RRAD
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Also known as REM3RAD
Summary
RRAD (RRAD, Ras related glycolysis inhibitor and calcium channel regulator, HGNC:10446) is a protein-coding gene on chromosome 16q22.1, encoding GTP-binding protein RAD (P55042). May regulate basal voltage-dependent L-type Ca(2+) currents and be required for beta-adrenergic augmentation of Ca(2+) influx in cardiomyocytes, thereby regulating increases in heart rate and contractile force.
Predicted to enable GTP binding activity and calcium channel regulator activity. Predicted to be involved in small GTPase-mediated signal transduction. Predicted to be located in T-tubule. Predicted to be active in plasma membrane. Implicated in type 2 diabetes mellitus. Biomarker of congestive heart failure.
Source: NCBI Gene 6236 — RefSeq curated summary.
At a glance
- Gene–disease (curated): Brugada syndrome (Limited, GenCC)
- GWAS associations: 1
- Clinical variants (ClinVar): 22 total
- MANE Select transcript:
NM_004165
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:10446 |
| Approved symbol | RRAD |
| Name | RRAD, Ras related glycolysis inhibitor and calcium channel regulator |
| Location | 16q22.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Aliases | REM3, RAD |
| Ensembl gene | ENSG00000166592 |
| Ensembl biotype | protein_coding |
| OMIM | 179503 |
| Entrez | 6236 |
Gene structure
Transcript identifiers
Ensembl transcripts: 17 — 16 protein_coding, 1 retained_intron
ENST00000299759, ENST00000566577, ENST00000567791, ENST00000568915, ENST00000889788, ENST00000889790, ENST00000889793, ENST00000889795, ENST00000957037, ENST00000957038, ENST00000957039, ENST00000957040, ENST00000957041, ENST00000957042, ENST00000957043, ENST00000957044, ENST00000957045
RefSeq mRNA: 2 — MANE Select: NM_004165
NM_001128850, NM_004165
CCDS: CCDS10824
Canonical transcript exons
ENST00000299759 — 5 exons
| Exon | Start | End |
|---|---|---|
| ENSE00001104552 | 66924810 | 66925194 |
| ENSE00001104559 | 66923846 | 66923919 |
| ENSE00001104564 | 66923516 | 66923720 |
| ENSE00001931509 | 66921685 | 66922353 |
| ENSE00001943321 | 66925409 | 66925535 |
Expression profiles
Bgee: expression breadth ubiquitous, 234 present calls, max score 98.80.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 16.9538 / max 2502.2990, expressed in 988 samples.
FANTOM5 promoters (1 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 157728 | 16.9538 | 988 |
Top tissues by expression
292 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| olfactory segment of nasal mucosa | UBERON:0005386 | 98.80 | gold quality |
| skeletal muscle tissue of rectus abdominis | UBERON:0004511 | 98.63 | gold quality |
| heart right ventricle | UBERON:0002080 | 98.47 | gold quality |
| apex of heart | UBERON:0002098 | 98.46 | gold quality |
| gastrocnemius | UBERON:0001388 | 98.44 | gold quality |
| bronchial epithelial cell | CL:0002328 | 98.40 | gold quality |
| epithelium of bronchus | UBERON:0002031 | 98.06 | gold quality |
| right atrium auricular region | UBERON:0006631 | 98.00 | gold quality |
| triceps brachii | UBERON:0001509 | 97.87 | gold quality |
| cardiac atrium | UBERON:0002081 | 97.72 | gold quality |
| lower esophagus mucosa | UBERON:0035834 | 97.59 | gold quality |
| muscle of leg | UBERON:0001383 | 97.44 | gold quality |
| bronchus | UBERON:0002185 | 97.33 | gold quality |
| hindlimb stylopod muscle | UBERON:0004252 | 97.27 | gold quality |
| heart left ventricle | UBERON:0002084 | 97.26 | gold quality |
| male germ line stem cell (sensu Vertebrata) in testis | CL:0000089 ∩ UBERON:0000473 | 97.21 | gold quality |
| cardiac ventricle | UBERON:0002082 | 97.11 | gold quality |
| muscle organ | UBERON:0001630 | 96.84 | gold quality |
| skeletal muscle organ | UBERON:0014892 | 96.84 | gold quality |
| cardiac muscle of right atrium | UBERON:0003379 | 96.75 | gold quality |
| skeletal muscle tissue of biceps brachii | UBERON:0004502 | 96.64 | gold quality |
| gluteal muscle | UBERON:0002000 | 96.54 | gold quality |
| heart | UBERON:0000948 | 96.09 | gold quality |
| tibial artery | UBERON:0007610 | 95.98 | gold quality |
| popliteal artery | UBERON:0002250 | 95.97 | gold quality |
| diaphragm | UBERON:0001103 | 95.62 | silver quality |
| skeletal muscle tissue | UBERON:0001134 | 95.60 | gold quality |
| myocardium | UBERON:0002349 | 95.35 | gold quality |
| vastus lateralis | UBERON:0001379 | 95.24 | gold quality |
| biceps brachii | UBERON:0001507 | 95.16 | gold quality |
Single-cell (SCXA)
Detected in 4 experiment(s), a significant marker in 4.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-MTAB-8381 | yes | 1013.40 |
| E-CURD-114 | yes | 62.73 |
| E-GEOD-135922 | yes | 25.73 |
| E-ANND-3 | no | 0.00 |
Regulation
Is transcription factor: no
Upstream regulators (CollecTRI, top): EGR1, EGR2, MYF5, MYOD1, TP53
miRNA regulators (miRDB)
21 targeting RRAD, 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-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-520D-5P | 99.98 | 73.34 | 4883 |
| HSA-MIR-524-5P | 99.98 | 73.43 | 4882 |
| HSA-MIR-556-3P | 99.74 | 68.75 | 1203 |
| HSA-MIR-4666B | 99.64 | 68.69 | 1282 |
| HSA-MIR-20A-3P | 99.44 | 69.10 | 1575 |
| HSA-MIR-532-3P | 99.34 | 65.76 | 1195 |
| HSA-MIR-4685-5P | 99.25 | 65.99 | 1563 |
| HSA-MIR-6837-5P | 99.25 | 65.47 | 1632 |
| HSA-MIR-7974 | 99.24 | 65.48 | 1137 |
| HSA-MIR-10399-5P | 99.17 | 69.87 | 2610 |
| HSA-MIR-6504-3P | 99.17 | 69.31 | 2891 |
| HSA-MIR-873-5P | 98.84 | 66.90 | 1348 |
| HSA-MIR-4640-5P | 97.42 | 66.33 | 1543 |
| HSA-MIR-591 | 96.29 | 68.16 | 611 |
| HSA-MIR-6823-3P | 95.45 | 66.14 | 704 |
| HSA-MIR-2114-3P | 95.45 | 66.11 | 579 |
Literature-anchored findings (GeneRIF, showing 24)
- crystallization and preliminary crystallographic analysis of human Rad GTPase (PMID:16511212)
- Crystal structure of the GTPase domain of human Rad in the GDP-bound form at 1.8 A resolution. (PMID:16866878)
- Methylation and gene silencing of the Ras-related GTPase gene is associated with lung and breast cancers (PMID:17195088)
- Evidence from Rad transgenic mice suggests that the Rad-associated signaling pathway may play a role in arrhythmogenesis in diverse cardiac diseases. (PMID:17525370)
- occurrence of an unusual TG 3’ splice site in intron 1 (PMID:17672918)
- Rad is a novel mediator that inhibits cardiac hypertrophy through the CaMKII pathway (PMID:18056528)
- the implication of oxidative stress in modulating Rad expression, in association with the initiation and progression of amyotrophic lateral sclerosis muscle atrophy (PMID:20079427)
- It is proposed for the first time that Rad may promote carcinogenesis at least in part by inhibiting GCIP-mediated tumor suppression. (PMID:20460530)
- results indicate that RRAD might act as a functional tumor suppressor and its epigenetic inactivation may play an important role in NPC development (PMID:22487779)
- Rad over expression could be a molecular target to improve bortezomib sensitivity in human leukemia and lymphoma. (PMID:22658652)
- Mouse Rad Q65P (the murine equivalent of human Rad Q66P) inhibits L-type currents conducted by CaV1.2 or CaV1.3 channels as potently as wild-type Rad (>95% inhibition of both channels). (PMID:23973784)
- RRAD hypermethylation is associated with esophageal squamous cell carcinoma. (PMID:24222170)
- Rad suppresses the NF-Kappa-B mediated transcription and downstream gene activation. Rad can directly bind to RelA/p65 and suppress the interaction of RelA/p65 with the NF-kappa-B response DNA element. (PMID:24632303)
- Ras(V12)-mediated oncogenic transformation induces RRAD epigenetic inactivation, which in turn promotes glucose uptake and may contribute to ovarian cancer (PMID:24648519)
- RRAD expression is frequently decreased in lung cancer. Ectopic expression of RRAD greatly reduces glycolysis whereas knockdown of RRAD promotes glycolysis in lung cancer cells. (PMID:25114038)
- RRAD promotes EGFR-mediated STAT3 activation and induces temozolomide resistance of malignant glioblastoma. (PMID:25313011)
- Data show that Ras-related associated with diabetes protein (RRAD) directly binds to the p65 subunit of the NF-kappa B (NF-kappaB)complex and inhibits the nuclear translocation of p65, which in turn negatively regulates the NF-kappaB signaling (PMID:25893381)
- Brg1 inhibits proliferation and migration of human aortic smooth muscle cells by directly up-regulating RRAD in aortic dissection. (PMID:26344687)
- our study revealed that RRAD expression was decreased in Hepatocellular carcinoma (HCC) tumor tissues and predicted poor clinical outcome for HCC patients and played an important role in regulating aerobic glycolysis and cell invasion and metastasis and may represent potential targets for improving the treatment of HCC (PMID:26546438)
- this study established RRAD to be a biomarker as well as a novel negative regulator of cellular senescence. (PMID:30391675)
- RRAD mutation causes electrical and cytoskeletal defects in cardiomyocytes derived from a familial case of Brugada syndrome. (PMID:31114854)
- RRAD expression in gastric and colorectal cancer with peritoneal carcinomatosis. (PMID:31857616)
- Reconstitution of beta-adrenergic regulation of CaV1.2: Rad-dependent and Rad-independent protein kinase A mechanisms. (PMID:34001616)
- Friend or Foe: Regulation, Downstream Effectors of RRAD in Cancer. (PMID:36979412)
Cross-species orthologs
3 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | rrad | ENSDARG00000052011 |
| mus_musculus | Rrad | ENSMUSG00000031880 |
| rattus_norvegicus | Rrad | ENSRNOG00000011901 |
Paralogs (35): RALA (ENSG00000006451), REM1 (ENSG00000088320), RASL10A (ENSG00000100276), RASD2 (ENSG00000100302), RASL12 (ENSG00000103710), RHEB (ENSG00000106615), RASD1 (ENSG00000108551), RERGL (ENSG00000111404), RAP1A (ENSG00000116473), RASL11A (ENSG00000122035), RAP2C (ENSG00000123728), RAP2A (ENSG00000125249), RRAS (ENSG00000126458), RAP1B (ENSG00000127314), RASL11B (ENSG00000128045), KRAS (ENSG00000133703), RRAS2 (ENSG00000133818), RERG (ENSG00000134533), REM2 (ENSG00000139890), RIT1 (ENSG00000143622), RALB (ENSG00000144118), RIT2 (ENSG00000152214), MRAS (ENSG00000158186), DIRAS3 (ENSG00000162595), GEM (ENSG00000164949), DIRAS2 (ENSG00000165023), RHEBL1 (ENSG00000167550), NKIRAS2 (ENSG00000168256), HRAS (ENSG00000174775), DIRAS1 (ENSG00000176490), RAP2B (ENSG00000181467), ERAS (ENSG00000187682), NKIRAS1 (ENSG00000197885), NRAS (ENSG00000213281), RASL10B (ENSG00000270885)
Protein
Protein identifiers
GTP-binding protein RAD — P55042 (reviewed: P55042)
Alternative names: RAD1, Ras associated with diabetes
All UniProt accessions (3): P55042, J3KRG9, J3KSM6
UniProt curated annotations — full annotation on UniProt →
Function. May regulate basal voltage-dependent L-type Ca(2+) currents and be required for beta-adrenergic augmentation of Ca(2+) influx in cardiomyocytes, thereby regulating increases in heart rate and contractile force. May play an important role in cardiac antiarrhythmia via the strong suppression of voltage-gated L-type Ca(2+) currents. Regulates voltage-dependent L-type calcium channel subunit alpha-1C trafficking to the cell membrane. Inhibits cardiac hypertrophy through the calmodulin-dependent kinase II (CaMKII) pathway. Inhibits phosphorylation and activation of CAMK2D.
Subunit / interactions. Interacts with calmodulin preferentially in the inactive, GDP-bound form. Binds CAMKII which is capable of phosphorylating RAD in vitro. Interacts with CAMK2D. Interacts with CACNB2; interaction may be involved in beta-adrenergic regulation of heart rate and contractile force. Interaction with CACNB2 regulates the trafficking of CACNA1C to the cell membrane.
Subcellular location. Cell membrane.
Tissue specificity. Most abundantly expressed in the heart. Also found in the skeletal muscle and lung. Lesser amounts in placenta and kidney. Also detected in adipose tissue. Overexpressed in muscle of type II diabetic humans.
Induction. Down-regulated in failing hearts.
Similarity. Belongs to the small GTPase superfamily. RGK family.
RefSeq proteins (2): NP_001122322, NP_004156* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR001806 | Small_GTPase | Family |
| IPR005225 | Small_GTP-bd | Domain |
| IPR017358 | RGK | Family |
| IPR027417 | P-loop_NTPase | Homologous_superfamily |
| IPR051641 | RGK_GTP-binding_reg | Family |
Pfam: PF00071
UniProt features (23 total): helix 7, strand 6, region of interest 2, compositionally biased region 2, binding site 2, modified residue 2, chain 1, sequence variant 1
Structure
Experimental structures (PDB)
5 structures.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 3Q72 | X-RAY DIFFRACTION | 1.66 |
| 2DPX | X-RAY DIFFRACTION | 1.8 |
| 2GJS | X-RAY DIFFRACTION | 1.9 |
| 3Q7Q | X-RAY DIFFRACTION | 2.3 |
| 3Q7P | X-RAY DIFFRACTION | 2.5 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-P55042-F1 | 74.12 | 0.43 |
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 (2): 98–105; 203–206
Post-translational modifications (2): 24, 26
Function
Pathways and Gene Ontology
Reactome pathways
1 pathways
| ID | Pathway |
|---|---|
| R-HSA-9031628 | NGF-stimulated transcription |
MSigDB gene sets: 240 (showing top):
GSE45365_NK_CELL_VS_BCELL_UP, MYOGENIN_Q6, YAGI_AML_WITH_INV_16_TRANSLOCATION, chr16q22, ENK_UV_RESPONSE_KERATINOCYTE_UP, GCANCTGNY_MYOD_Q6, AREB6_01, RIZKI_TUMOR_INVASIVENESS_3D_DN, GGGTGGRR_PAX4_03, CHANDRAN_METASTASIS_DN, CAGCTG_AP4_Q5, YOKOE_CANCER_TESTIS_ANTIGENS, MARTINEZ_RB1_TARGETS_UP, GERY_CEBP_TARGETS, SENGUPTA_NASOPHARYNGEAL_CARCINOMA_DN
GO Biological Process (2): small GTPase-mediated signal transduction (GO:0007264), negative regulation of high voltage-gated calcium channel activity (GO:1901842)
GO Molecular Function (6): GTPase activity (GO:0003924), calcium channel regulator activity (GO:0005246), calmodulin binding (GO:0005516), GTP binding (GO:0005525), nucleotide binding (GO:0000166), protein binding (GO:0005515)
GO Cellular Component (3): cytosol (GO:0005829), plasma membrane (GO:0005886), membrane (GO:0016020)
Reactome top-level categories
Rollup of top-1 pathways:
| Category | Pathways |
|---|---|
| Nuclear Events (kinase and transcription factor activation) | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| cellular anatomical structure | 2 |
| intracellular signaling cassette | 1 |
| high voltage-gated calcium channel activity | 1 |
| negative regulation of voltage-gated calcium channel activity | 1 |
| ribonucleoside triphosphate phosphatase activity | 1 |
| calcium channel activity | 1 |
| ion channel regulator activity | 1 |
| protein binding | 1 |
| guanyl ribonucleotide binding | 1 |
| purine ribonucleoside triphosphate binding | 1 |
| nucleoside phosphate binding | 1 |
| heterocyclic compound binding | 1 |
| binding | 1 |
| cytoplasm | 1 |
| membrane | 1 |
| cell periphery | 1 |
Protein interactions and networks
STRING
2437 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| RRAD | LPL | P06858 | 568 |
| RRAD | TP53 | P04637 | 514 |
| RRAD | ERCC6 | Q03468 | 484 |
| RRAD | CALM1 | P02593 | 478 |
| RRAD | CALML4 | Q96GE6 | 472 |
| RRAD | CALML6 | Q8TD86 | 460 |
| RRAD | CALML3 | P27482 | 460 |
| RRAD | CALML5 | Q9NZT1 | 460 |
| RRAD | CD8A | P01732 | 446 |
| RRAD | EEA1 | Q15075 | 445 |
| RRAD | SYN3 | O14994 | 434 |
| RRAD | RADIL | Q96JH8 | 433 |
| RRAD | NHLRC1 | Q6VVB1 | 429 |
| RRAD | MDM2 | Q00987 | 415 |
| RRAD | IFNG | P01579 | 411 |
| RRAD | CD209 | Q9NNX6 | 411 |
IntAct
12 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| RRAD | CCNDBP1 | psi-mi:“MI:0915”(physical association) | 0.600 |
| CCNDBP1 | RRAD | psi-mi:“MI:0403”(colocalization) | 0.600 |
| RRAD | DNAJC12 | psi-mi:“MI:0915”(physical association) | 0.400 |
| RRAD | SDC2 | psi-mi:“MI:0915”(physical association) | 0.400 |
| RRAD | MMP14 | psi-mi:“MI:0915”(physical association) | 0.370 |
| TP53 | SUPT5H | psi-mi:“MI:0914”(association) | 0.350 |
| RNF216 | RRAD | psi-mi:“MI:0914”(association) | 0.350 |
| CCDC141 | RRAD | psi-mi:“MI:0915”(physical association) | 0.000 |
BioGRID (32): RRAD (Affinity Capture-Western), EGFR (Reconstituted Complex), STAT3 (Reconstituted Complex), EEA1 (Reconstituted Complex), RRAD (Affinity Capture-MS), RRAD (Reconstituted Complex), CCNDBP1 (Two-hybrid), RRAD (Affinity Capture-Western), CCNDBP1 (Reconstituted Complex), RRAD (Co-localization), RRAD (Affinity Capture-Western), RRAD (Reconstituted Complex), RRAD (Biochemical Activity), CCDC141 (Two-hybrid), TPM2 (Reconstituted Complex)
ESM2 similar proteins: A1A4I4, A1A5B6, A1DZY4, A4D2P6, A5D7J5, O35141, O35929, O62683, O75628, O88667, O88910, O88954, P04629, P0C7J6, P35739, P55040, P55041, P55042, P55043, P70268, Q13368, Q16512, Q3MII6, Q3UFB7, Q5E9J3, Q5EBH1, Q5R541, Q60806, Q63433, Q6IMA7, Q6IMB1, Q6P5Z2, Q7L0Q8, Q864R5, Q8IYK8, Q8K045, Q8R4L0, Q8VEL9, Q8VHP8, Q8WWW0
Diamond homologs: A1DZY4, A5A6J7, A6NIZ1, A8NU18, C4YKT4, D3Z8L7, G4MZY8, G4N1S3, O35929, O42785, O75628, O88667, O93856, P01119, P03967, P08645, P08647, P0CQ42, P0CQ43, P0CY32, P10114, P10301, P10833, P11233, P11234, P13856, P15064, P18613, P22124, P22126, P22278, P22279, P22280, P28775, P32252, P32253, P32254, P34726, P34729, P36860
SIGNOR signaling
17 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| PRKCA | unknown | RRAD | phosphorylation |
| PRKCB | unknown | RRAD | phosphorylation |
| PRKACA | unknown | RRAD | phosphorylation |
| CAMK2G | unknown | RRAD | phosphorylation |
| CSNK2A1 | unknown | RRAD | phosphorylation |
Disease & clinical
Clinical variants and AI predictions
ClinVar
22 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 0 |
| Likely pathogenic | 0 |
| Uncertain significance | 22 |
| Likely benign | 0 |
| Benign | 0 |
Top pathogenic / likely-pathogenic (0)
SpliceAI
587 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 16:66922349:GCCCT:G | acceptor_gain | 1.0000 |
| 16:66922350:CCCT:C | acceptor_gain | 1.0000 |
| 16:66922350:CCCTC:C | acceptor_gain | 1.0000 |
| 16:66922351:CCTC:C | acceptor_gain | 1.0000 |
| 16:66922352:CT:C | acceptor_gain | 1.0000 |
| 16:66922354:C:CA | acceptor_loss | 1.0000 |
| 16:66922354:C:CC | acceptor_gain | 1.0000 |
| 16:66922355:T:A | acceptor_loss | 1.0000 |
| 16:66922356:G:C | acceptor_gain | 1.0000 |
| 16:66922356:G:GC | acceptor_gain | 1.0000 |
| 16:66922358:G:C | acceptor_gain | 1.0000 |
| 16:66922380:C:CT | acceptor_gain | 1.0000 |
| 16:66922381:A:T | acceptor_gain | 1.0000 |
| 16:66923510:A:AC | donor_gain | 1.0000 |
| 16:66923511:C:CC | donor_gain | 1.0000 |
| 16:66923512:TCAC:T | donor_loss | 1.0000 |
| 16:66923513:CA:C | donor_loss | 1.0000 |
| 16:66923514:A:AC | donor_gain | 1.0000 |
| 16:66923514:AC:A | donor_gain | 1.0000 |
| 16:66923514:ACCAT:A | donor_gain | 1.0000 |
| 16:66923515:C:CC | donor_gain | 1.0000 |
| 16:66923515:CC:C | donor_gain | 1.0000 |
| 16:66923515:CCATC:C | donor_gain | 1.0000 |
| 16:66923654:C:CC | acceptor_gain | 1.0000 |
| 16:66923721:C:CC | acceptor_gain | 1.0000 |
| 16:66923841:CCTAC:C | donor_loss | 1.0000 |
| 16:66923843:TAC:T | donor_loss | 1.0000 |
| 16:66923844:AC:A | donor_loss | 1.0000 |
| 16:66923845:C:CT | donor_loss | 1.0000 |
| 16:66923845:CCTG:C | donor_gain | 1.0000 |
AlphaMissense
1980 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 16:66923527:A:T | V213D | 1.000 |
| 16:66923545:A:G | L207P | 1.000 |
| 16:66923548:T:C | D206G | 1.000 |
| 16:66923553:C:A | K204N | 1.000 |
| 16:66923553:C:G | K204N | 1.000 |
| 16:66923555:T:C | K204E | 1.000 |
| 16:66923556:G:C | N203K | 1.000 |
| 16:66923556:G:T | N203K | 1.000 |
| 16:66923560:C:T | G202D | 1.000 |
| 16:66923566:A:G | L200P | 1.000 |
| 16:66923566:A:T | L200H | 1.000 |
| 16:66923569:A:T | I199N | 1.000 |
| 16:66923657:A:G | S170P | 1.000 |
| 16:66923660:A:C | Y169D | 1.000 |
| 16:66922245:A:G | L253P | 0.999 |
| 16:66922248:C:G | R252P | 0.999 |
| 16:66922257:C:G | R249P | 0.999 |
| 16:66922267:C:G | G246R | 0.999 |
| 16:66922272:A:G | F244S | 0.999 |
| 16:66922306:A:G | S233P | 0.999 |
| 16:66922308:G:T | T232K | 0.999 |
| 16:66922316:G:C | F229L | 0.999 |
| 16:66922316:G:T | F229L | 0.999 |
| 16:66922317:A:G | F229S | 0.999 |
| 16:66922318:A:G | F229L | 0.999 |
| 16:66922319:C:A | K228N | 0.999 |
| 16:66922319:C:G | K228N | 0.999 |
| 16:66922322:G:C | C227W | 0.999 |
| 16:66922323:C:T | C227Y | 0.999 |
| 16:66922324:A:G | C227R | 0.999 |
dbSNP variants (sampled 300 via entrez): RS1000102227 (16:66925130 C>A,G,T), RS1001046979 (16:66925280 G>A,C), RS1001060859 (16:66925086 C>G,T), RS1001097382 (16:66925574 C>A), RS1001121002 (16:66924659 C>G), RS1001601046 (16:66925592 C>G), RS1001653220 (16:66925266 C>G,T), RS1002603941 (16:66927202 A>C,G), RS1002963820 (16:66921205 C>A), RS1003453997 (16:66923184 T>C), RS1004057965 (16:66924114 C>G), RS1005059662 (16:66923085 T>C), RS1005471195 (16:66925878 G>A,C), RS1006806653 (16:66925666 C>G,T), RS1006965744 (16:66925369 A>C,G)
Disease associations
OMIM: gene MIM:179503 | disease phenotypes:
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| Brugada syndrome | Limited | Autosomal dominant |
Mondo (1): Brugada syndrome (MONDO:0015263)
Orphanet (0):
HPO phenotypes
0 total (0 of 0 shown, HPO-id order):
GWAS associations
1 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST90020029_568 | Waist circumference adjusted for body mass index | 4.000000e-08 |
EFO canonical traits (1, from GWAS)
| EFO ID | Trait name |
|---|---|
| EFO:0007789 | BMI-adjusted waist circumference |
MeSH disease descriptors (1)
| Descriptor | Name | Tree numbers |
|---|---|---|
| D053840 | Brugada Syndrome | C14.280.067.322; C14.280.123.250; C16.320.100 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
111 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Benzo(a)pyrene | decreases expression, increases expression, increases methylation, increases mutagenesis | 11 |
| Aflatoxin B1 | increases expression, affects expression | 6 |
| Formaldehyde | increases expression | 4 |
| Cadmium Chloride | increases expression, decreases expression, increases abundance | 4 |
| Cadmium | increases abundance, increases expression | 3 |
| Silicon Dioxide | increases expression | 3 |
| lasiocarpine | increases expression | 2 |
| methyleugenol | increases expression | 2 |
| sodium arsenite | decreases expression, increases expression | 2 |
| Acetaminophen | increases expression | 2 |
| Air Pollutants | increases abundance, increases expression | 2 |
| Cisplatin | increases expression, affects cotreatment | 2 |
| Copper | affects binding, decreases expression, increases expression | 2 |
| Estradiol | affects cotreatment, increases expression | 2 |
| Lipopolysaccharides | increases expression, affects expression, affects response to substance | 2 |
| N-Nitrosopyrrolidine | increases expression | 2 |
| Smoke | increases abundance, increases expression | 2 |
| Tetrachlorodibenzodioxin | increases expression | 2 |
| Tobacco Smoke Pollution | decreases expression, increases expression | 2 |
| aristolochic acid I | increases expression | 1 |
| aminomethylphosphonic acid (AMPA) | increases expression | 1 |
| tungsten carbide | affects cotreatment, increases expression | 1 |
| testosterone enanthate | affects expression | 1 |
| propionaldehyde | increases expression | 1 |
| pirinixic acid | increases expression | 1 |
| senecionine | increases expression | 1 |
| senkirkine | increases expression | 1 |
| 2,5,2’,5’-tetrachlorobiphenyl | decreases expression | 1 |
| heliotrine | increases expression | 1 |
| 2-methyl-4-isothiazolin-3-one | increases expression | 1 |
Clinical trials (associated diseases)
43 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00702117 | PHASE4 | COMPLETED | Ajmaline Utilization in the Diagnosis and Treatment of Cardiac Arrhythmias |
| NCT00701077 | PHASE3 | TERMINATED | DAPERB 3,4-DiAminoPyridine and Electrophysiological Response in Brugada Syndrome |
| NCT00927732 | PHASE3 | TERMINATED | Hydroquinidine Versus Placebo in Patients With Brugada Syndrome |
| NCT02933437 | PHASE2 | UNKNOWN | The Response To Ajmaline Provocation in Healthy Subjects |
| NCT07146880 | PHASE2 | NOT_YET_RECRUITING | Empagliflozin as a Potential Therapeutic Solution for Patients With Brugada Syndrome |
| NCT00292032 | Not specified | COMPLETED | Registry of Unexplained Cardiac Arrest |
| NCT02014961 | Not specified | UNKNOWN | Worm Study: Modifier Genes in Sudden Cardiac Death |
| NCT02052765 | Not specified | COMPLETED | AnalyST & Brugada Syndrome - Feasibility Study |
| NCT02302274 | Not specified | COMPLETED | Diagnostic Value and Safety of Flecainide Infusion Test in Brugada Syndrome |
| NCT02344277 | Not specified | COMPLETED | Evaluation of Subcutaneous Implantable Cardiac Defibrillator in Brugada Patients |
| NCT02413450 | Not specified | ENROLLING_BY_INVITATION | Derivation of Human Induced Pluripotent Stem (iPS) Cells to Heritable Cardiac Arrhythmias |
| NCT02641431 | Not specified | COMPLETED | Epicardial Ablation in Brugada Syndrome |
| NCT02704416 | Not specified | COMPLETED | Ablation in Brugada Syndrome for the Prevention of VF |
| NCT03182777 | Not specified | COMPLETED | Safety of Local Dental Anesthesia in Patients With Cardiac Channelopathies |
| NCT03435393 | Not specified | UNKNOWN | Ripple Mapping for Epicardial Mapping of Brugada Syndrome |
| NCT03485508 | Not specified | UNKNOWN | The Brugada Syndrome: a Follow-up Study |
| NCT03491475 | Not specified | UNKNOWN | Echocardiography During Ajmaline Test |
| NCT03524079 | Not specified | COMPLETED | Right Ventricle Morphology and Hemodynamics in BrS |
| NCT03764592 | Not specified | COMPLETED | VF Mapping in Brugada and Early Repolarization Syndromes |
| NCT03775954 | Not specified | RECRUITING | Fetal Electrophysiologic Abnormalities in High-Risk Pregnancies Associated With Fetal Demise |
| NCT03992677 | Not specified | COMPLETED | Feasibility of Improving Risk Stratification in Brugada Syndrome |
| NCT04124237 | Not specified | COMPLETED | Long Term Monitoring for Risk of Sudden Death |
| NCT04232787 | Not specified | UNKNOWN | Southeast Asian Brugada Syndrome Cohort |
| NCT04257994 | Not specified | RECRUITING | Distribution of Cell-cell Junction Proteins in Arrhythmic Disorders |
| NCT04420078 | Not specified | COMPLETED | Brugada Ablation of VF Substrate Ongoing MultiCenter Registry |
| NCT04580992 | Not specified | UNKNOWN | Defining the Electrocardiographic Effect of Propofol on the Ajmaline Provocation Drug Challenge: A Prospective Trial |
| NCT04650009 | Not specified | COMPLETED | Physical Activity in Children With Inherited Cardiac Diseases |
| NCT04712136 | Not specified | COMPLETED | Healthy-related Quality of Life and Physical Activity of Children With Cardiac Malformations |
| NCT04808193 | Not specified | UNKNOWN | European Perioperative Brugada Survey |
| NCT05048602 | Not specified | UNKNOWN | Drug-induced Brugada Syndrome Research Database |
| NCT05274646 | Not specified | COMPLETED | Impact on Risk Stratification of Overlap Syndrome Phenotype in Patients With E1784K Mutation in SCN5A |
| NCT05283759 | Not specified | RECRUITING | UZ Brussel HRMC Registry of Brugada Syndrome |
| NCT05521451 | Not specified | RECRUITING | Clinical Cohort Study - TRUST |
| NCT05643209 | Not specified | RECRUITING | Brugada Syndrome Substrate Characterization and Ablation |
| NCT05685134 | Not specified | COMPLETED | Epicardial Radiofrequency Catheter Ablation in Patients With Brugada Syndrome |
| NCT06376552 | Not specified | COMPLETED | Artificial Intelligence for the Prioritization of Genetic Background in Brugada Syndrome |
| NCT06546137 | Not specified | RECRUITING | National Network for Cardiovascular Genomics: Advancing Cardiovascular Healthcare for Hereditary Diseases in Brazil’s Unified Health System Through a Multicenter Registry |
| NCT06567639 | Not specified | COMPLETED | High Density Mapping in Brugada Syndrome |
| NCT06647927 | Not specified | RECRUITING | GenLab: Unveiling the Genetic Landscape of Brugada Syndrome: Novel Biomarker Discovery for Precise Diagnosis |
| NCT06653504 | Not specified | COMPLETED | The Conus Brugada Syndrome Study |
Related Atlas pages
- Associated diseases: Brugada syndrome
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): Brugada syndrome