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HTRA2

gene
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Also known as OMIPARK13

Summary

HTRA2 (HtrA serine peptidase 2, HGNC:14348) is a protein-coding gene on chromosome 2p13.1, encoding Serine protease HTRA2, mitochondrial (O43464). Serine protease that shows proteolytic activity against a non-specific substrate beta-casein.

This gene encodes a serine protease. The protein has been localized in the endoplasmic reticulum and interacts with an alternatively spliced form of mitogen-activated protein kinase 14. The protein has also been localized to the mitochondria with release to the cytosol following apoptotic stimulus. The protein is thought to induce apoptosis by binding the apoptosis inhibitory protein baculoviral IAP repeat-containing 4. Nuclear localization of this protein has also been observed. Alternate splicing of this gene results in multiple transcript variants encoding different isoforms.

Source: NCBI Gene 27429 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): 3-methylglutaconic aciduria type 8 (Definitive, ClinGen)
  • Clinical variants (ClinVar): 345 total — 10 pathogenic, 4 likely-pathogenic (top 9% of genes corpus-wide)
  • GTEx eGene: eQTL in 9 tissues, sQTL in 5 (q < 0.05)
  • Phenotypes (HPO): 70
  • Constraint (gnomAD): pLI 0.00 (LoF-tolerant), LOEUF 0.78 (unconstrained)
  • MANE Select transcript: NM_013247
  • Interaction hub: 1,816 STRING partners (top 9% of genes corpus-wide)

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:14348
Approved symbolHTRA2
NameHtrA serine peptidase 2
Location2p13.1
Locus typegene with protein product
StatusApproved
AliasesOMI, PARK13
Ensembl geneENSG00000115317
Ensembl biotypeprotein_coding
OMIM606441
Entrez27429

Gene structure

Transcript identifiers

Ensembl transcripts: 28 — 12 protein_coding, 7 retained_intron, 5 protein_coding_CDS_not_defined, 4 nonsense_mediated_decay

MANE Select: ENST00000258080

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

ENST00000258080, ENST00000352222, ENST00000437202, ENST00000462909, ENST00000465521, ENST00000467961, ENST00000482205, ENST00000482331, ENST00000484352, ENST00000484881, ENST00000696725, ENST00000696726, ENST00000696727, ENST00000696728, ENST00000696729, ENST00000696730, ENST00000696731, ENST00000854416, ENST00000854417, ENST00000994778, ENST00000994779, ENST00000994780, ENST00001014791, ENST00001014792, ENST00001114062, ENST00001122704, ENST00001122705, ENST00001142984

RefSeq mRNA: 4 — MANE Select: NM_013247 NM_001321727, NM_001321728, NM_013247, NM_145074

CCDS: CCDS1951, CCDS1952, CCDS92785, CCDS92786

Canonical transcript exons

ENST00000258080 — 8 exons

ExonStartEnd
ENSE000009208497453282074533319
ENSE000012768287452993374530512
ENSE000035575897453159774531702
ENSE000035731027453185674531925
ENSE000035787097453091174531105
ENSE000035990507453261974532714
ENSE000036377877453133974531371
ENSE000036701377453061774530821

Expression profiles

Bgee: expression breadth ubiquitous, 280 present calls, max score 92.01.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 17.1520 / max 325.9846, expressed in 1798 samples.

Highest expression (Bgee): cortical plate, coronary artery, trabecular bone tissue, ganglionic eminence, apex of heart.

Genetic regulation across tissues (GTEx eQTL / sQTL)

HTRA2 is an eGene in GTEx v10 — its expression is genetically regulated (eQTL) in 9 tissues and its splicing (sQTL) in 5 (q < 0.05). Strongest associations first; slope = normalized effect of the lead variant’s alternative allele.

14 significant tissue × QTL associations:

TissueQTLq-valueSlopeLead variant
Whole Bloodeqtl1.2e-08-0.592:74629108:A:G
Skin Not Sun Exposed Suprapubiceqtl2.9e-04-0.362:74469618:T:C
Nerve Tibialsqtl4.9e-04-0.752:74509676:G:A
Cells EBV-transformed lymphocyteseqtl3.2e-03-0.572:74507239:G:C
Cells Cultured fibroblastssqtl8.7e-03-0.682:74451552:C:T
Adipose Subcutaneouseqtl1.8e-02-0.242:73892535:C:T
Lungsqtl2.5e-02-0.312:75495419:A:T
Artery Tibialsqtl2.8e-02-0.802:74732855:C:A
Testiseqtl3.0e-02-0.162:73910224:G:GTA
Lungeqtl3.1e-02+0.362:75413306:G:T
Skin Sun Exposed Lower legeqtl3.7e-02-0.252:74167339:G:A
Cells Cultured fibroblastseqtl4.6e-02-0.372:74681674:C:A
Prostateeqtl4.7e-02-0.222:75150594:G:GT
Testissqtl4.9e-02-0.642:74551018:T:C

FANTOM5 promoters

showing 10 of 13 alternative TSS:

Promoter IDTPM avgSamples expressed
2105310.31161758
210573.28091326
210541.3395937
210550.7641409
210560.4589259
210600.334454
210520.131144
210490.122367
210590.113135
210510.111348

Top tissues by expression

showing 100 of 294 tissues by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
cortical plateUBERON:000534392.01gold quality
right coronary arteryUBERON:000162591.90gold quality
trabecular bone tissueUBERON:000248391.79gold quality
ganglionic eminenceUBERON:000402391.38gold quality
apex of heartUBERON:000209891.37gold quality
mucosa of transverse colonUBERON:000499191.35gold quality
granulocyteCL:000009491.16gold quality
spleenUBERON:000210690.99gold quality
right ovaryUBERON:000211890.81gold quality
ascending aortaUBERON:000149690.77gold quality
thoracic aortaUBERON:000151590.75gold quality
omental fat padUBERON:001041490.73gold quality
left coronary arteryUBERON:000162690.72gold quality
peritoneumUBERON:000235890.71gold quality
coronary arteryUBERON:000162190.70gold quality
adipose tissue of abdominal regionUBERON:000780890.68gold quality
esophagogastric junction muscularis propriaUBERON:003584190.66gold quality
prefrontal cortexUBERON:000045190.55gold quality
right frontal lobeUBERON:000281090.53gold quality
mucosa of stomachUBERON:000119990.49gold quality
lower esophagus muscularis layerUBERON:003583390.46gold quality
lower esophagusUBERON:001347390.44gold quality
left ovaryUBERON:000211990.42gold quality
right adrenal glandUBERON:000123390.25gold quality
aortaUBERON:000094790.22gold quality
muscle layer of sigmoid colonUBERON:003580590.18gold quality
left adrenal glandUBERON:000123490.13gold quality
left adrenal gland cortexUBERON:003582590.13gold quality
body of uterusUBERON:000985390.03gold quality
descending thoracic aortaUBERON:000234590.02gold quality
lymph nodeUBERON:000002989.96gold quality
popliteal arteryUBERON:000225089.89gold quality
tibial arteryUBERON:000761089.88gold quality
right adrenal gland cortexUBERON:003582789.88gold quality
cingulate cortexUBERON:000302789.76gold quality
endocervixUBERON:000045889.66gold quality
anterior cingulate cortexUBERON:000983589.64gold quality
right lobe of thyroid glandUBERON:000111989.63gold quality
adrenal cortexUBERON:000123589.47gold quality
heart left ventricleUBERON:000208489.47gold quality
right atrium auricular regionUBERON:000663189.35gold quality
left lobe of thyroid glandUBERON:000112089.32gold quality
adenohypophysisUBERON:000219689.23gold quality
right lungUBERON:000216789.22gold quality
ventricular zoneUBERON:000305389.15gold quality
cardiac ventricleUBERON:000208289.09gold quality
left uterine tubeUBERON:000130389.03gold quality
ovaryUBERON:000099289.01gold quality
C1 segment of cervical spinal cordUBERON:000646988.99gold quality
adipose tissueUBERON:000101388.96gold quality
bone marrowUBERON:000237188.96gold quality
gastrocnemiusUBERON:000138888.88gold quality
right testisUBERON:000453488.88gold quality
tibial nerveUBERON:000132388.87gold quality
adrenal glandUBERON:000236988.86gold quality
connective tissueUBERON:000238488.82gold quality
left testisUBERON:000453388.74gold quality
amygdalaUBERON:000187688.69gold quality
subcutaneous adipose tissueUBERON:000219088.63gold quality
neocortexUBERON:000195088.62gold quality
heartUBERON:000094888.61gold quality
thyroid glandUBERON:000204688.61gold quality
transverse colonUBERON:000115788.58gold quality
metanephros cortexUBERON:001053388.57gold quality
ectocervixUBERON:001224988.57gold quality
frontal cortexUBERON:000187088.56gold quality
pituitary glandUBERON:000000788.54gold quality
right hemisphere of cerebellumUBERON:001489088.54gold quality
cardiac atriumUBERON:000208188.53gold quality
esophagusUBERON:000104388.45gold quality
muscle of legUBERON:000138388.42gold quality
small intestine Peyer’s patchUBERON:000345488.39gold quality
dorsolateral prefrontal cortexUBERON:000983488.33gold quality
hindlimb stylopod muscleUBERON:000425288.28gold quality
embryoUBERON:000092288.26gold quality
upper lobe of left lungUBERON:000895288.23gold quality
superficial temporal arteryUBERON:000161488.21gold quality
Brodmann (1909) area 9UBERON:001354088.20gold quality
islet of LangerhansUBERON:000000688.19gold quality
upper lobe of lungUBERON:000894888.14gold quality
spinal cordUBERON:000224088.13gold quality
lower esophagus mucosaUBERON:003583488.05gold quality
right lobe of liverUBERON:000111488.00gold quality
cerebellar hemisphereUBERON:000224587.99gold quality
bloodUBERON:000017887.91gold quality
cerebellar cortexUBERON:000212987.88gold quality
body of stomachUBERON:000116187.86gold quality
testisUBERON:000047387.82gold quality
nucleus accumbensUBERON:000188287.82gold quality
stromal cell of endometriumCL:000225587.74gold quality
caudate nucleusUBERON:000187387.72gold quality
hypothalamusUBERON:000189887.70gold quality
vermiform appendixUBERON:000115487.48gold quality
putamenUBERON:000187487.41gold quality
cerebral cortexUBERON:000095687.38gold quality
minor salivary glandUBERON:000183087.38gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099187.34gold quality
forebrainUBERON:000189087.23gold quality
esophagus mucosaUBERON:000246987.15gold quality
telencephalonUBERON:000189387.14gold quality

Single-cell (SCXA)

Detected in 3 experiment(s), a significant marker in 2.

ExperimentMarker?Max mean expression
E-CURD-112yes45.19
E-ANND-3yes6.15
E-CURD-11no59.46

HPA expression

RNA tissue specificity: Low tissue specificity

showing 60 of 80 HPA tissues / cells by nTPM:

Tissue / cellAxisnTPMProtein (IHC)
Frontal cortextissue24.0
Caudate putamentissue16.9
Ovarytissue15.3not detected
Skeletal muscletissue14.1not detected
Thalamustissue13.6
Ponstissue13.4
Locus coeruleustissue13.4
Superior colliculitissue13.0
Hippocampal formationtissue12.9
Midbraintissue12.7
Cerebral cortextissue12.6medium
Somatosensory cortextissue12.6
Bone marrowtissue12.3medium
Parathyroid glandtissue12.1medium
Adipose tissuetissue11.7low
Medulla oblongatatissue11.7
Hippocampustissue11.6low
Tonguetissue11.2
Motor cortextissue10.9
Postcentral gyrustissue10.9
Nucleus accumbenstissue10.8
Choroid plexustissue10.6
Occipital cortextissue10.5
Substantia nigratissue10.3
Heart muscletissue10.2not detected
Hypothalamustissue10.1
Prefrontal cortextissue10.0
Spinal cordtissue10.0
Retrosplenial and cingulate cortextissue10.0
Adrenal glandtissue9.8medium
Septumtissue9.8
Spleentissue9.7not detected
Retrosplenial cortextissue9.7
Temporal cortextissue9.7
Vaginatissue9.6low
Entorhinal cortextissue9.6
Thymustissue9.5
Periaqueductal graytissue9.4
Amygdalatissue9.2
Fallopian tubetissue9.0medium
Salivary glandtissue8.9low
Ventral forebraintissue8.9
Lymph nodetissue8.6low
Corpus callosumtissue8.6
Insular cortextissue8.6
Pituitary glandtissue8.4
Putamentissue8.4
Small intestinetissue8.1medium
Cerebellumtissue7.8low
Olfactory bulbtissue7.8
Appendixtissue7.8medium
Pancreastissue7.7medium
Basal gangliatissue7.4low
Duodenumtissue7.2medium
Placentatissue7.1medium
Kidneytissue7.0medium
Endometrium 1tissue6.9medium
Urinary bladdertissue6.8medium
Lungtissue6.8low
Seminal vesicletissue6.6medium

Brain sub-regions (HPA Brain Atlas): detected in 192; highest nTPM — Posterior thalamic nucleus (17.2), Medial dorsal thalamic nucleus (15.8), Cerebellar nuclei (15.5), Habenula (15.3), Corpus callosum, splenium (white matter) (15.2).

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): ESR1, WT1

miRNA regulators (miRDB)

Targeting HTRA2 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific).

20 miRNAs:

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-12118100.0065.881270
HSA-MIR-5692B100.0071.322622
HSA-MIR-5692C100.0071.322622
HSA-MIR-3173-3P99.9866.491217
HSA-MIR-6891-5P99.9866.531372
HSA-MIR-477599.9875.006394
HSA-MIR-590-3P99.9674.346478
HSA-MIR-1250-3P99.9670.044038
HSA-MIR-153-5P99.8973.866317
HSA-MIR-766-5P99.4767.912225
HSA-MIR-4777-3P99.1568.92626
HSA-MIR-625-5P99.0268.642031
HSA-MIR-4764-5P98.8865.53894
HSA-MIR-6501-3P98.7167.451480
HSA-MIR-138-5P98.4370.491292
HSA-MIR-445697.5064.881678
HSA-MIR-313797.2666.78761
HSA-MIR-449196.5366.20935
HSA-MIR-465796.5366.57895
HSA-MIR-427895.2865.49351

Functional genomics

gnomAD constraint: pLI 0.000205, LOEUF 0.778, missense Z 2.37 — population loss-of-function intolerance (pLI ≥ 0.9 = LoF-intolerant; lower LOEUF = more constrained). gnomAD

Regional missense constraint (gnomAD)

ENST00000258080 splits into 3 regions with different missense tolerance; 0 are missense-constrained. Missense variants in a constrained region (low observed/expected) are more likely to be pathogenic. gnomAD

Region (GRCh38)Missense obs / expo/eConstrained
2:74,530,007–74,530,449222 / 205.11.08no
2:74,530,450–74,531,660115 / 245.40.47no
2:74,531,661–74,532,982129 / 163.10.79no

Literature-anchored findings (GeneRIF, showing 40)

  • 2.0 A crystal structure; structural insights into the pro-apoptotic function of mitochondrial serine protease HtrA2/Omi (PMID:11967569)
  • these results indicate that unlike Smac/DIABLO, Omi/HtrA2’s catalytic cleavage of IAPs is a key mechanism for it to irreversibly inactivate IAPs and promote apoptosis. (PMID:12815069)
  • identification of inhibitor of apoptosis proteins as substrate (PMID:12835328)
  • protease activity of Omi/HtrA2 promotes caspase activation through multiple pathways (PMID:14605674)
  • mitochondrial release of the serine protease Omi/HtrA2 into the cytosol of the cells treated with imatinib mesylate or zVAD-fmk plus imatinib mesylate (PMID:14645012)
  • Amyloid-beta interacts with HtrA2/Omi, an essential human serine protease with proapoptotic activity. Additionally, we mapped the C-terminal region containing the PDZ domain of HtrA2/Omi as the binding determinant for Abeta. (PMID:15036614)
  • autocatalytic processing of HtrA2/Omi is crucial for regulating HtrA2/Omi-mediated apoptotic cell death (PMID:15201285)
  • effect of temperature on proteolytic activity of HtrA2 and related structural properties were investigated (PMID:15236609)
  • C terminus of PS1 is an activation peptide ligand for the PDZ domain of Omi/HtrA2 and may regulate the protease activity of Omi/HtrA2 after its release from the mitochondria during apoptosis. (PMID:15294909)
  • apoptosis following Omi/HtrA2 mitochondrial release is mediated by reduction in ped/pea-15 cellular levels (PMID:15328349)
  • On the basis of functional genomics, our results provide a novel link between mitochondrial dysfunction and neurodegeneration in PD. (PMID:15961413)
  • Beta-amyloid precursor protein is a direct cleavage target of HtrA2 serine protease. (PMID:16968707)
  • Mediates processing of WARTS mitotic kinase in negative regulation of cell cycle progression at interphase, suggesting a novel function of Omi other than apoptosis. (PMID:17130845)
  • HtrA2/Omi has a rather narrow cleavage site preference and cytoskeletal proteins are prime targets of this protease. (PMID:17266347)
  • HtrA2 has a role as a regulator of APP metabolism through endoplasmic reticulum-associated degradation (PMID:17684015)
  • This article summarizes recent studies regarding the HtrA family of proteins, their structure, regulation and function. It also presents practical applications of this knowledge and perspective of its use in the future. (PMID:17718385)
  • expression of Smac/DIABLO, but not Omi/HtrA2, is inversely associated with outcome of renal cell carcinoma patients. (PMID:17922292)
  • These data indicate that S100A8/A9-induced cell death involves Bak, selective release of Smac/DIABLO and Omi/HtrA2 from mitochondria, and modulation of the balance between pro- and anti-apoptotic proteins. (PMID:18060880)
  • A significant downregulation of HtrA2 transcription is found in the group of borderline tumors of the ovary; HtrA2 may function as a tumor suppressor. (PMID:18241672)
  • Data show that following apoptotic stimuli, HtrA2 accumulates in the nucleus and cleaves p73alpha in the C-terminal portion, enabling the protein to increase its transactivation activity on Bax but not on the cell-cycle regulator gene p21. (PMID:18259191)
  • elimination of excess or spontaneously misfolded wild-type intermembrane space proteins is monitored by ubiquitination and as a second checkpoint by Omi cleavage when the proteasome function is deficient (PMID:18362145)
  • Polymorphism of OMI/HTRA2 previously shown to be associated with Parkinson’s disease was present in the neurologically normal controls. (PMID:18364387)
  • The study of HTRA2 to Parkinson disease risk in an extended series of 266 Belgian PD patients and 273 control individuals identified a novel p.Arg404Trp mutation within the PDZ domain predicted to freeze HTRA2 in an inactive form. (PMID:18401856)
  • Omi/Htra2 serine protease activity participates in the cell death induced by CDDP but not of 5-FU in colon cancer cells. (PMID:18606591)
  • These results collectively suggest that the homeostatic but not proapoptotic function of Omi/HtrA2 is linked to selective vulnerability of striatal neurons in HD pathology. (PMID:18662332)
  • HtrA2/Omi sensitizes cytomegalovirus infected cells to death that can be blocked by vMIA or protease inhibitors (PMID:18769594)
  • the results of this study do not support a role for Omi/HtrA2 variants in the pathogenesis of Parkinson’s disease. (PMID:18790661)
  • HtrA2/Omi may be associated with the pathogenesis of alpha-synucleinopathies (PMID:18800009)
  • These data suggest that a down-regulation of Smac/DIABLO and HtrA2 is implicated in the development and progression of TGCT, whereas overexpression of XAF1 in TGCT might contribute to their extraordinary sensitivity to chemotherapy. (PMID:18979398)
  • Point mutations in another mitochondrial protein, HtrA2, are a susceptibility factor for Parkinson disease (PARK13 locus) (PMID:19076428)
  • This study found that no associations were seen for HTRA2 in Australia patient with Parkinson’s disease (PMID:19224617)
  • This review introduces HtrA2 from its molecular origins and discusses its modulation and potential as a novel drug target. (PMID:19355862)
  • HtrA2 was down-regulated in endometrial cancers. (PMID:19424634)
  • THAP5 and its regulation by Omi/HtrA2 provide a new link between cell cycle control and apoptosis in cardiomyocytes (PMID:19502560)
  • Translocation of Omi/HtrA2 from mitochondria into cytoplasm may play an important role in its intracellular signal transduction mechanism in induction of apoptosis. (PMID:19570340)
  • Studies show that GSK-3 and Omi/HtrA2 synergistically cause annexin A2 cleavage and then cell cycle inhibition or apoptosis. (PMID:19656851)
  • results indicate a different function and mechanism of Hax1 in apoptosis and re-opens the question of whether mammalian PARL, in addition to apoptosis, regulates mitochondrial stress response through Omi/HtrA2 processing. (PMID:19680265)
  • omi has a regulatory role in neurodegenerative disorders (PMID:19763263)
  • PINK1, Omi/HtrA2 and parkin participate at different levels in mitochondrial quality control, converging through some overlapping and some distinct steps to maintain a common phenotype of healthy mitochondrial networks [REVIEW] (PMID:20012177)
  • This largest association study performed revealed no overall strong association of Omi/HtrA2 variants with Parkinson dusease in populations worldwide. (PMID:20036034)

Cross-species orthologs

28 orthologs

OrganismSymbolGene ID
danio_reriohtra2-9ENSDARG00000069909
danio_rerioENSDARG00000070138
danio_reriohtra2-12ENSDARG00000076713
danio_reriosi:dkey-271n12.1ENSDARG00000088743
danio_reriohtra2-3ENSDARG00000092061
danio_reriohtra2-2ENSDARG00000092094
danio_reriosi:dkey-84o3.3ENSDARG00000092133
danio_reriohtra2-6ENSDARG00000092202
danio_reriohtra2-11ENSDARG00000092380
danio_reriosi:dkey-10b15.8ENSDARG00000092625
danio_reriohtra2-8ENSDARG00000093005
danio_reriohtra2-5ENSDARG00000094236
danio_reriohtra2-7ENSDARG00000094403
danio_reriohtra2-10ENSDARG00000094741
danio_reriosi:dkey-84o3.2ENSDARG00000094749
danio_reriosi:dkey-84o3.6ENSDARG00000094878
danio_reriosi:dkey-84o3.4ENSDARG00000094995
danio_reriosi:dkey-112g5.14ENSDARG00000095314
danio_reriosi:dkey-33c12.12ENSDARG00000095545
danio_reriosi:dkey-84o3.7ENSDARG00000095687
danio_reriohtra2-4ENSDARG00000111633
danio_rerioENSDARG00000114913
danio_reriosi:dkey-19p15.3ENSDARG00000115106
danio_reriohtra2-1ENSDARG00000115120
danio_rerioENSDARG00000116494
mus_musculusHtra2ENSMUSG00000068329
rattus_norvegicusHtra2ENSRNOG00000022448
drosophila_melanogasterHtrA2FBGN0038233

Paralogs (3): HTRA1 (ENSG00000166033), HTRA4 (ENSG00000169495), HTRA3 (ENSG00000170801)

Mouse-model phenotypes

Observed phenotypes of the mouse ortholog (MGI:1928676) from MGI (Alliance of Genome Resources) — knockout/mutant phenotypes, ranked by annotation count. 68 distinct phenotype terms.

Mouse phenotype (MP)Records
impaired balance4
postnatal growth retardation4
decreased locomotor activity3
hunched posture3
premature death3
tremors2
decreased body weight2
impaired coordination2
abnormal gait2
akinesia2
spleen atrophy2
abnormal mitochondrial morphology2
sparse hair1
abnormal immune system morphology1
small spleen1
abnormal thymus morphology1
small thymus1
muscle spasm1
muscle weakness1
dystrophic muscle1
paralysis1
decreased brain size1
motor neuron degeneration1
abnormal spinal cord morphology1
decreased body size1

+43 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
Brucella suis 1330P0A3Z5100.0%Diamond
Escherichia coli K-12P0AEE3100.0%Diamond
Escherichia coli O157:H7P0AEE4100.0%Diamond
Brucella abortus bv. 1 str. 9-941P0C114100.0%Diamond
Mycobacterium tuberculosis CDC1551P9WHR8100.0%Diamond
Mycobacterium tuberculosis H37RvP9WHR9100.0%Diamond
Brucella abortus 2308Q2YMX6100.0%Diamond
Brucella melitensis bv. 1 str. 16MQ8YG3299.8%Diamond
Drosophila sechelliaB4HEM899.3%Diamond
Drosophila simulansB4QZU699.3%Diamond
Drosophila persimilisB4G31698.8%Diamond
Drosophila pseudoobscura pseudoobscuraQ297U298.8%Diamond
Pseudomonas putida F1A5W8F598.1%Diamond
Pseudomonas putida GB-1B0KV3098.1%Diamond
Drosophila yakubaB4PST097.2%Diamond
Drosophila erectaB3P3J996.7%Diamond
Pseudomonas putida W619B1J4D795.4%Diamond
Bos taurusF1N15294.4%Diamond
Xenopus tropicalisA4IHA193.9%Diamond
Xenopus laevisA6YFB593.9%Diamond
Chlamydia trachomatis D/UW-3/CXP1858493.4%Diamond
Chlamydia muridarum str. NiggQ9PL9793.4%Diamond
Salmonella enterica subsp. enterica serovar Typhimurium str. LT2P2698292.8%Diamond
Drosophila ananassaeB3LVG792.6%Diamond
Lactococcus cremoris subsp. cremoris MG1363A2RNT992.2%Diamond
Lactococcus lactis subsp. lactis Il1403Q9LA0692.2%Diamond
Drosophila mojavensisB4K83592.0%Diamond
Drosophila willistoniB4N93791.8%Diamond
Salmonella enterica subsp. enterica serovar Typhimurium str. 14028SD0ZY5191.6%Diamond
Drosophila virilisB4LY5891.2%Diamond
Drosophila grimshawiB4JTT790.3%Diamond
Rickettsia prowazekii str. Madrid EO0594283.6%Diamond
Rickettsia conorii str. Malish 7Q92JA183.6%Diamond
Pseudomonas savastanoi pv. phaseolicola 1448AQ48EU981.9%Diamond
Pseudomonas protegens Pf-5Q4KGQ480.0%Diamond
Ectopseudomonas mendocina ympA4XSC079.9%Diamond
Pseudomonas fulva 12-XF6AA6279.9%Diamond
Buchnera aphidicola str. Sg (Schizaphis graminum)O8529178.0%Diamond
Buchnera aphidicola str. APS (Acyrthosiphon pisum)P5732278.0%Diamond
Chlamydia pneumoniaeQ9Z6T074.6%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
SEMA4Fprotein-coding10505
M1APprotein-coding130951
DOK1protein-coding1796
AUP1protein-coding550
LOXL3protein-coding84695
DQX1protein-coding165545
LBX2-AS1ncRNA151534
TLX2protein-coding3196
PCGF1protein-coding84759
LBX2protein-coding85474

Protein

Protein identifiers

Serine protease HTRA2, mitochondrial — O43464 (reviewed: O43464)

Alternative names: High temperature requirement protein A2, Omi stress-regulated endoprotease, Serine protease 25, Serine proteinase OMI

All UniProt accessions (5): A0A0C4DG44, A0A384MDW9, A0A8Q3SIX7, A0A8Q3SJ36, O43464

UniProt curated annotations — full annotation on UniProt →

Function. Serine protease that shows proteolytic activity against a non-specific substrate beta-casein. Promotes apoptosis by either relieving the inhibition of BIRC proteins on caspases, leading to an increase in caspase activity; or by a BIRC inhibition-independent, caspase-independent and serine protease activity-dependent mechanism. Cleaves BIRC6 and relieves its inhibition on CASP3, CASP7 and CASP9, but it is also prone to inhibition by BIRC6. Cleaves THAP5 and promotes its degradation during apoptosis. Seems to be proteolytically inactive.

Subunit / interactions. Homotrimer. Interacts with MXI2. Interacts with THAP5 under apoptotic conditions. The mature protein, but not the precursor, binds to BIRC2/c-IAP1, BIRC3/c-IAP2 and XIAP/BIRC4. Interacts with AREL1 (via HECT domain); in the cytoplasm following induction of apoptosis.

Subcellular location. Mitochondrion intermembrane space. Mitochondrion membrane Endoplasmic reticulum.

Tissue specificity. Ubiquitously expressed.

Post-translational modifications. Ubiquitinated by BIRC6; this activity is inhibited by DIABLO/SMAC. Autoproteolytically activated.

Disease relevance. 3-methylglutaconic aciduria 8 (MGCA8) [MIM:617248] An autosomal recessive inborn error of metabolism resulting in early death. Clinical features include extreme hypertonia observed at birth, alternating with hypotonia, subsequent appearance of extrapyramidal symptoms, lack of psychomotor development, microcephaly, and intractable seizures. Patients show lactic acidemia, 3-methylglutaconic aciduria, intermittent neutropenia, and progressive brain atrophy. The disease is caused by variants affecting the gene represented in this entry. Parkinson disease 13 (PARK13) [MIM:610297] A complex neurodegenerative disorder characterized by bradykinesia, resting tremor, muscular rigidity and postural instability, as well as by a clinically significant response to treatment with levodopa. The pathology involves the loss of dopaminergic neurons in the substantia nigra and the presence of Lewy bodies (intraneuronal accumulations of aggregated proteins), in surviving neurons in various areas of the brain. Disease susceptibility is associated with variants affecting the gene represented in this entry.

Activity regulation. Inhibited by BIRC6.

Domain organisation. The mature N-terminus is involved in the interaction with XIAP. The PDZ domain mediates interaction with MXI2.

Similarity. Belongs to the peptidase S1C family.

Isoforms (4)

UniProt IDNamesCanonical?
O43464-11, 13Byes
O43464-22, D-Omi
O43464-33, p7
O43464-44, p4

RefSeq proteins (4): NP_001308656, NP_001308657, NP_037379, NP_659540 (=MANE)

Domains & families (InterPro)

IDNameType
IPR001478PDZDomain
IPR001940Peptidase_S1CFamily
IPR009003Peptidase_S1_PAHomologous_superfamily
IPR036034PDZ_sfHomologous_superfamily
IPR041489PDZ_6Domain

Pfam: PF13365, PF17820

Enzyme classification (BRENDA)

  • EC 3.4.21.108 — HtrA2 peptidase (BRENDA: 23 organisms, 127 substrates, 42 inhibitors, 35 Km, 23 kcat entries)

Substrate kinetics (BRENDA)

11 substrates with measured Km, best-characterized 11. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
BETA-CASEIN0.001–0.009324
ALA(7-METHOXYCOUMARIN-4-ACETIC ACID)-IRRVSYSF-(50.0007–0.0013
(7-METHOXYCOUMARIN-4-YL)AIRRVSYSF-(5-AMINO-2-NIT0.00161
2-AMINOBENZOIC ACID-ILE-MET-THR-ABU-TYR-MET-HIS-0.03911
2-AMINOBENZOIC ACID-ILE-MET-THR-ABU-TYR-MET-PHE-0.02271
2-AMINOBENZOIC ACID-ILE-MET-THR-ABU-TYR-MET-TRP-0.1071
2-AMINOBENZOIC ACID-ILE-MET-THR-SER-TYR-MET-PHE-0.3541
2-AMINOBENZOIC ACID-ILE-MET-VAL-ABU-TYR-MET-PHE-0.03151
2-AMINOBENZOIC ACID-ILE-MET-VAL-SER-TYR-MET-PHE-0.1771
OLIGOMERIC ALPHA-SYNUCLEIN0.00261
SPMFKGV-PARA-NITROANILINE—0

UniProt features (62 total): strand 22, helix 11, sequence variant 9, splice variant 4, turn 4, active site 3, mutagenesis site 2, transit peptide 1, propeptide 1, chain 1, transmembrane region 1, domain 1, region of interest 1, short sequence motif 1

Structure

Experimental structures (PDB)

13 structures by resolution:

PDBTitleMethodResolution (Å)
5M3NHTRA2 wild-type structureX-RAY DIFFRACTION1.65
5TO1HtrA2 exposed (L266R, F303A) mutantX-RAY DIFFRACTION1.69
5M3OHTRA2 A141S mutant structureX-RAY DIFFRACTION1.7
5TNYHTRA2 G399S mutantX-RAY DIFFRACTION1.7
5TNZHtrA2 S142D mutantX-RAY DIFFRACTION1.75
5TO0HTRA2 S276C mutantX-RAY DIFFRACTION1.9
5FHTHtrA2 protease mutant V226KX-RAY DIFFRACTION1.95
1LCYCrystal Structure of the Mitochondrial Serine Protease HtrA2X-RAY DIFFRACTION2
5WYNHtrA2 Pathogenic MutantX-RAY DIFFRACTION2.05
2PZDCrystal Structure of the HtrA2/Omi PDZ Domain Bound to a Phage-Derived Ligand (WTMFWV)X-RAY DIFFRACTION2.75
8E2KCryo-EM structure of BIRC6/HtrA2-S306AELECTRON MICROSCOPY3.21
7VGEStructure of the PDZ deleted variant of HtrA2 protease (S306A)X-RAY DIFFRACTION4
8AUKCryo-EM structure of human BIRC6 in complex with HTRA2.ELECTRON MICROSCOPY6.2

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-O43464-F174.830.51

Human Protein Atlas

Protein class: Enzymes, ENZYME proteins, Hydrolases, Peptidases, Serine-type peptidases, Predicted membrane proteins, Plasma proteins, Disease related genes, Potential drug targets, Human disease related genes, Congenital disorders of metabolism, Congenital disorders of amino acid metabolism

Protein evidence: Evidence at protein level

Subcellular location (HPA, imaging): mitochondria

Antibody reliability (HPA): IH uncertain · 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.

Catalytic / active sites (3)

PositionRole
198charge relay system
228charge relay system
306charge relay system

Mutagenesis-validated functional residues (2)

PositionPhenotype
134loss of interaction with xiap. loss of inhibition of xiap activity.
306loss of protease activity.

Function

Pathways and Gene Ontology

Reactome pathways

2 curated (TAS) of 5; 0 disease pathways. Curated-first; evidence = TAS (manually curated) vs IEA (electronic inference).

5 pathways:

IDPathwayEvidence
R-HSA-9837999Mitochondrial protein degradationcurated
R-HSA-9841251Mitochondrial unfolded protein response (UPRmt)curated
R-HSA-8953897Cellular responses to stimuli—
R-HSA-2262752Cellular responses to stress—
R-HSA-392499Metabolism of proteins—

MSigDB gene sets: 447 (showing top): MODULE_52, SHEPARD_BMYB_MORPHOLINO_UP, GOBP_NEGATIVE_REGULATION_OF_NEURON_APOPTOTIC_PROCESS, GOBP_REGULATION_OF_AUTOPHAGY, GOBP_BEHAVIOR, GOBP_RESPONSE_TO_PEPTIDE, GOBP_CELLULAR_RESPONSE_TO_LIPID, GOBP_REGULATION_OF_DEVELOPMENTAL_GROWTH, SHEPARD_CRASH_AND_BURN_MUTANT_UP, GOBP_ADULT_BEHAVIOR, MODULE_45, GOBP_GROWTH, GOBP_PROTEIN_TARGETING, GOBP_MACROMOLECULE_CATABOLIC_PROCESS, GOBP_EXTRINSIC_APOPTOTIC_SIGNALING_PATHWAY

GO Biological Process (27): proteolysis (GO:0006508), mitochondrion organization (GO:0007005), intrinsic apoptotic signaling pathway in response to DNA damage (GO:0008630), response to herbicide (GO:0009635), programmed cell death (GO:0012501), protein autoprocessing (GO:0016540), protein catabolic process (GO:0030163), cellular response to oxidative stress (GO:0034599), cellular response to heat (GO:0034605), cellular response to interferon-beta (GO:0035458), intracellular signal transduction (GO:0035556), mitochondrial protein catabolic process (GO:0035694), positive regulation of apoptotic process (GO:0043065), negative regulation of neuron apoptotic process (GO:0043524), negative regulation of cell cycle (GO:0045786), neuron apoptotic process (GO:0051402), cellular response to retinoic acid (GO:0071300), cellular response to growth factor stimulus (GO:0071363), execution phase of apoptosis (GO:0097194), positive regulation of execution phase of apoptosis (GO:1900119), negative regulation of oxidative stress-induced intrinsic apoptotic signaling pathway (GO:1902176), regulation of autophagy of mitochondrion (GO:1903146), negative regulation of type 2 mitophagy (GO:1905090), positive regulation of extrinsic apoptotic signaling pathway in absence of ligand (GO:2001241), apoptotic process (GO:0006915), intrinsic apoptotic signaling pathway (GO:0097193), positive regulation of protein localization to mitochondrion (GO:1903749)

GO Molecular Function (8): serine-type endopeptidase activity (GO:0004252), peptidase activity (GO:0008233), serine-type peptidase activity (GO:0008236), protein serine/threonine kinase inhibitor activity (GO:0030291), identical protein binding (GO:0042802), ubiquitin ligase inhibitor activity (GO:1990948), protein binding (GO:0005515), hydrolase activity (GO:0016787)

GO Cellular Component (14): chromatin (GO:0000785), nucleus (GO:0005634), mitochondrion (GO:0005739), mitochondrial intermembrane space (GO:0005758), endoplasmic reticulum (GO:0005783), endoplasmic reticulum membrane (GO:0005789), cytosol (GO:0005829), cytoskeleton (GO:0005856), cytoplasmic side of plasma membrane (GO:0009898), membrane (GO:0016020), mitochondrial membrane (GO:0031966), CD40 receptor complex (GO:0035631), serine-type endopeptidase complex (GO:1905370), protein-containing complex (GO:0032991)

Reactome top-level categories

3 top-level categories:

CategoryPathways
Metabolism of proteins1
Cellular responses to stress1
Cellular responses to stimuli1

GO top-level categories

showing 60 of 68 GO namespaces:

CategoryTerms
apoptotic process3
cellular anatomical structure3
intracellular membrane-bounded organelle3
cytoplasm3
protein metabolic process2
signal transduction2
mitochondrion2
mitochondrial envelope2
organelle membrane2
organelle organization1
DNA damage response1
intrinsic apoptotic signaling pathway1
response to stress1
response to toxic substance1
cell death1
protein processing1
macromolecule catabolic process1
response to oxidative stress1
cellular response to chemical stress1
response to heat1
cellular response to stress1
response to interferon-beta1
cellular response to cytokine stimulus1
intracellular anatomical structure1
mitochondrion organization1
protein catabolic process1
regulation of apoptotic process1
positive regulation of programmed cell death1
negative regulation of apoptotic process1
regulation of neuron apoptotic process1
neuron apoptotic process1
cell cycle1
negative regulation of cellular process1
regulation of cell cycle1
response to retinoic acid1
cellular response to lipid1
cellular response to oxygen-containing compound1
response to growth factor1
cellular response to endogenous stimulus1
cellular process1
bleb assembly1
positive regulation of apoptotic process1
execution phase of apoptosis1
regulation of execution phase of apoptosis1
endopeptidase activity1
serine-type peptidase activity1
hydrolase activity1
catalytic activity, acting on a protein1
peptidase activity1
serine hydrolase activity1
protein serine/threonine kinase activity1
protein kinase inhibitor activity1
protein binding1
ubiquitin-protein transferase inhibitor activity1
binding1
catalytic activity1
chromosome1
organelle envelope lumen1
endomembrane system1
nuclear outer membrane-endoplasmic reticulum membrane network1

Experimentally-supported GO annotations

GO terms backed by direct experimental evidence (ECO experimental codes) — 27 of 51 annotations. The rest are phylogenetic / computational / electronic (IEA).

27 experimentally-supported GO terms:

GO termNSEvidence
cellular response to growth factor stimulusBPmutant phenotype
cellular response to heatBPdirect assay
cellular response to interferon-betaBPdirect assay
cellular response to oxidative stressBPmutant phenotype
cellular response to retinoic acidBPdirect assay
intracellular signal transductionBPdirect assay
intrinsic apoptotic signaling pathway in response to DNA damageBPmutant phenotype
mitochondrion organizationBPmutant phenotype
positive regulation of apoptotic processBPdirect assay
positive regulation of execution phase of apoptosisBPdirect assay
positive regulation of extrinsic apoptotic signaling pathway in absence of ligandBPmutant phenotype
protein catabolic processBPdirect assay
proteolysisBPmutant phenotype
chromatinCCdirect assay
cytoskeletonCCdirect assay
cytosolCCdirect assay
membraneCCdirect assay
mitochondrial intermembrane spaceCCdirect assay
mitochondrionCCdirect assay
nucleusCCdirect assay
serine-type endopeptidase complexCCmutant phenotype
identical protein bindingMFphysical interaction
peptidase activityMFdirect assay
protein serine/threonine kinase inhibitor activityMFdirect assay
serine-type endopeptidase activityMFdirect assay
serine-type peptidase activityMFdirect assay
ubiquitin ligase inhibitor activityMFdirect assay

Protein interactions and networks

STRING

showing 15 of 1,816 interactions by confidence (×1000):

Protein AProtein BPartner UniProtScore
HTRA2DIABLOQ9NR28917
HTRA2PARLQ9H300891
HTRA2A0A1W2PP11A0A1W2PP11885
HTRA2GIGYF2Q6Y7W6793
HTRA2HAX1O00165788
HTRA2XIAPP98170775
HTRA2CYCSP00001774
HTRA2ENDOGQ14249767
HTRA2FBXO7Q9Y3I1757
HTRA2PLA2G6O60733749
HTRA2PINK1Q9BXM7730
HTRA2BAXP55269725
HTRA2RBMXP38159719
HTRA2BCL2P10415705
HTRA2SNCAP37840705

IntAct

Human interaction partners of HTRA2 in IntAct, one row per partner (best MIscore; records = supporting IntAct interaction records).

showing 30 of 475 partners by confidence:

PartnerInteraction typeMIscoreRecords
XIAPprotein cleavage0.96022
CSN2protein cleavage0.8007
NDUFA13physical association0.7506
ARMC8association0.7503
TRAF2association0.7503
TTC19physical association0.6603
BIRC2physical association0.6503
BIRC7physical association0.6404
GID8association0.6101
PLEKHG7direct interaction0.5901
POLR1Ddirect interaction0.5901
RCN1direct interaction0.5701
ANKRD13Dphysical association0.5603
ARNT2physical association0.5603
ASB3physical association0.5603
ASB9physical association0.5603
ASIC4physical association0.5603
CENPVphysical association0.5603
CRYAAphysical association0.5603
DCAF8physical association0.5603
EIF3Fphysical association0.5603
ENKURphysical association0.5603
ERCC8physical association0.5603
HAUS7physical association0.5603
ID2physical association0.5603
IFT20physical association0.5603
KCTD17physical association0.5603
KLC3physical association0.5603
KLF3physical association0.5603
KLHL20physical association0.5603

BioGRID (381 interactions; top human partners by supporting records): XIAP (Reconstituted Complex; 20 records), BIRC6 (Proximity Label-MS; 14 records), LATS1 (Biochemical Activity; 8 records), BIRC2 (Affinity Capture-MS; 7 records), ARMC8 (Affinity Capture-MS; 6 records), BIRC7 (Affinity Capture-MS; 4 records), ITGA7 (Two-hybrid; 4 records), RMND5A (Affinity Capture-MS; 4 records), TRAF2 (Proximity Label-MS; 4 records), AREL1 (Affinity Capture-Western; 3 records), BIRC3 (Reconstituted Complex; 3 records), BIRC8 (Affinity Capture-MS; 3 records), DIABLO (Proximity Label-MS; 3 records), HAX1 (Proximity Label-MS; 3 records), IMMT (Proximity Label-MS; 3 records)

SIGNOR signaling

12 signaling interactions:

AEffectBMechanism
HTRA2down-regulatesXIAPbinding
BAK1up-regulatesHTRA2relocalization
HTRA2down-regulatesPEA15binding
AKTdown-regulatesHTRA2phosphorylation
AKT2down-regulatesHTRA2phosphorylation
PINK1up-regulatesHTRA2phosphorylation
BAK1up-regulatesHTRA2
CDK5up-regulatesHTRA2phosphorylation
AKT1down-regulatesHTRA2phosphorylation
AREL1“down-regulates quantity by destabilization”HTRA2ubiquitination
BAXup-regulatesHTRA2relocalization
BCL2down-regulatesHTRA2

Protein complexes (CORUM) (3)

Experimentally-characterized complexes this protein is a subunit of (★ = the complex contains a known drug target).

3 complexes by size:

ComplexSubunitsMembers
★ TNFR1 signaling complex, TNF-induced24TNIP1, TRAF2, BIRC2, BIRC3, IKBKB, MAP3K7, SHARPIN, TAB2, TBK1, TNIP2, RNF31, TNFAIP3, CYLD, HTRA2, IKBKE, RBCK1, RIPK1, TANK, TNFRSF1A, TRADD, CHUK, IKBKG, SPATA2, TNF
CTLH complex, submodule of the IFT/lebercilin complex12HTRA2, MAEA, RANBP9, RMND5A, ARMC8, MKLN1, PGAM5, RANBP10, WDR26, YPEL5, GID4, GID8
LATS1-HTRA2-BIRC4 complex3HTRA2, LATS1, XIAP

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 475 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
Unblocking of NMDA receptors, glutamate binding and activation711.5×7e-04
Tight junction interactions1011.1×1e-05
Regulation of pyruvate metabolism610.3×2e-03
Long-term potentiation710.0×8e-04
MECP2 regulates neuronal receptors and channels59.1×9e-03
TNFR1-induced proapoptotic signaling67.9×7e-03
TNFR1-induced NF-kappa-B signaling pathway77.1×4e-03
Neurexins and neuroligins105.9×1e-03

GO biological processes:

GO termPartnersFoldFDR
glutamate receptor signaling pathway919.0×3e-07
calcium-independent cell-cell adhesion1018.1×1e-07
positive regulation of synaptic transmission, glutamatergic1014.1×7e-07
sodium-independent organic anion transport512.7×3e-03
regulation of cardiac conduction611.4×1e-03
regulation of monoatomic ion transmembrane transport69.9×2e-03
inner ear receptor cell stereocilium organization59.5×9e-03
regulation of canonical Wnt signaling pathway78.6×2e-03

Disease & clinical

Genetic variants

Variant evidence for HTRA2: 345 ClinVar records (14 pathogenic / likely pathogenic). Per-variant detail is on Sugi Variant.

ClinVar

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

ClassificationCount (floor)
Pathogenic10
Likely pathogenic4
Uncertain significance145
Likely benign145
Benign9

Top pathogenic / likely-pathogenic (14)

Showing all 14 pathogenic / likely-pathogenic ClinVar records, ranked by ClinVar review status (expert panel → multiple submitters → single submitter), then by number of submitting labs.

Variant IDHGVSClassificationReviewSubmitters
1424738NM_013247.5(HTRA2):c.244C>T (p.Gln82Ter)Pathogeniccriteria provided, multiple submitters, no conflicts2
1455851NM_013247.5(HTRA2):c.1138C>T (p.Arg380Ter)Pathogeniccriteria provided, multiple submitters, no conflicts2
1452577NM_013247.5(HTRA2):c.949del (p.Glu316_Val317insTer)Pathogeniccriteria provided, single submitter1
2799046NM_013247.5(HTRA2):c.403_419dup (p.Ala141fs)Pathogeniccriteria provided, single submitter1
2875923NM_013247.5(HTRA2):c.139dup (p.Arg47fs)Pathogeniccriteria provided, single submitter1
4697380NM_013247.5(HTRA2):c.336_342dup (p.Gly115fs)Pathogeniccriteria provided, single submitter1
4772221NM_013247.5(HTRA2):c.587dup (p.Asn196fs)Pathogeniccriteria provided, single submitter1
3384181NM_013247.5(HTRA2):c.1216G>T (p.Gly406Cys)Likely pathogeniccriteria provided, single submitter1
3586941NM_013247.5(HTRA2):c.420del (p.Ala141fs)Likely pathogeniccriteria provided, single submitter1
4715258NM_013247.5(HTRA2):c.506+1G>CLikely pathogeniccriteria provided, single submitter1
372210NM_013247.5(HTRA2):c.1316_1320del (p.Val439fs)Pathogenicno assertion criteria provided1
372211NM_013247.5(HTRA2):c.906+1G>CPathogenicno assertion criteria provided1
372212NM_013247.5(HTRA2):c.728_730delinsCAT (p.Leu243_Pro244delinsProSer)Pathogenicno assertion criteria provided1
1252041NM_013247.5(HTRA2):c.1013_1015del (p.Leu338del)Likely pathogenicno assertion criteria provided1

Per-variant reference — Sugi Variant

Explore HTRA2’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.

SpliceAI

Top 10 splice-impact sites by Δscore (adjacent positions with the same effect merged into one range; 33 predictions of 495):

Position(s)EffectΔscoreSites
2:74530615–74530616acceptor_loss1.00005
2:74530804donor_gain1.0000
2:74530817donor_gain1.0000
2:74530822–74530823donor_loss1.00005
2:74531098donor_gain1.0000
2:74531121donor_gain1.0000
2:74531854–74531855acceptor_loss1.00006
2:74532617–74532618acceptor_loss1.00006
2:74532715–74532716donor_loss1.00005
2:74532817–74532819acceptor_gain1.00002

AlphaMissense

981 missense substitutions predicted likely pathogenic (of 2,869 scored), across 231 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
D22880.9991.000
D29880.9980.999
H19880.9960.999
F33180.9961.000
S27680.9921.000
D41180.9910.997
N30580.9781.000
F18580.9730.999
D22480.9660.997
F25680.9630.999
F26480.9610.990
F14980.9600.998
N32180.9350.999
F38480.9340.989
N31280.9291.000
D31480.9290.981
Q29670.9911.000
N19670.9890.999
E25570.9730.998
F34170.9670.995

HPA cancer prognostics

RNA cancer specificity: Low cancer specificity

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

4 prognostic cancer types:

CancerPrognosticp-value
Kidney Renal Clear Cell Carcinoma (TCGA)favorable3.18e-08
Liver Hepatocellular Carcinoma (validation)unfavorable3.97e-07
Liver Hepatocellular Carcinoma (TCGA)unfavorable1.17e-05
Glioblastoma Multiforme (validation)favorable0.000392

Disease associations

OMIM: gene MIM:606441 | disease phenotypes: MIM:617248, MIM:610297

GenCC curated gene-disease

1 curated gene-disease records:

DiseaseClassificationInheritanceRecords
3-methylglutaconic aciduria type 8DefinitiveAutosomal recessive4

ClinGen Gene-Disease Validity

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

1 validity classifications:

DiseaseClassificationInheritance
3-methylglutaconic aciduria type 8DefinitiveAR

Genomics England panels (PanelApp)

Clinical diagnostic gene panels including this gene (15 panels, 15 green/diagnostic-grade). Confidence: green = diagnostic, amber = moderate.

15 panels:

PanelRating
Bilateral congenital or childhood onset cataractsgreen
COVID-19 researchgreen
Dystonia, chorea or related movement disorder, childhood onsetgreen
Early onset dystoniagreen
Early onset or syndromic epilepsygreen
Hypotonic infantgreen
Intellectual disabilitygreen
Leukodystrophy, childhood onsetgreen
Likely inborn error of metabolismgreen
Mitochondrial disordersgreen
Paediatric disordersgreen
Possible mitochondrial disorder, nuclear genesgreen
Primary immunodeficiency or monogenic inflammatory bowel diseasegreen
Undiagnosed metabolic disordersgreen
Unexplained death in infancy and sudden unexplained death in childhoodgreen

Mondo (2): 3-methylglutaconic aciduria type 8 (MONDO:0044723), Parkinson disease 13, autosomal dominant, susceptibility to (MONDO:0012466)

Orphanet (2): 3-methylglutaconic aciduria type 8 (Orphanet:505208), Young-onset Parkinson disease (Orphanet:2828)

HPO phenotypes

showing 60 of 70 phenotypes (HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0000407Sensorineural hearing impairment
HP:0000518Cataract
HP:0000551Color vision defect
HP:0000651Diplopia
HP:0000713Agitation
HP:0000716Depression
HP:0000726Dementia
HP:0000727Frontal lobe dementia
HP:0000736Short attention span
HP:0000738Hallucinations
HP:0000739Anxiety
HP:0000741Apathy
HP:0000952Jaundice
HP:0001250Seizure
HP:0001252Hypotonia
HP:0001257Spasticity
HP:0001276Hypertonia
HP:0001290Generalized hypotonia
HP:0001332Dystonia
HP:0001337Tremor
HP:0001347Hyperreflexia
HP:0001508Failure to thrive
HP:0001510Growth delay
HP:0001522Death in infancy
HP:0001643Patent ductus arteriosus
HP:0001662Bradycardia
HP:0001875Decreased total neutrophil count
HP:0001998Neonatal hypoglycemia
HP:0002014Diarrhea
HP:0002015Dysphagia
HP:0002018Nausea
HP:0002019Constipation
HP:0002033Poor suck
HP:0002059Cerebral atrophy
HP:0002063Rigidity
HP:0002067Bradykinesia
HP:0002079Hypoplasia of the corpus callosum
HP:0002104Apnea
HP:0002119Ventriculomegaly
HP:0002141Gait imbalance
HP:0002151Increased circulating lactate concentration
HP:0002169Clonus
HP:0002172Postural instability
HP:0002490Increased CSF lactate
HP:0002548Parkinsonism with favorable response to dopaminergic medication
HP:0002578Gastroparesis
HP:0002878Respiratory failure
HP:00033443-Methylglutaric aciduria
HP:0003394Muscle spasm
HP:00035353-Methylglutaconic aciduria
HP:0003623Neonatal onset
HP:0003811Neonatal death
HP:0004409Hyposmia
HP:0005484Secondary microcephaly
HP:0005943Respiratory arrest
HP:0011968Feeding difficulties
HP:0012332Abnormal autonomic nervous system physiology
HP:0012452Restless legs

MeSH disease descriptors

1 disease descriptors:

DescriptorNameTree numbers
C565204Parkinson Disease 13 *(supp.)*

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL4523137 (SINGLE PROTEIN)

PharmGKB: 1 entry (CPIC guideline: no)

Binding affinities (BindingDB)

19 measured of 29 human assays (29 total across all organisms); most potent 19 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
(2S)-N-[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-21-hydroxy-4-methyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8,11,15-tri(propan-2-yl)-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]-2-(3-phenylpropanoylamino)propanamideKI7 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-21-hydroxy-4,11,15-trimethyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI26 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-21-hydroxy-4,11-dimethyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-15-propyl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI130 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-21-hydroxy-4,11-dimethyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-15-prop-2-enyl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI160 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5,15-dibenzyl-21-hydroxy-4,11-dimethyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI370 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-15-ethyl-21-hydroxy-4,11-dimethyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI470 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-15-butan-2-yl-21-hydroxy-4,11-dimethyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI500 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
CHEMBL5277138IC50590 nM
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-15-cyclopropyl-21-hydroxy-4,11-dimethyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI1930 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
CHEMBL5274566IC502000 nM
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-21-hydroxy-4,11-dimethyl-2,15-bis(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI2100 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
benzyl N-[1-[[(2S)-1-[[(2S,5S,8S,11R,12S,15S,18S,21R)-5-benzyl-15-tert-butyl-21-hydroxy-4,11-dimethyl-2-(2-methylpropyl)-3,6,9,13,16,22-hexaoxo-8-propan-2-yl-10-oxa-1,4,7,14,17-pentazabicyclo[16.3.1]docosan-12-yl]amino]-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]carbamateKI4320 nMUS-11149067: Tailored cyclodepsipeptides as potent non-covalent serine protease inhibitors
CHEMBL5284442IC506000 nM
CHEMBL5278663IC506300 nM
CHEMBL5280693IC507300 nM
CHEMBL5275102IC507700 nM
CHEMBL5283566IC509900 nM
CHEMBL5286341IC5020000 nM
CHEMBL1256178IC50250000 nM

ChEMBL bioactivities

6 potent at pChembl≥5 of 11 total, top 6 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
5.28IC505200nMCHEMBL5277138
5.27IC505400nMCHEMBL5286341
5.11IC507800nMCHEMBL5274566
5.09IC508100nMCHEMBL5284442
5.08IC508300nMCHEMBL5278663
5.02IC509500nMCHEMBL4583184

PubChem BioAssay actives

5 with measured affinity, of 20 total; 5 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
4-[[6-[[(2S)-1-[[(2S)-1-[[(2S)-3-cyclopropyl-1-[[(1R)-1-diphenoxyphosphoryl-2-methylpropyl]amino]-1-oxopropan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-6-oxohexyl]carbamoyl]-2-(3-hydroxy-6-oxoxanthen-9-yl)benzoic acid1954718: Inhibition of recombinant human HTRA2 using H2-OPT as substrate assessed as increase in fluorescence and measured for 2 hrs by fluorescent plate reader analysisic505.2000uM
4-[[6-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[(1R)-1-diphenoxyphosphoryl-2-methylpropyl]amino]-4-methyl-1-oxopentan-2-yl]amino]-3-naphthalen-2-yl-1-oxopropan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-6-oxohexyl]carbamoyl]-2-(3-hydroxy-6-oxoxanthen-9-yl)benzoic acid1954718: Inhibition of recombinant human HTRA2 using H2-OPT as substrate assessed as increase in fluorescence and measured for 2 hrs by fluorescent plate reader analysisic505.4000uM
4-[[6-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[(1R)-1-diphenoxyphosphoryl-2-methylpropyl]amino]-4-methyl-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-6-oxohexyl]carbamoyl]-2-(3-hydroxy-6-oxoxanthen-9-yl)benzoic acid1954718: Inhibition of recombinant human HTRA2 using H2-OPT as substrate assessed as increase in fluorescence and measured for 2 hrs by fluorescent plate reader analysisic507.8000uM
4-[[6-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[(1R)-1-diphenoxyphosphoryl-2-methylpropyl]amino]-4,4-dimethyl-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-6-oxohexyl]carbamoyl]-2-(3-hydroxy-6-oxoxanthen-9-yl)benzoic acid1954718: Inhibition of recombinant human HTRA2 using H2-OPT as substrate assessed as increase in fluorescence and measured for 2 hrs by fluorescent plate reader analysisic508.1000uM
4-[[6-[[(2S)-1-[[(2S)-6-amino-1-[[(2S)-3-cyclopropyl-1-[[(1R)-1-diphenoxyphosphoryl-2-methylpropyl]amino]-1-oxopropan-2-yl]amino]-1-oxohexan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-6-oxohexyl]carbamoyl]-2-(3-hydroxy-6-oxoxanthen-9-yl)benzoic acid1954718: Inhibition of recombinant human HTRA2 using H2-OPT as substrate assessed as increase in fluorescence and measured for 2 hrs by fluorescent plate reader analysisic508.3000uM

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
Arsenic Trioxideaffects localization, decreases localization, increases expression, increases reaction, affects cotreatment5
Valproic Acidaffects expression, increases expression4
Air Pollutantsaffects cotreatment, increases abundance, increases expression, decreases expression2
Cannabidiolaffects cotreatment, decreases expression2
Paraquatdecreases reaction, increases transport, affects localization2
Tobacco Smoke Pollutionaffects expression, increases expression2
GSK-J4decreases expression1
bisphenol Fincreases expression1
moringinaffects cotreatment, decreases expression1
tempolaffects cotreatment, affects localization, decreases reaction1
triphenyl phosphateaffects expression1
alpha-pineneaffects cotreatment, increases expression, increases abundance1
trichostatin Aaffects cotreatment, affects localization1
cinnamaldehydeaffects localization, decreases reaction1
beta-lapachonedecreases expression1
lonidamineaffects cotreatment, affects localization1
sodium arsenitedecreases expression1
cobaltous chloridedecreases expression1
perfluorooctanoic acidincreases expression1
potassium chromate(VI)affects cotreatment, decreases expression1
methacrylaldehydeaffects cotreatment, increases expression, increases abundance1
epigallocatechin gallateaffects cotreatment, decreases expression1
dinophysistoxin 1increases expression1
acetovanilloneaffects cotreatment, affects localization, decreases reaction1
oren gedoku todecreases reaction, affects localization1
benzyloxycarbonylleucyl-leucyl-leucine aldehydeincreases expression1
alvocidibaffects localization1
5,6-dichlorobenzimidazoleaffects localization, increases reaction1
bisphenol Bincreases expression1
UCF 101affects cotreatment, affects localization, decreases reaction1

ChEMBL screening assays

11 unique, capped per target: 11 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL4482652BindingInhibition of Omi/HtrA2 (unknown origin)-induced caspase-independent apoptosis in caspase 9 (-/-) fibroblasts transfected with Omi-GFP up to 10 uM incubated for 36 hrs by propidium iodide and 4’,6-diamidino-2-phenylindole staining based fluMethod and compounds for inhibition of cell death

Cellosaurus cell lines

7 cell lines: 4 cancer cell line, 1 transformed cell line, 1 stromal cell line, 1 induced pluripotent stem cell

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

CellosaurusNameCategorySex
CVCL_D9GIUbigene HEK293 HTRA2 KOTransformed cell lineFemale
CVCL_E1ZMHAP1 HTRA2 (-) 2Cancer cell lineMale
CVCL_E1ZNHAP1 HTRA2 (-) 3Cancer cell lineMale
CVCL_E1ZPHAP1 HTRA2 (-) 4Cancer cell lineMale
CVCL_RG44MS-5-Omi/HTRA2-mCherryStromal cell lineMale
CVCL_XP64HAP1 HTRA2 (-) 1Cancer cell lineMale
CVCL_YT00CIBi007-AInduced pluripotent stem cellFemale

Clinical trials (associated diseases)

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

showing 60 of 300 trials:

NCTPhaseStatusTitle
NCT00211796Phase 4COMPLETEDDivalproex Sodium ER in Adult Autism
NCT00391261Phase 4COMPLETEDAn Open-label Trial of Metformin for Weight Control of Pediatric Patients on Antipsychotic Medications.
NCT00409747Phase 4COMPLETEDMinocycline to Treat Childhood Regressive Autism
NCT00576732Phase 4COMPLETEDA Study of the Effectiveness and Safety of Two Doses of Risperidone in the Treatment of Children and Adolescents With Autistic Disorder
NCT00844753Phase 4COMPLETEDAtomoxetine, Placebo and Parent Management Training in Autism
NCT01028820Phase 4COMPLETEDFMRI Brain Activation of Aripiprazole Treatment in Autism Spectrum Disorders
NCT01098383Phase 4UNKNOWNTreatment With Acetyl-Choline Esterase Inhibitors in Children With Autism Spectrum Disorders
NCT01333865Phase 4COMPLETEDA Study of Memantine Hydrochloride (Namenda®) for Cognitive and Behavioral Impairment in Adults With Autism Spectrum Disorders
NCT01337700Phase 4COMPLETEDMilnacipran in Autism and the Functional Locus Coeruleus and Noradrenergic Model of Autism
NCT01695200Phase 4COMPLETEDOmega-3 Fatty Acids in Autism Spectrum Disorders
NCT02069977Phase 4UNKNOWNStudy to Evaluate the Efficacy and Safety of Aripiprazole
NCT02096952Phase 4COMPLETEDMethylphenidate ER Liquid Formulation in Adults With ASD and ADHD
NCT02199925Phase 4UNKNOWNAn Open-Label Study to Evaluate the Efficacy of High-Dose Gammaplex in Children on the Autism Spectrum
NCT02235467Phase 4COMPLETEDMultisite Study: Parental Training Using Video Modelling to Develop Social Skills in Children With Autism
NCT02255565Phase 4COMPLETEDDose Response Effects of Quillivant XR in Children With ADHD and Autism: A Pilot Study
NCT02940574Phase 4COMPLETEDNeural and Behavioral Effects of Oxytocin in Autism Spectrum Disorders
NCT03333629Phase 4COMPLETEDPromoting Positive Outcomes for Individuals With ASD: Linking Early Detection, Treatment, and Long-term Outcomes
NCT03337646Phase 4COMPLETEDEvaluation of the Effect and Safety of Lisdexamfetamine in Children Aged 6-12 With ADHD and Autism
NCT03538431Phase 4COMPLETEDImproving Driving in Young People With Autism Spectrum Disorders
NCT03757585Phase 4COMPLETEDNatural Treatments for the Management of Emotional Dysregulation in Youth With Non-verbal Learning Disability (NVLD) and/or Autism Spectrum Disorders (ASD)
NCT04903353Phase 4COMPLETEDPragmatic Trial Comparing Weight Gain in Children With Autism Taking Risperidone Versus Aripiprazole
NCT05063656Phase 4COMPLETEDBiomarker-Driven Pharmacological Treatment of Adolescents With Autism Spectrum Disorder With Gabapentin
NCT05146245Phase 4UNKNOWNSafety and Pharmacokinetics of Antipsychotics in Children 2: Studying TDM in an RCT
NCT05916339Phase 4RECRUITINGAWARE: Management of ADHD in Autism Spectrum Disorder
NCT05954052Phase 4TERMINATEDA Study of Glutathione in Children With Autism Spectrum Disorder
NCT06853665Phase 4RECRUITINGThe TEAM Study - Treatment Efficacy for Autism/Attention Using Mixed Amphetamine
NCT07054697Phase 4COMPLETEDPilot-RCT With Individualized Homeopathic Treatment in the Children With Autism Spectrum Disorder
NCT07161804Phase 4COMPLETEDPilot RCT Using Homeopathic Medicines in ASD
NCT07439042Phase 4RECRUITINGBuspirone for Anxiety in Autistic Youth
NCT07770152Phase 4NOT_YET_RECRUITINGSemaglutide in Youth With Autism Spectrum Disorder
NCT03414970Phase 3ACTIVE_NOT_RECRUITINGHypofractionated Radiation Therapy After Mastectomy in Preventing Recurrence in Patients With Stage IIa-IIIa Breast Cancer
NCT00036231Phase 3TERMINATEDSynthetic Human Secretin in Children With Autism and Gastrointestinal Dysfunction
NCT00036244Phase 3COMPLETEDSynthetic Human Secretin in Children With Autism
NCT00065884Phase 3UNKNOWNValproate Response in Aggressive Autistic Adolescents
NCT00065962Phase 3COMPLETEDSecretin for the Treatment of Autism
NCT00252603Phase 3COMPLETEDGalantamine Versus Placebo in Childhood Autism
NCT00346736Phase 3COMPLETEDUse of Acupuncture In Children With Autistic Spectrum Disorder
NCT00352248Phase 3COMPLETEDRandomized Controlled Trial of Acupuncture Versus Sham Acupuncture in Autistic Spectrum Disorder
NCT00352352Phase 3COMPLETEDUse of Acupuncture In Children With Autistic Spectrum Disorder
NCT00355329Phase 3COMPLETEDRandomized Control Trial of Using Tongue Acupuncture in Autistic Spectrum Disorder Using PET Scan for Clinical Correlation
NCT00498173Phase 3COMPLETEDEffectiveness of Atomoxetine in Treating ADHD Symptoms in Children and Adolescents With Autism
NCT00541346Phase 3COMPLETEDA Pilot Study of Daytrana TM in Children With Autism Co-Morbid for Attention Deficit Hyperactivity Disorder (ADHD) Symptoms
NCT00549562Phase 3COMPLETEDStudy of Paliperidone ER in Adolescents and Young Adults With Autism
NCT00584480Phase 3COMPLETEDPilot Study of the Effect of Hyperbaric Oxygen Treatment on Behavioral and Biomarker Measures in Children With Autism
NCT00655174Phase 3COMPLETEDFluvoxamine and Sertraline in Childhood Autism - Does SSRI Therapy Improve Behaviour and/or Mood?
NCT00881452Phase 3COMPLETEDA Trial of CM-AT in Children With Autism
NCT00912691Phase 3COMPLETEDA Trial of CM-AT in Children With Autism- Open Label Extension Study
NCT01302964Phase 3COMPLETEDMirtazapine Treatment of Anxiety in Children and Adolescents With Pervasive Developmental Disorders
NCT01706523Phase 3TERMINATEDOpen Label Extension Study of STX209 (Arbaclofen) in Autism Spectrum Disorders
NCT01740869Phase 3COMPLETEDAutologous Bone Marrow Stem Cells for Children With Autism Spectrum Disorders
NCT01825798Phase 3COMPLETEDTreatment of Overweight Induced by Antipsychotic Medication in Young People With Autism Spectrum Disorders (ASD)
NCT01911442Phase 3COMPLETEDLurasidone Pediatric Autism Study
NCT01914393Phase 3COMPLETEDPediatric Open-Label Extension Study
NCT01972074Phase 3COMPLETEDBehavioral and Neural Response to Memantine in Adolescents With Autism Spectrum Disorder
NCT02410902Phase 3COMPLETEDA Trial of CM-AT in Children With Autism With All Levels of FCT (The Blum Study)
NCT02649959Phase 3ACTIVE_NOT_RECRUITINGAn Open Label Study of CM-AT for the Treatment of Children With Autism
NCT02654743Phase 3COMPLETEDOpen Label of Clinical Trial of Sulforaphane in Children With Autism
NCT02985749Phase 3COMPLETEDA Study of Oxytocin for the Treatment of Social Impairment in Individuals With High Functioning Autism Spectrum Disorder
NCT03197922Phase 3COMPLETEDTreatment of Encopresis in Children With Autism Spectrum Disorders
NCT03504917Phase 3TERMINATEDA Study of Balovaptan in Adults With Autism Spectrum Disorder With a 2-Year Open-Label Extension

Predicted chemistry — Sugi Predict

The predicted patent-compound landscape for HTRA2 across ~30M SureChEMBL compounds — explore on Sugi Predict.