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GCK

gene
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Also known as HK4HKIV

Summary

GCK (glucokinase, HGNC:4195) is a protein-coding gene on chromosome 7p13, encoding Hexokinase-4 (P35557). Catalyzes the phosphorylation of hexose, such as D-glucose, D-fructose and D-mannose, to hexose 6-phosphate (D-glucose 6-phosphate, D-fructose 6-phosphate and D-mannose 6-phosphate, respectively). It is haploinsufficient (ClinGen: sufficient evidence).

This gene encodes a member of the hexokinase family of proteins. Hexokinases phosphorylate glucose to produce glucose-6-phosphate, the first step in most glucose metabolism pathways. In contrast to other forms of hexokinase, this enzyme is not inhibited by its product glucose-6-phosphate but remains active while glucose is abundant. The use of multiple promoters and alternative splicing of this gene result in distinct protein isoforms that exhibit tissue-specific expression in the pancreas and liver. In the pancreas, this enzyme plays a role in glucose-stimulated insulin secretion, while in the liver, this enzyme is important in glucose uptake and conversion to glycogen. Mutations in this gene that alter enzyme activity have been associated with multiple types of diabetes and hyperinsulinemic hypoglycemia.

Source: NCBI Gene 2645 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): monogenic diabetes (Definitive, ClinGen) — +9 more curated relationships
  • GWAS associations: 47 (top 2% of genes corpus-wide)
  • Clinical variants (ClinVar): 1,416 total — 344 pathogenic, 301 likely-pathogenic (top 2% of genes corpus-wide)
  • Regional missense constraint (gnomAD): 1 of 3 regions constrained (≈5% of expected missense variation)
  • GTEx eGene: eQTL in 31 tissues, sQTL in 3 (q < 0.05)
  • Phenotypes (HPO): 80
  • Drug target: yes — 6 curated mechanism-of-action drugs; 5 molecules with ChEMBL bioactivity
  • Dosage sensitivity (ClinGen): haploinsufficiency sufficient evidence, triplosensitivity no evidence
  • Constraint (gnomAD): pLI 0.00 (LoF-tolerant), LOEUF 0.87 (unconstrained)
  • MANE Select transcript: NM_000162
  • Interaction hub: 1,750 STRING partners (top 10% of genes corpus-wide)

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:4195
Approved symbolGCK
Nameglucokinase
Location7p13
Locus typegene with protein product
StatusApproved
AliasesHK4, HKIV
Ensembl geneENSG00000106633
Ensembl biotypeprotein_coding
OMIM138079
Entrez2645

Gene structure

Transcript identifiers

Ensembl transcripts: 14 — 6 protein_coding, 3 retained_intron, 3 protein_coding_CDS_not_defined, 2 nonsense_mediated_decay

MANE Select: ENST00000403799

Transcript support level (Ensembl TSL; 1 = fully mRNA-supported): TSL 1: 3, TSL 2: 2, TSL 5: 4

ENST00000403799, ENST00000336642, ENST00000345378, ENST00000395796, ENST00000437084, ENST00000459642, ENST00000473353, ENST00000476008, ENST00000616242, ENST00000671824, ENST00000672743, ENST00000673284, ENST00000682635, ENST00000683378

RefSeq mRNA: 6 — MANE Select: NM_000162 NM_000162, NM_001354800, NM_001354801, NM_001354803, NM_033507, NM_033508

CCDS: CCDS5479, CCDS5480, CCDS94091, CCDS94092

Canonical transcript exons

ENST00000403799 — 10 exons

ExonStartEnd
ENSE000006808074414996944150064
ENSE000006808094415095644151075
ENSE000006808124415330144153463
ENSE000008325744414549744145730
ENSE000008325764414765044147833
ENSE000008325774414976044149859
ENSE000008325804415227144152425
ENSE000013622394418890944189439
ENSE000016893044414427544145280
ENSE000036058544414646344146618

Expression profiles

Bgee: expression breadth ubiquitous, 155 present calls, max score 88.54.

FANTOM5 (CAGE): breadth tissue_specific, TPM avg 0.4009 / max 439.2052, expressed in 31 samples.

Highest expression (Bgee): pituitary gland, adenohypophysis, islet of Langerhans, atrium auricular region, hemisphere of cerebellum.

Genetic regulation across tissues (GTEx eQTL / sQTL)

GCK is an eGene in GTEx v10 — its expression is genetically regulated (eQTL) in 31 tissues and its splicing (sQTL) in 3 (q < 0.05). Strongest associations first; slope = normalized effect of the lead variant’s alternative allele.

showing 20 of 34 significant tissue × QTL associations:

TissueQTLq-valueSlopeLead variant
Nerve Tibialeqtl3.3e-25-0.437:44146206:C:G
Esophagus Musculariseqtl4.4e-25-0.487:44146206:C:G
Skin Sun Exposed Lower legeqtl8.7e-18-0.387:44146206:C:G
Heart Atrial Appendageeqtl1.3e-17-0.377:44146206:C:G
Thyroideqtl1.2e-16+0.407:44186502:C:T
Artery Tibialeqtl2.3e-16+0.357:44143834:G:A
Lungeqtl2.8e-15-0.357:44134572:C:T
Adipose Subcutaneouseqtl4.3e-14-0.357:44146206:C:G
Esophagus Gastroesophageal Junctioneqtl1.9e-13-0.437:44146206:C:G
Spleeneqtl1.6e-12-0.587:44146206:C:G
Cells Cultured fibroblastseqtl2.1e-12+0.347:44149675:T:C
Artery Aortaeqtl6.7e-11-0.277:44134572:C:T
Breast Mammary Tissueeqtl1.3e-10+0.347:44132679:A:G
Colon Sigmoideqtl1.9e-08+0.477:44143834:G:A
Ovaryeqtl2.3e-08-0.587:44143527:C:G
Heart Left Ventricleeqtl3.2e-08-0.367:44148510:GT:G
Adipose Visceral Omentumeqtl3.6e-08+0.437:44139144:C:T
Skin Not Sun Exposed Suprapubiceqtl4.6e-06-0.267:44130986:G:A
Artery Coronaryeqtl2.0e-04-0.367:44095611:CTG:C
Heart Atrial Appendagesqtl7.6e-04-3.207:44762564:G:A

FANTOM5 promoters

3 alternative TSS:

Promoter IDTPM avgSamples expressed
838560.374222
838540.01777
2044250.00903

Top tissues by expression

showing 100 of 288 tissues by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
pituitary glandUBERON:000000788.54gold quality
adenohypophysisUBERON:000219688.35gold quality
islet of LangerhansUBERON:000000682.30gold quality
right atrium auricular regionUBERON:000663180.21gold quality
right hemisphere of cerebellumUBERON:001489078.36gold quality
cerebellar hemisphereUBERON:000224578.25gold quality
cardiac atriumUBERON:000208178.12gold quality
cerebellar cortexUBERON:000212977.95gold quality
hypothalamusUBERON:000189877.71gold quality
male germ line stem cell (sensu Vertebrata) in testisCL:0000089 ∩ UBERON:000047376.47silver quality
cerebellumUBERON:000203776.16gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099175.10gold quality
right frontal lobeUBERON:000281074.20gold quality
cingulate cortexUBERON:000302773.98gold quality
anterior cingulate cortexUBERON:000983573.81gold quality
amygdalaUBERON:000187673.63gold quality
prefrontal cortexUBERON:000045173.31gold quality
nucleus accumbensUBERON:000188272.77gold quality
Brodmann (1909) area 9UBERON:001354072.08gold quality
C1 segment of cervical spinal cordUBERON:000646971.58gold quality
cortical plateUBERON:000534371.49gold quality
dorsolateral prefrontal cortexUBERON:000983471.27gold quality
right lobe of liverUBERON:000111470.38gold quality
ascending aortaUBERON:000149670.32gold quality
apex of heartUBERON:000209870.27gold quality
thoracic aortaUBERON:000151570.25gold quality
brainUBERON:000095570.23gold quality
central nervous systemUBERON:000101770.21gold quality
forebrainUBERON:000189070.16gold quality
popliteal arteryUBERON:000225070.07gold quality
aortaUBERON:000094770.06gold quality
tibial arteryUBERON:000761070.06gold quality
neocortexUBERON:000195069.91gold quality
spinal cordUBERON:000224069.77gold quality
frontal cortexUBERON:000187069.70gold quality
caudate nucleusUBERON:000187369.53gold quality
substantia nigraUBERON:000203869.24gold quality
right coronary arteryUBERON:000162569.19gold quality
endocervixUBERON:000045869.14gold quality
descending thoracic aortaUBERON:000234569.14gold quality
pancreasUBERON:000126469.04gold quality
heartUBERON:000094869.00gold quality
putamenUBERON:000187468.47gold quality
midbrainUBERON:000189168.10gold quality
telencephalonUBERON:000189368.05gold quality
left coronary arteryUBERON:000162668.03gold quality
cerebral cortexUBERON:000095668.02gold quality
coronary arteryUBERON:000162167.41gold quality
ectocervixUBERON:001224966.78gold quality
temporal lobeUBERON:000187166.17gold quality
heart left ventricleUBERON:000208466.17gold quality
cardiac ventricleUBERON:000208265.77gold quality
Ammon’s hornUBERON:000195465.53gold quality
body of uterusUBERON:000985365.17gold quality
stromal cell of endometriumCL:000225565.16gold quality
right ovaryUBERON:000211864.87gold quality
lateral nuclear group of thalamusUBERON:000273664.59gold quality
type B pancreatic cellCL:000016964.19gold quality
left ovaryUBERON:000211964.18gold quality
body of pancreasUBERON:000115063.39gold quality
Brodmann (1909) area 46UBERON:000648362.60gold quality
vaginaUBERON:000099662.47gold quality
esophagogastric junction muscularis propriaUBERON:003584162.19gold quality
uterine cervixUBERON:000000261.94gold quality
liverUBERON:000210761.78gold quality
upper arm skinUBERON:000426361.44gold quality
ponsUBERON:000098861.28silver quality
tibial nerveUBERON:000132361.04gold quality
secondary oocyteCL:000065561.00gold quality
lower esophagus muscularis layerUBERON:003583360.86gold quality
endometrium epitheliumUBERON:000481160.81gold quality
lower esophagusUBERON:001347360.81gold quality
substantia nigra pars compactaUBERON:000196560.50gold quality
ovaryUBERON:000099260.41gold quality
left uterine tubeUBERON:000130359.76gold quality
ganglionic eminenceUBERON:000402359.70gold quality
fundus of stomachUBERON:000116059.43gold quality
parotid glandUBERON:000183158.81gold quality
dorsal plus ventral thalamusUBERON:000189758.71gold quality
skeletal muscle tissue of biceps brachiiUBERON:000450258.40gold quality
placentaUBERON:000198757.84gold quality
superior frontal gyrusUBERON:000266157.79gold quality
esophagusUBERON:000104357.74gold quality
female reproductive systemUBERON:000047457.65gold quality
ventral tegmental areaUBERON:000269157.64gold quality
mucosa of stomachUBERON:000119957.56gold quality
medulla oblongataUBERON:000189657.56gold quality
subthalamic nucleusUBERON:000190657.55gold quality
omental fat padUBERON:001041457.55gold quality
peritoneumUBERON:000235857.54gold quality
seminal vesicleUBERON:000099857.45gold quality
anatomical systemUBERON:000046757.22gold quality
cranial nerve IIUBERON:000094157.12silver quality
cartilage tissueUBERON:000241856.96gold quality
multicellular organismUBERON:000046856.92gold quality
material anatomical entityUBERON:000046556.90gold quality
myometriumUBERON:000129656.88gold quality
superior vestibular nucleusUBERON:000722756.82gold quality
inferior olivary complexUBERON:000212756.74gold quality
primary visual cortexUBERON:000243656.69gold quality

Single-cell (SCXA)

Detected in 2 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-MTAB-5061yes6.50
E-ANND-3no2.74

HPA expression

RNA tissue specificity: Tissue enhanced

showing 60 of 80 HPA tissues / cells by nTPM:

Tissue / cellAxisnTPMProtein (IHC)
Pituitary glandtissue19.5
Hypothalamustissue10.8
Cerebellumtissue9.0medium
Septumtissue8.2
Substantia nigratissue7.6
Periaqueductal graytissue7.3
Cerebral cortextissue7.0high
Amygdalatissue7.0
Olfactory bulbtissue7.0
Insular cortextissue7.0
Basal gangliatissue6.8medium
Hippocampal formationtissue6.8
Spinal cordtissue6.6
Ventral forebraintissue6.6
Ponstissue6.4
Corpus callosumtissue6.3
Midbraintissue6.2
Retrosplenial and cingulate cortextissue6.0
Retrosplenial cortextissue6.0
Entorhinal cortextissue5.7
Temporal cortextissue5.7
Putamentissue5.6
Superior colliculitissue5.6
Prefrontal cortextissue5.5
Medulla oblongatatissue5.5
Thalamustissue5.4
Occipital cortextissue5.2
Motor cortextissue4.9
Somatosensory cortextissue4.6
Locus coeruleustissue4.1
Nucleus accumbenstissue3.1
Heart muscletissue3.0low
Postcentral gyrustissue3.0
Hippocampustissue2.5high
Choroid plexustissue2.4
Vaginatissue1.9not detected
Livertissue1.7medium
Ovarytissue1.5medium
Placentatissue1.5high
Retinatissue0.8
Pancreastissue0.8high
Fallopian tubetissue0.8low
Epididymistissue0.7medium
Cervixtissue0.6low
Skin 1tissue0.6not detected
Seminal vesicletissue0.6low
Endometrium 1tissue0.6low
Frontal cortextissue0.6
Caudate putamentissue0.5
Adipose tissuetissue0.4medium
Gallbladdertissue0.4medium
Salivary glandtissue0.3low
Colontissue0.3high
Spleentissue0.3low
Small intestinetissue0.3high
Prostatetissue0.3high
Adrenal glandtissue0.3low
Testistissue0.2medium
Stomach 1tissue0.2high
Esophagustissue0.2medium

Brain sub-regions (HPA Brain Atlas): detected in 292; highest nTPM — Dorsal hippocampus (19.8), Dorsal spinal cord (19.7), Lateral geniculate body (19.4), Frontal eye field (19.3), Lateral amygdala (18.7).

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): EGR1, ESRRA, FOXA2, FOXM1, FOXO1, HIF1A, HNF1A, HNF4A, KLF6, NEUROD1, NR0B2, NR1H2, NR1H3, NR5A2, ONECUT1, PAX6, PDX1, PPARG, PREB, RFX3, RXRA, SP1, SP3, SREBF1, STAT1, STAT5B, TFE3, USF1, USF2

miRNA regulators (miRDB)

Targeting GCK by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific).

showing 30 of 35 miRNAs:

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-4283100.0066.422097
HSA-MIR-302C-5P99.9772.563642
HSA-MIR-185-3P99.9567.011743
HSA-MIR-314399.9371.963104
HSA-MIR-153-5P99.8973.866317
HSA-MIR-5582-3P99.8672.484221
HSA-MIR-444799.8567.812900
HSA-MIR-6764-5P99.7567.892304
HSA-MIR-430699.7270.503630
HSA-MIR-1915-3P99.5866.791988
HSA-MIR-314799.5266.34388
HSA-MIR-185-5P99.3568.602497
HSA-MIR-464499.3569.122514
HSA-MIR-6731-5P99.2867.422375
HSA-MIR-808599.2867.562362
HSA-MIR-548AS-3P99.1269.122294
HSA-MIR-66199.0965.942062
HSA-MIR-3160-3P99.0764.78955
HSA-MIR-6871-5P98.9066.67671
HSA-MIR-6776-5P98.5467.431304
HSA-MIR-6838-3P98.4065.88559
HSA-MIR-204-3P97.8066.841656
HSA-MIR-4646-5P97.7066.841692
HSA-MIR-296-5P97.6164.02851
HSA-MIR-6855-5P97.5166.03830
HSA-MIR-431497.5067.301369
HSA-MIR-6726-5P95.9763.72841
HSA-MIR-92095.9763.95811
HSA-MIR-430095.8564.561003
HSA-MIR-5591-5P95.8564.761002

Functional genomics

gnomAD constraint: pLI 7.75e-07, LOEUF 0.866, missense Z 2.79 — population loss-of-function intolerance (pLI ≥ 0.9 = LoF-intolerant; lower LOEUF = more constrained). gnomAD

Regional missense constraint (gnomAD)

ENST00000403799 splits into 3 regions with different missense tolerance; 1 is missense-constrained (≈5% of the expected missense variation). Missense variants in a constrained region (low observed/expected) are more likely to be pathogenic. gnomAD

Region (GRCh38)Missense obs / expo/eConstrained
7:44,145,139–44,152,363379 / 536.20.71no
7:44,152,364–44,153,3134 / 29.70.13yes (p 2.4e-06)
7:44,153,314–44,188,95368 / 85.70.79no
ClinGen dosage: haploinsufficiency 3 (sufficient evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • G-to-A polymorphism in the hepatic GCK promoter is associated with hepatic insulin resistance in normotensive Asian Indians with normal glucose tolerance. (PMID:11112984)
  • These results are consistent with GKRP having one single binding site for phosphate esters. They also show that a missense mutation of GKRP can lead to a gain of function (PMID:11756407)
  • Mutations are not a common cause of permanent neonatal diabetes in France. (PMID:11914755)
  • mutations in maturity-onset diabetes of the young (MODY) candidate genes in 22 Spanish families. (PMID:12050210)
  • insulin regulates both the association of GK with secretory granules and the activity of the enzyme within the pancreatic beta-cell. (PMID:12101177)
  • Four novel GCK mutations, namely IVS2-7G>A, G72R, T206R and S263P, were identified in Canadian MODY patients. (PMID:12442280)
  • Twenty different mutations in the HNF-4alpha, GCK and HNF-1alpha in 29 families. Three of 3, 10 of 11 and 1 of 6 of the mutations identified in HNF-4alpha, GCK and HNF-1alpha respectively, were new. (PMID:12627330)
  • two novel spontaneous GCK-activating mutations whose clinical phenotype clearly differs from mutations in ATP-sensitive K(+) channel genes (PMID:12941786)
  • summary of glucokinase mutations in glucose metabolism disorders. (PMID:14517946)
  • Autosomal recessive inheritance and GLK deficiency are features typical for an inborn error of metabolism, which occurred in the glucose-insulin signaling pathway in these subjects. (PMID:14578306)
  • fructose-2,6-diphosphate can stimulate hepatic glucokinase gene expression in an insulin-independent manner (PMID:14617577)
  • high-fat feeding impairs both insulin- and exercise-stimulated muscle glucose uptake, but only exercise-stimulated MGU was corrected by HK II overexpression (PMID:14747279)
  • We have found GLUT-2 and glucokinase mRNAs in several brain regions, including the ventromedial and arcuate nuclei of the hypothalamus (PMID:15009676)
  • A G(-30)A polymorphism in the beta-cell-specific promoter of glucokinase (GK-30PM)increases the risk of CAD in individuals with and without type 2 diabetes mellitus. (PMID:15173029)
  • Range of the clinical phenotype caused by GCK mutations varies from complete insulin deficiency to extreme hyperinsulinemia. (PMID:15277402)
  • a mutation of the GCK gene was found in families and patients with maturity-onset diabetes of the young (PMID:15305805)
  • Data describe the glucokinase V62M mutation identified in two families and co-segregating with hyperglycemia to understand how this mutation resulted in reduced function. (PMID:15677479)
  • COmmon genetic variation, in addition to rare mutations and environmental factors, can affect both fastinsg blood glucose and birth weight. (PMID:15677518)
  • 5 novel mutations within the GCK gene, associated with Maturity-onset diabetes of the young, are discussed. (PMID:15841481)
  • relative prevalence of 3% of MODY1 (two different mutations in two families), 10% of MODY2 (seven in eight), and 36% of MODY3 (21 in 28) among Danish kindred clinically diagnosed as MODY (PMID:15928245)
  • Two new activating mutations of human glucokinase increase the affinity of the enzyme for glucose. (PMID:15987895)
  • identification and functional characterization of missense mutations in the GCK gene in diabetic families that result in protein mutations Leu165–>Phe, Glu265–>Lys and Thr206–>Met. (PMID:16173921)
  • glucokinase -30G>A polymorphism associates with elevated fasting and post-oral glucose tolerance test glycemia in the middle-aged whites as well as with impaired glucose regulation and WHO-defined metabolic syndrome (PMID:16186409)
  • The prevalence of structural mutations in glucokinase gene responsible for early-onset diabetes appears to be rare among Chinese patients. (PMID:16331569)
  • Families of young children with fasting hyperglycemia with family histories of diabetes showed mutations in glucokinase. (PMID:16444761)
  • The -30G–>A polymorphism of the beta-cell-specific promoter of GCK and the I27L polymorphism of HNF1A seem to increase the risk of GDM in Scandinavian women. (PMID:16752173)
  • The prevalence of mutations in the GSK gene was studied in Polish women with gestational diabetes. (PMID:16963153)
  • The alteration in glucokinase (GK) activity caused by polymorphic activating mutations may have a more profound biological impact than the alleviation of inhibition caused by interaction with GKRP. (PMID:17082186)
  • Different type 2 doabetes mutations impair glucokinase function through different mechanisms such as enzymatic activity, protein stability and increased interaction with the flucokinase receptor (PMID:17186219)
  • GCK is associated with fetal growth and birth weight (PMID:17186458)
  • Lack of genetic predisposition in offspring to progressive beta cell dysfunction in glucokinase mutation of mmothrs. (PMID:17216282)
  • data support control of GK activity and Km through the ratio of distinct conformers (super-open, open, and closed) through either substrate or other ligand binding and/or dissociation (PMID:17260972)
  • A study evaluating the extent to which common variation in the six known maturity-onset diabetes of the young (MODY) genes, which cause a monogenic form of type 2 diabetes, is associated with type 2 diabetes is presented. (PMID:17327436)
  • results suggest that cellular loss of GK catalytic activity rather than impaired translation or enhanced protein degradation may account for the hyperglycemia in subjects with V62M and G72R mutations (PMID:17389332)
  • human glucokinase is allosterically activated by free polyubiquitin chains and its ubiquitin-dependent cotranslational proteasomal degradation (PMID:17561510)
  • Almost 90% of the MODY cases in the group studied are explained by mutations in the major genes GCK (MODY2) and HNF-1alpha(MODY3), although differences in the relative prevalence of each form could be partly due to patient referral bias. (PMID:17573900)
  • GCK is required for JNK and, unexpectedly, p38 activation by three bacterial PAMPs, lipopolysaccharide, peptidoglycan, and flagellin (PMID:17584736)
  • Four missense mutations were found in the GCK gene. All mutations in the GCK gene co-segregated with diabetes mellitus. (PMID:17937063)
  • study of a pedigree with 8 affected persistent hyperinsulinaemic hypoglycaemia of infancy individuals; the novel GCK mutation G68V is associated with variable phenotypic severity (PMID:17976205)
  • adipocyte-derived Wnt signalling molecules regulate insulin secretion, glucokinase gene transcription and beta cell proliferation (PMID:17994217)

Cross-species orthologs

3 orthologs

OrganismSymbolGene ID
danio_reriogckENSDARG00000068006
mus_musculusGckENSMUSG00000041798
rattus_norvegicusGckENSRNOG00000061527

Paralogs (4): HKDC1 (ENSG00000156510), HK1 (ENSG00000156515), HK2 (ENSG00000159399), HK3 (ENSG00000160883)

Mouse-model phenotypes

Observed phenotypes of the mouse ortholog (MGI:1270854) from MGI (Alliance of Genome Resources) — knockout/mutant phenotypes, ranked by annotation count. 51 distinct phenotype terms.

Mouse phenotype (MP)Records
hyperglycemia16
impaired glucose tolerance16
decreased circulating insulin level5
decreased insulin secretion4
increased circulating glucose level4
postnatal lethality, complete penetrance4
decreased body weight3
increased urine glucose level3
increased circulating insulin level3
hepatic steatosis3
abnormal pancreatic beta cell physiology3
insulin resistance3
decreased pancreatic beta cell mass3
decreased liver glycogen level3
hypoglycemia2
postnatal growth retardation2
abnormal glucose homeostasis2
postnatal lethality2
small pancreatic islets2
decreased glucokinase activity2
increased fasting circulating glucose level2
abnormal circulating cholesterol level1
increased body weight1
increased circulating triglyceride level1
increased circulating free fatty acids level1

+26 more (showing top 25).

Additional cross-species homologs

Sequence homologs in species beyond Ensembl Compara’s model organisms, by Diamond local protein alignment (% sequence identity; best hit per species). Lower-identity rows are more distant homologs. The matched accessions’ gene symbols aren’t in biobtree yet, so each row shows the UniProt accession.

OrganismUniProtIdentityMethod
Equus caballusA2PYL6100.0%Diamond
Equus zebraA2PYL7100.0%Diamond
Equus grevyiA2PYL8100.0%Diamond
Pongo abeliiQ5RC7199.2%Diamond
Sus scrofaQ1W67496.1%Diamond
Bos taurusP2759591.5%Diamond
Nicotiana tabacumQ9SEK285.7%Diamond
Solanum tuberosumQ9SQ7685.7%Diamond
Arabidopsis thalianaP9383485.2%Diamond
Oryza sativa Japonica GroupQ5W67682.8%Diamond
Saccharomyces cerevisiae S288CP0480677.4%Diamond
Schwanniomyces occidentalisP5050675.6%Diamond
Candida albicans SC5314P8377675.6%Diamond
Spinacia oleraceaQ9SEK374.5%Diamond
Kluyveromyces lactis NRRL Y-1140P3328473.4%Diamond
Aspergillus nidulans FGSC A4P8058157.4%Diamond
Schizosaccharomyces pombe 972h-Q0975650.4%Diamond
Schistosoma mansoniQ2660948.3%Diamond
Drosophila melanogasterQ9NFT745.3%Diamond
Toxoplasma gondiiQ969A845.0%Diamond
Aspergillus nigerQ9240743.2%Diamond
Brugia malayiA0A0K0JFP341.6%Diamond

Genomic neighbors (locus context)

Genes flanking this one on the chromosome (NCBI/Entrez gene neighborhood). Positional context only — some neighbors share regulatory elements (bidirectional promoters, antisense/overlapping transcripts), but chromosomal adjacency is not itself a functional relationship (see Interactions for that).

SymbolTypeEntrez
MIR4649ncRNA100616346
AEBP1protein-coding165
POLD2protein-coding5425
MYL7protein-coding58498
YKT6protein-coding10652
CAMK2Bprotein-coding816
NUDCD3protein-coding23386

Protein

Protein identifiers

Hexokinase-4 — P35557 (reviewed: P35557)

Alternative names: Glucokinase, Hexokinase type IV, Hexokinase-D

All UniProt accessions (8): A0A5F9ZGW4, P35557, A0A5F9ZHE0, A0A8C8KJG0, A0A8C8PZE6, C9JQD1, H7BXV0, Q53Y25

UniProt curated annotations — full annotation on UniProt →

Function. Catalyzes the phosphorylation of hexose, such as D-glucose, D-fructose and D-mannose, to hexose 6-phosphate (D-glucose 6-phosphate, D-fructose 6-phosphate and D-mannose 6-phosphate, respectively). Compared to other hexokinases, has a weak affinity for D-glucose, and is effective only when glucose is abundant. Mainly expressed in pancreatic beta cells and the liver and constitutes a rate-limiting step in glucose metabolism in these tissues. Since insulin secretion parallels glucose metabolism and the low glucose affinity of GCK ensures that it can change its enzymatic activity within the physiological range of glucose concentrations, GCK acts as a glucose sensor in the pancreatic beta cell. In pancreas, plays an important role in modulating insulin secretion. In liver, helps to facilitate the uptake and conversion of glucose by acting as an insulin-sensitive determinant of hepatic glucose usage. Required to provide D-glucose 6-phosphate for the synthesis of glycogen. Mediates the initial step of glycolysis by catalyzing phosphorylation of D-glucose to D-glucose 6-phosphate.

Subunit / interactions. Monomer. Interacts with MIDN; the interaction occurs preferentially at low glucose levels and results in inhibition of hexokinase activity. Interacts with GCKR; leading to sequestration in the nucleus.

Subcellular location. Cytoplasm. Nucleus. Mitochondrion.

Disease relevance. Maturity-onset diabetes of the young 2 (MODY2) [MIM:125851] A form of diabetes that is characterized by an autosomal dominant mode of inheritance, onset in childhood or early adulthood (usually before 25 years of age), a primary defect in insulin secretion and frequent insulin-independence at the beginning of the disease. The disease is caused by variants affecting the gene represented in this entry. Hyperinsulinemic hypoglycemia, familial, 3 (HHF3) [MIM:602485] A form of hyperinsulinemic hypoglycemia, a clinically and genetically heterogeneous disorder characterized by inappropriate insulin secretion from the pancreatic beta-cells in the presence of low blood glucose levels. HHF3 clinical features include loss of consciousness due to hypoglycemia, hypoglycemic coma, mental retardation due to repeated episodes of hypoglycemia, and seizures. HHF3 inheritance is autosomal dominant. The disease is caused by variants affecting the gene represented in this entry. Type 2 diabetes mellitus (T2D) [MIM:125853] A multifactorial disorder of glucose homeostasis caused by a lack of sensitivity to insulin. Affected individuals usually have an obese body habitus and manifestations of a metabolic syndrome characterized by diabetes, insulin resistance, hypertension and hypertriglyceridemia. The disease results in long-term complications that affect the eyes, kidneys, nerves, and blood vessels. Disease susceptibility is associated with variants affecting the gene represented in this entry. Diabetes mellitus, permanent neonatal, 1 (PNDM1) [MIM:606176] An autosomal recessive form of permanent neonatal diabetes mellitus, a type of diabetes characterized by onset of persistent hyperglycemia within the first six months of life. Initial clinical manifestations include intrauterine growth retardation, hyperglycemia, glycosuria, osmotic polyuria, severe dehydration, and failure to thrive. The disease is caused by variants affecting the gene represented in this entry.

Activity regulation. Subject to allosteric regulation. Low glucose and high fructose-6-phosphate triggers association with the inhibitor GCKR followed by sequestration in the nucleus.

Pathway. Carbohydrate metabolism; hexose metabolism. Carbohydrate degradation; glycolysis; D-glyceraldehyde 3-phosphate and glycerone phosphate from D-glucose: step 1/4.

Similarity. Belongs to the hexokinase family.

Isoforms (3)

UniProt IDNamesCanonical?
P35557-11yes
P35557-22
P35557-33

RefSeq proteins (5): NP_000153, NP_001341729, NP_001341732, NP_277042, NP_277043 (=MANE)

Domains & families (InterPro)

IDNameType
IPR001312HexokinaseFamily
IPR019807Hexokinase_BSBinding_site
IPR022672Hexokinase_NDomain
IPR022673Hexokinase_CDomain
IPR043129ATPase_NBDHomologous_superfamily

Pfam: PF00349, PF03727

Enzyme classification (BRENDA)

  • EC 2.7.1.1 — hexokinase (BRENDA: 77 organisms, 225 substrates, 336 inhibitors, 483 Km, 134 kcat entries)

Substrate kinetics (BRENDA)

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

SubstrateKm (mM)Measurements
ATP—184
D-GLUCOSE0.003–45112
D-FRUCTOSE0.025–151046
D-MANNOSE0.014–25.4136
2-DEOXY-D-GLUCOSE0.033–19.224
D-GLUCOSAMINE0.06–212
UTP0.288–307
ITP1.9–16.66
CTP0.52–55
GTP0.231–0.7884
N-ACETYL-D-GLUCOSAMINE0.32–41.62
1,5-ANHYDRO-D-GLUCITOL201
1-THIO-D-GLUCOSE51
2-DEOXY-2-FLUORO-D-GLUCOSE0.21
2-DEOXYGLUCOSE181

Catalyzed reactions (Rhea)

  • D-mannose + ATP = D-mannose 6-phosphate + ADP + H(+) (RHEA:11028)
  • D-fructose + ATP = D-fructose 6-phosphate + ADP + H(+) (RHEA:16125)
  • D-glucose + ATP = D-glucose 6-phosphate + ADP + H(+) (RHEA:17825)
  • a D-hexose + ATP = a D-hexose 6-phosphate + ADP + H(+) (RHEA:22740)

UniProt features (188 total): sequence variant 118, helix 21, strand 19, binding site 11, mutagenesis site 9, turn 4, splice variant 2, region of interest 2, chain 1, domain 1

Structure

Experimental structures (PDB)

showing 30 of 35 structures by resolution:

PDBTitleMethodResolution (Å)
3F9MHuman pancreatic glucokinase in complex with glucose and activator showing a mobile flapX-RAY DIFFRACTION1.5
4NO7Human Glucokinase in complex with a nanomolar activator.X-RAY DIFFRACTION1.7
4ISEHuman glucokinase in complex with novel activator …X-RAY DIFFRACTION1.78
4DCHInsights into Glucokinase Activation Mechanism: Observation of Multiple Distinct Protein …X-RAY DIFFRACTION1.79
3VEVGlucokinase in complex with an activator and glucoseX-RAY DIFFRACTION1.8
3VF6Glucokinase in complex with glucose and activatorX-RAY DIFFRACTION1.86
6E0ICrystal structure of Glucokinase in complex with compound 72X-RAY DIFFRACTION1.9
3IMXCrystal Structure of human glucokinase in complex with a synthetic activatorX-RAY DIFFRACTION2
4IXCCrystal structure of Human Glucokinase in complex with a small molecule activator.X-RAY DIFFRACTION2
5V4XHuman glucokinase in complex with novel pyrazole activator.X-RAY DIFFRACTION2.08
4ISFHuman glucokinase in complex with novel activator …X-RAY DIFFRACTION2.09
4IWVCrystals structure of Human Glucokinase in complex with small molecule activatorX-RAY DIFFRACTION2.1
3H1VHuman glucokinase in complex with a synthetic activatorX-RAY DIFFRACTION2.11
3IDHHuman pancreatic glucokinase in complex with glucoseX-RAY DIFFRACTION2.14
3FGUCatalytic complex of Human GlucokinaseX-RAY DIFFRACTION2.15
3S41Glucokinase in complex with activator and glucoseX-RAY DIFFRACTION2.18
3A0IHuman glucokinase in complex with a synthetic activatorX-RAY DIFFRACTION2.2
3QICThe structure of human glucokinase E339K mutationX-RAY DIFFRACTION2.2
3VEYglucokinase in complex with glucose and ATPgSX-RAY DIFFRACTION2.25
1V4SCrystal structure of human glucokinaseX-RAY DIFFRACTION2.3
4RCHDiscovery of 2-Pyridyl Ureas as Glucokinase ActivatorsX-RAY DIFFRACTION2.3
4DHYCrystal structure of human glucokinase in complex with glucose and activatorX-RAY DIFFRACTION2.38
5V4WHuman glucokinase in complex with novel indazole activator.X-RAY DIFFRACTION2.39
3ID8Ternary complex of human pancreatic glucokinase crystallized with activator, glucose and …X-RAY DIFFRACTION2.4
7T78CRYSTAL STRUCTURE OF GLUCOKINASE (HEXOKINASE 4) COMPLEXED WITH LIGAND DIETHYL …X-RAY DIFFRACTION2.4
7T79CRYSTAL STRUCTURE OF GLUCOKINASE (HEXOKINASE 4) COMPLEXED WITH LIGAND AKA DIETHYL …X-RAY DIFFRACTION2.4
3GOIHuman glucokinase in complex with a synthetic activatorX-RAY DIFFRACTION2.52
4MLEHuman Glucokinase in Complex with Novel Amino Thiazole ActivatorX-RAY DIFFRACTION2.6
4ISGHuman glucokinase in complex with novel activator …X-RAY DIFFRACTION2.65
3FR0Human glucokinase in complex with 2-amino benzamide activatorX-RAY DIFFRACTION2.7

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P35557-F193.870.85

Human Protein Atlas

Protein class: Enzymes, ENZYME proteins, Transferases, Metabolic proteins, Predicted intracellular proteins, Disease related genes, Potential drug targets, Human disease related genes, Congenital disorders of metabolism, Other congenital disorders of metabolism, Diabetes

Protein evidence: Evidence at protein level

Subcellular location (HPA, imaging): cytosol

Antibody reliability (HPA): IH approved · IF supported

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 (11)

PositionRole
256substrate
290substrate
295–296ATP
332–336ATP
411–415ATP
78–83ATP
151–152substrate
168–169substrate
204–205substrate
228ATP
231substrate

Mutagenesis-validated functional residues (9)

PositionPhenotype
64increased glucokinase activity based on measure of catalytic efficiency. increased affinity for glucose.
177small change in glucokinase activity.
197increased glucokinase activity based on measure of catalytic efficiency. increased affinity for glucose.
211increased glucokinase activity based on measure of catalytic efficiency. increased affinity for glucose.
214increased glucokinase activity based on measure of catalytic efficiency. increased affinity for glucose. no effect on affinity for atp.
215increased glucokinase activity based on measure of catalytic efficiency. increased affinity for glucose. loss of inhibition by gckr. no …
256inactive enzyme with no glucokinase activity.
414small change in glucokinase activity.
453increased glucokinase activity based on measure of catalytic efficiency. increased affinity for glucose.

Function

Pathways and Gene Ontology

Reactome pathways

4 curated (TAS) of 18; 5 disease pathways. Curated-first; evidence = TAS (manually curated) vs IEA (electronic inference).

18 pathways:

IDPathwayEvidence
R-HSA-5619073Defective GCK causes maturity-onset diabetes of the young 2 (MODY2) ⚕curated
R-HSA-5619107Defective TPR may confer susceptibility towards thyroid papillary carcinoma (TPC) ⚕curated
R-HSA-70171Glycolysiscurated
R-HSA-170822Regulation of Glucokinase by Glucokinase Regulatory Proteincurated
R-HSA-1643685Disease ⚕—
R-HSA-5619115Disorders of transmembrane transporters ⚕—
R-HSA-5619102SLC transporter disorders ⚕—
R-HSA-1266738Developmental Biology—
R-HSA-9614085FOXO-mediated transcription—
R-HSA-9615017FOXO-mediated transcription of oxidative stress, metabolic and neuronal geneselectronic
R-HSA-74160Gene expression (Transcription)—
R-HSA-212436Generic Transcription Pathway—
R-HSA-70326Glucose metabolism—
R-HSA-1430728Metabolism—
R-HSA-71387Metabolism of carbohydrates and carbohydrate derivatives—
R-HSA-73857RNA Polymerase II Transcription—
R-HSA-186712Regulation of beta-cell development—
R-HSA-210745Regulation of gene expression in beta cellselectronic

MSigDB gene sets: 379 (showing top): GOBP_POTASSIUM_ION_TRANSPORT, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, GOBP_NUCLEOSIDE_DIPHOSPHATE_METABOLIC_PROCESS, GOBP_POLYSACCHARIDE_BIOSYNTHETIC_PROCESS, PID_HNF3B_PATHWAY, GOBP_NADPPLUS_METABOLIC_PROCESS, GOBP_INSULIN_SECRETION, GOBP_POSITIVE_REGULATION_OF_PROTEIN_LOCALIZATION, GOBP_CARBOHYDRATE_DERIVATIVE_CATABOLIC_PROCESS, GOBP_REGULATION_OF_HORMONE_LEVELS, GOBP_MONOSACCHARIDE_CATABOLIC_PROCESS, GOBP_HORMONE_TRANSPORT, GOBP_CARBOHYDRATE_PHOSPHORYLATION, GOBP_ORGANOPHOSPHATE_METABOLIC_PROCESS, KEGG_GLYCOLYSIS_GLUCONEOGENESIS

GO Biological Process (23): intracellular glucose homeostasis (GO:0001678), glucose metabolic process (GO:0006006), glucose catabolic process (GO:0006007), glycolytic process (GO:0006096), regulation of glycolytic process (GO:0006110), response to glucose (GO:0009749), positive regulation of insulin secretion (GO:0032024), cellular response to insulin stimulus (GO:0032869), glucose homeostasis (GO:0042593), cellular response to leptin stimulus (GO:0044320), negative regulation of gluconeogenesis (GO:0045721), positive regulation of glycogen biosynthetic process (GO:0045725), regulation of insulin secretion (GO:0050796), glucose 6-phosphate metabolic process (GO:0051156), canonical glycolysis (GO:0061621), calcium ion import (GO:0070509), carbohydrate metabolic process (GO:0005975), purine nucleotide metabolic process (GO:0006163), hexose metabolic process (GO:0019318), organophosphate metabolic process (GO:0019637), nicotinamide nucleotide metabolic process (GO:0046496), carbohydrate phosphorylation (GO:0046835), carbohydrate derivative metabolic process (GO:1901135)

GO Molecular Function (13): glucokinase activity (GO:0004340), ATP binding (GO:0005524), D-glucose binding (GO:0005536), fructokinase activity (GO:0008865), mannokinase activity (GO:0019158), glucose sensor activity (GO:0141089), nucleotide binding (GO:0000166), catalytic activity (GO:0003824), hexokinase activity (GO:0004396), protein binding (GO:0005515), kinase activity (GO:0016301), transferase activity (GO:0016740), phosphotransferase activity, alcohol group as acceptor (GO:0016773)

GO Cellular Component (5): nucleoplasm (GO:0005654), mitochondrion (GO:0005739), cytosol (GO:0005829), nucleus (GO:0005634), cytoplasm (GO:0005737)

Reactome top-level categories

13 top-level categories:

CategoryPathways
SLC transporter disorders2
Glycolysis1
Regulation of beta-cell development1
Glucose metabolism1
FOXO-mediated transcription1
Developmental Biology1
RNA Polymerase II Transcription1
Disorders of transmembrane transporters1
Disease1
Metabolism of carbohydrates and carbohydrate derivatives1
Metabolism1
Gene expression (Transcription)1
Generic Transcription Pathway1

GO top-level categories

showing 60 of 77 GO namespaces:

CategoryTerms
hexokinase activity3
cellular anatomical structure3
insulin secretion2
transferase activity, transferring phosphorus-containing groups2
cytoplasm2
intracellular membrane-bounded organelle2
glucose homeostasis1
intracellular chemical homeostasis1
hexose metabolic process1
glucose metabolic process1
hexose catabolic process1
phosphoglycerate kinase activity1
phosphoglycerate mutase activity1
phosphopyruvate hydratase activity1
pyruvate kinase activity1
pyruvate metabolic process1
generation of precursor metabolites and energy1
aerobic respiration1
carbohydrate catabolic process1
pyridine nucleotide catabolic process1
glyceraldehyde-3-phosphate dehydrogenase (phosphorylating, [NAD(P)+] ) activity1
ADP catabolic process1
ATP metabolic process1
nicotinamide nucleotide metabolic process1
glycolytic process1
regulation of purine nucleotide catabolic process1
regulation of generation of precursor metabolites and energy1
regulation of carbohydrate catabolic process1
regulation of ATP metabolic process1
response to hexose1
positive regulation of protein secretion1
regulation of insulin secretion1
positive regulation of peptide hormone secretion1
response to insulin1
cellular response to peptide hormone stimulus1
carbohydrate homeostasis1
cellular response to hormone stimulus1
response to leptin1
gluconeogenesis1
regulation of gluconeogenesis1
negative regulation of biosynthetic process1
negative regulation of carbohydrate metabolic process1
negative regulation of small molecule metabolic process1
glycogen biosynthetic process1
regulation of glycogen biosynthetic process1
positive regulation of macromolecule biosynthetic process1
positive regulation of glycogen metabolic process1
regulation of protein secretion1
regulation of peptide hormone secretion1
organophosphate metabolic process1
carbohydrate derivative metabolic process1
glucokinase activity1
glyceraldehyde-3-phosphate dehydrogenase (NAD+) (phosphorylating) activity1
glucose catabolic process1
glycolytic process through glucose-6-phosphate1
calcium ion transport1
primary metabolic process1
nucleotide metabolic process1
purine-containing compound metabolic process1
monosaccharide metabolic process1

Experimentally-supported GO annotations

GO terms backed by direct experimental evidence (ECO experimental codes) — 11 of 41 annotations. The rest are phylogenetic / computational / electronic (IEA).

11 experimentally-supported GO terms:

GO termNSEvidence
glucose 6-phosphate metabolic processBPmutant phenotype
glucose catabolic processBPmutant phenotype
glucose homeostasisBPmutant phenotype
negative regulation of gluconeogenesisBPmutant phenotype
positive regulation of glycogen biosynthetic processBPmutant phenotype
positive regulation of insulin secretionBPmutant phenotype
regulation of insulin secretionBPmutant phenotype
cytosolCCdirect assay
ATP bindingMFdirect assay
D-glucose bindingMFdirect assay
glucokinase activityMFdirect assay

Protein interactions and networks

STRING

showing 15 of 1,750 interactions by confidence (×1000):

Protein AProtein BPartner UniProtScore
GCKINSP01308939
GCKSLC2A2P11168929
GCKGCKRQ14397907
GCKHNF1AP20823896
GCKABCC8Q09428869
GCKG6PC2Q9NQR9863
GCKMTNR1BP49286854
GCKKCNJ11Q14654848
GCKPDX1P52945841
GCKADPGKQ9BRR6828
GCKGCGP01275809
GCKG6PC3Q9BUM1808
GCKG6PC1P35575800
GCKKHKP50053800
GCKINSRP06213791

IntAct

Human interaction partners of GCK in IntAct, one row per partner (best MIscore; records = supporting IntAct interaction records).

11 partners by confidence:

PartnerInteraction typeMIscoreRecords
GCKRphysical association0.7205
SPDYE4physical association0.5603
PFKFB1direct interaction0.5602
SPOPproximity0.2704
AKT1proximity0.2701
BRAFproximity0.2701
EGFRproximity0.2701
FBXW7proximity0.2701
PTENproximity0.2701
PTPN11proximity0.2701
SMAD4proximity0.2701

BioGRID (24 interactions; top human partners by supporting records): GCKR (Affinity Capture-Western; 6 records), AGL (Co-fractionation), CSF3R (Negative Genetic), GMIP (Co-fractionation), HK2 (Negative Genetic), ITGB7 (Negative Genetic), PARK2 (FRET), PCNA (Reconstituted Complex), PFKFB2 (Two-hybrid), PFKFB3 (PCA), PNMT (Positive Genetic), SMEK2 (Co-fractionation), SPDYE4 (Two-hybrid), UGP2 (Co-fractionation)

SIGNOR signaling

4 signaling interactions:

AEffectBMechanism
PDX1“up-regulates quantity by expression”GCK“transcriptional regulation”
USF1“up-regulates quantity by expression”GCK“transcriptional regulation”
GCK“up-regulates quantity”“alpha-D-glucose 6-phosphate(2-)”“chemical modification”
GCK“down-regulates quantity”α-D-glucose“chemical modification”

Disease & clinical

Genetic variants

Variant evidence for GCK: 1,416 ClinVar records (645 pathogenic / likely pathogenic); 489 ClinGen expert-panel interpretations; 47 GWAS associations. Per-variant detail is on Sugi Variant.

ClinVar

1,416 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic344
Likely pathogenic301
Uncertain significance351
Likely benign105
Benign40

Top pathogenic / likely-pathogenic (15)

Showing the 15 best-reviewed of 645 pathogenic / likely-pathogenic ClinVar records, ranked by ClinVar review status (expert panel → multiple submitters → single submitter), then by number of submitting labs.

Variant IDHGVSClassificationReviewSubmitters
16134NM_000162.5(GCK):c.683C>T (p.Thr228Met)Pathogenicreviewed by expert panel21
36243NM_000162.5(GCK):c.676G>A (p.Val226Met)Pathogenicreviewed by expert panel16
129144NM_000162.5(GCK):c.544G>A (p.Val182Met)Pathogenicreviewed by expert panel15
426122NM_000162.5(GCK):c.571C>T (p.Arg191Trp)Pathogenicreviewed by expert panel15
431973NM_000162.5(GCK):c.106C>T (p.Arg36Trp)Pathogenicreviewed by expert panel14
36209NM_000162.5(GCK):c.214G>A (p.Gly72Arg)Pathogenicreviewed by expert panel13
211073NM_000162.5(GCK):c.370G>A (p.Asp124Asn)Pathogenicreviewed by expert panel13
393451NM_000162.5(GCK):c.748C>T (p.Arg250Cys)Pathogenicreviewed by expert panel13
393453NM_000162.5(GCK):c.128G>A (p.Arg43His)Pathogenicreviewed by expert panel13
585929NM_000162.5(GCK):c.952G>A (p.Gly318Arg)Pathogenicreviewed by expert panel13
804849NM_000162.5(GCK):c.562G>A (p.Ala188Thr)Pathogenicreviewed by expert panel13
36258NM_000162.5(GCK):c.787T>C (p.Ser263Pro)Pathogenicreviewed by expert panel12
447402NM_000162.5(GCK):c.469G>A (p.Glu157Lys)Pathogenicreviewed by expert panel12
585909NM_000162.5(GCK):c.1174C>T (p.Arg392Cys)Pathogenicreviewed by expert panel12
16135NM_000162.5(GCK):c.781G>A (p.Gly261Arg)Pathogenicreviewed by expert panel11

Per-variant reference — Sugi Variant

Explore GCK’s pathogenic and likely-pathogenic variants individually — each with its ClinVar classification and conditions, applied ACMG criteria (ClinGen expert panel, where curated), the calibrated in-silico predictors (AlphaMissense, REVEL, SaProt, conservation), gnomAD frequency, and the predictor-disagreement QC signal — on Sugi Variant.

ClinGen expert-panel interpretations (489)

Expert ACMG interpretations from Monogenic Diabetes VCEP for maturity-onset diabetes of the young type 2; monogenic diabetes — a higher-authority tier than individual ClinVar submissions.

AssertionVariants
Pathogenic200
Likely Pathogenic182
Uncertain Significance95
Likely Benign8
Benign4

SpliceAI

Top 10 splice-impact sites by Δscore (adjacent positions with the same effect merged into one range; 28 predictions of 1,101):

Position(s)EffectΔscoreSites
7:44145495–44145496donor_loss1.00005
7:44145740acceptor_gain1.0000
7:44146619acceptor_loss1.00002
7:44147834acceptor_loss1.0000
7:44150954–44150955donor_loss1.00003
7:44150960donor_gain1.0000
7:44152270donor_loss1.00002
7:44152426–44152427acceptor_loss1.00006
7:44145731–44145732acceptor_loss0.99006
7:44145735acceptor_gain0.9900

AlphaMissense

1,461 missense substitutions predicted likely pathogenic (of 3,085 scored), across 333 residues. Top 20 hotspot residues, ranked by the number of likely-pathogenic substitutions (of those reachable by a single-nucleotide change), then by mean score:

ResidueLikely-pathogenic substitutionsMean am_pathogenicityMax am_pathogenicity
M5790.9650.993
M21090.8860.992
M25190.8670.986
D20580.9991.000
D7880.9930.996
D27480.9880.996
F15280.9861.000
N23180.9840.999
D40980.9800.993
F12380.9750.998
F15080.9720.998
N20480.9680.999
F26080.9650.995
F31680.9640.989
H41680.9610.995
F17180.9570.999
F14880.9530.998
F41980.9480.995
F13380.9340.997
F8480.9310.992

HPA cancer prognostics

RNA cancer specificity: Cancer enhanced (Liver Hepatocellular Carcinoma)

Human Protein Atlas survival analysis — favorable = higher expression predicts better survival.

2 prognostic cancer types:

CancerPrognosticp-value
Kidney Renal Clear Cell Carcinoma (TCGA)favorable4.97e-05
Liver Hepatocellular Carcinoma (validation)favorable0.000134

Disease associations

OMIM: gene MIM:138079 | disease phenotypes: MIM:606176, MIM:125851, MIM:125850, MIM:606391, MIM:125853, MIM:602485, MIM:256450, MIM:600496, MIM:251260, MIM:300672, MIM:615715

GenCC curated gene-disease

8 curated gene-disease records:

DiseaseClassificationInheritanceRecords
maturity-onset diabetes of the young type 2DefinitiveAutosomal dominant4
hyperinsulinemic hypoglycemia, familial, 3DefinitiveAutosomal dominant5
permanent neonatal diabetes mellitus 1StrongAutosomal recessive4
transient neonatal diabetes mellitusStrongAutosomal recessive
diabetes mellitus, noninsulin-dependentStrongAutosomal dominant
type 2 diabetes mellitusStrongAutosomal dominant
maturity-onset diabetes of the youngSupportiveAutosomal dominant
permanent neonatal diabetes mellitusSupportiveAutosomal dominant

ClinGen Gene-Disease Validity

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

2 validity classifications:

DiseaseClassificationInheritance
monogenic diabetesDefinitiveSD
hyperinsulinism due to glucokinase deficiencyDefinitiveAD

Genomics England panels (PanelApp)

Clinical diagnostic gene panels including this gene (6 panels, 6 green/diagnostic-grade). Confidence: green = diagnostic, amber = moderate.

6 panels:

PanelRating
Congenital hyperinsulinismgreen
Diabetes with additional phenotypes suggestive of a monogenic aetiologygreen
Familial diabetesgreen
Glucokinase-related fasting hyperglycaemiagreen
Monogenic diabetesgreen
Neonatal diabetesgreen

Mondo (18): permanent neonatal diabetes mellitus 1 (MONDO:0100165), maturity-onset diabetes of the young type 2 (MONDO:0007453), monogenic diabetes (MONDO:0015967), maturity-onset diabetes of the young (MONDO:0018911), type 2 diabetes mellitus (MONDO:0005148), hyperinsulinemic hypoglycemia, familial, 3 (MONDO:0011236), gestational diabetes (MONDO:0005406), permanent neonatal diabetes mellitus (MONDO:0100164), hyperinsulinemic hypoglycemia, familial, 1 (MONDO:0009734), maturity-onset diabetes of the young type 3 (MONDO:0010894), familial hyperinsulinism (MONDO:0017182), diabetes mellitus (MONDO:0005015), Nijmegen breakage syndrome (MONDO:0009623), developmental and epileptic encephalopathy, 2 (MONDO:0010396), maturity-onset diabetes of the young type 1 (MONDO:0007452), pancytopenia-developmental delay syndrome (MONDO:0014317), transient neonatal diabetes mellitus (MONDO:0020525), (MONDO:0007455)

Orphanet (12): Rare genetic diabetes mellitus (Orphanet:183625), MODY (Orphanet:552), Congenital glucokinase-related hyperinsulinism (Orphanet:79299), Isolated permanent neonatal diabetes mellitus (Orphanet:99885), Autosomal dominant hyperinsulinism due to SUR1 deficiency (Orphanet:276575), Diazoxide-resistant focal hyperinsulinism due to SUR1 deficiency (Orphanet:276598), Familial hyperinsulinism (Orphanet:276525), Nijmegen breakage syndrome (Orphanet:647), Early infantile developmental and epileptic encephalopathy (Orphanet:1934), West syndrome (Orphanet:3451), CDKL5-deficiency disorder (Orphanet:505652), Pancytopenia-developmental delay syndrome (Orphanet:401764)

HPO phenotypes

showing 60 of 80 phenotypes (HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0000077Abnormality of the kidney
HP:0000107Renal cyst
HP:0000112Nephropathy
HP:0000119Abnormality of the genitourinary system
HP:0000124Renal tubular dysfunction
HP:0000365Hearing impairment
HP:0000488Retinopathy
HP:0000819Diabetes mellitus
HP:0000825Hyperinsulinemic hypoglycemia
HP:0000831Insulin-resistant diabetes mellitus
HP:0000855Insulin resistance
HP:0000857Neonatal insulin-dependent diabetes mellitus
HP:0000956Acanthosis nigricans
HP:0001249Intellectual disability
HP:0001250Seizure
HP:0001251Ataxia
HP:0001252Hypotonia
HP:0001259Coma
HP:0001263Global developmental delay
HP:0001270Motor delay
HP:0001324Muscle weakness
HP:0001325Hypoglycemic coma
HP:0001488Bilateral ptosis
HP:0001508Failure to thrive
HP:0001511Intrauterine growth retardation
HP:0001513Obesity
HP:0001518Small for gestational age
HP:0001520Large for gestational age
HP:0001627Abnormal heart morphology
HP:0001738Exocrine pancreatic insufficiency
HP:0001824Weight loss
HP:0001944Dehydration
HP:0001952Glucose intolerance
HP:0001953Diabetic ketoacidosis
HP:0001985Hypoketotic hypoglycemia
HP:0001988Recurrent hypoglycemia
HP:0001998Neonatal hypoglycemia
HP:0002069Bilateral tonic-clonic seizure
HP:0002123Generalized myoclonic seizure
HP:0002173Hypoglycemic seizures
HP:0002186Apraxia
HP:0002270Abnormality of the autonomic nervous system
HP:0002378Hand tremor
HP:0002594Pancreatic hypoplasia
HP:0002714Downturned corners of mouth
HP:0002804Arthrogryposis multiplex congenita
HP:0002919Ketonuria
HP:0003074Hyperglycemia
HP:0003076Glycosuria
HP:0003477Peripheral axonal neuropathy
HP:0003584Late onset
HP:0003621Juvenile onset
HP:0004904Maturity-onset diabetes of the young
HP:0004924Abnormal oral glucose tolerance
HP:0005487Prominent metopic ridge
HP:0005750Lower-limb joint contracture
HP:0005978Type II diabetes mellitus
HP:0006274Reduced pancreatic beta cells

GWAS associations

showing 30 of 47 associations:

StudyTraitp-value
GCST000568_5Fasting blood glucose7e-92
GCST008362_201Birth weight4e-61
GCST001527_20Fasting blood glucose (BMI interaction)8e-56
GCST005186_5Fasting blood glucose6e-52
GCST007899_7Fasting blood glucose1e-50
GCST007954_30Glycated hemoglobin levels9e-38
GCST007954_31Glycated hemoglobin levels4e-35
GCST002586_9Fasting plasma glucose8e-27
GCST011587_11Fasting blood glucose8e-27
GCST005146_33Birth weight1e-26
GCST000276_3Fasting plasma glucose1e-25
GCST010661_7Blood glucose levels1e-25
GCST002390_11Glycated hemoglobin levels2e-22
GCST000803_3Glycated hemoglobin levels1e-20
GCST001233_18Metabolite levels2e-19
GCST010244_177Triglyceride levels3e-19
GCST001965_5Glycemic traits5e-18
GCST005180_4Homeostasis model assessment of beta-cell function2e-16
GCST006002_10Blood sugar levels7e-16
GCST007953_14Glycated hemoglobin levels9e-15
GCST007269_209Pulse pressure5e-14
GCST008363_59Offspring birth weight8e-14
GCST008363_60Offspring birth weight2e-13
GCST009379_294Type 2 diabetes2e-13
GCST001436_14Metabolic syndrome4e-13
GCST010173_68Triglyceride levels5e-13
GCST007847_44Type 2 diabetes5e-12
GCST000303_4Glycated hemoglobin levels6e-12
GCST008398_2Glycated hemoglobin levels3e-11
GCST006001_11Hemoglobin A1c levels4e-11

EFO canonical traits (from GWAS)

10 canonical traits:

EFO IDTrait name
EFO:0004541HbA1c measurement
EFO:0000195metabolic syndrome
EFO:0004340body mass index
EFO:0004344birth weight
EFO:0004469HOMA-B
EFO:0005939parental genotype effect measurement
EFO:0004468glucose measurement
EFO:0004530triglyceride measurement
EFO:0005763pulse pressure measurement
EFO:0009303fructosamine measurement

MeSH disease descriptors

10 disease descriptors:

DescriptorNameTree numbers
D003920Diabetes MellitusC18.452.394.750; C19.246
D003924Diabetes Mellitus, Type 2C18.452.394.750.149; C19.246.300
D016640Diabetes, GestationalC12.050.703.170; C18.452.394.750.448; C19.246.200
D049932Nijmegen Breakage SyndromeC18.452.284.600
C564064CDKL5 deficiency disorder *(supp.)*
C563425Diabetes Mellitus, Permanent Neonatal *(supp.)*
C538374Hyperinsulinemic hypoglycemia, familial, 3 *(supp.)*
C562772Mason-Type Diabetes *(supp.)*
C565101Maturity-Onset Diabetes of the Young, Type 1 *(supp.)*
C563933Maturity-Onset Diabetes of the Young, Type 3 *(supp.)*

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (2): CHEMBL3820 (SINGLE PROTEIN), CHEMBL3885579 (PROTEIN-PROTEIN INTERACTION)

Drugs by curated mechanism of action (ChEMBL)

Drugs whose curated ChEMBL mechanism of action targets the GCK protein itself — single-protein targets only (drugs acting on a protein family or complex that merely includes it are excluded). Includes antibodies and oligonucleotides that bioactivity screening does not capture.

6 curated-mechanism drugs:

DrugModalityMax phase
DORZAGLIATINSmall molecule3
AZD-1656Small molecule2
LY-2608204Small molecule2
MK-0941Small molecule2
NERIGLIATINSmall molecule2
PF-04991532Small molecule2

Molecules with ChEMBL bioactivity

Phase ≥1, by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 711 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

5 molecules by phase:

MoleculeNamePhasePatents
CHEMBL3219124AZD-16562392
CHEMBL2165615NERIGLIATIN254
CHEMBL2165620PF-04991532251
CHEMBL3580737MK-0941 FREE BASE228
CHEMBL1783734PIRAGLIATIN2186

PharmGKB: 1 entry (CPIC guideline: no)

GtoPdb / IUPHAR curated pharmacology

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

Target class: enzyme — Hexokinases

Most potent curated ligand interactions (1 total), top 1:

LigandActionAffinityParameter
AZD1656Activation7.24pEC50

Binding affinities (BindingDB)

971 measured of 1047 human assays (1079 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
CHEMBL4067028EC500.8 nM
CHEMBL4086771EC501 nM
(7R)-7-[5-[(3-chloro-1,7-naphthyridin-8-yl)amino]-2-fluorophenyl]-7-methyl-5,5-dioxo-5lambda6-thia-8-azaspiro[3.5]non-8-en-9-amineIC501.15 nMUS-9556135: Amino-dihydrothiazine and amino-dioxido dihydrothiazine compounds as beta-secretase antagonists and methods of use
CHEMBL4086782EC501.4 nM
methyl 3-[6-[5-(4-ethylsulfonylphenoxy)-6-(1-methyl-5-oxopyrrolidin-2-yl)-1H-indol-2-yl]-3-pyridinyl]propanoateEC501.9 nMUS-9453038: Glucokinase activator compounds, compositions containing such compounds, and methods of treatment
CHEMBL3113985IC502 nM
methyl 3-[4-[[6-(1-methyl-5-oxopyrrolidin-2-yl)-2-pyrazin-2-yl-1H-indol-5-yl]oxy]phenyl]propanoateEC502.1 nMUS-9453038: Glucokinase activator compounds, compositions containing such compounds, and methods of treatment
CHEMBL4104680EC503.4 nM
5-[3-[(3R)-5-amino-3,6,6-trimethyl-1,1-dioxo-2H-1,4-thiazin-3-yl]-4,5-difluoroanilino]-1H-pyrido[3,4-b]pyrazin-2-oneIC503.7 nMUS-9556135: Amino-dihydrothiazine and amino-dioxido dihydrothiazine compounds as beta-secretase antagonists and methods of use
CHEMBL3114185IC504 nM
methyl 3-[4-[[6-(1-methyl-5-oxopyrrolidin-2-yl)-2-pyridin-2-yl-1H-indol-5-yl]oxy]phenyl]propanoateEC504.3 nMUS-9453038: Glucokinase activator compounds, compositions containing such compounds, and methods of treatment
CHEMBL4067037EC504.8 nM
CHEMBL3235148EC505 nM
CHEMBL3319529IC505 nM
CHEMBL3319540IC505 nM
CHEMBL3319534IC505 nM
2-[5-chloro-2-[[3-(4-methoxyphenyl)sulfanyl-6-pyridin-2-ylsulfanylpyridine-2-carbonyl]amino]-1,3-thiazol-4-yl]acetic acidEC505.7 nMUS-9527838: 2-pyridinecarboxamide derivatives, compositions containing such compounds, and methods of treatment
CHEMBL3319544IC506 nM
CHEMBL3577727EC506 nM
CHEMBL3577728EC506 nM
CHEMBL3577729EC506 nM
CHEMBL3577715EC506 nM
CHEMBL3577735EC506 nM
CHEMBL3114186IC506 nM
CHEMBL3114183IC506 nM
ethyl 2-[[2-[[3-(3,4-dichlorophenyl)sulfanyl-6-[(4-methyl-1,2,4-triazol-3-yl)sulfanyl]pyridine-2-carbonyl]amino]-1,3-thiazol-5-yl]sulfanyl]acetateEC506.2 nMUS-9527838: 2-pyridinecarboxamide derivatives, compositions containing such compounds, and methods of treatment
Staurosporine, 8IC506.5 nM
CHEMBL3319542IC507 nM
CHEMBL3319541IC507 nM
CHEMBL3577736EC507 nM
CHEMBL3113980IC507 nM
ethyl 2-[[2-[[3-(4-methoxyphenyl)sulfanyl-6-[(4-methyl-1,2,4-triazol-3-yl)sulfanyl]pyridine-2-carbonyl]amino]-1,3-thiazol-5-yl]sulfanyl]acetateEC507.5 nMUS-9527838: 2-pyridinecarboxamide derivatives, compositions containing such compounds, and methods of treatment
ethyl 2-[5-chloro-2-[[3-(3,4-dichlorophenyl)sulfanyl-6-[(4-methyl-1,2,4-triazol-3-yl)sulfanyl]pyridine-2-carbonyl]amino]-1,3-thiazol-4-yl]acetateEC507.6 nMUS-9527838: 2-pyridinecarboxamide derivatives, compositions containing such compounds, and methods of treatment
ethyl 2-[5-chloro-2-[[3-(4-fluorophenyl)sulfanyl-6-[(4-methyl-1,2,4-triazol-3-yl)sulfanyl]pyridine-2-carbonyl]amino]-1,3-thiazol-4-yl]acetateEC508 nMUS-9527838: 2-pyridinecarboxamide derivatives, compositions containing such compounds, and methods of treatment
CHEMBL3235155EC508 nM
CHEMBL3319543IC508 nM
methyl 3-[2-[6-(1-methyl-5-oxopyrrolidin-2-yl)-5-(4-methylsulfonylphenoxy)-1H-indol-2-yl]-1,3-thiazol-5-yl]propanoateEC508.9 nMUS-9453038: Glucokinase activator compounds, compositions containing such compounds, and methods of treatment
CHEMBL3577732EC509 nM
CHEMBL3114187IC509 nM
2-[5-chloro-2-[[3-(4-fluorophenyl)sulfanyl-6-pyridin-2-ylsulfanylpyridine-2-carbonyl]amino]-1,3-thiazol-4-yl]acetic acidEC509.6 nMUS-9527838: 2-pyridinecarboxamide derivatives, compositions containing such compounds, and methods of treatment
3-methyl-2-(4-(1-methyl-1H-pyrazol-3-ylamino)quinazolin-6-yloxy)benzonitrileEC5010 nM
CHEMBL4793665IC5010 nM
3-(4-methoxyphenyl)sulfanyl-N-[5-[2-(methylamino)-2-oxoethyl]sulfanyl-1,3-thiazol-2-yl]-6-[(4-methyl-1,2,4-triazol-3-yl)sulfanyl]pyridine-2-carboxamideEC5010.8 nMUS-9527838: 2-pyridinecarboxamide derivatives, compositions containing such compounds, and methods of treatment
CHEMBL3319551IC5011 nM
CHEMBL3317472IC5011 nM
methyl 3-[4-[[6-(1-methyl-5-oxopyrrolidin-2-yl)-2-[5-(trifluoromethyl)-2-pyridinyl]-1H-indol-5-yl]oxy]phenyl]propanoateEC5011.4 nMUS-9453038: Glucokinase activator compounds, compositions containing such compounds, and methods of treatment
CHEMBL3577720EC5012 nM
CHEMBL3764079EC5012 nM
ethyl 2-[[2-[[3-(4-fluorophenyl)sulfanyl-6-[(4-methyl-1,2,4-triazol-3-yl)sulfanyl]pyridine-2-carbonyl]amino]-1,3-thiazol-5-yl]sulfanyl]acetateEC5013.4 nMUS-9527838: 2-pyridinecarboxamide derivatives, compositions containing such compounds, and methods of treatment
methyl 3-[6-[6-(1-acetylpyrrolidin-2-yl)-5-[[6-(azetidine-1-carbonyl)-3-pyridinyl]oxy]-1H-indol-2-yl]-3-pyridinyl]propanoateEC5013.9 nMUS-9453038: Glucokinase activator compounds, compositions containing such compounds, and methods of treatment

ChEMBL bioactivities

1393 potent at pChembl≥5 of 1426 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
9.31IC500.488nMSTAUROSPORINE
9.10EC500.8nMCHEMBL4067028
9.09IC500.81nMSTAUROSPORINE
9.00IC501nMCHEMBL3319533
9.00EC501nMCHEMBL4086771
8.85EC501.4nMCHEMBL4086782
8.72EC501.9nMCHEMBL3918883
8.70IC502nMCHEMBL3113985
8.70EC502nMCHEMBL4086782
8.68EC502.1nMCHEMBL3893442
8.68EC502.1nMCHEMBL4068048
8.67Kd2.16nMCHEMBL3217925
8.62Kd2.42nMCHEMBL3580738
8.62EC502.4nMCHEMBL4067028
8.62EC502.4nMCHEMBL4083339
8.53Kd2.93nMMK-0941 FREE BASE
8.47EC503.4nMCHEMBL4104680
8.43EC503.7nMCHEMBL4067028
8.42EC503.8nMCHEMBL3901777
8.42EC503.8nMCHEMBL4086771
8.40IC504nMCHEMBL3114185
8.38EC504.2nMCHEMBL4078915
8.38EC504.2nMCHEMBL4067028
8.37EC504.3nMCHEMBL3969091
8.35EC504.5nMCHEMBL4078915
8.35EC504.5nMCHEMBL4086771
8.32EC504.8nMCHEMBL4067037
8.32EC504.8nMCHEMBL4068048
8.30EC505nMCHEMBL3235148
8.30IC505nMCHEMBL3319529
8.30IC505nMCHEMBL3319549
8.30IC505nMCHEMBL3319540
8.30IC505nMCHEMBL3319534
8.26EC505.5nMCHEMBL4086771
8.24EC505.7nMCHEMBL4092800
8.22IC506nMCHEMBL3114186
8.22IC506nMCHEMBL3114183
8.22IC506nMCHEMBL3319544
8.22IC506nMCHEMBL3578107
8.22EC506nMCHEMBL3577715
8.22EC506nMCHEMBL3577727
8.22EC506nMCHEMBL3577728
8.22EC506nMCHEMBL3577729
8.22EC506nMCHEMBL3577735
8.15IC507nMCHEMBL3113980
8.15IC507nMCHEMBL3319542
8.15IC507nMCHEMBL3319541
8.15IC507nMCHEMBL3578087
8.15EC507nMCHEMBL3577736
8.10EC508nMCHEMBL3235155

PubChem BioAssay actives

1145 with measured affinity, of 2891 total; 50 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
(2S,3R,4R,6R)-3-methoxy-2-methyl-4-(methylamino)-29-oxa-1,7,17-triazaoctacyclo[12.12.2.12,6.07,28.08,13.015,19.020,27.021,26]nonacosa-8,10,12,14,19,21,23,25,27-nonaen-16-one1715336: Inhibition of human GCK using MBP as substrate by [gamma-33P]-ATP assayic500.0005uM
1-methyl-5-[5-[(6-methylsulfonyl-3-pyridinyl)oxy]-2-[5-(trifluoromethyl)-2-pyridinyl]-1H-indol-6-yl]pyrrolidin-2-one1446944: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0008uM
1-methyl-5-[5-[(6-methylsulfonyl-3-pyridinyl)oxy]-2-pyridin-2-yl-1H-indol-6-yl]pyrrolidin-2-one1446944: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0008uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(1-methylpyrazol-4-yl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0010uM
1-methyl-5-[5-[(6-methylsulfonyl-3-pyridinyl)oxy]-2-(5-methyl-1,3-thiazol-2-yl)-1H-indol-6-yl]pyrrolidin-2-one1446944: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0010uM
5-[5-(4-ethylsulfonylphenoxy)-2-[5-(trifluoromethyl)-2-pyridinyl]-1H-indol-6-yl]-1-methylpyrrolidin-2-one1446944: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0014uM
1,1,1-trifluoro-2-[4-[(2S)-2-(3-oxa-8-azabicyclo[3.2.1]octan-8-ylmethyl)-4-thiophen-2-ylsulfonylpiperazin-1-yl]phenyl]propan-2-ol1068881: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by Alpha Screen assayic500.0020uM
5-[2-[5-(2-hydroxypropan-2-yl)-2-pyridinyl]-5-[(6-methylsulfonyl-3-pyridinyl)oxy]-1H-indol-6-yl]-1-methylpyrrolidin-2-one1446944: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0021uM
methyl 6-[6-(1-methyl-5-oxopyrrolidin-2-yl)-5-[(6-methylsulfonyl-3-pyridinyl)oxy]-1H-indol-2-yl]pyridine-3-carboxylate1446944: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0034uM
2-[4-[(2S)-4-[(6-amino-3-pyridinyl)sulfonyl]-2-prop-1-ynylpiperazin-1-yl]phenyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1068881: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by Alpha Screen assayic500.0040uM
1-methyl-5-[5-[(6-methylsulfonyl-3-pyridinyl)oxy]-2-pyrazin-2-yl-1H-indol-6-yl]pyrrolidin-2-one1446944: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0042uM
ethyl 4-[[6-(1-methyl-5-oxopyrrolidin-2-yl)-2-[5-(trifluoromethyl)-2-pyridinyl]-1H-indol-5-yl]oxy]benzoate1446942: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 2.5 mM glucose by G6PDH coupled spectrophotometric assayec500.0048uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(3-methoxyprop-1-ynyl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0050uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(1-ethylpyrazol-4-yl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0050uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(4-methylthiophen-2-yl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0050uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-pyridin-3-yl-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0050uM
N-[4-[2-(ethylamino)-2-oxoethyl]-1,3-thiazol-2-yl]-3-(3-methyl-2-pyridinyl)-5-(4-methylsulfonylphenoxy)benzamide1129057: Activation of recombinant human pancreatic glucokinase using 10 mM glucose by spectrophotometryec500.0050uM
2-[5-chloro-2-[[3-(4-methoxyphenyl)sulfanyl-6-pyridin-2-ylsulfanylpyridine-2-carbonyl]amino]-1,3-thiazol-4-yl]acetic acid1446979: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0057uM
2-[2-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(1,1,1,3,3,3-hexafluoro-2-hydroxypropan-2-yl)-3-pyridinyl]phenol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0060uM
3-[(2S)-1-methoxypropan-2-yl]oxy-N-(1-methylpyrazol-3-yl)-5-[2-[3-(2-pyrrolidin-1-ylethylamino)phenyl]ethynyl]benzamide1226037: Activation of recombinant human pancreatic glucokinase using 10 mM glucose as substrate by G6PDH coupled assayec500.0060uM
3-[(2S)-1-methoxypropan-2-yl]oxy-N-(1-methylpyrazol-3-yl)-5-[2-[3-(2-piperidin-1-ylethylamino)phenyl]ethynyl]benzamide1226037: Activation of recombinant human pancreatic glucokinase using 10 mM glucose as substrate by G6PDH coupled assayec500.0060uM
3-[(2S)-1-methoxypropan-2-yl]oxy-N-(1-methylpyrazol-3-yl)-5-[2-[3-(2-pyrrolidin-1-ylethoxy)phenyl]ethynyl]benzamide1226037: Activation of recombinant human pancreatic glucokinase using 10 mM glucose as substrate by G6PDH coupled assayec500.0060uM
(2R)-2-[4-[5-[(6-amino-3-pyridinyl)sulfonyl]-1,3-thiazol-2-yl]-3-chlorophenyl]propane-1,2-diol1226494: Inhibition of human biotin-labeled GKRP and fluorescein-labeled human GK interaction preincubated for 20 mins prior to fluorescein-labeled human GK addition measured after 2 to 4 hrs by AlphaScreen assayic500.0060uM
(2S)-2-[4-[(2S)-4-[(6-amino-3-pyridinyl)sulfonyl]-2-prop-1-ynylpiperazin-1-yl]phenyl]-1,1,1-trifluoropropan-2-ol1068881: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by Alpha Screen assayic500.0060uM
2-[4-[4-[(6-amino-3-pyridinyl)sulfonyl]-2-prop-1-ynylpiperazin-1-yl]phenyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1068881: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by Alpha Screen assayic500.0060uM
3-[2-[3-[2-(dimethylamino)ethylamino]phenyl]ethynyl]-5-[(2S)-1-methoxypropan-2-yl]oxy-N-(1-methylpyrazol-3-yl)benzamide1226037: Activation of recombinant human pancreatic glucokinase using 10 mM glucose as substrate by G6PDH coupled assayec500.0060uM
3-[(2S)-1-methoxypropan-2-yl]oxy-N-(1-methylpyrazol-3-yl)-5-[3-(oxan-2-yloxy)prop-1-ynyl]benzamide1226037: Activation of recombinant human pancreatic glucokinase using 10 mM glucose as substrate by G6PDH coupled assayec500.0060uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-phenyl-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0070uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(2-fluorophenyl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0070uM
3-[(2S)-1-methoxypropan-2-yl]oxy-N-(1-methylpyrazol-3-yl)-5-[2-[3-(2-piperidin-1-ylethoxy)phenyl]ethynyl]benzamide1226037: Activation of recombinant human pancreatic glucokinase using 10 mM glucose as substrate by G6PDH coupled assayec500.0070uM
2-[6-[6-[(6-amino-3-pyridinyl)sulfonyl]-2-anilino-3-pyridinyl]-3-pyridinyl]-1,1,1-trifluoropropan-2-ol1226494: Inhibition of human biotin-labeled GKRP and fluorescein-labeled human GK interaction preincubated for 20 mins prior to fluorescein-labeled human GK addition measured after 2 to 4 hrs by AlphaScreen assayic500.0070uM
1,1,1-trifluoro-2-[4-[(2S)-2-[[(3S)-3-methylmorpholin-4-yl]methyl]-4-thiophen-2-ylsulfonylpiperazin-1-yl]phenyl]propan-2-ol1068881: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by Alpha Screen assayic500.0070uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(3-fluorophenyl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0080uM
N-[4-[(1-methoxypropan-2-ylamino)methyl]-1,3-thiazol-2-yl]-3-(3-methyl-2-pyridinyl)-5-(4-methylsulfonylphenoxy)benzamide1129057: Activation of recombinant human pancreatic glucokinase using 10 mM glucose by spectrophotometryec500.0080uM
3-[(2S)-1-methoxypropan-2-yl]oxy-5-[2-[3-[2-(2-methylimidazol-1-yl)ethylamino]phenyl]ethynyl]-N-(1-methylpyrazol-3-yl)benzamide1226037: Activation of recombinant human pancreatic glucokinase using 10 mM glucose as substrate by G6PDH coupled assayec500.0090uM
(2R)-2-[4-[(2S)-4-[(6-amino-3-pyridinyl)sulfonyl]-2-prop-1-ynylpiperazin-1-yl]phenyl]-1,1,1-trifluoropropan-2-ol1068881: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by Alpha Screen assayic500.0090uM
1-[4-[5-[(5-pyridin-2-ylsulfanyl-3-quinolin-5-yloxy-2-pyridinyl)amino]-1,2,4-thiadiazol-3-yl]piperidin-1-yl]ethanone1653850: Activation of glucokinase (unknown origin)ec500.0093uM
4-[[6-(1-methyl-5-oxopyrrolidin-2-yl)-2-[5-(trifluoromethyl)-2-pyridinyl]-1H-indol-5-yl]oxy]benzoic acid1446944: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0096uM
2-[5-chloro-2-[[3-(4-fluorophenyl)sulfanyl-6-pyridin-2-ylsulfanylpyridine-2-carbonyl]amino]-1,3-thiazol-4-yl]acetic acid1446979: Activation of recombinant human glucokinase assessed as conversion of D-glucose to D-glucose-6-phosphate in presence of 10 mM glucose by G6PDH coupled spectrophotometric assayec500.0096uM
2-[4-[5-[(6-amino-3-pyridinyl)sulfonyl]-1,3-thiazol-2-yl]-3-chlorophenyl]propane-1,2-diol1226494: Inhibition of human biotin-labeled GKRP and fluorescein-labeled human GK interaction preincubated for 20 mins prior to fluorescein-labeled human GK addition measured after 2 to 4 hrs by AlphaScreen assayic500.0100uM
3-methyl-2-[4-[(1-methylpyrazol-3-yl)amino]quinazolin-6-yl]oxybenzonitrile437790: Activation of N-terminal His-tagged human recombinant liver glucokinase expressed in Escherichia coli BL21 (DE3) by glucose-6-phosphate dehydrogenase coupled continuous spectrophotometric assay in presence of 10 mM glucoseec500.0100uM
5-[2-(1-ethylpiperidin-4-yl)-1,3-thiazol-5-yl]-3-(pyridin-4-ylmethoxy)pyridin-2-amine1679420: Inhibition of human GCK using MBP as substrate by [gamma-33P]-ATP assayic500.0102uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(4-fluorophenyl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0110uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(5-fluoro-3-pyridinyl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0110uM
3-[2-(1H-indol-5-yl)ethynyl]-5-[(2S)-1-methoxypropan-2-yl]oxy-N-(1-methylpyrazol-3-yl)benzamide1226037: Activation of recombinant human pancreatic glucokinase using 10 mM glucose as substrate by G6PDH coupled assayec500.0120uM
2-[(Z)-1-(3-chloro-4-methylsulfonylphenyl)-2-cyclopentylethenyl]-1H-pyrrolo[2,3-b]pyridine1276628: Activation of recombinant human glucokinase assessed as NADPH formation using glucose as substrate incubated for 30 mins in presence of NADP+ and glucose 6-phosphate dehydrogenaseec500.0124uM
2-[6-[4-[(6-amino-3-pyridinyl)sulfonyl]piperazin-1-yl]-5-(3-hydroxyprop-1-ynyl)-3-pyridinyl]-1,1,1,3,3,3-hexafluoropropan-2-ol1182398: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP compound incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by AlphaScreen assayic500.0140uM
1-[5-(cyclohexylmethyl)-3-[(2-ethyl-3-pyridinyl)oxy]-2-pyridinyl]-3-methylurea1176538: Activation of human recombinant Glucokinase measured over 5 mins by G6-PD coupled assay in presence of 5 mM glucoseec500.0140uM
1-[4-(2,6-difluorophenoxy)-5-(6-ethoxy-3-pyridinyl)-2-pyridinyl]-3-methylurea1627607: Activation of human recombinant glucokinase using 5 mM glucose monitored over 5 mins in presence of NAD+ by glucose 6-phosphate dehydrogenase coupled assayec500.0140uM
(1R,5R,6R)-8-[[(2S)-4-thiophen-2-ylsulfonyl-1-[4-[(2R)-1,1,1-trifluoro-2-hydroxypropan-2-yl]phenyl]piperazin-2-yl]methyl]-3-oxa-8-azabicyclo[3.2.1]octan-6-ol1068881: Inhibition of fluorescein-labeled human GK interaction with biotin-labeled human GKRP incubated for 20 mins prior to addition of fluorescein-labeled GK measured after 2 to 4 hrs by Alpha Screen assayic500.0140uM

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
bisphenol Fincreases methylation, decreases expression, affects cotreatment2
mono-(2-ethylhexyl)phthalateaffects expression, decreases expression2
sodium arsenitedecreases expression, increases expression2
Benzo(a)pyreneaffects methylation, affects cotreatment, affects expression2
Valproic Acidaffects expression, decreases expression, increases methylation2
Aflatoxin B1decreases expression, decreases methylation, increases methylation2
benzo(b)fluorantheneaffects cotreatment, affects expression1
bisphenol Adecreases expression1
fluorantheneaffects cotreatment, affects expression1
1,2,5,6-dibenzanthraceneaffects expression, affects cotreatment1
4-aminophenylarsenoxideaffects binding, decreases reaction1
benazol Paffects expression1
benzamideincreases activity1
1-methylphenanthreneaffects cotreatment, affects expression1
dibenzo(a,l)pyreneaffects expression, affects cotreatment1
testosterone-3-carboxymethyloxime-bovine serum albumin conjugateaffects expression1
fenugreek seed mealaffects expression1
tetraarsenic tetrasulfideaffects cotreatment, decreases expression1
bisphenol Sdecreases expression1
6-chloro-2,3,4,9-tetrahydro-1H-carbazole-1-carboxamidedecreases reaction, increases expression, increases reaction1
Imatinib Mesylateaffects cotreatment, decreases expression1
Atorvastatindecreases expression, increases reaction1
Resveratrolincreases reaction, decreases reaction, increases expression1
Arsenic Trioxidedecreases reaction, affects binding1
Fulvestrantaffects cotreatment, increases methylation1
Arsenicincreases methylation1
Estradiolincreases expression1
Folic Aciddecreases expression1
Metformindecreases activity, decreases reaction, decreases expression1
Rifampindecreases expression, increases reaction1

ChEMBL screening assays

228 unique, capped per target: 226 binding, 1 admet, 1 functional

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1032034BindingActivation of flag-tagged human recombinant liver glucokinase expressed in Escherichia coli by glucose-6-phosphate dehydrogenase coupled continuous spectrophotometric assay in presence of 2.5 mM glucoseStructure-activity relationships of 3,5-disubstituted benzamides as glucokinase activators with potent in vivo efficacy. — *Bioorg Med Chem*
CHEMBL4813785ADMETInhibition of human hexokinase-4 at 20 uM relative to controlSynthesis, biochemical, and biological evaluation of C2 linkage derivatives of amino sugars, inhibitors of glucokinase from Trypanosoma cruzi. — *Bioorg Med Chem Lett*
CHEMBL865109FunctionalActivation of glucokinaseDesign of a potent, soluble glucokinase activator with excellent in vivo efficacy. — *Bioorg Med Chem Lett*

Cellosaurus cell lines

9 cell lines: 5 induced pluripotent stem cell, 2 spontaneously immortalized cell line, 1 transformed cell line, 1 cancer cell line

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

CellosaurusNameCategorySex
CVCL_A4NVQBRIi010-AInduced pluripotent stem cellMale
CVCL_A4NWQBRIi011-AInduced pluripotent stem cellMale
CVCL_A4NXQBRIi010-BInduced pluripotent stem cellMale
CVCL_A4NYQBRIi010-CInduced pluripotent stem cellMale
CVCL_AJ80GM13532Transformed cell lineFemale
CVCL_C9JNSDQLCHi063-AInduced pluripotent stem cellMale
CVCL_HA58BHK-PPI-C16-GCKSpontaneously immortalized cell lineMale
CVCL_HA59BHK-PPI-C16-GCK-GLUTSpontaneously immortalized cell lineMale
CVCL_HA63MelligenCancer cell lineMale

Clinical trials (associated diseases)

Via MONDO — disease-level, not drug-specific.

showing 60 of 321 trials:

NCTPhaseStatusTitle
NCT02624817Phase 4COMPLETEDLong-Term Sulfonylurea Response in KCNJ11 Neonatal Diabetes
NCT02624830Phase 4UNKNOWNLong-Term Sulfonylurea Response in ABCC8 Neonatal Diabetes (SuResponsSUR)
NCT00006163Phase 4COMPLETEDComputer-assisted Diabetes Self-management Interventions
NCT00036504Phase 4COMPLETEDEfficacy and Safety of Twice-Daily Insulin Lispro Low Mixture Compared to a Once-Daily Long Acting Insulin Comparator in Patients Who Have Been Using One or More Oral Antihyperglycemic Agents Without Insulin
NCT00044460Phase 4COMPLETEDEfficacy and Safety In Poorly Controlled Type 2 Diabetics
NCT00095446Phase 4COMPLETEDNovoLog Observation Trial in Subjects With Type 1 and Type 2 Diabetes
NCT00101751Phase 4COMPLETEDINITIATE Plus (INITiation of Insulin to Reach A1c TargEt) Study
NCT00110370Phase 4COMPLETEDComparing Pre-Mixed Insulin With Insulin Glargine Combined With Rapid-Acting Insulin in Patients With Type 2 Diabetes
NCT00110448Phase 4COMPLETEDJapanese Primary Prevention of Atherosclerosis With Aspirin for Diabetes (JPAD) Trial
NCT00118950Phase 4COMPLETEDEffect of Metformin Versus Repaglinide Treatment in Non-Obese Type 2 Diabetic Patients Uncontrolled by Diet
NCT00118963Phase 4COMPLETEDEffect of Repaglinide Versus Metformin Treatment in Non-Obese Patients With Type-2-Diabetes
NCT00121966Phase 4COMPLETEDSouth Danish Diabetes Study: Evaluation of the Antidiabetic Treatment of Type 2 Diabetes Mellitus
NCT00123604Phase 4COMPLETEDVascular Effects of Carvedilol Versus Metoprolol in Hypertensive Patients With Type 2 Diabetes
NCT00123643Phase 4COMPLETEDVascular Effects of Rosiglitazone Versus Glyburide in Type 2 Diabetic Patients
NCT00124397Phase 4COMPLETEDAtorvastatin and Endothelial Function in Type 2 Diabetes Mellitus (ATTEND-Study)
NCT00129233Phase 4COMPLETEDComparison of Valsartan With Amlodipine in Hypertensive Patients With Glucose Intolerance
NCT00133718Phase 4COMPLETEDA 2 Year Trial of Patients With Type 2 Diabetes Focusing on Cardiovascular Diagnostics and Metabolic Control
NCT00135070Phase 4TERMINATEDHospital In-Patient Insulin Study
NCT00141232Phase 4COMPLETEDEvaluating Atorvastatin With Omega-3 Fatty Acids in Cardiovascular Risk Reduction in Patients With Type 2 Diabetes
NCT00144144Phase 4UNKNOWNA Study on Ca Blocker Versus AII Antagonists in Hypertension With Type 2 Diabetes
NCT00149331Phase 4COMPLETEDThe Effects of Two Education Strategies About Insulin on Patient Preferences and Perceptions About Insulin Therapy
NCT00162357Phase 4COMPLETEDPost-PCI:Cardiac Imaging in Patients With Diabetes to Detect Coronary Artery Blockages Previously Opened by Angioplasty
NCT00174681Phase 4COMPLETEDTulip Study: Testing the Usefulness of Lantus When Initiated Prematurely In Patients With Type 2 Diabetes
NCT00174824Phase 4COMPLETEDComparison of Insulin Glargine and NPH Human Insulin in Progression of Diabetic Retinopathy in Type 2 Diabetic Patients
NCT00177398Phase 4COMPLETEDEffect of Glargine Insulin on Glucose Control in Hospitalized Patients Who Receive Tube Feedings
NCT00179400Phase 4COMPLETEDThe Role of Acute Combined PPAR Alpha and Gamma Stimulation on Insulin Action in Humans
NCT00184561Phase 4COMPLETEDEffectiveness and Safety of Biphasic Insulin Aspart 70/30 in Subjects With Type 2 Diabetes
NCT00184626Phase 4COMPLETEDComparison of Insulin Glargine Versus Biphasic Insulin Aspart 30/70 or Biphasic Insulin Aspart 30/70 in Combination With Metformin in Subjects With Type 2 Diabetes.
NCT00191178Phase 4COMPLETEDEffects of Insulin in Perceived Mood Symptoms in Patients With Type 2 Diabetes
NCT00191282Phase 4COMPLETEDHyperglycemia and Cardiovascular Outcomes With Type 2 Diabetes
NCT00191464Phase 4COMPLETEDLong-Term Effects of Insulin Plus Metformin Regimens on the Overall and Postprandial Glycemic Control of Patients With Type 2 Diabetes
NCT00192803Phase 4UNKNOWNNon-Insulin Dependent Diabetes Mellitus (NIDDM) and Angiotensin Converting Enzyme 2 (ACE2): Diabetic Patients Treated With Antihypertensive Drugs
NCT00202033Phase 4COMPLETEDImpact of Self-Monitoring Blood Glucose Frequency on Glycemic Control in Patients With Type 2 Diabetes
NCT00205660Phase 4COMPLETEDChanges in Adiposity, Metabolic Measures From Atypicals to Aripiprazole
NCT00212290Phase 4COMPLETEDInsulin Resistance and Central Nervous System (CNS) Function in Type 2 Diabetes
NCT00212303Phase 4COMPLETEDExercise Training in Type 2 Diabetes and Hypertension
NCT00225342Phase 4WITHDRAWNStudy Protocol for Rosiglitazone Versus Gliclazide in Diabetics With Angina
NCT00238472Phase 4COMPLETEDA Pilot Study to Evaluate the Effects of Nateglinide vs. Glibenclamide on Renal Hemodynamics and Albumin Excretion
NCT00239538Phase 4COMPLETEDSMOOTH - Blood Pressure Control in Diabetic/Obese Patients
NCT00240253Phase 4COMPLETEDA Study Evaluating the Efficacy and Safety of Adding Symlin® to Lantus® (Insulin Glargine) in Subjects With Type 2 Diabetes
NCT00240422Phase 4COMPLETEDTrial to Compare the Effects of Either Telmisartan (40-80 mg PO Once Daily) or Ramipril (5-10 mg PO Once Daily) on Renal Endothelial Dysfunction in Hypertensive Patients With Type 2 Diabetes
NCT00241085Phase 4COMPLETEDEffect of Valsartan on Proteinuria in Patients With Hypertension and Diabetes Mellitus
NCT00241605Phase 4COMPLETEDAVANDAMET Versus Metformin For Type 2 Diabetes Mellitus
NCT00254085Phase 4UNKNOWNSubstitution of First Phase Insulin Response in Patient With Type 2 Diabetes.
NCT00258804Phase 4COMPLETEDInsulin Glargine During and After the Period of Fasting in Ramadan
NCT00262548Phase 4COMPLETEDC-Reactive Protein (CRP) in Obese Diabetic Women
NCT00264589Phase 4COMPLETEDExercise Training and Cardiovascular Function in Obesity and in Type 2 Diabetes
NCT00264901Phase 4COMPLETEDComparison of Self Adjustment Versus Standard of Care Treatment in Subjects With Type 2 Diabetes
NCT00265746Phase 4WITHDRAWNPrevention of Diabetes Mellitus Development in Women Who Had Already Experienced A Gestational Diabetes
NCT00268645Phase 4COMPLETEDInsulin Glargine in Type 2 Diabetes
NCT00272077Phase 4COMPLETEDInsulin Glargine in Type 2 Diabetes Mellitus
NCT00272831Phase 4COMPLETEDThe Use of Cilostazol in Patients With Diabetic Nephropathy
NCT00274274Phase 4COMPLETEDEfficacy and Safety of a Fixed or a Flexible Supplementary Insulin Therapy in Type 2 Diabetes
NCT00279201Phase 4COMPLETEDThe DURABLE Trial: Evaluating the Durability of Starter Insulin Regimens in Patients With Type 2 Diabetes (IOOV)
NCT00282360Phase 4COMPLETEDEffect of Metabolic Therapy in Patients With Chronic Ischemic Heart Disease
NCT00282451Phase 4COMPLETEDEffect of Biphasic Insulin Compared to Biphasic Insulin Combined With Insulin Aspart, With or Without Metformin in Type 2 Diabetes
NCT00283049Phase 4TERMINATEDInsulin Glargine Injection Treatment in Place of Thiazolidinedione (TZD), Sulfonylurea, or Metformin in Triple Agent Therapy for Type 2 Diabetes Mellitus (T2DM) Adult Subjects With Unsatisfactory Control
NCT00283777Phase 4COMPLETEDChromium and Insulin Action
NCT00290394Phase 4COMPLETEDAmbulatory Blood Pressure Reduction After Rosiglitazone Treatment In Normotensive Type 2 Diabetic Patients
NCT00296296Phase 4COMPLETEDImmunosuppression Impact on the Metabolic Control of Kidney Transplant With Pre-Existing Type 2 Diabetes (DM)

Predicted chemistry — Sugi Predict

The predicted patent-compound landscape for GCK across ~30M SureChEMBL compounds — explore on Sugi Predict.