PITX2
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Also known as IGDSRSBrx1Otlx2ARP1
Summary
PITX2 (paired like homeodomain 2, HGNC:9005) is a protein-coding gene on chromosome 4q25, encoding Pituitary homeobox 2 (Q99697). May play a role in myoblast differentiation. It is haploinsufficient (ClinGen: sufficient evidence).
This gene encodes a member of the RIEG/PITX homeobox family, which is in the bicoid class of homeodomain proteins. The encoded protein acts as a transcription factor and regulates procollagen lysyl hydroxylase gene expression. This protein plays a role in the terminal differentiation of somatotroph and lactotroph cell phenotypes, is involved in the development of the eye, tooth and abdominal organs, and acts as a transcriptional regulator involved in basal and hormone-regulated activity of prolactin. Mutations in this gene are associated with Axenfeld-Rieger syndrome, iridogoniodysgenesis syndrome, and sporadic cases of Peters anomaly. A similar protein in other vertebrates is involved in the determination of left-right asymmetry during development. Alternatively spliced transcript variants encoding distinct isoforms have been described.
Source: NCBI Gene 5308 — RefSeq curated summary.
At a glance
- Gene–disease (curated): anterior segment dysgenesis 4 (Definitive, ClinGen) — +9 more curated relationships
- GWAS associations: 65
- Clinical variants (ClinVar): 257 total — 58 pathogenic, 17 likely-pathogenic
- Phenotypes (HPO): 67
- Dosage sensitivity (ClinGen): haploinsufficiency sufficient evidence, triplosensitivity no evidence
- Transcription factor: yes — 146 downstream targets (CollecTRI)
- MANE Select transcript:
NM_000325
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:9005 |
| Approved symbol | PITX2 |
| Name | paired like homeodomain 2 |
| Location | 4q25 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | IGDS, RS, Brx1, Otlx2, ARP1 |
| Ensembl gene | ENSG00000164093 |
| Ensembl biotype | protein_coding |
| OMIM | 601542 |
| Entrez | 5308 |
Gene structure
Transcript identifiers
Ensembl transcripts: 14 — 9 protein_coding, 3 protein_coding_CDS_not_defined, 2 retained_intron
ENST00000354925, ENST00000355080, ENST00000394595, ENST00000511837, ENST00000511990, ENST00000556049, ENST00000557119, ENST00000607868, ENST00000613094, ENST00000614423, ENST00000616641, ENST00000644488, ENST00000644743, ENST00000645131
RefSeq mRNA: 6 — MANE Select: NM_000325
NM_000325, NM_001204397, NM_001204398, NM_001204399, NM_153426, NM_153427
CCDS: CCDS3692, CCDS3693, CCDS3694
Canonical transcript exons
ENST00000644743 — 3 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001121567 | 110621164 | 110621369 |
| ENSE00001903507 | 110617423 | 110618688 |
| ENSE00003821783 | 110622256 | 110623077 |
Expression profiles
Bgee: expression breadth ubiquitous, 166 present calls, max score 96.56.
FANTOM5 (CAGE): breadth broad, TPM avg 3.7457 / max 131.9031, expressed in 788 samples.
FANTOM5 promoters (8 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 53633 | 1.8153 | 591 |
| 53636 | 1.1461 | 387 |
| 53634 | 0.3338 | 180 |
| 53635 | 0.1581 | 83 |
| 53632 | 0.1328 | 59 |
| 53631 | 0.1181 | 32 |
| 53639 | 0.0389 | 23 |
| 53640 | 0.0026 | 3 |
Top tissues by expression
273 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| gingiva | UBERON:0001828 | 96.56 | gold quality |
| biceps brachii | UBERON:0001507 | 96.14 | gold quality |
| gingival epithelium | UBERON:0001949 | 96.12 | gold quality |
| skeletal muscle tissue of biceps brachii | UBERON:0004502 | 95.88 | gold quality |
| hindlimb stylopod muscle | UBERON:0004252 | 95.24 | gold quality |
| skeletal muscle tissue of rectus abdominis | UBERON:0004511 | 94.88 | gold quality |
| body of tongue | UBERON:0011876 | 93.90 | gold quality |
| gastrocnemius | UBERON:0001388 | 93.80 | gold quality |
| muscle of leg | UBERON:0001383 | 91.94 | gold quality |
| muscle organ | UBERON:0001630 | 91.69 | gold quality |
| skeletal muscle tissue | UBERON:0001134 | 91.47 | gold quality |
| vastus lateralis | UBERON:0001379 | 90.83 | gold quality |
| quadriceps femoris | UBERON:0001377 | 90.30 | gold quality |
| pituitary gland | UBERON:0000007 | 88.49 | gold quality |
| placenta | UBERON:0001987 | 86.91 | gold quality |
| deltoid | UBERON:0001476 | 86.55 | gold quality |
| lower esophagus muscularis layer | UBERON:0035833 | 86.15 | gold quality |
| lower esophagus | UBERON:0013473 | 86.10 | gold quality |
| penis | UBERON:0000989 | 85.23 | gold quality |
| adenohypophysis | UBERON:0002196 | 85.20 | gold quality |
| vermiform appendix | UBERON:0001154 | 85.00 | gold quality |
| periodontal ligament | UBERON:0008266 | 84.71 | silver quality |
| muscle tissue | UBERON:0002385 | 84.61 | gold quality |
| tongue | UBERON:0001723 | 84.55 | gold quality |
| mammalian vulva | UBERON:0000997 | 84.14 | gold quality |
| mouth mucosa | UBERON:0003729 | 82.77 | gold quality |
| caecum | UBERON:0001153 | 82.51 | gold quality |
| male germ line stem cell (sensu Vertebrata) in testis | CL:0000089 ∩ UBERON:0000473 | 82.48 | gold quality |
| urinary bladder | UBERON:0001255 | 82.27 | gold quality |
| tibialis anterior | UBERON:0001385 | 81.87 | gold quality |
Single-cell (SCXA)
Detected in 6 experiment(s), a significant marker in 6.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-MTAB-6701 | yes | 918.41 |
| E-MTAB-10485 | yes | 582.50 |
| E-GEOD-124472 | yes | 489.17 |
| E-GEOD-135922 | yes | 56.86 |
| E-MTAB-9388 | yes | 12.44 |
| E-ANND-3 | yes | 12.02 |
Regulation
Is transcription factor: yes
Downstream targets (CollecTRI)
146 targets.
| Target | Regulation |
|---|---|
| ABCB1 | Unknown |
| ADIPOQ | |
| ADK | |
| AHR | |
| AHSG | |
| ALDH5A1 | |
| AMELX | |
| APOA1 | |
| APOA2 | |
| APOB | |
| APOC2 | |
| APOC3 | |
| ARAP1 | |
| ARG1 | |
| ATP11C | |
| CASR | |
| CAT | |
| CCNA1 | |
| CCND2 | |
| CD81 | |
| CD82 | |
| CD9 | |
| CDKN1A | Unknown |
| CETP | |
| CHEK2 | |
| CHI3L1 | |
| CRP | |
| CRY1 | |
| CSH1 | |
| CXCL6 | Activation |
JASPAR motifs
| Motif | Name | Family |
|---|---|---|
| MA1547.1 | PITX2 | Paired-related HD factors |
| MA1547.2 | PITX2 | Paired-related HD factors |
JASPAR matrix evidence (PMIDs): PMID:9685346
Upstream regulators (CollecTRI, top): BMP4, CREB1, CTNNB1, HNF4A, LEF1, LHX6, MEF2A, MSX2, NFIX, NKX2-5, PAX3, PITX2, SMAD2, SOX9, TBX1, TFAP2A, USF2
miRNA regulators (miRDB)
119 targeting PITX2, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-5011-5P | 100.00 | 83.46 | 5820 |
| HSA-MIR-5692B | 100.00 | 71.32 | 2622 |
| HSA-MIR-5692C | 100.00 | 71.32 | 2622 |
| HSA-MIR-3163 | 100.00 | 77.23 | 8605 |
| HSA-MIR-7110-3P | 100.00 | 73.18 | 2486 |
| HSA-MIR-340-5P | 100.00 | 72.50 | 4437 |
| HSA-LET-7A-3P | 100.00 | 74.03 | 3932 |
| HSA-LET-7B-3P | 100.00 | 74.08 | 3913 |
| HSA-LET-7F-1-3P | 100.00 | 74.02 | 3928 |
| HSA-MIR-98-3P | 100.00 | 74.08 | 3907 |
| HSA-MIR-6873-3P | 100.00 | 71.42 | 2626 |
| HSA-MIR-190A-3P | 100.00 | 80.35 | 5520 |
| HSA-MIR-6833-3P | 100.00 | 70.63 | 3197 |
| HSA-MIR-4282 | 99.99 | 75.36 | 6408 |
| HSA-MIR-4789-5P | 99.98 | 70.76 | 2721 |
| HSA-MIR-548N | 99.98 | 71.94 | 4170 |
| HSA-LET-7F-2-3P | 99.98 | 70.98 | 2588 |
| HSA-MIR-1185-1-3P | 99.98 | 71.04 | 2593 |
| HSA-MIR-1185-2-3P | 99.98 | 71.04 | 2593 |
| HSA-MIR-5696 | 99.98 | 72.36 | 4487 |
| HSA-MIR-4775 | 99.98 | 75.00 | 6394 |
| HSA-MIR-548AJ-3P | 99.96 | 73.38 | 5345 |
| HSA-MIR-548X-3P | 99.96 | 73.38 | 5345 |
| HSA-MIR-493-5P | 99.96 | 72.47 | 2382 |
| HSA-MIR-551B-5P | 99.96 | 71.28 | 3493 |
| HSA-MIR-548AB | 99.95 | 71.31 | 3488 |
| HSA-MIR-559 | 99.95 | 72.28 | 3609 |
| HSA-MIR-141-3P | 99.94 | 72.79 | 2421 |
| HSA-MIR-200A-3P | 99.94 | 72.68 | 2420 |
| HSA-MIR-548A-5P | 99.94 | 71.27 | 3482 |
Functional genomics
ClinGen dosage: haploinsufficiency 3 (sufficient evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map
Literature-anchored findings (GeneRIF, showing 40)
- mutational analysis in early-onset glaucoma (PMID:11774072)
- PITX2 gene is responsible for a significant portion of Axenfeld-Rieger syndrome in the Brazilian population. (PMID:11821690)
- the paired-like homeobox transcription factors Pitx1 and Pitx2 are factors functionally activating the proximal human prolactin promoter (hPRL-164luc) (PMID:12223489)
- Four novel mutations in the PITX2 gene in patients with Axenfeld-Rieger syndrome. Two mutations were found in the homeobox and two were found in the region downstream of the homeobox. (PMID:12381896)
- The position 50 residue in the PITX2 homeodomain plays an important role in both DNA binding and dimerization activities. (PMID:12612071)
- plays a critical role in directing cardiac asymmetric morphogenesis; correlates with double outlet right ventricle in laterality mutants; Pitx2 loss of function experiments cause severe cardiovascular defects. (PMID:12732450)
- oligodontia of Rieger syndrome of Chinese family linked to mutation (PMID:14630904)
- role for Pitx2 in regulating regionally specific terminal neuronal differentiation in the developing ventrolateral thalamus and midbrain (PMID:14975719)
- A deletion of thymine (T) 1261 was identified, creating a frameshift mutation in codon 227. (PMID:15255117)
- promoter- and cell-specific functional interaction between PITX2 and MEF2A (PMID:15466416)
- linkage of chromosome 4q24-q26 to RDC and identification of a missense mutation in PITX2 in 17 disease affected individuals (PMID:15591271)
- LEF-1 expression is regulated through PITX2, LEF-1 and beta-catenin direct physical interactions (PMID:15728254)
- This is the first structure of a native lysine50 class homeodomain; analysis of PITX2 residues mutated in Rieger syndrome indicates that many of these residues are involved in DNA binding, while others are involved in formation of the hydrophobic core. (PMID:15895993)
- This review of Axenfeld-Rieger syndrome highlights the production of mutant homeobox transcription factor PITX2 in at least four different transcriptional and splicing isoforms, with different biological properties. (PMID:16274491)
- Ultimately, PITX2 loss of function mutations have a compound effect: the reduced expression of PITX2 target genes coupled with the extensive activation of FOXC1-regulated targets in Axenfeld-Rieger syndrome. (PMID:16449236)
- The results indicate that the PITX2 C-terminal domain has inhibitory activity and support the notion that Axenfeld-Rieger Syndrome may also be caused by gain-of-function mutations. (PMID:16498627)
- The frequency of mutations in the FOXC1, GJA1, PITX2, and CYP1B1 genes in this study were 25%, 12.5%, 0% and 0%, respectively. (PMID:16638984)
- Direct evidence to support aberrant RNA splicing in PITX2 mutants as the mechanism underlying the Axenfeld-Rieger syndrome in some patients. (PMID:16834779)
- Gene analysis revealed a novel PITX2 mutation and a polymorphism in a family with Axenfeld-Rieger anomaly or syndrome and Fuchs’ endothelial dystrophy. (PMID:16876867)
- The findings in the present study clearly demonstrate that FOXC1 and PITX2 mutations are responsible for a significant proportion of Axenfeld-Rieger malformations in Germany. (PMID:16936096)
- The results show that PITX2/Pitx2 mutation results in reduced corneal thickness and provides the first example of reduced CCT (central corneal thickness) in a genetic subtype of glaucoma. (PMID:17065505)
- Occurrence of precocious glaucoma in human patients affected by Axenfeld-Rieger syndrome caused by PITX2 mutations. (PMID:17167399)
- Patients with FOXC1 mutations have the mildest prognosis for glaucoma development, whereas patients with PITX2 defects and patients with FOXC1 duplication have a more severe prognosis for glaucoma development than do patients with FOXC1 mutations. (PMID:17197537)
- PITX2, BARX1, and FOXC1 mutations were absent in De Hauwere syndrome and suggest that De Hauwere syndrome is caused by a different gene. (PMID:17486624)
- In addition, no pathogenic sequence variations were found in DCN, DSPG3, LUM, PITX2 and FOXC1, which have also been implicated in corneal and anterior segment dysgenesis. (PMID:17558846)
- Cytogenetically invisible microdeletions involving PITX2 in Rieger syndrome. (PMID:17850355)
- DNA hypermethylation of PITX2 is a marker of poor prognosis in untreated lymph node-negative hormone receptor-positive breast cancer patients. (PMID:17965955)
- The tendon, muscle, and bone anomalies further support a role of Pitx2 in forelimb development. (PMID:18312615)
- Sella turcica bridge in combination with PITX2 mutation would suspect that anomalies are typical symptoms of ARS. Sella turcica anomalies in association with craniofacial/dental aberrations might be important indicators for ARS caused by PITX2 mutation. (PMID:18331556)
- The exclusion of these genes as likely candidates supports the hypothesis that the ocular phenotype associated with peters’ anomaly segregating in this family is a distinct, new, autosomal dominant entity in the anterior segment dysgenesis spectrum. (PMID:18616618)
- Evaluate paraffin-embedded tumor tissue testing of PITX2 DNA methylation as a marker for outcome prediction in tamoxifen-treated, node-negative breast cancer patients. (PMID:18711169)
- Data show that RGS13 inhibits CREB-dependent transcription of target genes through disruption of complexes formed at the promoter. (PMID:18775326)
- Localization of the PITX2 gene expression in human eye cells in the course of prenatal development (PMID:18946986)
- A novel p.W86C mutation in PITX2 in a Chinese family with Axenfeld-Rieger syndrome, was found. (PMID:19052653)
- Proteomic and genomic analysis of PITX2 interacting and regulating networks are reported. (PMID:19174163)
- PITX2 homeobox mutations predictably resulted in decreased function of the protein. (PMID:19218601)
- Patients with greater than median PITX2 methylation in the tumors were 4 times more likely to experience biochemical recurrence within 8 years after surgery than patients with less than average methylation (PMID:19233404)
- Our results implicate the potential importance of Pitx2 as a beta-catenin downstream modulator in hair growth control. (PMID:19251162)
- A brief review of the clinical features and the relevant diagnostic approaches, together with a detailed review of published PITX2 and FOXC1 mutations in Axenfeld-Rieger syndrome, is given. (PMID:19513095)
- These data suggest PAWR is a novel PITX2-interacting protein that regulates PITX2 activity in ocular cells. (PMID:19801652)
Cross-species orthologs
1 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| mus_musculus | Pitx2 | ENSMUSG00000028023 |
Paralogs (50): ARX (ENSG00000004848), PAX6 (ENSG00000007372), PAX7 (ENSG00000009709), ALX4 (ENSG00000052850), GSC2 (ENSG00000063515), PITX1 (ENSG00000069011), PAX2 (ENSG00000075891), RHOXF1 (ENSG00000101883), CRX (ENSG00000105392), EVX1 (ENSG00000106038), PAX4 (ENSG00000106331), NOBOX (ENSG00000106410), PITX3 (ENSG00000107859), PHOX2B (ENSG00000109132), OTX1 (ENSG00000115507), PRRX1 (ENSG00000116132), VSX2 (ENSG00000119614), ESX1 (ENSG00000123576), PAX8 (ENSG00000125618), PAX1 (ENSG00000125813), RHOXF2 (ENSG00000131721), GSC (ENSG00000133937), RAX (ENSG00000134438), PAX3 (ENSG00000135903), ALX3 (ENSG00000156150), HESX1 (ENSG00000163666), UNCX (ENSG00000164853), PHOX2A (ENSG00000165462), OTX2 (ENSG00000165588), DRGX (ENSG00000165606), PRRX2 (ENSG00000167157), SHOX2 (ENSG00000168779), OTP (ENSG00000171540), RAX2 (ENSG00000173976), EVX2 (ENSG00000174279), PROP1 (ENSG00000175325), ISX (ENSG00000175329), ALX1 (ENSG00000180318), MIXL1 (ENSG00000185155), SHOX (ENSG00000185960)
Protein
Protein identifiers
Pituitary homeobox 2 — Q99697 (reviewed: Q99697)
Alternative names: ALL1-responsive protein ARP1, Homeobox protein PITX2, Paired-like homeodomain transcription factor 2, RIEG bicoid-related homeobox transcription factor, Solurshin
All UniProt accessions (6): A0A8J9C2I7, A0A8J9G9V2, D6RBG8, D6RFI4, Q99697, U3KQ81
UniProt curated annotations — full annotation on UniProt →
Function. May play a role in myoblast differentiation. When unphosphorylated, associates with an ELAVL1-containing complex, which stabilizes cyclin mRNA and ensuring cell proliferation. Phosphorylation by AKT2 impairs this association, leading to CCND1 mRNA destabilization and progression towards differentiation. Involved in the establishment of left-right asymmetry in the developing embryo.
Subunit / interactions. Interacts with EFEMP2. Interacts (when unphosphorylated on Thr-90) with ELAVL1/HUR.
Subcellular location. Nucleus. Cytoplasm.
Post-translational modifications. Phosphorylated at Thr-90 by AKT2, but not AKT1. Phosphorylation impairs its association with a CCND1 mRNA-stabilizing complex, thus shortening the half-life of CCND1.
Disease relevance. Axenfeld-Rieger syndrome 1 (RIEG1) [MIM:180500] An autosomal dominant disorder of morphogenesis that results in abnormal development of the anterior segment of the eye, and results in blindness from glaucoma in approximately 50% of affected individuals. Additional features include aniridia, maxillary hypoplasia, hypodontia, anal stenosis, redundant periumbilical skin. The disease is caused by variants affecting the gene represented in this entry. Anterior segment dysgenesis 4 (ASGD4) [MIM:137600] A form of anterior segment dysgenesis, a group of defects affecting anterior structures of the eye including cornea, iris, lens, trabecular meshwork, and Schlemm canal. Anterior segment dysgeneses result from abnormal migration or differentiation of the neural crest derived mesenchymal cells that give rise to components of the anterior chamber during eye development. Different anterior segment anomalies may exist alone or in combination, including iris hypoplasia, enlarged or reduced corneal diameter, corneal vascularization and opacity, posterior embryotoxon, corectopia, polycoria, abnormal iridocorneal angle, ectopia lentis, and anterior synechiae between the iris and posterior corneal surface. Clinical conditions falling within the phenotypic spectrum of anterior segment dysgeneses include aniridia, Axenfeld anomaly, Reiger anomaly/syndrome, Peters anomaly, and iridogoniodysgenesis. ASGD4 is an autosomal dominant disease. The disease is caused by variants affecting the gene represented in this entry. Ring dermoid of cornea (RDC) [MIM:180550] An ocular disorder characterized by bilateral annular limbal dermoids (growths with a skin-like structure) with corneal and conjunctival extension. The disease is caused by variants affecting the gene represented in this entry.
Similarity. Belongs to the paired homeobox family. Bicoid subfamily.
Isoforms (3)
| UniProt ID | Names | Canonical? |
|---|---|---|
| Q99697-1 | PTX2B, ARP1B | yes |
| Q99697-2 | PTX2C, ARP1C | |
| Q99697-3 | PTX2A, ARP1A |
RefSeq proteins (6): NP_000316, NP_001191326, NP_001191327, NP_001191328, NP_700475, NP_700476 (=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR001356 | HD | Domain |
| IPR003654 | OAR_dom | Domain |
| IPR009057 | Homeodomain-like_sf | Homologous_superfamily |
| IPR016233 | Homeobox_Pitx/unc30 | Family |
| IPR017970 | Homeobox_CS | Conserved_site |
Pfam: PF00046, PF03826
UniProt features (36 total): sequence variant 16, sequence conflict 4, helix 3, compositionally biased region 3, splice variant 2, short sequence motif 2, strand 2, chain 1, DNA-binding region 1, region of interest 1, modified residue 1
Structure
Experimental structures (PDB)
3 structures.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 2L7F | SOLUTION NMR | |
| 2L7M | SOLUTION NMR | |
| 2LKX | SOLUTION NMR |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q99697-F1 | 62.59 | 0.19 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Post-translational modifications (1): 90
Function
Pathways and Gene Ontology
Reactome pathways
1 pathways
| ID | Pathway |
|---|---|
| R-HSA-8866906 | TFAP2 (AP-2) family regulates transcription of other transcription factors |
MSigDB gene sets: 0 (showing top):
GO Biological Process (53): negative regulation of transcription by RNA polymerase II (GO:0000122), branching involved in blood vessel morphogenesis (GO:0001569), vasculogenesis (GO:0001570), in utero embryonic development (GO:0001701), neuron migration (GO:0001764), extraocular skeletal muscle development (GO:0002074), outflow tract morphogenesis (GO:0003151), atrioventricular valve development (GO:0003171), cardiac neural crest cell migration involved in outflow tract morphogenesis (GO:0003253), pulmonary myocardium development (GO:0003350), regulation of DNA-templated transcription (GO:0006355), regulation of transcription by RNA polymerase II (GO:0006357), determination of left/right symmetry (GO:0007368), positive regulation of cell population proliferation (GO:0008284), anatomical structure morphogenesis (GO:0009653), Wnt signaling pathway (GO:0016055), subthalamic nucleus development (GO:0021763), hypothalamus cell migration (GO:0021855), regulation of cell migration (GO:0030334), embryonic camera-type eye development (GO:0031076), embryonic hindlimb morphogenesis (GO:0035116), hair cell differentiation (GO:0035315), vascular associated smooth muscle cell differentiation (GO:0035886), deltoid tuberosity development (GO:0035993), odontogenesis (GO:0042476), camera-type eye development (GO:0043010), positive regulation of transcription by RNA polymerase II (GO:0045944), spleen development (GO:0048536), embryonic digestive tract morphogenesis (GO:0048557), atrial cardiac muscle tissue morphogenesis (GO:0055009), ventricular cardiac muscle cell development (GO:0055015), somatotropin secreting cell differentiation (GO:0060126), prolactin secreting cell differentiation (GO:0060127), ventricular septum morphogenesis (GO:0060412), left lung morphogenesis (GO:0060460), pulmonary vein morphogenesis (GO:0060577), superior vena cava morphogenesis (GO:0060578), embryonic heart tube left/right pattern formation (GO:0060971), endodermal digestive tract morphogenesis (GO:0061031), iris morphogenesis (GO:0061072)
GO Molecular Function (17): transcription cis-regulatory region binding (GO:0000976), RNA polymerase II cis-regulatory region sequence-specific DNA binding (GO:0000978), DNA-binding transcription factor activity, RNA polymerase II-specific (GO:0000981), DNA-binding transcription repressor activity, RNA polymerase II-specific (GO:0001227), DNA-binding transcription factor activity (GO:0003700), chromatin DNA binding (GO:0031490), identical protein binding (GO:0042802), protein homodimerization activity (GO:0042803), ribonucleoprotein complex binding (GO:0043021), phosphoprotein binding (GO:0051219), RNA polymerase II-specific DNA-binding transcription factor binding (GO:0061629), DNA-binding transcription factor binding (GO:0140297), sequence-specific double-stranded DNA binding (GO:1990837), DNA binding (GO:0003677), chromatin binding (GO:0003682), protein binding (GO:0005515), sequence-specific DNA binding (GO:0043565)
GO Cellular Component (5): chromatin (GO:0000785), nucleus (GO:0005634), nucleoplasm (GO:0005654), transcription regulator complex (GO:0005667), cytoplasm (GO:0005737)
Reactome top-level categories
Rollup of top-1 pathways:
| Category | Pathways |
|---|---|
| Transcriptional regulation by the AP-2 (TFAP2) family of transcription factors | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cell migration | 3 |
| RNA polymerase II transcription regulatory region sequence-specific DNA binding | 3 |
| cellular anatomical structure | 3 |
| regulation of transcription by RNA polymerase II | 2 |
| transcription by RNA polymerase II | 2 |
| blood vessel morphogenesis | 2 |
| camera-type eye development | 2 |
| regulation of DNA-templated transcription | 2 |
| DNA binding | 2 |
| protein binding | 2 |
| binding | 2 |
| negative regulation of DNA-templated transcription | 1 |
| angiogenesis | 1 |
| branching morphogenesis of an epithelial tube | 1 |
| cell differentiation | 1 |
| chordate embryonic development | 1 |
| generation of neurons | 1 |
| skeletal muscle tissue development | 1 |
| skeletal muscle organ development | 1 |
| heart morphogenesis | 1 |
| anatomical structure morphogenesis | 1 |
| heart valve development | 1 |
| neural crest cell migration | 1 |
| outflow tract morphogenesis | 1 |
| cell migration involved in heart development | 1 |
| cardiac neural crest cell development involved in outflow tract morphogenesis | 1 |
| striated muscle tissue development | 1 |
| venous blood vessel development | 1 |
| DNA-templated transcription | 1 |
| regulation of gene expression | 1 |
| regulation of RNA biosynthetic process | 1 |
| determination of bilateral symmetry | 1 |
| left/right pattern formation | 1 |
| cell population proliferation | 1 |
| regulation of cell population proliferation | 1 |
| positive regulation of cellular process | 1 |
| developmental process | 1 |
| anatomical structure development | 1 |
| cell surface receptor signaling pathway | 1 |
| subthalamus development | 1 |
Protein interactions and networks
STRING
2274 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| PITX2 | FOXC1 | Q12948 | 988 |
| PITX2 | LEFTY2 | O00292 | 920 |
| PITX2 | CTNNB1 | P35222 | 890 |
| PITX2 | LEFTY1 | O75610 | 868 |
| PITX2 | CYP1B1 | Q16678 | 832 |
| PITX2 | SHH | Q15465 | 779 |
| PITX2 | POU1F1 | P28069 | 758 |
| PITX2 | HCN4 | Q9Y3Q4 | 755 |
| PITX2 | BMP4 | P12644 | 748 |
| PITX2 | OSR2 | Q8N2R0 | 747 |
| PITX2 | PAX9 | P55771 | 745 |
| PITX2 | TBX5 | Q99593 | 736 |
| PITX2 | ZFHX3 | Q15911 | 720 |
| PITX2 | LEF1 | Q9UJU2 | 698 |
| PITX2 | LHX3 | Q9UBR4 | 694 |
IntAct
31 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| PITX2 | Hoxa1 | psi-mi:“MI:0915”(physical association) | 0.570 |
| Hoxa1 | PITX2 | psi-mi:“MI:0915”(physical association) | 0.570 |
| N | NOP56 | psi-mi:“MI:0914”(association) | 0.530 |
| N | RBM47 | psi-mi:“MI:0914”(association) | 0.530 |
| IER2 | KPNA3 | psi-mi:“MI:0914”(association) | 0.530 |
| YBX1 | PITX2 | psi-mi:“MI:0915”(physical association) | 0.500 |
| CTNNB1 | PITX2 | psi-mi:“MI:2364”(proximity) | 0.480 |
| PITX2 | PITX2 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| PITX2 | CDC37 | psi-mi:“MI:0915”(physical association) | 0.400 |
| CCL11 | PITX2 | psi-mi:“MI:0915”(physical association) | 0.370 |
| PITX2 | psi-mi:“MI:0915”(physical association) | 0.370 | |
| PITX2 | TRIM25 | psi-mi:“MI:0915”(physical association) | 0.370 |
| PITX2 | ZNHIT3 | psi-mi:“MI:0915”(physical association) | 0.370 |
| FOXC2 | ZNF536 | psi-mi:“MI:0914”(association) | 0.350 |
| RBPJ | SAMD1 | psi-mi:“MI:0914”(association) | 0.350 |
| N | RBM47 | psi-mi:“MI:0914”(association) | 0.350 |
| MYC | psi-mi:“MI:0914”(association) | 0.350 | |
| NOP2 | ZNF320 | psi-mi:“MI:0914”(association) | 0.350 |
| PITX2 | AHCYL1 | psi-mi:“MI:0914”(association) | 0.350 |
| NOP2 | NVL | psi-mi:“MI:0914”(association) | 0.350 |
| PITX2 | NCL | psi-mi:“MI:0914”(association) | 0.350 |
| RFC2 | PITX2 | psi-mi:“MI:0915”(physical association) | 0.000 |
| PITX2 | GPR158 | psi-mi:“MI:0915”(physical association) | 0.000 |
| PITX2 | PRKACB | psi-mi:“MI:0915”(physical association) | 0.000 |
BioGRID (84): AHCYL2 (Affinity Capture-MS), AHCYL1 (Affinity Capture-MS), LRRC46 (Affinity Capture-MS), PITX2 (Affinity Capture-MS), PITX2 (PCA), Hoxa1 (Affinity Capture-Western), CTNNB1 (Co-localization), PITX2 (Affinity Capture-MS), PITX2 (Affinity Capture-MS), AHCYL2 (Affinity Capture-MS), LRRC46 (Affinity Capture-MS), PITX2 (Affinity Capture-MS), AHCYL1 (Affinity Capture-MS), PITX2 (Affinity Capture-RNA), PITX2 (Two-hybrid)
ESM2 similar proteins: A3RK74, A3RK75, A4L7N3, B3LYS5, B3P0K6, B4HF64, B4MB78, E1BPQ1, F1R8Z9, G3V7R4, O43524, O93353, O93385, P23512, P32183, P35584, P56673, P70314, P78337, P97474, Q12778, Q28EM1, Q32NP8, Q3BJS1, Q66JJ0, Q68EZ2, Q68F77, Q6EUW1, Q6EUW2, Q6QU75, Q810W5, Q8IZQ8, Q8K3Q3, Q8R5I7, Q91813, Q91981, Q96NZ1, Q99697, Q99NA7, Q9CXC9
Diamond homologs: A1A546, A1YEY5, A1YFI3, A1YG57, A1YGA2, A2T733, A2T777, A2T7P4, A6NFQ7, A6NJG6, A6NJT0, A6NNA5, A6YP92, F1NEA7, G5EC89, O08934, O14813, O15266, O15499, O35085, O35160, O35690, O35750, O42115, O42250, O43186, O54751, O60902, O70137, O73592, O75364, O93385, O95076, O97670, P21711, P22810, P29454, P32242, P53544, P53545
SIGNOR signaling
5 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| PITX2 | “up-regulates quantity by expression” | MYOD1 | “transcriptional regulation” |
| PAX3 | “up-regulates quantity by expression” | PITX2 | “transcriptional regulation” |
| LEF1 | “up-regulates quantity by expression” | PITX2 | “transcriptional regulation” |
| PITX2 | “down-regulates quantity by repression” | TBX1 | “transcriptional regulation” |
| PITX2 | “down-regulates quantity by repression” | GNRH1 | “transcriptional regulation” |
Disease & clinical
Clinical variants and AI predictions
ClinVar
257 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 58 |
| Likely pathogenic | 17 |
| Uncertain significance | 94 |
| Likely benign | 29 |
| Benign | 24 |
Top pathogenic / likely-pathogenic (30)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1398374 | NM_000325.6(PITX2):c.316G>T (p.Glu106Ter) | Pathogenic |
| 1455159 | NM_000325.6(PITX2):c.700_716dup (p.Thr239_Gly240insCysProGlnGlnTer) | Pathogenic |
| 1456258 | NC_000004.11:g.(?111539281)(111554154_?)del | Pathogenic |
| 1458040 | NM_000325.6(PITX2):c.448_449del (p.Arg150fs) | Pathogenic |
| 1693121 | NM_000325.6(PITX2):c.220C>T (p.Gln74Ter) | Pathogenic |
| 1693122 | NM_000325.6(PITX2):c.503_506del (p.Asn168fs) | Pathogenic |
| 1693123 | NM_000325.6(PITX2):c.515del (p.Gln172fs) | Pathogenic |
| 1693124 | NM_000325.6(PITX2):c.525del (p.Asp175fs) | Pathogenic |
| 1693125 | NM_000325.6(PITX2):c.557G>A (p.Trp186Ter) | Pathogenic |
| 1693126 | NM_000325.6(PITX2):c.663del (p.Asn222fs) | Pathogenic |
| 1693127 | NM_000325.6(PITX2):c.790del (p.Val264fs) | Pathogenic |
| 1693128 | NM_000325.6(PITX2):c.791_792dup (p.Pro265fs) | Pathogenic |
| 1693129 | NM_000325.6(PITX2):c.867_889del (p.Ser290fs) | Pathogenic |
| 1693130 | NM_000325.6(PITX2):c.293dup (p.His98fs) | Pathogenic |
| 1693133 | NM_000325.6(PITX2):c.417G>T (p.Trp139Cys) | Pathogenic |
| 1693135 | NM_000325.6(PITX2):c.428G>C (p.Arg143Pro) | Pathogenic |
| 1693136 | NM_000325.6(PITX2):c.302_303del (p.Ser101fs) | Pathogenic |
| 1693146 | NM_000325.6(PITX2):c.384G>A (p.Trp128Ter) | Pathogenic |
| 1693156 | NM_000325.6(PITX2):c.412-1G>A | Pathogenic |
| 2019449 | NM_000325.6(PITX2):c.470_476dup (p.Cys159Ter) | Pathogenic |
| 2203569 | NM_000325.6(PITX2):c.350C>G (p.Pro117Arg) | Pathogenic |
| 2942566 | NM_000325.6(PITX2):c.376G>C (p.Ala126Pro) | Pathogenic |
| 2950646 | NM_000325.6(PITX2):c.250G>T (p.Glu84Ter) | Pathogenic |
| 30197 | NM_000325.6(PITX2):c.421A>G (p.Lys141Glu) | Pathogenic |
| 3337461 | NM_000325.6(PITX2):c.206-1G>A | Pathogenic |
| 3366291 | NM_000325.6(PITX2):c.634del (p.Leu212fs) | Pathogenic |
| 375436 | NM_000325.6(PITX2):c.343_364del (p.Arg115fs) | Pathogenic |
| 375437 | NM_000325.6(PITX2):c.350C>T (p.Pro117Leu) | Pathogenic |
| 375440 | NM_000325.6(PITX2):c.714_735del (p.Thr239fs) | Pathogenic |
| 375441 | NM_000325.6(PITX2):c.784_785del (p.Ser262fs) | Pathogenic |
SpliceAI
501 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 4:110618697:G:T | acceptor_gain | 1.0000 |
| 4:110621158:TCCTA:T | donor_loss | 1.0000 |
| 4:110621159:CCTA:C | donor_loss | 1.0000 |
| 4:110621160:CTACC:C | donor_loss | 1.0000 |
| 4:110621161:TACCC:T | donor_loss | 1.0000 |
| 4:110621162:A:AC | donor_gain | 1.0000 |
| 4:110621162:A:T | donor_loss | 1.0000 |
| 4:110621162:AC:A | donor_gain | 1.0000 |
| 4:110621163:C:CC | donor_gain | 1.0000 |
| 4:110621163:C:CT | donor_loss | 1.0000 |
| 4:110621163:CC:C | donor_gain | 1.0000 |
| 4:110621177:T:TA | donor_gain | 1.0000 |
| 4:110621366:TTCT:T | acceptor_gain | 1.0000 |
| 4:110621368:CT:C | acceptor_gain | 1.0000 |
| 4:110621369:TC:T | acceptor_loss | 1.0000 |
| 4:110621370:C:CC | acceptor_gain | 1.0000 |
| 4:110621371:T:A | acceptor_loss | 1.0000 |
| 4:110621378:G:T | acceptor_gain | 1.0000 |
| 4:110618684:CAAAC:C | acceptor_gain | 0.9900 |
| 4:110618689:C:G | acceptor_loss | 0.9900 |
| 4:110618690:T:A | acceptor_loss | 0.9900 |
| 4:110618696:CGGT:C | acceptor_gain | 0.9900 |
| 4:110618699:T:C | acceptor_gain | 0.9900 |
| 4:110618699:T:TC | acceptor_gain | 0.9900 |
| 4:110618705:C:CT | acceptor_gain | 0.9900 |
| 4:110618706:A:T | acceptor_gain | 0.9900 |
| 4:110621365:TTTCT:T | acceptor_gain | 0.9900 |
| 4:110621377:C:CT | acceptor_gain | 0.9900 |
| 4:110622253:TA:T | donor_loss | 0.9900 |
| 4:110622254:A:AC | donor_gain | 0.9900 |
AlphaMissense
2126 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 4:110618225:C:G | R285T | 1.000 |
| 4:110618228:A:G | L284P | 1.000 |
| 4:110618645:C:G | R145P | 1.000 |
| 4:110618646:G:T | R145S | 1.000 |
| 4:110618653:C:A | K142N | 1.000 |
| 4:110618653:C:G | K142N | 1.000 |
| 4:110618655:T:C | K142E | 1.000 |
| 4:110618656:T:A | R141S | 1.000 |
| 4:110618656:T:G | R141S | 1.000 |
| 4:110618657:C:A | R141I | 1.000 |
| 4:110618657:C:G | R141T | 1.000 |
| 4:110618658:T:C | R141G | 1.000 |
| 4:110618659:C:A | W140C | 1.000 |
| 4:110618659:C:G | W140C | 1.000 |
| 4:110618660:C:G | W140S | 1.000 |
| 4:110618661:A:G | W140R | 1.000 |
| 4:110618661:A:T | W140R | 1.000 |
| 4:110618662:T:A | K139N | 1.000 |
| 4:110618662:T:G | K139N | 1.000 |
| 4:110618663:T:A | K139I | 1.000 |
| 4:110618664:T:C | K139E | 1.000 |
| 4:110618664:T:G | K139Q | 1.000 |
| 4:110618666:G:A | A138V | 1.000 |
| 4:110618666:G:T | A138D | 1.000 |
| 4:110618667:C:G | A138P | 1.000 |
| 4:110618667:C:T | A138T | 1.000 |
| 4:110618669:C:G | R137P | 1.000 |
| 4:110618669:C:T | R137Q | 1.000 |
| 4:110618670:G:A | R137W | 1.000 |
| 4:110618670:G:C | R137G | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000202866 (4:110628058 T>C), RS1000266046 (4:110621875 C>G,T), RS1000312043 (4:110633249 A>G), RS1000362390 (4:110639362 A>T), RS1000380473 (4:110633564 T>C), RS1000538052 (4:110627683 T>G), RS1000578561 (4:110622954 G>A), RS1000843296 (4:110638226 T>C), RS1000900355 (4:110635442 C>T), RS1000936372 (4:110638594 C>T), RS1001136531 (4:110629404 C>G,T), RS1001138887 (4:110622134 C>A,G,T), RS1001204015 (4:110626869 G>A), RS1001222598 (4:110619859 C>A), RS1001444477 (4:110626655 C>A)
Disease associations
OMIM: gene MIM:601542 | disease phenotypes: MIM:137600, MIM:180500, MIM:116200, MIM:180550, MIM:604229, MIM:109120, MIM:194200, MIM:608583, MIM:107250
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| Axenfeld-Rieger syndrome type 1 | Definitive | Autosomal dominant |
| anterior segment dysgenesis 4 | Definitive | Autosomal dominant |
| ring dermoid of cornea | Strong | Autosomal dominant |
| disorder of visual system | Strong | Autosomal dominant |
| aniridia | Moderate | Autosomal dominant |
| familial atrial fibrillation | Supportive | Autosomal dominant |
| Axenfeld-Rieger syndrome | Supportive | Autosomal dominant |
| Rieger anomaly | Supportive | Autosomal dominant |
| Axenfeld anomaly | Supportive | Autosomal dominant |
| Peters anomaly | Limited | Autosomal dominant |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| anterior segment dysgenesis 4 | Definitive | AD |
Mondo (19): anterior segment dysgenesis 4 (MONDO:0007662), Axenfeld-Rieger syndrome type 1 (MONDO:0008386), prostate cancer (MONDO:0008315), cataract (MONDO:0005129), ring dermoid of cornea (MONDO:0008387), Peters anomaly (MONDO:0011414), Axenfeld-Rieger anomaly with partially absent eye muscles, distinctive face, hydrocephaly, and skeletal abnormalities (MONDO:0007180), lung adenocarcinoma (MONDO:0005061), pituitary stalk interruption syndrome (MONDO:0019828), intellectual disability (MONDO:0001071), Axenfeld-Rieger syndrome (MONDO:0019187), Wolff-Parkinson-White syndrome (MONDO:0008685), Rieger anomaly (MONDO:0019628), atrial fibrillation, familial, 1 (MONDO:0012066), anterior segment dysgenesis (MONDO:0019503)
Orphanet (11): Axenfeld-Rieger syndrome (Orphanet:782), Rieger anomaly (Orphanet:91483), Familial prostate cancer (Orphanet:1331), Peters anomaly (Orphanet:708), Ring dermoid of cornea (Orphanet:91481), Pituitary stalk interruption syndrome (Orphanet:95496), Anterior segment developmental anomaly (Orphanet:88632), De Hauwere syndrome (Orphanet:1831), NON RARE IN EUROPE: Adenocarcinoma of the lung (Orphanet:415268), NON RARE IN EUROPE: Unexplained intellectual disability (Orphanet:319658), NON RARE IN EUROPE: Wolff-Parkinson-White syndrome (Orphanet:907)
HPO phenotypes
67 total (30 of 67 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000006 | Autosomal dominant inheritance |
| HP:0000047 | Hypospadias |
| HP:0000164 | Abnormality of the dentition |
| HP:0000219 | Thin upper lip vermilion |
| HP:0000232 | Everted lower lip vermilion |
| HP:0000316 | Hypertelorism |
| HP:0000322 | Short philtrum |
| HP:0000327 | Hypoplasia of the maxilla |
| HP:0000336 | Prominent supraorbital ridges |
| HP:0000365 | Hearing impairment |
| HP:0000431 | Wide nasal bridge |
| HP:0000481 | Abnormal cornea morphology |
| HP:0000482 | Microcornea |
| HP:0000485 | Megalocornea |
| HP:0000486 | Strabismus |
| HP:0000501 | Glaucoma |
| HP:0000502 | Abnormal conjunctiva morphology |
| HP:0000506 | Telecanthus |
| HP:0000523 | Subcapsular cataract |
| HP:0000526 | Aniridia |
| HP:0000558 | Rieger anomaly |
| HP:0000593 | Abnormal anterior chamber morphology |
| HP:0000627 | Posterior embryotoxon |
| HP:0000639 | Nystagmus |
| HP:0000646 | Amblyopia |
| HP:0000659 | Peters anomaly |
| HP:0000668 | Hypodontia |
| HP:0000677 | Oligodontia |
| HP:0000691 | Microdontia |
| HP:0000824 | Decreased response to growth hormone stimulation test |
GWAS associations
65 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST000051_1 | Atrial fibrillation/atrial flutter | 7.000000e-11 |
| GCST000051_2 | Atrial fibrillation/atrial flutter | 3.000000e-41 |
| GCST000445_3 | Atrial fibrillation | 4.000000e-63 |
| GCST000602_1 | Atrial fibrillation | 3.000000e-28 |
| GCST001499_2 | Atrial fibrillation | 2.000000e-74 |
| GCST001706_3 | Stroke (ischemic) | 2.000000e-07 |
| GCST001706_4 | Stroke (ischemic) | 3.000000e-16 |
| GCST002286_1 | Ischemic stroke | 3.000000e-08 |
| GCST003075_117 | Cognitive decline rate in late mild cognitive impairment | 4.000000e-06 |
| GCST003075_44 | Cognitive decline rate in late mild cognitive impairment | 9.000000e-07 |
| GCST003257_1 | Ischemic stroke (cardioembolic) | 3.000000e-32 |
| GCST003258_2 | Ischemic stroke | 3.000000e-14 |
| GCST003490_1 | Ischemic stroke (cardioembolic) | 1.000000e-25 |
| GCST004295_4 | Atrial fibrillation | 3.000000e-155 |
| GCST004296_4 | Atrial fibrillation | 2.000000e-62 |
| GCST004297_12 | Atrial fibrillation | 7.000000e-136 |
| GCST004298_1 | Atrial fibrillation | 8.000000e-46 |
| GCST004299_1 | Atrial fibrillation | 4.000000e-08 |
| GCST004300_2 | Incident atrial fibrillation | 8.000000e-57 |
| GCST004301_1 | Prevalent atrial fibrillation | 7.000000e-92 |
| GCST004352_4 | Early onset atrial fibrillation | 6.000000e-38 |
| GCST004373_12 | Atrial fibrillation | 2.000000e-134 |
| GCST004373_2 | Atrial fibrillation | 1.000000e-126 |
| GCST004373_3 | Atrial fibrillation | 2.000000e-34 |
| GCST004748_40 | Lung cancer | 2.000000e-06 |
| GCST005170_49 | Intraocular pressure | 3.000000e-10 |
| GCST005306_8 | Atrial fibrillation | 2.000000e-39 |
| GCST006061_122 | Atrial fibrillation | 7.000000e-71 |
| GCST006061_129 | Atrial fibrillation | 2.000000e-39 |
| GCST006061_133 | Atrial fibrillation | 8.000000e-12 |
EFO canonical traits (6, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0007710 | cognitive decline measurement |
| EFO:1001493 | cardiac embolism |
| EFO:0004695 | intraocular pressure measurement |
| EFO:0006527 | smoking status measurement |
| EFO:1001976 | cardioembolic stroke |
| EFO:0004327 | electrocardiography |
MeSH disease descriptors (10)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D015783 | Aniridia | C11.250.060; C11.270.060; C11.941.375.060; C16.131.384.079; C16.320.290.078 |
| D002386 | Cataract | C11.510.245 |
| D008607 | Intellectual Disability | C10.597.606.360; C23.888.592.604.646; F01.700.687; F03.625.539 |
| D011471 | Prostatic Neoplasms | C04.588.945.440.770; C12.100.500.260.750; C12.100.500.565.625; C12.200.294.260.750; C12.200.294.565.625; C12.200.758.409.750; C12.900.619.750 |
| D014927 | Wolff-Parkinson-White Syndrome | C14.280.067.780.977; C14.280.123.750.977; C16.131.240.400.980 |
| C538261 | Atrial fibrillation, familial 1 (supp.) | |
| C566234 | Axenfeld-Rieger Anomaly with Partially Absent Eye Muscles, Distinctive Face, Hydrocephaly, and Skeletal Abnormalities (supp.) | |
| C535679 | Axenfeld-Rieger syndrome (supp.) | |
| C537884 | Peters anomaly (supp.) | |
| C535684 | Ring dermoid of cornea (supp.) |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
38 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Valproic Acid | affects cotreatment, increases expression, decreases methylation | 8 |
| trichostatin A | affects cotreatment, increases expression | 3 |
| bisphenol A | decreases expression, decreases methylation | 2 |
| sodium arsenite | increases abundance, increases expression | 2 |
| Vorinostat | affects cotreatment, increases expression | 2 |
| Panobinostat | affects cotreatment, increases expression | 2 |
| Cadmium | decreases expression, increases abundance | 2 |
| Nickel | decreases expression | 2 |
| Phenylmercuric Acetate | affects cotreatment, increases expression | 2 |
| Tretinoin | increases expression | 2 |
| Cadmium Chloride | decreases expression, increases abundance | 2 |
| FR900359 | increases phosphorylation | 1 |
| beta-lapachone | increases expression | 1 |
| arsenite | increases methylation | 1 |
| tetrabromobisphenol A | increases expression | 1 |
| butylbenzyl phthalate | decreases expression | 1 |
| hydroquinone | decreases expression | 1 |
| mercuric bromide | affects cotreatment, increases expression | 1 |
| 4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamide | affects cotreatment, increases expression | 1 |
| belinostat | increases expression | 1 |
| dorsomorphin | affects cotreatment, increases expression | 1 |
| NSC 689534 | decreases expression | 1 |
| Resveratrol | affects cotreatment, decreases expression | 1 |
| Amphotericin B | decreases expression | 1 |
| Arsenic | increases abundance, increases expression | 1 |
| Benzo(a)pyrene | affects methylation, decreases methylation | 1 |
| Cytarabine | decreases expression | 1 |
| Diethylhexyl Phthalate | increases expression | 1 |
| Estradiol | decreases expression | 1 |
| Hydrogen Peroxide | affects expression | 1 |
Cellosaurus cell lines
9 cell lines: 5 induced pluripotent stem cell, 3 embryonic stem cell, 1 cancer cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_A5J2 | SEES3-1V human PITX2, clone1 | Embryonic stem cell | Male |
| CVCL_A5J3 | SEES3-1V human PITX2, clone2 | Embryonic stem cell | Male |
| CVCL_A5J4 | SEES3-1V human PITX2, clone3 | Embryonic stem cell | Male |
| CVCL_C3LC | KSCBi018-A-6 | Induced pluripotent stem cell | Male |
| CVCL_C3LD | KSCBi018-A-7 | Induced pluripotent stem cell | Male |
| CVCL_D8T3 | Ubigene HCT 116 PITX2 KO | Cancer cell line | Male |
| CVCL_QX64 | MPIMBMi011-A-3 | Induced pluripotent stem cell | Male |
| CVCL_QX65 | MPIMBMi011-A-4 | Induced pluripotent stem cell | Male |
| CVCL_QX80 | UNIBSi003-A | Induced pluripotent stem cell | Male |
Clinical trials (associated diseases)
322 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00029224 | PHASE4 | COMPLETED | Treatment With Zoledronic Acid in Patients With Breast Cancer, Multiple Myeloma, and Prostate Cancer With Cancer Related Bone Lesions |
| NCT00035997 | PHASE4 | COMPLETED | Open-label Trial on the Effect of I.V. Zoledronic Acid 4 mg on Bone Density in Hormone Sensitive Prostate Cancer Patients With Bone Metastasis |
| NCT00063609 | PHASE4 | COMPLETED | The Effect of Zoledronic Acid on Bone Loss in Prostate Cancer Patients Undergoing Androgen Deprivation Therapy |
| NCT00103623 | PHASE4 | SUSPENDED | The Plenaxis® Experience Study |
| NCT00106392 | PHASE4 | COMPLETED | A Safety and Efficacy Study of Prograf in the Prevention of Erectile Dysfunction After Radical Prostatectomy |
| NCT00185029 | PHASE4 | UNKNOWN | MR-Lymphography and Lymph Node Staging in Prostate Cancer |
| NCT00199485 | PHASE4 | COMPLETED | Angelica Sinensis for the Treatment of Hot Flashes in Men Undergoing LHRH Therapy for Prostate Cancer |
| NCT00219219 | PHASE4 | COMPLETED | Zoledronic Acid in the Prevention of Skeletal-related Events in Hormone Refractory and Hormone-sensitive Prostate Cancer Patients With Bone Metastases |
| NCT00219271 | PHASE4 | COMPLETED | Effect Of Zoledronic Acid On Circulating And Bone Marrow-Residing Prostate Cancer Cells In Patients With Clinically Localized Prostate Cancer |
| NCT00237146 | PHASE4 | COMPLETED | Study to Evaluate Zoledronic Acid on Quality of Life and Skeletal-related Events as Adjuvant Treatment in Patients With Hormone-naïve Prostate Cancer and Bone Metastasis Who Have Undergone Orchiectomy |
| NCT00242554 | PHASE4 | COMPLETED | Open-label Phase IV Clinical Trial to Evaluate the Safety and Tolerability of Zoledronic Acid in Patients With Prostate Cancer and Bone Metastases |
| NCT00280098 | PHASE4 | COMPLETED | Docetaxel in the Treatment of Hormone Refractory Prostate Cancer |
| NCT00293696 | PHASE4 | COMPLETED | Casodex/Zoladex Biomarkers in Localised Prostate Cancer |
| NCT00334139 | PHASE4 | COMPLETED | Effect of Zoledronic Acid on Bone Metabolism in Patients With Bone Metastasis and Prostate or Breast Cancer |
| NCT00375765 | PHASE4 | COMPLETED | Effects On Dihydrotestosterone Regulated Gene Expression In Benign Prostatic Hyperplasia Or Prostate Cancer |
| NCT00391690 | PHASE4 | COMPLETED | Evaluation of Bone Markers as Diagnostic Tools for Early Detection of Bone Metastases in Patients With High Risk Prostate Cancer |
| NCT00422708 | PHASE4 | COMPLETED | Local Anesthesia for Prostate Biopsy |
| NCT00526331 | PHASE4 | COMPLETED | Evaluation of Arterial Pressure Based Cardiac Output for Goal-Directed Perioperative Therapy |
| NCT00590213 | PHASE4 | COMPLETED | Compare the Value of Prophylactic Versus Therapeutic Breast Radiotherapy in CASODEX |
| NCT00629330 | PHASE4 | TERMINATED | Dissemination of Prostate Cancer Screening to PCP’s in African American Communities |
| NCT00771966 | PHASE4 | COMPLETED | Radical Prostatectomy and Perioperative Fluid Therapy |
| NCT00805701 | PHASE4 | COMPLETED | Study Assessing The Efficacy And Safety Of Avodart (Dutasteride) At Improving Urinary Symptoms In Men With Prostate Cancer Who Are Undergoing Seed Implantation |
| NCT00859027 | PHASE4 | COMPLETED | Effect Of Risedronate On Bone Mass In Older Men Receiving Neoadjuvant Therapy For Prostate Cancer |
| NCT00906269 | PHASE4 | UNKNOWN | Can Hyperbaric Oxygen Improve Erectile Function Following Surgery for Prostate Cancer |
| NCT00953277 | PHASE4 | COMPLETED | Study of Nerve Reconstruction Using AVANCE in Subjects Who Undergo Robotic Assisted Prostatectomy for Treatment of Prostate Cancer |
| NCT00982800 | PHASE4 | COMPLETED | Does Postoperative Gabapentin Reduce Pain, Opioid Consumption and Anxiety and Have a Positive Effect on Health Related Quality of Life After Radical Prostatectomy? |
| NCT01083199 | PHASE4 | COMPLETED | Global Performance Evaluation of the AMS CONTINUUM™ Device |
| NCT01136226 | PHASE4 | COMPLETED | Evaluate Recovery of Testosterone for Patients Using Eligard |
| NCT01161563 | PHASE4 | COMPLETED | Randomized Crossover Trial to Assess the Tolerability of Gonadotropin Releasing Hormone (GnRH) Analogue Administration |
| NCT01230905 | PHASE4 | COMPLETED | Study to Monitor the Effects of Androgen Suppression Treatment on the Heart |
| NCT01296672 | PHASE4 | COMPLETED | 3 Month Finasteride Challenge Test Can Significantly Improve the Performance of Screening for Prostate Cancer |
| NCT01365143 | PHASE4 | TERMINATED | Prospective Randomized Trial Comparing Robotic Versus Open Radical Prostatectomy |
| NCT01379742 | PHASE4 | UNKNOWN | Comparison of Between ThinSeed™ and OncoSeed™ for Permanent Prostate Brachytherapy |
| NCT01486563 | PHASE4 | COMPLETED | Hydroxyethyl Starch and Renal Function After Radical Prostatectomy |
| NCT01511874 | PHASE4 | COMPLETED | Efficacy and Safety Study of ELIGARD 22.5mg With Prostate Cancer |
| NCT01512472 | PHASE4 | TERMINATED | Firmagon (Degarelix) Intermittent Therapy |
| NCT01547416 | PHASE4 | COMPLETED | The Effect of Combined General/Epidural Anesthesia Versus General Anesthesia on Diaphragmatic Function |
| NCT01571544 | PHASE4 | COMPLETED | The Use of Thermal Suits as Preventing Hypothermia During Surgery |
| NCT01581749 | PHASE4 | UNKNOWN | Evaluation of Truebeam for Low-Intermediate Risk Prostate Cancer |
| NCT01649635 | PHASE4 | COMPLETED | Study of Cabazitaxel Combined With Prednisone and Prophylaxis of Neutropenia Complications in the Treatment of Patients With Metastatic Castration-resistant Prostate Cancer |
Related Atlas pages
- Associated diseases: Axenfeld-Rieger syndrome type 1, aniridia 1, anterior segment dysgenesis 4, ring dermoid of cornea, Peters anomaly, familial atrial fibrillation, Axenfeld-Rieger syndrome, Rieger anomaly, Axenfeld anomaly, vision disorder
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): aniridia, anterior segment dysgenesis, anterior segment dysgenesis 4, appendicitis, atrial fibrillation, familial, 1, Axenfeld anomaly, Axenfeld-Rieger anomaly with partially absent eye muscles, distinctive face, hydrocephaly, and skeletal abnormalities, Axenfeld-Rieger syndrome, Axenfeld-Rieger syndrome type 1, disorder of visual system, familial atrial fibrillation, familial sick sinus syndrome, heart failure, Peters anomaly, pituitary stalk interruption syndrome, Rieger anomaly, ring dermoid of cornea, Wolff-Parkinson-White syndrome