL24A1 (ENSG00000171502), EMID1 (ENSG00000186998), COL4A1 (ENSG00000187498), COL4A5 (ENSG00000188153), COL25A1 (ENSG00000188517), COL27A1 (ENSG00000196739), COL13A1 (ENSG00000197467), COL4A6 (ENSG00000197565), COL11A2 (ENSG00000204248), COL5A2 (ENSG00000204262), COL15A1 (ENSG00000204291), COLQ (ENSG00000206561), COL28A1 (ENSG00000215018)

Protein

Protein identifiers

Collagen alpha-1(XVIII) chainP39060 (reviewed: P39060)

All UniProt accessions (3): P39060, H7BXV5, H7C457

UniProt curated annotations — full annotation on UniProt →

Function. Probably plays a major role in determining the retinal structure as well as in the closure of the neural tube. May regulate extracellular matrix-dependent motility and morphogenesis of endothelial and non-endothelial cells; the function requires homotrimerization and implicates MAPK signaling. Potently inhibits endothelial cell proliferation and angiogenesis. May inhibit angiogenesis by binding to the heparan sulfate proteoglycans involved in growth factor signaling. Inhibits VEGFA-induced endothelial cell proliferation and migration. Seems to inhibit VEGFA-mediated signaling by blocking the interaction of VEGFA to its receptor KDR/VEGFR2. Modulates endothelial cell migration in an integrin-dependent manner implicating integrin ITGA5:ITGB1 and to a lesser extent ITGAV:ITGB3 and ITGAV:ITGB5. May negatively regulate the activity of homotrimeric non-collagenous domain 1.

Subunit / interactions. Forms homotrimers. Recombinant non-collagenous domain 1 has stronger affinity to NID1, HSPG2 and laminin-1:NID1 complex and lower affinity to FBLN1 and FBLN2 than endostatin. Monomeric. Interacts with KDR/VEGFR2. Interacts with the ITGA5:ITGB1 complex. Interacts with NID1, HSPG2, laminin-1:NID1 complex, FBLN1 and FBLN2.

Subcellular location. Secreted. Extracellular space. Extracellular matrix. Basement membrane Secreted. Basement membrane. Secreted Secreted.

Tissue specificity. Detected in placenta (at protein level). Present in multiple organs with highest levels in liver, lung and kidney.

Post-translational modifications. Prolines at the third position of the tripeptide repeating unit (G-X-Y) of the triple-helical regions are hydroxylated. Circulating endostatins are found as sialoglycoprotein and asialoglycoprotein structures. Undergoes proteolytic processing by CTSL/cathepsin-L and elastase-like proteases to generate both non-collagenous domain 1 trimers and endostatin monomers. In tissue extracts (brain, skeletal muscle, heart, kidney, testis and liver) predominantly bands of approximately 38 kDa are detected; recombinant non-collagenous domain 1 shows similar mobility. In vitro, several proteolytic cleavage sites in the non-collagenous domain 1 hinge region generating different endostatin-like peptides are reported.

Disease relevance. Knobloch syndrome 1 (KNO1) [MIM:267750] A developmental disorder primarily characterized by typical eye abnormalities, including high myopia, cataracts, dislocated lens, vitreoretinal degeneration, and retinal detachment, with occipital skull defects, which can range from occipital encephalocele to occult cutis aplasia. The disease is caused by variants affecting the gene represented in this entry. Glaucoma, primary closed-angle (GLCC) [MIM:618880] An autosomal dominant form of primary glaucoma, an ocular disease characterized by a marked increase of intraocular pressure causing damage to eye structures and function. GLCC is characterized by elevated intraocular pressure due to iridocorneal angle closure with retention of the aqueous humor in the anterior chamber. Iridocorneal angle changes are apparent in the fourth to fifth decade of life, and patients manifest age-related variation in the severity of glaucomatous damage. The disease may be caused by variants affecting the gene represented in this entry.

Polymorphism. There is an association between a polymorphism in position 1675 and prostate cancer. Heterozygous Asn-1675 individuals have a 2.5 times increased chance of developing prostate cancer as compared with homozygous Asp-1675 individuals.

Miscellaneous. Produced by alternative promoter usage. Produced by alternative splicing of isoform 1. Produced by alternative promoter usage.

Similarity. Belongs to the multiplexin collagen family.

Isoforms (3)

UniProt IDNamesCanonical?
P39060-31, NC1-728yes
P39060-12, Long, NC-493
P39060-23, Short, NC1-303

RefSeq proteins (3): NP_001366429, NP_085059, NP_569711 (=MANE)

Domains & families (InterPro)

IDNameType
IPR008160CollagenRepeat
IPR010363DUF959_COL18_NDomain
IPR010515Collagenase_NC10/endostatinDomain
IPR013320ConA-like_dom_sfHomologous_superfamily
IPR016186C-type_lectin-like/link_sfHomologous_superfamily
IPR016187CTDL_foldHomologous_superfamily
IPR020067Frizzled_domDomain
IPR035523Collagen_XVIII_FzDomain
IPR036790Frizzled_dom_sfHomologous_superfamily
IPR045463XV/XVIII_trimerization_domDomain
IPR048287TSPN-like_NDomain
IPR050149Collagen_superfamilyFamily

Pfam: PF01391, PF01392, PF06121, PF06482, PF20010

UniProt features (132 total): region of interest 27, compositionally biased region 26, sequence conflict 19, strand 13, helix 9, sequence variant 9, disulfide bond 7, glycosylation site 6, binding site 4, chain 3, splice variant 3, domain 2, signal peptide 1, turn 1, short sequence motif 1, modified residue 1

Structure

Experimental structures (PDB)

9 structures.

PDBMethodResolution (Å)
9BNCX-RAY DIFFRACTION1.4
9BNBX-RAY DIFFRACTION1.5
3HSHX-RAY DIFFRACTION1.8
1BNLX-RAY DIFFRACTION2.9
3HONX-RAY DIFFRACTION3
9BNDELECTRON MICROSCOPY3.19
9BNFELECTRON MICROSCOPY3.33
9BNEELECTRON MICROSCOPY3.43
9BNGELECTRON MICROSCOPY3.73

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P39060-F151.770.16

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Ligand- & substrate-binding residues (4): 1572; 1574; 1582; 1647

Post-translational modifications (1): 696

Disulfide bonds (7): 334–397, 344–390, 381–419, 408–443, 412–432, 1604–1744, 1706–1736

Glycosylation sites (6): 68, 129, 164, 889, 926, 1567

Function

Pathways and Gene Ontology

Reactome pathways

7 pathways

IDPathway
R-HSA-1442490Collagen degradation
R-HSA-1592389Activation of Matrix Metalloproteinases
R-HSA-1650814Collagen biosynthesis and modifying enzymes
R-HSA-2022090Assembly of collagen fibrils and other multimeric structures
R-HSA-216083Integrin cell surface interactions
R-HSA-3000157Laminin interactions
R-HSA-8948216Collagen chain trimerization

MSigDB gene sets: 421 (showing top): GOBP_ENDOTHELIAL_CELL_DEVELOPMENT, AGGAAGC_MIR5163P, GOBP_EPITHELIUM_DEVELOPMENT, WANG_CLIM2_TARGETS_UP, GOBP_SKELETAL_SYSTEM_DEVELOPMENT, GOBP_RESPONSE_TO_ACID_CHEMICAL, GOBP_EPITHELIAL_CELL_DEVELOPMENT, GOCC_COLLAGEN_TRIMER, PEREZ_TP63_TARGETS, GOZGIT_ESR1_TARGETS_DN, GRAESSMANN_APOPTOSIS_BY_DOXORUBICIN_UP, GRAESSMANN_RESPONSE_TO_MC_AND_DOXORUBICIN_UP, HUMMERICH_MALIGNANT_SKIN_TUMOR_UP, KANNAN_TP53_TARGETS_DN, LIEN_BREAST_CARCINOMA_METAPLASTIC

GO Biological Process (11): skeletal system development (GO:0001501), angiogenesis (GO:0001525), endothelial cell morphogenesis (GO:0001886), cell adhesion (GO:0007155), visual perception (GO:0007601), negative regulation of cell population proliferation (GO:0008285), response to xenobiotic stimulus (GO:0009410), animal organ morphogenesis (GO:0009887), response to hydrostatic pressure (GO:0051599), anatomical structure morphogenesis (GO:0009653), regulation of cell population proliferation (GO:0042127)

GO Molecular Function (3): extracellular matrix structural constituent conferring tensile strength (GO:0030020), metal ion binding (GO:0046872), protein binding (GO:0005515)

GO Cellular Component (7): extracellular region (GO:0005576), collagen trimer (GO:0005581), basement membrane (GO:0005604), obsolete extracellular space (GO:0005615), endoplasmic reticulum lumen (GO:0005788), extracellular matrix (GO:0031012), extracellular exosome (GO:0070062)

Reactome top-level categories

Rollup of top-4 pathways:

CategoryPathways
Degradation of the extracellular matrix2
Collagen formation2
Extracellular matrix organization2
Collagen biosynthesis and modifying enzymes1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cell population proliferation2
system development1
blood vessel morphogenesis1
anatomical structure formation involved in morphogenesis1
endothelial cell development1
epithelial cell morphogenesis1
cellular process1
sensory perception of light stimulus1
regulation of cell population proliferation1
negative regulation of cellular process1
response to chemical1
anatomical structure morphogenesis1
animal organ development1
response to stress1
response to water1
developmental process1
anatomical structure development1
regulation of cellular process1
extracellular matrix structural constituent1
cation binding1
binding1
cellular anatomical structure1
protein-containing complex1
extracellular matrix1
endoplasmic reticulum1
intracellular organelle lumen1
external encapsulating structure1
extracellular vesicle1

Protein interactions and networks

STRING

2112 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
COL18A1GPC1P35052965
COL18A1DR1Q01658959
COL18A1KDRP35968945
COL18A1NUCLEOLINP19338914
COL18A1PLGP00747889
COL18A1HSPG2P98160865
COL18A1GPC4O75487840
COL18A1THBS1P07996824
COL18A1FN1P02751815
COL18A1CERT1Q9Y5P4797
COL18A1ADAMTS8Q9UP79789
COL18A1FLT4P35916772
COL18A1VTNP01141745
COL18A1FLT1P16057739
COL18A1FGF7P21781693

IntAct

85 interactions, top by confidence:

ABTypeScore
C1QTNF9C1QTNF9Bpsi-mi:“MI:0914”(association)0.780
P4HA2P4HBpsi-mi:“MI:0914”(association)0.740
MMP9TIMP1psi-mi:“MI:0914”(association)0.640
CAMKVAP3B1psi-mi:“MI:0914”(association)0.640
MMP2COL4A1psi-mi:“MI:0914”(association)0.640
CRPQSOX1psi-mi:“MI:0914”(association)0.530
DEFA1MANBApsi-mi:“MI:0914”(association)0.530
C1QTNF9BPLOD3psi-mi:“MI:0914”(association)0.530
ADIPOQC1QL1psi-mi:“MI:0914”(association)0.530
PLOD3COL4A1psi-mi:“MI:0914”(association)0.530
FBXO2TMEM131Lpsi-mi:“MI:0914”(association)0.530
PLOD3PLOD2psi-mi:“MI:0914”(association)0.530
OS9AGRNpsi-mi:“MI:0914”(association)0.530
LAIR2LAMA5psi-mi:“MI:0914”(association)0.530
COL18A1COL18A1psi-mi:“MI:0407”(direct interaction)0.440
APPCOL18A1psi-mi:“MI:0407”(direct interaction)0.440
GNAT3psi-mi:“MI:0915”(physical association)0.400
HSCBRBP5psi-mi:“MI:0914”(association)0.350
L1TD1MYO1Cpsi-mi:“MI:0914”(association)0.350
ESR1ESYT2psi-mi:“MI:0914”(association)0.350
CCN1psi-mi:“MI:0914”(association)0.350
TECPR1PLOD3psi-mi:“MI:0914”(association)0.350
MAPTSHTN1psi-mi:“MI:0914”(association)0.350
PDGFRAGXYLT2psi-mi:“MI:0914”(association)0.350

BioGRID (119): COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS), COL18A1 (Affinity Capture-MS)

ESM2 similar proteins: A0A060WQA3, A0MSJ1, A5PN28, A6NHN0, A8WGB1, C7DZK3, O35206, O60279, O88207, O89103, P07897, P13608, P13942, P16112, P20908, P20909, P25940, P39059, P39060, P39061, P55068, P83371, Q07092, Q14767, Q17RW2, Q28019, Q28062, Q28343, Q28670, Q29011, Q30D77, Q32S24, Q3MI99, Q4ZJM7, Q5QNQ9, Q60467, Q61245, Q61282, Q64739, Q6UXH8

Diamond homologs: O35206, P39059, P39060, P39061, P97401, Q5RF67, Q92765, Q95117, Q9IA95, Q80YN4, Q9Y5Q5, Q9Z319, A0A0K3AWM6, B3DIG4, G5ECQ2, O00144, O42579, O57328, O57329, O60353, O70421, O75084, O77438, O93274, P18537, P58421, Q08463, Q08464, Q13467, Q14332, Q24760, Q498S8, Q5BL72, Q5RCN4, Q61086, Q61088, Q61089, Q61090, Q61091, Q6FHJ7

SIGNOR signaling

3 interactions.

AEffectBMechanism
COL18A1up-regulatesECM_synthesis
COL18A1up-regulates“A5/b1 integrin”binding
COL18A1down-regulatesAngiogenesis

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 93 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
Collagen biosynthesis and modifying enzymes1025.8×2e-09
Collagen degradation513.3×4e-03
Extra-nuclear estrogen signaling512.9×4e-03
Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs)79.2×2e-03
Post-translational protein phosphorylation69.1×4e-03

GO biological processes:

GO termPartnersFoldFDR
collagen fibril organization718.9×3e-05
extracellular matrix organization710.3×1e-03
positive regulation of cell migration86.0×5e-03

Disease & clinical

Clinical variants and AI predictions

ClinVar

3099 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic137
Likely pathogenic62
Uncertain significance1176
Likely benign1257
Benign253

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1013194NM_001379500.1(COL18A1):c.2917C>T (p.Gln973Ter)Pathogenic
1322108NM_001379500.1(COL18A1):c.1924-2_1924delPathogenic
1354320NM_001379500.1(COL18A1):c.1488del (p.Gly497fs)Pathogenic
1356160NM_001379500.1(COL18A1):c.2102dup (p.Leu702fs)Pathogenic
1362146NM_001379500.1(COL18A1):c.394del (p.His132fs)Pathogenic
1364335NC_000021.9:g.45490838delPathogenic
1366287NM_001379500.1(COL18A1):c.1187_1200dup (p.Pro401fs)Pathogenic
1366539NM_001379500.1(COL18A1):c.367del (p.Gly122_Val123insTer)Pathogenic
1367951NM_001379500.1(COL18A1):c.2969_2978dup (p.Gly994fs)Pathogenic
1381645NM_001379500.1(COL18A1):c.1459C>T (p.Arg487Ter)Pathogenic
1387227NM_001379500.1(COL18A1):c.1790dup (p.Gly598fs)Pathogenic
1395721NM_001379500.1(COL18A1):c.2558dup (p.Pro854fs)Pathogenic
1406673NM_001379500.1(COL18A1):c.3279del (p.Val1094fs)Pathogenic
1411374NM_001379500.1(COL18A1):c.481C>T (p.Gln161Ter)Pathogenic
1416390NM_001379500.1(COL18A1):c.2927_2978del (p.Pro976fs)Pathogenic
1416901NM_001379500.1(COL18A1):c.2118del (p.Gly707fs)Pathogenic
1417839NM_001379500.1(COL18A1):c.3044_3062del (p.Pro1015fs)Pathogenic
1424228NM_001379500.1(COL18A1):c.2786dup (p.Gly930fs)Pathogenic
1426630NM_001379500.1(COL18A1):c.2781dup (p.Gly928fs)Pathogenic
1429000NM_001379500.1(COL18A1):c.2111del (p.Gly704fs)Pathogenic
1429645NM_001379500.1(COL18A1):c.2707C>T (p.Gln903Ter)Pathogenic
1430023NM_001379500.1(COL18A1):c.2979_2988dup (p.Ser997fs)Pathogenic
1430381NM_001379500.1(COL18A1):c.2958_2985del (p.Pro987fs)Pathogenic
1432778NM_001379500.1(COL18A1):c.2669_2670insT (p.Gly892fs)Pathogenic
1440746NM_001379500.1(COL18A1):c.3306dup (p.Tyr1103fs)Pathogenic
1442812NM_001379500.1(COL18A1):c.1070del (p.Pro357fs)Pathogenic
1444038NM_001379500.1(COL18A1):c.2525del (p.Pro842fs)Pathogenic
1451864NM_001379500.1(COL18A1):c.3048dup (p.Pro1017fs)Pathogenic
1452039NM_001379500.1(COL18A1):c.2824_2840del (p.Gly942fs)Pathogenic
1452623NM_001379500.1(COL18A1):c.3053dup (p.Gly1019fs)Pathogenic

SpliceAI

6648 predictions. Top by Δscore:

VariantEffectΔscore
21:45468238:GCA:Gacceptor_loss1.0000
21:45468239:CAG:Cacceptor_gain1.0000
21:45468240:A:ACacceptor_loss1.0000
21:45468240:A:AGacceptor_gain1.0000
21:45468240:AGA:Aacceptor_gain1.0000
21:45468240:AGAGC:Aacceptor_gain1.0000
21:45468241:G:Aacceptor_loss1.0000
21:45468241:G:GCacceptor_gain1.0000
21:45468241:GA:Gacceptor_gain1.0000
21:45468241:GAG:Gacceptor_gain1.0000
21:45468241:GAGC:Gacceptor_gain1.0000
21:45468241:GAGCG:Gacceptor_gain1.0000
21:45473893:AGGG:Aacceptor_gain1.0000
21:45473894:GGGG:Gacceptor_gain1.0000
21:45476345:CTCCA:Cacceptor_loss1.0000
21:45476346:TCCA:Tacceptor_loss1.0000
21:45476347:CCAGG:Cacceptor_loss1.0000
21:45476349:AG:Aacceptor_gain1.0000
21:45476350:G:Aacceptor_loss1.0000
21:45476350:GG:Gacceptor_gain1.0000
21:45476350:GGGC:Gacceptor_gain1.0000
21:45476477:GGAG:Gdonor_gain1.0000
21:45476478:G:GTdonor_gain1.0000
21:45476478:GAG:Gdonor_gain1.0000
21:45476478:GAGG:Gdonor_loss1.0000
21:45476479:AGG:Adonor_loss1.0000
21:45476480:GGTAA:Gdonor_loss1.0000
21:45476481:G:GGdonor_gain1.0000
21:45477409:A:AGacceptor_gain1.0000
21:45477410:G:GGacceptor_gain1.0000

AlphaMissense

8469 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
21:45510133:T:AC1604S0.999
21:45510133:T:CC1604R0.999
21:45510134:G:CC1604S0.999
21:45510135:C:GC1604W0.999
21:45512363:T:CC1744R0.999
21:45512364:G:AC1744Y0.999
21:45512365:C:GC1744W0.999
21:45510124:G:CD1601H0.998
21:45510134:G:AC1604Y0.998
21:45510134:G:TC1604F0.998
21:45511134:G:CW1654C0.998
21:45511134:G:TW1654C0.998
21:45512204:T:AW1691R0.998
21:45512204:T:CW1691R0.998
21:45512206:G:CW1691C0.998
21:45512206:G:TW1691C0.998
21:45512363:T:AC1744S0.998
21:45512364:G:CC1744S0.998
21:45510071:T:CL1583P0.997
21:45510125:A:TD1601V0.997
21:45510255:C:AN1644K0.997
21:45510255:C:GN1644K0.997
21:45511132:T:AW1654R0.997
21:45511132:T:CW1654R0.997
21:45512364:G:TC1744F0.997
21:45512370:A:TE1746V0.997
21:45512374:C:AN1747K0.997
21:45512374:C:GN1747K0.997
21:45510077:C:AA1585E0.996
21:45510175:C:AR1618S0.996

dbSNP variants (sampled 300 via entrez): RS1000021366 (21:45469869 T>C), RS1000048687 (21:45479436 A>G), RS1000063134 (21:45495392 A>C), RS1000074584 (21:45443531 T>A,C,G), RS1000099247 (21:45496904 CCT>C), RS1000100726 (21:45499221 T>A,C), RS1000106408 (21:45493127 AGCC>A), RS1000124397 (21:45433729 A>G), RS1000130961 (21:45474397 G>A), RS1000147406 (21:45415338 A>G), RS1000177591 (21:45447031 G>A), RS1000179253 (21:45405005 G>A,C,T), RS1000179804 (21:45508647 G>A), RS1000183639 (21:45474127 G>A), RS1000192775 (21:45439244 C>T)

Disease associations

OMIM: gene MIM:120328 | disease phenotypes: MIM:267750, MIM:618880, MIM:116200, MIM:268000, MIM:602482, MIM:158350

GenCC curated gene-disease

DiseaseClassificationInheritance
Knobloch syndrome 1DefinitiveAutosomal recessive
Knobloch syndromeStrongAutosomal recessive
hereditary glaucoma, primary closed-angleLimitedAutosomal dominant

ClinGen Gene-Disease Validity (1)

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

DiseaseClassificationInheritance
Knobloch syndrome 1DefinitiveAR

Mondo (12): Knobloch syndrome (MONDO:0800166), hereditary glaucoma, primary closed-angle (MONDO:0030038), Knobloch syndrome 1 (MONDO:0800167), ocular motility disease (MONDO:0001584), pathologic nystagmus (MONDO:0004843), cataract (MONDO:0005129), inherited retinal dystrophy (MONDO:0019118), retinal disorder (MONDO:0005283), retinitis pigmentosa (MONDO:0019200), Axenfeld-Rieger syndrome type 3 (MONDO:0011233), Cowden syndrome 1 (MONDO:0008021), (MONDO:0009977)

Orphanet (4): Knobloch syndrome (Orphanet:1571), OBSOLETE: Inherited retinal disorder (Orphanet:71862), Retinitis pigmentosa (Orphanet:791), Axenfeld-Rieger syndrome (Orphanet:782)

HPO phenotypes

75 total (30 of 75 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0000075Renal duplication
HP:0000076Vesicoureteral reflux
HP:0000081Duplicated collecting system
HP:0000126Hydronephrosis
HP:0000238Hydrocephalus
HP:0000252Microcephaly
HP:0000275Narrow face
HP:0000286Epicanthus
HP:0000341Narrow forehead
HP:0000414Bulbous nose
HP:0000486Strabismus
HP:0000501Glaucoma
HP:0000505Visual impairment
HP:0000506Telecanthus
HP:0000518Cataract
HP:0000519Developmental cataract
HP:0000529Progressive visual loss
HP:0000533Chorioretinal atrophy
HP:0000541Retinal detachment
HP:0000543Optic disc pallor
HP:0000545Myopia
HP:0000572Visual loss
HP:0000585Band keratopathy
HP:0000608Macular degeneration
HP:0000639Nystagmus
HP:0000640Gaze-evoked nystagmus
HP:0000666Horizontal nystagmus
HP:0000667Phthisis bulbi

GWAS associations

16 associations (top):

StudyTraitp-value
GCST001530_12Hippocampal atrophy8.000000e-07
GCST004138_1Early-onset Parkinson’s disease8.000000e-240
GCST004952_39Ankle injury4.000000e-08
GCST005024_90Pursuit maintenance gain2.000000e-06
GCST006143_14Bone mineral density (total hip)8.000000e-06
GCST006585_1716Blood protein levels6.000000e-10
GCST006613_1Triglycerides1.000000e-28
GCST006614_100Total cholesterol levels4.000000e-09
GCST007849_2Triglycerides2.000000e-11
GCST007849_4Triglycerides2.000000e-16
GCST010241_75Apolipoprotein A1 levels8.000000e-14
GCST010242_167HDL cholesterol levels1.000000e-11
GCST010573_3Cardiorespiratory fitness (800m run time)1.000000e-08
GCST010703_141Brain morphology (MOSTest)5.000000e-08
GCST90002401_341Platelet distribution width1.000000e-11
GCST90010427_27Left–right brain asymmetry8.000000e-10

EFO canonical traits (11, from GWAS)

EFO IDTrait name
EFO:0005039hippocampal atrophy
EFO:1002021ankle injury
EFO:0008433pursuit maintenance gain measurement
EFO:0007702hip bone mineral density
EFO:0004530triglyceride measurement
EFO:0004574total cholesterol measurement
EFO:0004614apolipoprotein A 1 measurement
EFO:0004612high density lipoprotein cholesterol measurement
EFO:0004328exercise test
EFO:0004346neuroimaging measurement
EFO:0007984platelet component distribution width

MeSH disease descriptors (6)

DescriptorNameTree numbers
D002386CataractC11.510.245
D009759Nystagmus, PathologicC10.292.562.675; C11.590.400
D012164Retinal DiseasesC11.768
D058499Retinal DystrophiesC11.768.585.658
D012174Retinitis PigmentosaC11.270.684; C11.768.585.658.500; C16.320.290.684
C537209Knobloch syndrome (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL2364188 (PROTEIN COMPLEX GROUP)

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

PharmGKB variants

6 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs7499COL18A1, SLC19A10.000
rs2274808COL18A10.000
rs7279445COL18A1, SLC19A10.000
rs9977268COL18A1, SLC19A130.001methotrexate
rs11702425COL18A1, SLC19A10.000
rs17004785COL18A1, SLC19A10.000

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
sodium arseniteaffects methylation, decreases expression, increases expression4
Aflatoxin B1affects expression, decreases expression, increases methylation4
Benzo(a)pyreneaffects methylation, decreases expression, decreases methylation, increases methylation3
Valproic Aciddecreases expression, increases expression3
Cyclosporinedecreases expression, decreases methylation3
Resveratroldecreases expression, affects cotreatment2
Vehicle Emissionsdecreases expression, decreases reaction, increases abundance, increases expression2
Phenylmercuric Acetateaffects cotreatment, increases expression2
Tetrachlorodibenzodioxinincreases expression2
Tobacco Smoke Pollutionaffects expression, decreases expression2
Genisteinincreases expression, decreases expression2
Particulate Matterdecreases expression, decreases reaction, increases abundance, increases expression2
aristolochic acid Idecreases expression1
bisphenol Fdecreases expression, affects cotreatment1
methyleugenoldecreases expression1
triphenyl phosphateaffects expression1
bisphenol Aaffects expression1
deoxynivalenoldecreases expression1
titanium dioxideincreases expression, affects binding1
11-nor-delta(9)-tetrahydrocannabinol-9-carboxylic aciddecreases methylation, increases abundance1
tris(1,3-dichloro-2-propyl)phosphatedecreases expression1
cobaltous chloridedecreases expression, decreases reaction, increases chemical synthesis1
butyraldehydedecreases expression1
tetrabromobisphenol Adecreases expression1
perfluorooctanoic aciddecreases expression1
benzo(e)pyreneincreases methylation, decreases methylation1
aflatoxin B2decreases methylation1
triacsin Cdecreases expression1
nivalenoldecreases expression1
di-n-butylphosphoric acidaffects expression1

Cellosaurus cell lines

1 cell lines: 1 induced pluripotent stem cell

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

CellosaurusNameCategorySex
CVCL_D0QHZSZOCi001-AInduced pluripotent stem cellMale

Clinical trials (associated diseases)

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

TrialPhaseStatusTitle
NCT00273221PHASE4UNKNOWNCombined Phacotube vs Phacotrabeculectomy:A Randomized Controlled Trial
NCT00312299PHASE4COMPLETEDPosterior Capsule Opacification Study
NCT00345046PHASE4COMPLETEDA Comparison of Three Different Formulations of Prednisolone Acetate 1%
NCT00347243PHASE4COMPLETEDWavefront Analisys and Contrast Sensitivity of Spherical and Aspherical Intraocular Lenses
NCT00347503PHASE4COMPLETEDAqueous Concentrations and PGE2 Inhibition of Ketorolac 0.4% vs. Bromfenac 0.09% in Cataract Patients
NCT00348244PHASE4COMPLETEDKetorolac vs. Steroid in the Prevention of CME
NCT00348270PHASE4COMPLETEDComparison of the Quality of Vision Provided by AMO Tecnis Z9000 and Alcon Laboratories MA60 Acrysof Posterior Chamber Intraocular Lenses
NCT00348582PHASE4COMPLETEDAcular LS vs. Nevanac in Post op Inflammation Following Cataract Surgery
NCT00348621PHASE4COMPLETEDA Study of Interventions to Reduce Disability From Visual Loss in Nursing Home Residents
NCT00349583PHASE4COMPLETEDEfficacy of Topical Cyclosporine Versus Tears for Improving Visual Outcomes Following Multifocal IOL Implantation
NCT00355446PHASE4COMPLETEDBioavailability of Bimatoprost Ophthalmic Solution in Human Aqueous.
NCT00386438PHASE4COMPLETEDEfficacy of Honan Balloon in Intraocular Pressure Reduction Before Phacoemulsification
NCT00392275PHASE4COMPLETEDPenetrance of Third Generation Fluoroquinolones in Eyes With Functioning Filtering Blebs
NCT00428363PHASE4COMPLETEDEffect of Optic Edge Design in a Silicone Intraocular Lens on Posterior Capsule Opacification
NCT00449267PHASE4COMPLETEDAurolab Hydrophobic Foldable Intraocular Lens Study
NCT00459303PHASE4COMPLETEDComparison of Functional Vision Provided by AMO Tecnis Z9000 and Alcon SA60AT Acrysof
NCT00469690PHASE4COMPLETEDAqueous Concentrations and PGE2 Inhibition of Ketorolac 0.4% vs. Bromfenac 0.09% in Cataract Patients: Trough Drug Effects
NCT00576485PHASE4COMPLETEDSpherical Aberration and Contrast Sensitivity in IOLs
NCT00612729PHASE4COMPLETEDLight Filters in Intraocular Lenses (IOLs) and Its Influence on Colour and Contrast Vision.
NCT00612781PHASE4COMPLETEDYellow Versus White Study
NCT00630019PHASE4COMPLETEDOcular Tissue Levels of 1.5% Levofloxacin Ophthalmic Solution Compared to an Active Comparator
NCT00673803PHASE4COMPLETEDInfluence of Two Different Preloaded Intraocular Lens (IOLs) on Posterior Capsule Opacification
NCT00684138PHASE4COMPLETEDACRYSOF® ReSTOR® Aspheric +3.0 D Add Power Intraocular Lens (IOL)
NCT00698724PHASE4COMPLETEDComparing Optical Coherence Tomography (OCT) and Visual Acuity Outcomes in Subjects Undergoing Cataract Surgery, Who Receive Xibrom Ophthalmic Solution and Standard Presurgical Care vs. Xibrom Ophthalmic Solution Plus Prednisolone Acetate 1% and Standard Presurgical Care
NCT00710905PHASE4TERMINATEDVisual Function With Contralateral AcrySof® ReSTOR® Aspheric SN6AD1 and SN6AD3
NCT00710931PHASE4COMPLETEDVisual Function With Bilateral AcrySof® ReSTOR® Aspheric SN6AD1
NCT00711347PHASE4COMPLETEDIntraoperative Floppy Iris Syndrome
NCT00712244PHASE4COMPLETEDDisCoVisc Versus DuoVisc, Healon5 and AmVisc Plus
NCT00717080PHASE4COMPLETEDThe Role of Capsular Tension Ring (CTR) in Anterior Capsular Contraction
NCT00719732PHASE4COMPLETEDVisual Function After Implantation of Bilateral AcrySof ReSTOR Aspheric +3
NCT00721253PHASE4COMPLETEDVisual Outcomes of Subjects Bilaterally Implanted With ReSTOR Aspheric +4 vs. Tecnis or Acri.LISA
NCT00731640PHASE4COMPLETEDContralateral ReSTOR / Monofocal or Phakic Eye
NCT00732030PHASE4COMPLETEDLow Cylinder Toric
NCT00758199PHASE4COMPLETEDDetermination of Optimum Duration of Treatment With Bromfenac (Xibrom) Eyedrops Following Cataract Surgery
NCT00760058PHASE4WITHDRAWNVisual Outcome and Visual Quality After Bilateral Implantation of the AcrySof® IQ IOL Compared to MI60® and Tecnis® IOL
NCT00760487PHASE4COMPLETEDVisual Function After Implantation of Bilateral AcrySof® Toric Natural Intraocular Lens
NCT00761488PHASE4WITHDRAWNRecommendations for Monitoring Clinical Experience Following Implantation of the AcrySof® Toric
NCT00763360PHASE4COMPLETEDTo Compare the Ability of DiscoVisc® OVD to Protect the Corneal Endothelium and Maintain Anterior Chamber Space With Healon® and Amvisc® PLUS During Cataract Surgery.
NCT00786370PHASE4COMPLETEDDexmedetomidine vs. Propofol for Cataract Surgery
NCT00786565PHASE4COMPLETEDClinical Evaluation of a New Aspheric Intraocular Lens.