RAPGEF2
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Also known as PDZ-GEF1RA-GEFDKFZP586O1422KIAA0313
Summary
RAPGEF2 (Rap guanine nucleotide exchange factor 2, HGNC:16854) is a protein-coding gene on chromosome 4q32.1, encoding Rap guanine nucleotide exchange factor 2 (Q9Y4G8). Functions as a guanine nucleotide exchange factor (GEF), which activates Rap and Ras family of small GTPases by exchanging bound GDP for free GTP in a cAMP-dependent manner.
Members of the RAS (see HRAS; MIM 190020) subfamily of GTPases function in signal transduction as GTP/GDP-regulated switches that cycle between inactive GDP- and active GTP-bound states. Guanine nucleotide exchange factors (GEFs), such as RAPGEF2, serve as RAS activators by promoting acquisition of GTP to maintain the active GTP-bound state and are the key link between cell surface receptors and RAS activation (Rebhun et al., 2000 [PubMed 10934204]).
Source: NCBI Gene 9693 — RefSeq curated summary.
At a glance
- Gene–disease (curated): amyotrophic lateral sclerosis (Limited, GenCC) — +1 more curated relationship
- GWAS associations: 4
- Clinical variants (ClinVar): 178 total — 2 pathogenic
- Phenotypes (HPO): 12
- MANE Select transcript:
NM_001394067
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:16854 |
| Approved symbol | RAPGEF2 |
| Name | Rap guanine nucleotide exchange factor 2 |
| Location | 4q32.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | PDZ-GEF1, RA-GEF, DKFZP586O1422, KIAA0313 |
| Ensembl gene | ENSG00000109756 |
| Ensembl biotype | protein_coding |
| OMIM | 609530 |
| Entrez | 9693 |
Gene structure
Transcript identifiers
Ensembl transcripts: 19 — 10 protein_coding, 7 protein_coding_CDS_not_defined, 2 retained_intron
ENST00000264431, ENST00000502485, ENST00000503328, ENST00000504604, ENST00000505026, ENST00000505478, ENST00000509891, ENST00000510253, ENST00000510510, ENST00000511336, ENST00000512056, ENST00000513816, ENST00000514565, ENST00000644474, ENST00000644902, ENST00000691494, ENST00000908959, ENST00000941768, ENST00000941769
RefSeq mRNA: 7 — MANE Select: NM_001394067
NM_001351724, NM_001351725, NM_001351726, NM_001351727, NM_001351728, NM_001394067, NM_014247
CCDS: CCDS43277, CCDS93662, CCDS93663
Canonical transcript exons
ENST00000691494 — 30 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000740328 | 159353487 | 159354046 |
| ENSE00000740329 | 159352685 | 159352910 |
| ENSE00000740330 | 159350137 | 159350289 |
| ENSE00000740348 | 159343281 | 159343404 |
| ENSE00000740353 | 159342979 | 159343190 |
| ENSE00000740358 | 159341564 | 159341947 |
| ENSE00000740360 | 159339114 | 159339354 |
| ENSE00000740362 | 159338311 | 159338468 |
| ENSE00000740363 | 159332451 | 159332697 |
| ENSE00000740366 | 159331926 | 159332034 |
| ENSE00000740368 | 159331630 | 159331833 |
| ENSE00000740370 | 159331431 | 159331538 |
| ENSE00000740372 | 159330334 | 159330498 |
| ENSE00000740380 | 159323459 | 159323617 |
| ENSE00000740388 | 159322347 | 159322483 |
| ENSE00000813598 | 159355853 | 159356158 |
| ENSE00000813599 | 159345106 | 159345329 |
| ENSE00001001868 | 159344036 | 159344059 |
| ENSE00002062206 | 159186642 | 159186712 |
| ENSE00002062729 | 159193200 | 159193256 |
| ENSE00002074060 | 159210500 | 159210583 |
| ENSE00002490287 | 159329858 | 159330010 |
| ENSE00003472115 | 159304342 | 159304473 |
| ENSE00003472776 | 159238809 | 159238884 |
| ENSE00003638621 | 159243774 | 159243791 |
| ENSE00003655718 | 159241201 | 159241368 |
| ENSE00003784708 | 159346789 | 159346998 |
| ENSE00003789116 | 159314591 | 159314768 |
| ENSE00003930214 | 159103079 | 159104231 |
| ENSE00003935884 | 159358114 | 159360173 |
Expression profiles
Bgee: expression breadth ubiquitous, 297 present calls, max score 99.21.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 25.1719 / max 741.9104, expressed in 1806 samples.
FANTOM5 promoters (30 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 50346 | 5.1577 | 1663 |
| 50344 | 4.9290 | 1238 |
| 50372 | 3.6195 | 231 |
| 50347 | 3.0836 | 1284 |
| 50343 | 2.9340 | 828 |
| 50349 | 0.7329 | 283 |
| 50345 | 0.5344 | 267 |
| 50363 | 0.4688 | 158 |
| 50376 | 0.4181 | 89 |
| 50373 | 0.3722 | 101 |
Top tissues by expression
298 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| Brodmann (1909) area 23 | UBERON:0013554 | 99.21 | gold quality |
| middle temporal gyrus | UBERON:0002771 | 99.08 | gold quality |
| endothelial cell | CL:0000115 | 98.41 | gold quality |
| frontal pole | UBERON:0002795 | 98.32 | gold quality |
| postcentral gyrus | UBERON:0002581 | 98.12 | gold quality |
| orbitofrontal cortex | UBERON:0004167 | 98.09 | gold quality |
| parietal lobe | UBERON:0001872 | 98.05 | gold quality |
| tibia | UBERON:0000979 | 97.98 | gold quality |
| Brodmann (1909) area 10 | UBERON:0013541 | 97.93 | gold quality |
| Brodmann (1909) area 46 | UBERON:0006483 | 97.89 | gold quality |
| entorhinal cortex | UBERON:0002728 | 97.77 | gold quality |
| superior frontal gyrus | UBERON:0002661 | 97.76 | gold quality |
| trabecular bone tissue | UBERON:0002483 | 97.71 | gold quality |
| choroid plexus epithelium | UBERON:0003911 | 97.15 | gold quality |
| corpus callosum | UBERON:0002336 | 97.07 | gold quality |
| visceral pleura | UBERON:0002401 | 96.65 | gold quality |
| CA1 field of hippocampus | UBERON:0003881 | 96.31 | gold quality |
| pleura | UBERON:0000977 | 96.14 | gold quality |
| heart right ventricle | UBERON:0002080 | 96.06 | gold quality |
| skin of hip | UBERON:0001554 | 96.00 | gold quality |
| parietal pleura | UBERON:0002400 | 96.00 | gold quality |
| occipital lobe | UBERON:0002021 | 95.99 | gold quality |
| calcaneal tendon | UBERON:0003701 | 95.83 | gold quality |
| metanephric glomerulus | UBERON:0004736 | 95.83 | gold quality |
| middle frontal gyrus | UBERON:0002702 | 95.79 | gold quality |
| primary visual cortex | UBERON:0002436 | 95.63 | gold quality |
| renal glomerulus | UBERON:0000074 | 95.59 | gold quality |
| lateral nuclear group of thalamus | UBERON:0002736 | 95.50 | gold quality |
| cartilage tissue | UBERON:0002418 | 95.47 | gold quality |
| upper leg skin | UBERON:0004262 | 95.45 | gold quality |
Single-cell (SCXA)
Detected in 1 experiment(s), a significant marker in 1.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-ANND-3 | yes | 9.54 |
Regulation
Is transcription factor: no
miRNA regulators (miRDB)
202 targeting RAPGEF2, 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-4673 | 100.00 | 66.64 | 1490 |
| HSA-MIR-3613-3P | 100.00 | 76.36 | 7965 |
| HSA-MIR-30A-5P | 100.00 | 76.31 | 3233 |
| HSA-MIR-30B-5P | 100.00 | 76.29 | 3248 |
| HSA-MIR-30C-5P | 100.00 | 76.29 | 3248 |
| HSA-MIR-30D-5P | 100.00 | 76.32 | 3233 |
| HSA-MIR-30E-5P | 100.00 | 76.32 | 3242 |
| HSA-MIR-4747-5P | 100.00 | 67.90 | 2681 |
| HSA-MIR-5196-5P | 100.00 | 67.98 | 2761 |
| HSA-MIR-12118 | 100.00 | 65.88 | 1270 |
| HSA-MIR-5692A | 100.00 | 74.40 | 6850 |
| HSA-MIR-200B-3P | 100.00 | 73.31 | 2693 |
| HSA-MIR-200C-3P | 100.00 | 73.35 | 2685 |
| HSA-MIR-429 | 100.00 | 73.44 | 2698 |
| HSA-MIR-4668-3P | 100.00 | 68.74 | 2635 |
| HSA-MIR-4692 | 100.00 | 67.32 | 2066 |
| HSA-MIR-548C-3P | 99.99 | 74.01 | 7587 |
| HSA-MIR-4282 | 99.99 | 75.36 | 6408 |
| HSA-MIR-196A-1-3P | 99.99 | 72.15 | 2772 |
| HSA-MIR-3185 | 99.99 | 68.12 | 1959 |
| HSA-MIR-19A-3P | 99.98 | 75.33 | 2762 |
| HSA-MIR-19B-3P | 99.98 | 75.44 | 2754 |
| HSA-MIR-4645-5P | 99.98 | 65.81 | 1284 |
| HSA-MIR-27A-3P | 99.98 | 72.13 | 2955 |
| HSA-MIR-27B-3P | 99.98 | 72.13 | 2955 |
| HSA-MIR-9985 | 99.98 | 72.11 | 2939 |
| HSA-MIR-3173-3P | 99.98 | 66.49 | 1217 |
| HSA-MIR-6891-5P | 99.98 | 66.53 | 1372 |
| HSA-MIR-3065-5P | 99.97 | 71.56 | 3281 |
| HSA-MIR-3148 | 99.97 | 75.06 | 6478 |
Literature-anchored findings (GeneRIF, showing 14)
- Regulation of G protein-linked guanine nucleotide exchange factors for Rho, PDZ-RhoGEF, and LARG by tyrosine phosphorylation: evidence of a role for focal adhesion kinase (PMID:11799111)
- PSD-95/Dlg/ZO-1 homology (PDZ)-RhoGEF was isolated from mouse brain as a plexin-B1-specific interacting protein (PMID:12196628)
- Data show that the interaction of PDZ-GEF1 with an internalized neurotrophin receptor transported to late endosomes induces sustained activation of both Rap1 and ERK and neurite outgrowth. (PMID:17724123)
- PDZ-GEF activates Rap1 under resting conditions to stabilize cell-cell junctions and maintain basal integrity (PMID:21840392)
- DNA methylation shows genome-wide association of NFIX, RAPGEF2 and MSRB3 with gestational age at birth. (PMID:22422452)
- Data indicate that expression of Rapgef2 in embryonic kidney 293T cells enables cAMP-Rap1-ERK signaling. (PMID:23800469)
- JAM-A regulates epithelial permeability via association with ZO-2, afadin, and PDZ-GEF1 to activate Rap2c and control contraction of the apical cytoskeleton. (PMID:23885123)
- We report that in response to factors that promote cell motility, the Rap guanine exchange factor RAPGEF2 is rapidly phosphorylated by I-kappa-B-kinase-beta and casein kinase-1alpha and consequently degraded by the proteasome. (PMID:24290981)
- NEDD4-1 regulates cell migration and invasion through ubiquitination of CNrasGEF in vitro. (PMID:24340059)
- local accumulation of PDZGEF at the apical membrane during establishment of epithelial polarity is mediated by electrostatic interactions between positively charged side chains in the PDZ domain and negatively charged phosphatidic acid. (PMID:24858808)
- Cdk5-mediated phosphorylation of RapGEF2 controls neuronal migration in the developing cerebral cortex. (PMID:25189171)
- SCF(FBXW11) bound, polyubiquitylated, and destabilized RAPGEF2, a guanine nucleotide exchange factor that activates the small GTPase RAP1 (PMID:25332235)
- Disruption of MAGI2-RapGEF2-Rap1 signaling contributes to podocyte dysfunction in congenital nephrotic syndrome caused by mutations in MAGI2. (PMID:31171376)
- RAPGEF2 mediates oligomeric Abeta-induced synaptic loss and cognitive dysfunction in the 3xTg-AD mouse model of Alzheimer’s disease. (PMID:33345400)
Cross-species orthologs
3 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | rapgef2b | ENSDARG00000005482 |
| mus_musculus | Rapgef2 | ENSMUSG00000062232 |
| rattus_norvegicus | Rapgef2 | ENSRNOG00000021581 |
Paralogs (24): RASGRF1 (ENSG00000058335), RASGRP2 (ENSG00000068831), RAPGEF3 (ENSG00000079337), RAPGEF4 (ENSG00000091428), SOS2 (ENSG00000100485), RAPGEF1 (ENSG00000107263), RAPGEFL1 (ENSG00000108352), RASGRF2 (ENSG00000113319), SOS1 (ENSG00000115904), RALGPS2 (ENSG00000116191), RAPGEF5 (ENSG00000136237), RALGPS1 (ENSG00000136828), RASGEF1B (ENSG00000138670), RGL1 (ENSG00000143344), RASGEF1C (ENSG00000146090), RASGRP3 (ENSG00000152689), RAPGEF6 (ENSG00000158987), RGL4 (ENSG00000159496), RALGDS (ENSG00000160271), RASGRP4 (ENSG00000171777), RASGRP1 (ENSG00000172575), RASGEF1A (ENSG00000198915), RGL3 (ENSG00000205517), RGL2 (ENSG00000237441)
Protein
Protein identifiers
Rap guanine nucleotide exchange factor 2 — Q9Y4G8 (reviewed: Q9Y4G8)
Alternative names: Cyclic nucleotide ras GEF, Neural RAP guanine nucleotide exchange protein, PDZ domain-containing guanine nucleotide exchange factor 1, RA-GEF-1, Ras/Rap1-associating GEF-1
All UniProt accessions (6): Q9Y4G8, A0A2R8Y661, A0A2R8YGD3, A0A994J7S7, D6RAK0, D6RC78
UniProt curated annotations — full annotation on UniProt →
Function. Functions as a guanine nucleotide exchange factor (GEF), which activates Rap and Ras family of small GTPases by exchanging bound GDP for free GTP in a cAMP-dependent manner. Serves as a link between cell surface receptors and Rap/Ras GTPases in intracellular signaling cascades. Also acts as an effector for Rap1 by direct association with Rap1-GTP thereby leading to the amplification of Rap1-mediated signaling. Shows weak activity on HRAS. It is controversial whether RAPGEF2 binds cAMP and cGMP or not. Its binding to ligand-activated beta-1 adrenergic receptor ADRB1 leads to the Ras activation through the G(s)-alpha signaling pathway. Involved in the cAMP-induced Ras and Erk1/2 signaling pathway that leads to sustained inhibition of long term melanogenesis by reducing dendrite extension and melanin synthesis. Also provides inhibitory signals for cell proliferation of melanoma cells and promotes their apoptosis in a cAMP-independent nanner. Regulates cAMP-induced neuritogenesis by mediating the Rap1/B-Raf/ERK signaling through a pathway that is independent on both PKA and RAPGEF3/RAPGEF4. Involved in neuron migration and in the formation of the major forebrain fiber connections forming the corpus callosum, the anterior commissure and the hippocampal commissure during brain development. Involved in neuronal growth factor (NGF)-induced sustained activation of Rap1 at late endosomes and in brain-derived neurotrophic factor (BDNF)-induced axon outgrowth of hippocampal neurons. Plays a role in the regulation of embryonic blood vessel formation and in the establishment of basal junction integrity and endothelial barrier function. May be involved in the regulation of the vascular endothelial growth factor receptor KDR and cadherin CDH5 expression at allantois endothelial cell-cell junctions.
Subunit / interactions. Interacts with CDH1, CTNNB1 and TJP1. Interacts (via C-terminal domain) with MAGI2 (via PDZ and WW domains); the interaction occurs before or after NGF stimulation. Interacts with KIDINS220 and NTRK1; the interactions occur after NGF stimulation. Found in a complex, at least composed of KIDINS220, MAGI2, NTRK1 and RAPGEF2; the complex is mainly formed at late endosomes in a neuronal growth factor (NGF)-dependent manner. Interacts (via C-terminal domain) with NEDD4 (via WW domains); this interaction leads to ubiquitination and degradation via the proteasome pathway in a cAMP-independent manner. Interacts with MAGI1 isoform 3 (via PDZ domain). Interacts with ADRB1 (via C-terminal PDZ motif); the interaction is direct. Interacts (via Ras-associating domain) with RAP1A (via GTP-bound active form). Interacts weakly with HRAS (via GDP- and GTP-bound forms). Interacts (via C-terminal domain) with MAGI2 (via PDZ and WW domains).
Subcellular location. Cytoplasm. Perinuclear region. Cell membrane. Late endosome. Cell junction.
Tissue specificity. Expressed in primary neuronal and endocrine cells (at protein level). Highest expression levels in brain. Lower expression levels in heart, kidney, lung, placenta and blood leukocytes.
Post-translational modifications. Ubiquitinated by NEDD4, leading to proteasomal degradation. Phosphorylation by PLK2 promotes its activity.
Disease relevance. Epilepsy, familial adult myoclonic, 7 (FAME7) [MIM:618075] A form of familial myoclonic epilepsy, a neurologic disorder characterized by cortical hand tremors, myoclonic jerks and occasional generalized or focal seizures with a non-progressive or very slowly progressive disease course. Usually, myoclonic tremor is the presenting symptom, characterized by tremulous finger movements and myoclonic jerks of the limbs increased by action and posture. In a minority of patients, seizures are the presenting symptom. Some patients exhibit mild cognitive impairment. FAME7 inheritance is autosomal dominant. The disease is caused by variants affecting the gene represented in this entry.
Domain organisation. The Ras-associating domain is necessary for the Rap guanine nucleotide exchange activity. The N-terminal regionis necessary for cAMP-binding. The PDZ domain is necessary for its targeting to the cell membrane.
Similarity. Belongs to the RAPGEF2 family.
Isoforms (2)
| UniProt ID | Names | Canonical? |
|---|---|---|
| Q9Y4G8-1 | 1 | yes |
| Q9Y4G8-2 | 2 |
RefSeq proteins (7): NP_001338653, NP_001338654, NP_001338655, NP_001338656, NP_001338657, NP_001380996, NP_055062 (=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR000159 | RA_dom | Domain |
| IPR000595 | cNMP-bd_dom | Domain |
| IPR000651 | Ras-like_Gua-exchang_fac_N | Domain |
| IPR001478 | PDZ | Domain |
| IPR001895 | RASGEF_cat_dom | Domain |
| IPR014710 | RmlC-like_jellyroll | Homologous_superfamily |
| IPR018490 | cNMP-bd_dom_sf | Homologous_superfamily |
| IPR023578 | Ras_GEF_dom_sf | Homologous_superfamily |
| IPR029071 | Ubiquitin-like_domsf | Homologous_superfamily |
| IPR036034 | PDZ_sf | Homologous_superfamily |
| IPR036964 | RASGEF_cat_dom_sf | Homologous_superfamily |
Pfam: PF00595, PF00617, PF00618, PF00788
UniProt features (43 total): modified residue 13, compositionally biased region 9, mutagenesis site 8, region of interest 6, domain 4, chain 1, binding site 1, splice variant 1
Structure
Experimental structures (PDB)
1 structures.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 6QDT | X-RAY DIFFRACTION | 1.7 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q9Y4G8-F1 | 60.40 | 0.25 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Ligand- & substrate-binding residues (1): 135–254
Post-translational modifications (13): 501, 644, 806, 930, 933, 1022, 1080, 1089, 1095, 1116, 1120, 1159, 1176
Mutagenesis-validated functional residues (8):
| Position | Phenotype |
|---|---|
| 211 | abolishes camp-binding. |
| 215 | does not abolish camp-binding. |
| 396–399 | loss of cell membrane targeting. |
| 606–626 | abolishes interaction with rap1a gtp-bound form and translocation from the cytoplasm to the perinuclear region. does not |
| 898 | does not inhibit interaction with nedd4. does not interact with hras. reduces ubiquitination. |
| 1406 | abolishes interaction with nedd4 and nedd4-induced ubiquitination and degradation; when associated with a-1428. |
| 1428 | abolishes interaction with nedd4 and nedd4-induced ubiquitination and degradation; when associated with a-1406. |
| 1497–1499 | no loss of cell membrane targeting. |
Function
Pathways and Gene Ontology
Reactome pathways
4 pathways
| ID | Pathway |
|---|---|
| R-HSA-5673001 | RAF/MAP kinase cascade |
| R-HSA-162582 | Signal Transduction |
| R-HSA-5683057 | MAPK family signaling cascades |
| R-HSA-5684996 | MAPK1/MAPK3 signaling |
MSigDB gene sets: 473 (showing top):
GOBP_FOREBRAIN_NEURON_DEVELOPMENT, GOBP_DENDRITE_DEVELOPMENT, GOBP_ENDOTHELIAL_CELL_DEVELOPMENT, GOBP_PHENOL_CONTAINING_COMPOUND_METABOLIC_PROCESS, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, GOBP_POSITIVE_REGULATION_OF_PROTEIN_BINDING, GOBP_REGULATION_OF_VASCULOGENESIS, GOBP_EPITHELIUM_DEVELOPMENT, GOBP_NEGATIVE_REGULATION_OF_CELL_DEVELOPMENT, GOBP_REGULATION_OF_PROTEIN_BINDING, chr4q32, GOBP_PHENOL_CONTAINING_COMPOUND_BIOSYNTHETIC_PROCESS, GOBP_REGULATION_OF_PHOSPHORYLATION, GOBP_POSITIVE_REGULATION_OF_LEUKOCYTE_APOPTOTIC_PROCESS, GOBP_REGULATION_OF_LEUKOCYTE_APOPTOTIC_PROCESS
GO Biological Process (43): MAPK cascade (GO:0000165), blood vessel development (GO:0001568), neuron migration (GO:0001764), G protein-coupled receptor signaling pathway (GO:0007186), adenylate cyclase-modulating G protein-coupled receptor signaling pathway (GO:0007188), neuropeptide signaling pathway (GO:0007218), small GTPase-mediated signal transduction (GO:0007264), Ras protein signal transduction (GO:0007265), negative regulation of cell population proliferation (GO:0008285), positive regulation of neuron projection development (GO:0010976), ventricular system development (GO:0021591), forebrain neuron development (GO:0021884), microvillus assembly (GO:0030033), neuron projection development (GO:0031175), brain-derived neurotrophic factor receptor signaling pathway (GO:0031547), positive regulation of protein binding (GO:0032092), Rap protein signal transduction (GO:0032486), intracellular signal transduction (GO:0035556), nerve growth factor signaling pathway (GO:0038180), positive regulation of GTPase activity (GO:0043547), positive regulation of protein kinase activity (GO:0045860), negative regulation of melanin biosynthetic process (GO:0048022), regulation of synaptic plasticity (GO:0048167), negative regulation of dendrite morphogenesis (GO:0050774), establishment of endothelial barrier (GO:0061028), positive regulation of ERK1 and ERK2 cascade (GO:0070374), cellular response to cAMP (GO:0071320), cellular response to cGMP (GO:0071321), adenylate cyclase-activating adrenergic receptor signaling pathway (GO:0071880), protein localization to plasma membrane (GO:0072659), establishment of endothelial intestinal barrier (GO:0090557), regulation of cell junction assembly (GO:1901888), positive regulation of microvillus assembly (GO:1903698), cellular response to nerve growth factor stimulus (GO:1990090), positive regulation of cAMP-dependent protein kinase activity (GO:2000481), positive regulation of dendritic cell apoptotic process (GO:2000670), positive regulation of vasculogenesis (GO:2001214), positive regulation of neuron migration (GO:2001224), signal transduction (GO:0007165), nervous system development (GO:0007399)
GO Molecular Function (10): guanyl-nucleotide exchange factor activity (GO:0005085), GTPase activator activity (GO:0005096), calcium ion binding (GO:0005509), diacylglycerol binding (GO:0019992), PDZ domain binding (GO:0030165), cAMP binding (GO:0030552), beta-1 adrenergic receptor binding (GO:0031697), WW domain binding (GO:0050699), phosphatidic acid binding (GO:0070300), protein binding (GO:0005515)
GO Cellular Component (16): cytoplasm (GO:0005737), late endosome (GO:0005770), cytosol (GO:0005829), plasma membrane (GO:0005886), cell-cell junction (GO:0005911), bicellular tight junction (GO:0005923), membrane (GO:0016020), apical plasma membrane (GO:0016324), endocytic vesicle (GO:0030139), protein-containing complex (GO:0032991), neuron projection (GO:0043005), neuronal cell body (GO:0043025), synapse (GO:0045202), perinuclear region of cytoplasm (GO:0048471), endosome (GO:0005768), anchoring junction (GO:0070161)
Reactome top-level categories
Rollup of top-3 pathways:
| Category | Pathways |
|---|---|
| MAPK1/MAPK3 signaling | 1 |
| Signal Transduction | 1 |
| MAPK family signaling cascades | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 4 |
| intracellular signaling cassette | 2 |
| signal transduction | 2 |
| G protein-coupled receptor signaling pathway | 2 |
| small GTPase-mediated signal transduction | 2 |
| intracellular anatomical structure | 2 |
| GTPase activity | 2 |
| GTPase regulator activity | 2 |
| protein domain specific binding | 2 |
| anion binding | 2 |
| cytoplasm | 2 |
| cytoplasmic vesicle | 2 |
| cell junction | 2 |
| vasculature development | 1 |
| anatomical structure development | 1 |
| cell migration | 1 |
| generation of neurons | 1 |
| G protein-coupled receptor activity | 1 |
| adenylate cyclase activity | 1 |
| cell population proliferation | 1 |
| regulation of cell population proliferation | 1 |
| negative regulation of cellular process | 1 |
| regulation of neuron projection development | 1 |
| neuron projection development | 1 |
| positive regulation of cell projection organization | 1 |
| brain development | 1 |
| system development | 1 |
| forebrain neuron differentiation | 1 |
| central nervous system neuron development | 1 |
| microvillus organization | 1 |
| plasma membrane bounded cell projection assembly | 1 |
| neuron development | 1 |
| plasma membrane bounded cell projection organization | 1 |
| cell surface receptor protein tyrosine kinase signaling pathway | 1 |
| protein binding | 1 |
| regulation of protein binding | 1 |
| positive regulation of binding | 1 |
| neurotrophin signaling pathway | 1 |
| cellular response to nerve growth factor stimulus | 1 |
| regulation of GTPase activity | 1 |
Protein interactions and networks
STRING
1190 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| RAPGEF2 | RAP1A | P10113 | 895 |
| RAPGEF2 | RAP2A | P10114 | 874 |
| RAPGEF2 | MAGI2 | Q86UL8 | 861 |
| RAPGEF2 | RAP1B | P09526 | 860 |
| RAPGEF2 | TJP2 | Q9UDY2 | 812 |
| RAPGEF2 | SAMD12 | Q8N8I0 | 758 |
| RAPGEF2 | MAGI1 | Q96QZ7 | 751 |
| RAPGEF2 | MRAS | O14807 | 744 |
| RAPGEF2 | RAP2B | P17964 | 735 |
| RAPGEF2 | AFDN | P55196 | 674 |
| RAPGEF2 | STARD7 | Q9NQZ5 | 645 |
| RAPGEF2 | RAP2C | Q9Y3L5 | 629 |
| RAPGEF2 | NTRK1 | P04629 | 622 |
| RAPGEF2 | TJP1 | Q07157 | 603 |
| RAPGEF2 | CTNNB1 | P35222 | 595 |
IntAct
167 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| YAP1 | MPDZ | psi-mi:“MI:0914”(association) | 0.780 |
| RAPGEF2 | MAGI2 | psi-mi:“MI:0407”(direct interaction) | 0.670 |
| MAGI2 | RAPGEF2 | psi-mi:“MI:0407”(direct interaction) | 0.670 |
| MAGI2 | RAPGEF2 | psi-mi:“MI:0915”(physical association) | 0.670 |
| RAPGEF2 | MAGI2 | psi-mi:“MI:0915”(physical association) | 0.670 |
| YWHAG | BLTP3B | psi-mi:“MI:0914”(association) | 0.640 |
| RAPGEF6 | RAPGEF2 | psi-mi:“MI:0915”(physical association) | 0.610 |
| RAPGEF2 | MAGI1 | psi-mi:“MI:0407”(direct interaction) | 0.610 |
| RAPGEF2 | RAPGEF6 | psi-mi:“MI:0407”(direct interaction) | 0.610 |
| MAGI1 | RAPGEF2 | psi-mi:“MI:0915”(physical association) | 0.610 |
| YWHAE | PIK3C2A | psi-mi:“MI:0914”(association) | 0.570 |
| YWHAH | BLTP3B | psi-mi:“MI:0914”(association) | 0.570 |
| YWHAG | SHTN1 | psi-mi:“MI:0914”(association) | 0.560 |
| RAPGEF2 | YWHAZ | psi-mi:“MI:0915”(physical association) | 0.560 |
| PRKCI | NIPSNAP2 | psi-mi:“MI:0914”(association) | 0.530 |
| YWHAZ | BLTP3B | psi-mi:“MI:0914”(association) | 0.530 |
| YAP1 | CCDC85C | psi-mi:“MI:0914”(association) | 0.530 |
| RAPGEF2 | MAGI1 | psi-mi:“MI:0915”(physical association) | 0.520 |
| RAPGEF2 | PDZD2 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| RAPGEF2 | SNX27 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| RAPGEF2 | FRMPD2 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| RAPGEF2 | MAST2 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| RAPGEF2 | TAMALIN | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| RAPGEF2 | PTPN3 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
| RAPGEF2 | SNTG1 | psi-mi:“MI:0407”(direct interaction) | 0.440 |
BioGRID (110): RAPGEF2 (Affinity Capture-Western), RAPGEF2 (Affinity Capture-Western), BTRC (Affinity Capture-Western), RAPGEF2 (Co-localization), RAPGEF2 (Co-localization), UBC (Affinity Capture-Western), FBXW11 (Affinity Capture-Western), EPB41L5 (Affinity Capture-MS), KIF11 (Affinity Capture-MS), PTPN13 (Affinity Capture-MS), FLNC (Affinity Capture-MS), LMNA (Affinity Capture-MS), SCYL2 (Affinity Capture-MS), HIST2H4B (Affinity Capture-MS), MAGI1 (Affinity Capture-MS)
ESM2 similar proteins: A0A0G2K344, D3ZGS3, F1M386, F1MSG6, F1PBJ0, G5EF51, O00329, O02697, O35242, O35904, O70481, O88763, O94830, P32871, P42336, P42337, P42338, P42339, P42347, P42348, P48736, P50520, P54676, P70600, Q01968, Q14289, Q14BI7, Q16JS8, Q3MHU3, Q3UYK3, Q4KWH5, Q4KWH8, Q5D891, Q5ZI89, Q6AZN6, Q6GQ76, Q6NVF0, Q6PF93, Q7Z392, Q80Y98
Diamond homologs: A0JM95, A4IFE4, F1M386, F1MSG6, F1PBJ0, Q0VAM2, Q28EC1, Q5RC04, Q6DBW1, Q6DHR3, Q8CHG7, Q8IS18, Q8IS19, Q8JZL7, Q8MVR1, Q8N431, Q8N9B8, Q95KH6, Q9D300, Q9Y4G8, A2AR50, A2CEA7, B0M0P8, B0UXH6, O14827, P27671, P28818, P70392, Q03385, Q03386, Q07889, Q07890, Q12967, Q13905, Q13972, Q3MIN7, Q3UYI5, Q4R7W3, Q54FF3, Q54PQ4
SIGNOR signaling
11 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| PRKCQ | up-regulates | RAPGEF2 | phosphorylation |
| CSNK1A1 | “down-regulates quantity by destabilization” | RAPGEF2 | phosphorylation |
| SCF-betaTRCP | “down-regulates quantity by destabilization” | RAPGEF2 | ubiquitination |
| RAPGEF2 | “up-regulates activity” | RAP1A | “guanine nucleotide exchange factor” |
| CDK5 | “up-regulates activity” | RAPGEF2 | phosphorylation |
| NEDD4 | “down-regulates quantity” | RAPGEF2 | ubiquitination |
| IKBKB | “down-regulates quantity by destabilization” | RAPGEF2 | phosphorylation |
| PLK2 | “up-regulates activity” | RAPGEF2 | phosphorylation |
Enriched among interaction partners
Reactome pathways and GO biological processes over-represented among this gene’s 120 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:
| Pathway | Partners | Fold | FDR |
|---|---|---|---|
| Activation of BAD and translocation to mitochondria | 6 | 54.4× | 7e-08 |
| Chk1/Chk2(Cds1) mediated inactivation of Cyclin B:Cdk1 complex | 6 | 48.0× | 1e-07 |
| SARS-CoV-1 targets host intracellular signalling and regulatory pathways | 6 | 48.0× | 1e-07 |
| Ras activation upon Ca2+ influx through NMDA receptor | 6 | 40.8× | 2e-07 |
| Activation of BH3-only proteins | 6 | 35.5× | 5e-07 |
| Signaling by Hippo | 5 | 32.4× | 1e-05 |
| Unblocking of NMDA receptors, glutamate binding and activation | 5 | 32.4× | 1e-05 |
| Negative regulation of NMDA receptor-mediated neuronal transmission | 5 | 32.4× | 1e-05 |
GO biological processes:
| GO term | Partners | Fold | FDR |
|---|---|---|---|
| establishment or maintenance of epithelial cell apical/basal polarity | 11 | 56.6× | 2e-14 |
| protein localization to synapse | 6 | 40.7× | 1e-06 |
| receptor clustering | 7 | 38.7× | 2e-07 |
| synaptic vesicle transport | 5 | 37.3× | 2e-05 |
| regulation of postsynaptic membrane neurotransmitter receptor levels | 7 | 30.7× | 6e-07 |
| establishment of cell polarity | 6 | 20.3× | 4e-05 |
| protein targeting | 6 | 19.4× | 4e-05 |
| protein-containing complex assembly | 9 | 9.1× | 4e-05 |
Disease & clinical
Clinical variants and AI predictions
ClinVar
178 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 2 |
| Likely pathogenic | 0 |
| Uncertain significance | 127 |
| Likely benign | 13 |
| Benign | 14 |
Top pathogenic / likely-pathogenic (2)
| Variant ID | HGVS | Classification |
|---|---|---|
| 1180544 | GRCh37/hg19 4q28.3-32.3(chr4:131303317-168722402)x3 | Pathogenic |
| 559389 | RAPGEF2, 5-BP INS, TTTCA(n) REPEAT EXPANSION | Pathogenic |
SpliceAI
3168 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 4:159304469:ACCAG:A | donor_loss | 1.0000 |
| 4:159304470:CCAGG:C | donor_loss | 1.0000 |
| 4:159304471:CAGGT:C | donor_loss | 1.0000 |
| 4:159304472:AGGT:A | donor_loss | 1.0000 |
| 4:159304474:G:GA | donor_loss | 1.0000 |
| 4:159304475:T:G | donor_loss | 1.0000 |
| 4:159314576:T:TA | acceptor_gain | 1.0000 |
| 4:159314578:T:TA | acceptor_gain | 1.0000 |
| 4:159314580:T:TA | acceptor_gain | 1.0000 |
| 4:159314582:T:TA | acceptor_gain | 1.0000 |
| 4:159314588:A:AG | acceptor_gain | 1.0000 |
| 4:159314588:AAG:A | acceptor_gain | 1.0000 |
| 4:159314589:A:G | acceptor_gain | 1.0000 |
| 4:159314590:G:A | acceptor_gain | 1.0000 |
| 4:159314590:G:GC | acceptor_loss | 1.0000 |
| 4:159314590:G:GG | acceptor_gain | 1.0000 |
| 4:159314765:ATTGG:A | donor_loss | 1.0000 |
| 4:159314766:TTGG:T | donor_loss | 1.0000 |
| 4:159314768:GGTAA:G | donor_loss | 1.0000 |
| 4:159314769:G:GG | donor_gain | 1.0000 |
| 4:159314769:GTAAG:G | donor_loss | 1.0000 |
| 4:159314770:T:TC | donor_loss | 1.0000 |
| 4:159322343:TCA:T | acceptor_loss | 1.0000 |
| 4:159322344:CAG:C | acceptor_loss | 1.0000 |
| 4:159322345:A:AG | acceptor_gain | 1.0000 |
| 4:159322345:AGA:A | acceptor_loss | 1.0000 |
| 4:159322346:G:A | acceptor_loss | 1.0000 |
| 4:159322346:G:GG | acceptor_gain | 1.0000 |
| 4:159322346:GA:G | acceptor_gain | 1.0000 |
| 4:159322346:GAA:G | acceptor_gain | 1.0000 |
AlphaMissense
10996 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 4:159314730:T:A | L111Q | 1.000 |
| 4:159314730:T:C | L111P | 1.000 |
| 4:159314730:T:G | L111R | 1.000 |
| 4:159314751:G:C | R118P | 1.000 |
| 4:159322353:T:C | L126P | 1.000 |
| 4:159322380:C:A | A135D | 1.000 |
| 4:159322383:T:C | F136S | 1.000 |
| 4:159322416:T:C | L147P | 1.000 |
| 4:159322418:T:C | C148R | 1.000 |
| 4:159322419:G:A | C148Y | 1.000 |
| 4:159322420:T:G | C148W | 1.000 |
| 4:159322428:T:G | M151R | 1.000 |
| 4:159322433:T:C | F153L | 1.000 |
| 4:159322434:T:C | F153S | 1.000 |
| 4:159322435:C:A | F153L | 1.000 |
| 4:159322435:C:G | F153L | 1.000 |
| 4:159322436:G:C | A154P | 1.000 |
| 4:159322464:T:A | V163E | 1.000 |
| 4:159322467:T:C | L164S | 1.000 |
| 4:159323460:T:C | L170P | 1.000 |
| 4:159323463:A:T | D171V | 1.000 |
| 4:159323465:T:C | S172P | 1.000 |
| 4:159323468:T:A | W173R | 1.000 |
| 4:159323468:T:C | W173R | 1.000 |
| 4:159323469:G:C | W173S | 1.000 |
| 4:159323470:G:C | W173C | 1.000 |
| 4:159323470:G:T | W173C | 1.000 |
| 4:159323471:T:C | S174P | 1.000 |
| 4:159323475:T:A | V175E | 1.000 |
| 4:159323478:T:A | I176N | 1.000 |
dbSNP variants (sampled 300 via entrez): RS1000005919 (4:159359898 T>A,G), RS1000011948 (4:159287788 T>C), RS1000042434 (4:159266141 G>A), RS10000448 (4:159198185 A>C), RS1000071328 (4:159113977 A>C,G), RS10000931 (4:159286433 C>G), RS1000096166 (4:159173717 T>C), RS1000097512 (4:159119736 G>A), RS1000103125 (4:159229498 GT>G), RS1000105417 (4:159310219 C>G), RS1000128129 (4:159159072 G>T), RS1000130309 (4:159110448 G>A), RS10001339 (4:159161504 G>A,C,T), RS1000138105 (4:159323705 A>G), RS1000138638 (4:159209064 G>A)
Disease associations
OMIM: gene MIM:609530 | disease phenotypes: MIM:618075
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| amyotrophic lateral sclerosis | Limited | Autosomal dominant |
| epilepsy, familial adult myoclonic, 7 | Limited | Autosomal dominant |
Mondo (2): epilepsy, familial adult myoclonic, 7 (MONDO:0054847), amyotrophic lateral sclerosis (MONDO:0004976)
Orphanet (0):
HPO phenotypes
12 total (12 of 12 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000006 | Autosomal dominant inheritance |
| HP:0001249 | Intellectual disability |
| HP:0001250 | Seizure |
| HP:0001336 | Myoclonus |
| HP:0002197 | Generalized-onset seizure |
| HP:0002315 | Headache |
| HP:0002353 | EEG abnormality |
| HP:0002378 | Hand tremor |
| HP:0003581 | Adult onset |
| HP:0007359 | Focal-onset seizure |
| HP:0033054 | Myoclonic tremor |
| HP:0100576 | Amaurosis fugax |
GWAS associations
4 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST002937_9 | Molybdenum levels | 3.000000e-06 |
| GCST006616_1 | Uterine fibroid number (single vs multiple) | 2.000000e-07 |
| GCST010599_5 | Dietary fat liking | 8.000000e-06 |
| GCST010796_5235 | Electrocardiogram morphology (amplitude at temporal datapoints) | 5.000000e-08 |
EFO canonical traits (3, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0009410 | uterine fibroid measurement |
| EFO:0010816 | dietary fat liking measurement |
| EFO:0004327 | electrocardiography |
MeSH disease descriptors (1)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D000690 | Amyotrophic Lateral Sclerosis | C10.228.854.139; C10.574.562.250; C10.574.950.050; C10.668.467.250; C18.452.845.800.050 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
57 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| sodium arsenite | decreases expression, affects cotreatment, increases abundance, increases expression | 4 |
| Valproic Acid | affects expression, decreases expression, decreases methylation | 4 |
| potassium chromate(VI) | affects cotreatment, decreases expression | 2 |
| Copper | affects binding, increases expression | 2 |
| Aflatoxin B1 | decreases expression, increases methylation | 2 |
| Particulate Matter | decreases expression | 2 |
| aristolochic acid I | decreases expression | 1 |
| FR900359 | affects phosphorylation | 1 |
| geldanamycin | increases expression | 1 |
| testosterone enanthate | affects expression | 1 |
| methylmercuric chloride | decreases expression | 1 |
| triphenyl phosphate | affects expression | 1 |
| trichostatin A | increases expression | 1 |
| arsenite | affects binding, decreases reaction | 1 |
| 11-nor-delta(9)-tetrahydrocannabinol-9-carboxylic acid | affects methylation, increases abundance | 1 |
| 3,4,5,3’,4’-pentachlorobiphenyl | increases expression | 1 |
| manganese chloride | affects cotreatment, decreases expression, increases abundance | 1 |
| ochratoxin A | decreases expression | 1 |
| 2,3-bis(3’-hydroxybenzyl)butyrolactone | affects cotreatment, decreases expression | 1 |
| coumarin | affects phosphorylation | 1 |
| hydroquinone | affects cotreatment, affects expression, affects reaction | 1 |
| triacsin C | increases expression | 1 |
| epigallocatechin gallate | affects cotreatment, decreases expression | 1 |
| di-n-butylphosphoric acid | affects expression | 1 |
| chromium hexavalent ion | decreases expression | 1 |
| NSC 689534 | affects binding, increases expression | 1 |
| PCI 5002 | increases expression, affects cotreatment | 1 |
| Arsenic | decreases expression, increases abundance, affects cotreatment | 1 |
| Vehicle Emissions | decreases expression | 1 |
| Benzo(a)pyrene | increases methylation | 1 |
Cellosaurus cell lines
1 cell lines: 1 transformed cell line
First 10 cell lines (id-ordered, not curated):
| Cellosaurus | Name | Category | Sex |
|---|---|---|---|
| CVCL_D7HA | Ubigene HEK293T RAPGEF2 KO | Transformed cell line | Female |
Clinical trials (associated diseases)
300 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00542412 | PHASE4 | COMPLETED | CARE Canadian ALS Riluzole Evaluation |
| NCT00560287 | PHASE4 | UNKNOWN | Non-Invasive Ventilation in Amyotrophic Lateral Sclerosis |
| NCT00613899 | PHASE4 | COMPLETED | Feasibility of Telesurveillance and Home Cough Assistance for Amyotrophic Lateral Patients (ALS) |
| NCT04997954 | PHASE4 | UNKNOWN | EMERALD TRIAL Open Label Extension Study |
| NCT06849115 | PHASE4 | COMPLETED | Effects of L-Carnitine in Amyotrophic Lateral Sclerosis Patients With CHCHD10 Mutations |
| NCT07223723 | PHASE4 | RECRUITING | A Study to Learn More About the Long-Term Safety of Tofersen (Qalsody) in Chinese Participants With SOD-1 Amyotrophic Lateral Sclerosis (ALS) |
| NCT00021697 | PHASE3 | COMPLETED | Safety/Efficacy of AVP-923 in the Treatment of Emotional Lability (Uncontrolled Crying & Laughing) in Patients With ALS |
| NCT00035815 | PHASE3 | COMPLETED | Insulin-like Growth Factor-1 in Amyotrophic Lateral Sclerosis (ALS) Trial |
| NCT00047723 | PHASE3 | COMPLETED | Minocycline to Treat Amyotrophic Lateral Sclerosis |
| NCT00069186 | PHASE3 | UNKNOWN | Study of Creatine Monohydrate in Patients With Amyotrophic Lateral Sclerosis |
| NCT00136110 | PHASE3 | COMPLETED | Trial of Sodium Valproate in Amyotrophic Lateral Sclerosis |
| NCT00330681 | PHASE3 | COMPLETED | Efficacy and Safety Study of MCI-186 for Treatment of Amyotrophic Lateral Sclerosis (ALS) |
| NCT00349622 | PHASE3 | COMPLETED | Clinical Trial Ceftriaxone in Subjects With ALS |
| NCT00372879 | PHASE3 | COMPLETED | Clinical Trial of Vitamin E to Treat Muscular Cramps in Patients With ALS |
| NCT00415519 | PHASE3 | COMPLETED | Efficacy and Safety Study of MCI-186 for Treatment of Amyotrophic Lateral Sclerosis (ALS) Who Met Severity Classification III |
| NCT00424463 | PHASE3 | COMPLETED | Expanded Controlled Study of Safety and Efficacy of MCI-186 in Patients With Amyotrophic Lateral Sclerosis (ALS) |
| NCT00839033 | PHASE3 | TERMINATED | Evaluation of a Mechanical Device During Acute Respiratory Failure in Patients With Neuromuscular Disorders |
| NCT00868166 | PHASE3 | COMPLETED | Safety and Efficacy of TRO19622 as add-on Therapy to Riluzole Versus Placebo in Treatment of Patients Suffering From ALS |
| NCT00965497 | PHASE3 | COMPLETED | Escitalopram (Lexapro) for Depression MS or ALS |
| NCT01016522 | PHASE3 | TERMINATED | Safety and Tolerability of the Ketogenic Diet in Amyotrophic Lateral Sclerosis (ALS) |
| NCT01160263 | PHASE3 | COMPLETED | Study of Dopamine and Serotonin Transporters in Patients With Amyotrophic Lateral Sclerosis and Controls |
| NCT01281189 | PHASE3 | COMPLETED | Phase 3 Study of Dexpramipexole in ALS |
| NCT01492686 | PHASE3 | COMPLETED | Phase 3 Study of MCI-186 for Treatment of Amyotrophic Lateral Sclerosis |
| NCT01583088 | PHASE3 | TERMINATED | Early Stage Amyotrophic Lateral Sclerosis Phrenic Stimulation |
| NCT01622088 | PHASE3 | TERMINATED | Phase 3 Extension Study of Dexpramipexole in ALS |
| NCT02496767 | PHASE3 | COMPLETED | Ventilatory Investigation of Tirasemtiv and Assessment of Longitudinal Indices After Treatment for a Year |
| NCT02623699 | PHASE3 | COMPLETED | An Efficacy, Safety, Tolerability, Pharmacokinetics and Pharmacodynamics Study of BIIB067 (Tofersen) in Adults With Inherited Amyotrophic Lateral Sclerosis (ALS) |
| NCT02936635 | PHASE3 | COMPLETED | A Study for Patients Who Completed VITALITY-ALS (CY 4031) |
| NCT03127267 | PHASE3 | RECRUITING | Efficacy and Safety of Masitinib Versus Placebo in the Treatment of ALS Patients |
| NCT03280056 | PHASE3 | COMPLETED | Safety and Efficacy of Repeated Administrations of NurOwn® in ALS Patients |
| NCT03491462 | PHASE3 | COMPLETED | Arimoclomol in Amyotropic Lateral Sclerosis |
| NCT03505021 | PHASE3 | COMPLETED | Effects of Oral Levosimendan (ODM-109) on Respiratory Function in Patients With ALS |
| NCT03548311 | PHASE3 | COMPLETED | Clinical Trial of Ultra-high Dose Methylcobalamin for ALS |
| NCT03690791 | PHASE3 | UNKNOWN | Efficacy of Cannabinoids in Amyotrophic Lateral Sclerosis or Motor Neurone Disease |
| NCT03800524 | PHASE3 | UNKNOWN | Safety and Efficacy of TUDCA as add-on Treatment in Patients Affected by ALS |
| NCT03836716 | PHASE3 | TERMINATED | Arimoclomol in Amyotropic Lateral Sclerosis - Open Label Extension Trial |
| NCT03948178 | PHASE3 | TERMINATED | Effects of Oral Levosimendan on Respiratory Function in Patients With Amyotrophic Lateral Sclerosis (ALS): Open-Label Extension |
| NCT04165824 | PHASE3 | COMPLETED | Safety Study of Oral Edaravone Administered in Subjects With ALS |
| NCT04248465 | PHASE3 | TERMINATED | An Efficacy and Safety Study of Ravulizumab in ALS Participants |
| NCT04569084 | PHASE3 | TERMINATED | Efficacy and Safety Study of Oral Edaravone Administered in Subjects With ALS |
Related Atlas pages
- Associated diseases: amyotrophic lateral sclerosis, epilepsy, familial adult myoclonic, 7
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): amyotrophic lateral sclerosis, epilepsy, familial adult myoclonic, 7