RUNX1

gene
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Also known as PEBP2A2AMLCR1

Summary

RUNX1 (RUNX family transcription factor 1, HGNC:10471) is a protein-coding gene on chromosome 21q22.12, encoding Runt-related transcription factor 1 (Q01196). Forms the heterodimeric complex core-binding factor (CBF) with CBFB. In precision oncology, RUNX1 Mutation is associated with resistance to Cytarabine in Acute Myeloid Leukemia (CIViC Level B). It is haploinsufficient (ClinGen: sufficient evidence).

Core binding factor (CBF) is a heterodimeric transcription factor that binds to the core element of many enhancers and promoters. The protein encoded by this gene represents the alpha subunit of CBF and is thought to be involved in the development of normal hematopoiesis. Chromosomal translocations involving this gene are well-documented and have been associated with several types of leukemia. Three transcript variants encoding different isoforms have been found for this gene.

Source: NCBI Gene 861 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): hereditary thrombocytopenia and hematologic cancer predisposition syndrome (Definitive, ClinGen) — +2 more curated relationships
  • GWAS associations: 122
  • Clinical variants (ClinVar): 1,866 total — 137 pathogenic, 113 likely-pathogenic
  • Phenotypes (HPO): 68
  • Druggable target: yes — 2 molecules with ChEMBL bioactivity
  • Precision-oncology evidence (CIViC): 1 curated variant–drug association
  • Cancer driver (intOGen): loss-of-function (tumor-suppressor-like) across 5 cancer types
  • Dosage sensitivity (ClinGen): haploinsufficiency sufficient evidence, triplosensitivity no evidence
  • Transcription factor: yes — 216 downstream targets (CollecTRI)
  • MANE Select transcript: NM_001754

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:10471
Approved symbolRUNX1
NameRUNX family transcription factor 1
Location21q22.12
Locus typegene with protein product
StatusApproved
AliasesPEBP2A2, AMLCR1
Ensembl geneENSG00000159216
Ensembl biotypeprotein_coding
OMIM151385
Entrez861

Gene structure

Transcript identifiers

Ensembl transcripts: 18 — 10 protein_coding, 6 protein_coding_CDS_not_defined, 1 retained_intron, 1 nonsense_mediated_decay

ENST00000300305, ENST00000344691, ENST00000358356, ENST00000399237, ENST00000399240, ENST00000416754, ENST00000455571, ENST00000460207, ENST00000467577, ENST00000467692, ENST00000468726, ENST00000469087, ENST00000475045, ENST00000479325, ENST00000482318, ENST00000494829, ENST00000675419, ENST00000882527

RefSeq mRNA: 3 — MANE Select: NM_001754 NM_001001890, NM_001122607, NM_001754

CCDS: CCDS13639, CCDS42922, CCDS46646

Canonical transcript exons

ENST00000675419 — 9 exons

ExonStartEnd
ENSE000022875603478780134792610
ENSE000024549023488684334887096
ENSE000035125503485947434859578
ENSE000035197013488055734880713
ENSE000035595273479930134799462
ENSE000037042903504884235048958
ENSE000037889023483441034834601
ENSE000037903693489292534892963
ENSE000039036153504916835049302

Expression profiles

Bgee: expression breadth ubiquitous, 253 present calls, max score 95.31.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 64.4304 / max 1342.9920, expressed in 1773 samples.

FANTOM5 promoters (27 alternative TSS)

Promoter IDTPM avgSamples expressed
19031337.59341748
19033812.1701976
1903072.0085533
1903171.97741024
1903051.9648998
1903091.2156559
1903120.8769380
1903300.7871252
1903330.7473219
1903100.7206364

Top tissues by expression

284 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
olfactory segment of nasal mucosaUBERON:000538695.31gold quality
epithelium of bronchusUBERON:000203195.08gold quality
mucosa of paranasal sinusUBERON:000503094.89gold quality
bronchial epithelial cellCL:000232894.83gold quality
nasal cavity epitheliumUBERON:000538494.66gold quality
bronchusUBERON:000218594.48gold quality
visceral pleuraUBERON:000240194.31gold quality
tendon of biceps brachiiUBERON:000818893.96gold quality
trabecular bone tissueUBERON:000248393.88gold quality
epithelium of nasopharynxUBERON:000195193.82gold quality
nasopharynxUBERON:000172893.81gold quality
nasal cavity mucosaUBERON:000182693.05gold quality
minor salivary glandUBERON:000183092.78gold quality
bone marrow cellCL:000209292.38gold quality
cervix squamous epitheliumUBERON:000692291.67gold quality
cartilage tissueUBERON:000241891.65gold quality
epithelium of mammary glandUBERON:000324491.49gold quality
sural nerveUBERON:001548891.33gold quality
mammary glandUBERON:000191190.82gold quality
mammary ductUBERON:000176590.75gold quality
thoracic mammary glandUBERON:000520090.75gold quality
bone elementUBERON:000147490.69gold quality
mouth mucosaUBERON:000372990.63gold quality
pleuraUBERON:000097790.45gold quality
mucosa of urinary bladderUBERON:000125990.26gold quality
monocyteCL:000057689.99gold quality
saliva-secreting glandUBERON:000104489.99gold quality
bone marrowUBERON:000237189.81gold quality
periodontal ligamentUBERON:000826689.79gold quality
bloodUBERON:000017889.56gold quality

Single-cell (SCXA)

Detected in 13 experiment(s), a significant marker in 10.

ExperimentMarker?Max mean expression
E-ANND-2yes1955.04
E-GEOD-180759yes1744.93
E-MTAB-8271yes151.94
E-HCAD-35yes42.09
E-HCAD-25yes17.35
E-ANND-3yes13.06
E-GEOD-83139yes7.00
E-ENAD-27yes6.61
E-MTAB-9801yes5.33
E-CURD-119yes5.29
E-MTAB-6142no55.66
E-MTAB-6678no3.56
E-CURD-112no2.87

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

216 targets.

TargetRegulation
ABCB1
ABL1
ABO
ADA
ADAM2
ALOX12Unknown
ANGPT1
ANKRD26Repression
ANXA1Repression
AQP1
ARHGAP10Unknown
ART1Activation
ATP7A
BAALCActivation
BCL2
BCL2L1
BCR
BGLAPUnknown
BIRC5Unknown
BLKActivation
BPIUnknown
C16orf54Activation
CALCA
CBFA2T2
CBFA2T3
CBX2Repression
CCL3Activation
CCND2Unknown
CCND3
CD160Unknown

JASPAR motifs

MotifNameFamily
MA0002.1RUNX1Runt-related factors

JASPAR matrix evidence (PMIDs): PMID:8413232

Upstream regulators (CollecTRI, top): ARID5B, CBFB, CSF1R, CTCF, DNMT1, ERG, ETS1, ETS2, FLI1, FOXO3, GATA1, HBP1, HLF, IKZF1, KAT6A, L3MBTL1, MYB, MYF5, MYOD1, PITX1, RAD21, RUNX1, RUNX2, RUNX3, SALL4, SMAD1, SPI1, TAL1, TLE3, TOP2B, TP53, TP63, TRPS1

miRNA regulators (miRDB)

195 targeting RUNX1, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-190A-3P100.0080.355520
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-5011-5P100.0083.465820
HSA-MIR-30A-5P100.0076.313233
HSA-MIR-30B-5P100.0076.293248
HSA-MIR-30C-5P100.0076.293248
HSA-MIR-30D-5P100.0076.323233
HSA-MIR-30E-5P100.0076.323242
HSA-MIR-5692A100.0074.406850
HSA-MIR-8485100.0077.574731
HSA-MIR-3163100.0077.238605
HSA-MIR-513A-5P100.0069.772465
HSA-MIR-12118100.0065.881270
HSA-MIR-6758-5P100.0066.211470
HSA-MIR-6856-5P100.0065.471298
HSA-MIR-4776-3P100.0068.731340
HSA-MIR-6127100.0066.762188
HSA-MIR-4533100.0069.482758
HSA-MIR-4668-3P100.0068.742635
HSA-MIR-1277-5P100.0073.955056
HSA-MIR-4510100.0066.602050
HSA-MIR-6129100.0066.462080
HSA-MIR-6130100.0066.692012
HSA-MIR-548C-3P99.9974.017587
HSA-MIR-371B-5P99.9975.344759
HSA-MIR-607799.9968.042299
HSA-MIR-371A-3P99.9966.7791
HSA-MIR-1213699.9872.815713
HSA-MIR-27A-3P99.9872.132955
HSA-MIR-27B-3P99.9872.132955

Functional genomics

ClinGen dosage: haploinsufficiency 3 (sufficient evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • Runx1/AML1, a chromosome 21q22 hematopoietic regulator, is frequently translocated in leukemia (PMID:11792409)
  • mutant RUNX1 proteins (missense and nonsense) may also inhibit wild-type RUNX1, possibly creating a higher propensity to develop leukemia. (PMID:11830488)
  • Mutations have been found in exons 3, 4, and 5 and in intron 4 of the AML1 gene in acute myeloid leukemia of FAB types M0 and M7. (PMID:11921279)
  • aml 1 gene chromosome translocation involves leukemia etiology (PMID:11979742)
  • Potential involvement of the AML1-MTG8 fusion protein in the granulocytic maturation characteristic of the t(8;21) acute myelogenous leukemia cell (PMID:11986950)
  • REVIEW: In hematologic malignancies, point mutations of the AML1 gene present in the region encoding the Runt domain cause loss of the DNA-binding ability. (PMID:12002768)
  • A new translocation, t(4;21)(q21;q22) disrupting the AML1 gene was found in a case of childhood T-ALL. (PMID:12072207)
  • AML1 activates transcription genes critical for the G1 to S transition via its C-terminal transactivation domain. Inactivation of AML in acute leukemia is expected to slow proliferation unless additional alterations co-exist which accelerate G1. (PMID:12082641)
  • the chromosomal translocation leads to formation of tel/aml1 fusion oncogene and is most common genetic aberration in childhood B-cell precursor ALL. (PMID:12091359)
  • AML1 amplification in a case of childhood acute lymphoblastic leukemia (PMID:12393286)
  • data demonstrate the capacity of AML1-ETO to promote the self-renewal of human hematopoietic cells and therefore support a causal role for t(8;21) translocations in leukemogenesis (PMID:12393523)
  • AML1 point mutations are related to low-dose radiation or alkylating agents and play a role distinct from that of leukemogenic chimeras; DNA binding ability and down-regulation of trans-activation of mutations (PMID:12393679)
  • review: genetics of CBFB and RUNX1 and roles in hematopoiesis and leukemogenesis, with emphasis on human and knockout mice studies (PMID:12495904)
  • 30% of acute myeloid leukemia cases express a Core Binding Factor oncoprotein or harbor point mutations in one or both AML1 (RUNX1) genes. (PMID:12496475)
  • Breakpoints in TEL intron 5 and AML1 intron 1 leading to TEL-AML1 fusion is shown to be the initiating step, preceding differentiation to pre-B cells, in childhood acute lymphoblastic leukemia. (PMID:12526921)
  • AML-1 plays a role in driving Mona protein expression in T and myelomonocytic cells. (PMID:12554803)
  • identification as tumor suppressor gene (PMID:12555067)
  • AML1 rearrangements leading to the AML1-ETO fusion gene are frequently the result of small hidden interstitial insertions. (PMID:12557226)
  • role in regulation of MIP-1 alpha expression in multiple myeloma (PMID:12560229)
  • how RUNX1 might program divergence from the erythroid pathway to the megakaryocytic lineage commitment through functional and physical interactions with GATA-1 (PMID:12576332)
  • role in leukemogenesis (PMID:12604126)
  • Review. AML1 plays a vital role in the regulation of expression of many genes involved in hematopoietic cell development, and the impairment of AML1 function disregulates the pathways leading to cellular proliferation and differentiation. (PMID:12643014)
  • Double trisomy 8 and 21, one with rearrangement of the RUNX1 gene, in acute myelocytic leukemias (PMID:12699896)
  • Oncogene AML-1 protein is detected frequently in acute myelogenous leukemia and it is a favorable prognostic factor in disease survival. (PMID:12760263)
  • In t(8;21) leukaemic cells expressing the aberrant fusion protein AML1-ETO, we demonstrate that this protein is part of a transcription factor complex binding to extended sequences of the c-FMS intronic regulatory region rather than the promoter. (PMID:12773394)
  • In 241 patients with pediatric hematologic malignancies, AML1 mutations have been detected in seven patients (2.9%). (PMID:12874780)
  • Strong overexpression of NCAM(CD56) and RUNX1(AML1) is a constant and characteristic feature of cardiomyocytes within or adjacent to scars in ICM. (PMID:12937148)
  • Amplification of this gene in childhood acute lymphoblsatic leukemia is associatd with poor outcome. (PMID:14523475)
  • heterozygous mutation (G>T) in intron 3 at the splice acceptor site for exon 4; this mutation is associated with not only thrombocytopenia, but also impaired platelet protein phosphorylation and GPIIb-IIIa activation (PMID:14525764)
  • RUNX1 binds to protein kinase C beta and is linked to a myeloid apoptotic pathway (PMID:14561740)
  • reduced AML1 activities predispose cells to the acquisition of the activating FLT3 mutation as a secondary event leading to full transformation in acute myeloblastic leukemia M0. (PMID:14562119)
  • AML1 point mutation is one of the major driving forces of myelodysplastic syndrome and acute myeloid leukemia, and these mutations may represent a distinct clinicopathologic-genetic entity. (PMID:14615365)
  • In conclusion, we provide evidence for AML-1, PU.1, and Sp3 cooperatively and directly mediating BPI-expression during myeloid differentiation. (PMID:14623259)
  • AML1/RUNX1 increases during G1 to S cell cycle progression independent of cytokine-dependent phosphorylation and induces cyclin D3 gene expression (PMID:14747476)
  • acetylation of AML1 through p300 is a critical manner of posttranslational modification and identify a novel mechanism for regulating the function of AML1 (PMID:14752096)
  • NERF/ELF-2 physically interacts with AML1 and mediates opposing effects on AML1-mediated transcription of the B cell-specific blk gene (PMID:14970218)
  • RUNX1 and RUNX2 regulate TIMP1 gene expression (PMID:15051730)
  • REVIEW: Familial mutations predispose to acute myeloid leukemia (PMID:15061191)
  • chromosome 21 tandem repetition resulted in amplification of the AML1 gene in one case but in another case the AML1 gene was not included in the tandem repeat, showing that apparently similar cytogenetic aberrations may be different at the molecular level (PMID:15104277)
  • we found an incidence of 8.6% of TEL/AML1 translocation in ALL patients (12% of B-lineage ALL) (PMID:15104290)

Cross-species orthologs

4 orthologs

OrganismSymbolGene ID
danio_reriorunx1ENSDARG00000087646
mus_musculusRunx1ENSMUSG00000022952
rattus_norvegicusRunx1ENSRNOG00000001704
drosophila_melanogasterlzFBGN0002576

Paralogs (2): RUNX3 (ENSG00000020633), RUNX2 (ENSG00000124813)

Protein

Protein identifiers

Runt-related transcription factor 1Q01196 (reviewed: Q01196)

Alternative names: Acute myeloid leukemia 1 protein, Core-binding factor subunit alpha-2, Oncogene AML-1, Polyomavirus enhancer-binding protein 2 alpha B subunit, SL3-3 enhancer factor 1 alpha B subunit, SL3/AKV core-binding factor alpha B subunit

All UniProt accessions (7): A0A0C4DG58, A8MZI9, C9JWM1, Q01196, H9KVB1, V9GYT3, V9GYT5

UniProt curated annotations — full annotation on UniProt →

Function. Forms the heterodimeric complex core-binding factor (CBF) with CBFB. RUNX members modulate the transcription of their target genes through recognizing the core consensus binding sequence 5’-TGTGGT-3’, or very rarely, 5’-TGCGGT-3’, within their regulatory regions via their runt domain, while CBFB is a non-DNA-binding regulatory subunit that allosterically enhances the sequence-specific DNA-binding capacity of RUNX. The heterodimers bind to the core site of a number of enhancers and promoters, including murine leukemia virus, polyomavirus enhancer, T-cell receptor enhancers, LCK, IL3 and GM-CSF promoters. Essential for the development of normal hematopoiesis. Acts synergistically with ELF4 to transactivate the IL-3 promoter and with ELF2 to transactivate the BLK promoter. Inhibits KAT6B-dependent transcriptional activation. Involved in lineage commitment of immature T cell precursors. CBF complexes repress ZBTB7B transcription factor during cytotoxic (CD8+) T cell development. They bind to RUNX-binding sequence within the ZBTB7B locus acting as transcriptional silencer and allowing for cytotoxic T cell differentiation. CBF complexes binding to the transcriptional silencer is essential for recruitment of nuclear protein complexes that catalyze epigenetic modifications to establish epigenetic ZBTB7B silencing. Controls the anergy and suppressive function of regulatory T-cells (Treg) by associating with FOXP3. Activates the expression of IL2 and IFNG and down-regulates the expression of TNFRSF18, IL2RA and CTLA4, in conventional T-cells. Positively regulates the expression of RORC in T-helper 17 cells. Isoform AML-1G shows higher binding activities for target genes and binds TCR-beta-E2 and RAG-1 target site with threefold higher affinity than other isoforms. It is less effective in the context of neutrophil terminal differentiation. Isoform AML-1L interferes with the transactivation activity of RUNX1.

Subunit / interactions. Heterodimer with CBFB. RUNX1 binds DNA as a monomer and through the Runt domain. DNA-binding is increased by heterodimerization. Isoform AML-1L can neither bind DNA nor heterodimerize. Interacts with TLE1 and ALYREF/THOC4. Interacts with ELF1, ELF2 and SPI1. Interacts via its Runt domain with the ELF4 N-terminal region. Interaction with ELF2 isoform 2 (NERF-1a) may act to repress RUNX1-mediated transactivation. Interacts with KAT6A and KAT6B. Interacts with SUV39H1, leading to abrogation of transactivating and DNA-binding properties of RUNX1. Interacts with YAP1. Interacts with HIPK2. Interaction with CDK6 prevents myeloid differentiation, reducing its transcription transactivation activity. Found in a complex with PRMT5, RUNX1 and CBFB. Interacts with FOXP3. Interacts with TBX21. Interacts with DPF2.

Subcellular location. Nucleus.

Tissue specificity. Expressed in all tissues examined except brain and heart. Highest levels in thymus, bone marrow and peripheral blood.

Post-translational modifications. Phosphorylated in its C-terminus upon IL-6 treatment. Phosphorylation enhances interaction with KAT6A. Methylated. Phosphorylated in Ser-249 Thr-273 and Ser-276 by HIPK2 when associated with CBFB and DNA. This phosphorylation promotes subsequent EP300 phosphorylation.

Disease relevance. A chromosomal aberration involving RUNX1/AML1 is a cause of M2 type acute myeloid leukemia (AML-M2). Translocation t(8;21)(q22;q22) with RUNX1T1. A chromosomal aberration involving RUNX1/AML1 is a cause of therapy-related myelodysplastic syndrome (T-MDS). Translocation t(3;21)(q26;q22) with EAP or MECOM. A chromosomal aberration involving RUNX1/AML1 is a cause of chronic myelogenous leukemia (CML). Translocation t(3;21)(q26;q22) with EAP or MECOM. A chromosomal aberration involving RUNX1/AML1 is found in childhood acute lymphoblastic leukemia (ALL). Translocation t(12;21)(p13;q22) with TEL. The translocation fuses the 3’-end of TEL to the alternate 5’-exon of AML-1H. A chromosomal aberration involving RUNX1 is found in acute leukemia. Translocation t(11,21)(q13;q22) that forms a MACROD1-RUNX1 fusion protein. Familial platelet disorder with associated myeloid malignancy (FPDMM) [MIM:601399] Autosomal dominant disease characterized by qualitative and quantitative platelet defects, and propensity to develop acute myelogenous leukemia. The disease is caused by variants affecting the gene represented in this entry. A chromosomal aberration involving RUNX1/AML1 is found in therapy-related myeloid malignancies. Translocation t(16;21)(q24;q22) that forms a RUNX1-CBFA2T3 fusion protein. A chromosomal aberration involving RUNX1/AML1 is a cause of chronic myelomonocytic leukemia. Inversion inv(21)(q21;q22) with USP16. A chromosomal aberration involving RUNX1/AML1 is found in acute myeloid leukemia. Translocation t(20;21)(q11;q22) with CBFA2T2.

Domain organisation. A proline/serine/threonine rich region at the C-terminus is necessary for transcriptional activation of target genes.

Induction. Up-regulated by phorbol myristate acetate (PMA).

Isoforms (11)

UniProt IDNamesCanonical?
Q01196-1AML-1Byes
Q01196-2AML-1A
Q01196-3AML-1C
Q01196-4AML-1E
Q01196-5AML-1FA
Q01196-6AML-1FB
Q01196-7AML-1FC
Q01196-8AML-1G
Q01196-9AML-1H
Q01196-10AML-1I
Q01196-11AML-1L, AML1-delta N

RefSeq proteins (3): NP_001001890, NP_001116079, NP_001745* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000040AML1_RuntFamily
IPR008967p53-like_TF_DNA-bd_sfHomologous_superfamily
IPR012346p53/RUNT-type_TF_DNA-bd_sfHomologous_superfamily
IPR013524Runt_domDomain
IPR013711RunxI_C_domDomain
IPR016554TF_Runt-rel_RUNXFamily
IPR027384Runx_central_dom_sfHomologous_superfamily

Pfam: PF00853, PF08504

UniProt features (91 total): mutagenesis site 21, splice variant 14, strand 14, modified residue 13, region of interest 10, compositionally biased region 4, binding site 4, sequence variant 4, site 2, helix 2, chain 1, domain 1, sequence conflict 1

Structure

Experimental structures (PDB)

5 structures.

PDBMethodResolution (Å)
1LJMX-RAY DIFFRACTION2.5
1E50X-RAY DIFFRACTION2.6
1H9DX-RAY DIFFRACTION2.6
1CMOSOLUTION NMR
1CO1SOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q01196-F161.760.27

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (2): 177–178 (breakpoint for translocation to form aml1-emv-1 (or aml1-eap) in cml and t-mds, to form aml1-mtg8 (eto) in aml-m2, to form aml1-cbfa2t3 in therapy-related myeloid malignancies, to form aml1-mecom in cml and to form type i macrod1-runx1 fusion protein); 241–242 (breakpoint for translocation to form aml1-eap in t-mds and cml, to form type ii macrod1-runx1 fusion protein and to form runx1-cbfa2t2 in acute myeloid leukemia)

Ligand- & substrate-binding residues (4): 112; 116; 139; 170

Post-translational modifications (13): 14, 21, 24, 43, 193, 212, 249, 266, 268, 273, 276, 296, 435

Mutagenesis-validated functional residues (21):

PositionPhenotype
67loss of heterodimerization and reduced ep300 phosphorylation induction.
80strongly reduces dna-binding.
83strongly reduces dna-binding.
83strongly reduces dna-binding, impaired phosphorylation and reduced ep300 phosphorylation induction.
84no effect on dna binding.
106disrupts interaction of aml1-mtg8/eto with cbfb, no effect on aml1-mtg8/eto-mediated transformation activity.
107loss of heterodimerization. disrupts interactionof aml1-mtg8/eto with cbfb, no effect on aml1-mtg8/eto-mediated transfor
108loss of heterodimerization and impaired phosphorylation.
135strongly reduces dna-binding.
139strongly reduces dna-binding.
140disrupts aml1-mtg8/eto dna-binding, decreases aml1-mtg8/eto transforming activity.
142strongly reduces dna-binding.
145–453no dna-binding.
167reduces dna-binding.
169strongly reduces dna-binding.
171strongly reduces dna-binding.
174strongly reduces dna-binding.
177strongly reduces dna-binding.
249reduced phosphorylation.
273reduced phosphorylation; when associated with a-276.
276reduced phosphorylation; when associated with a-273.

Function

Pathways and Gene Ontology

Reactome pathways

43 pathways

IDPathway
R-HSA-1912408Pre-NOTCH Transcription and Translation
R-HSA-549127SLC-mediated transport of organic cations
R-HSA-8877330RUNX1 and FOXP3 control the development of regulatory T lymphocytes (Tregs)
R-HSA-8931987RUNX1 regulates estrogen receptor mediated transcription
R-HSA-8934593Regulation of RUNX1 Expression and Activity
R-HSA-8935964RUNX1 regulates expression of components of tight junctions
R-HSA-8936459RUNX1 regulates genes involved in megakaryocyte differentiation and platelet function
R-HSA-8939236RUNX1 regulates transcription of genes involved in differentiation of HSCs
R-HSA-8939242RUNX1 regulates transcription of genes involved in differentiation of keratinocytes
R-HSA-8939243RUNX1 interacts with co-factors whose precise effect on RUNX1 targets is not known
R-HSA-8939245RUNX1 regulates transcription of genes involved in BCR signaling
R-HSA-8939246RUNX1 regulates transcription of genes involved in differentiation of myeloid cells
R-HSA-8939247RUNX1 regulates transcription of genes involved in interleukin signaling
R-HSA-8939256RUNX1 regulates transcription of genes involved in WNT signaling
R-HSA-8941333RUNX2 regulates genes involved in differentiation of myeloid cells
R-HSA-8951936RUNX3 regulates p14-ARF
R-HSA-9018519Estrogen-dependent gene expression
R-HSA-9616222Transcriptional regulation of granulopoiesis
R-HSA-9692916SARS-CoV-1 activates/modulates innate immune responses
R-HSA-9942503Differentiation of naive CD4+ T cells to T helper 1 cells (Th1 cells)
R-HSA-1266738Developmental Biology
R-HSA-157118Signaling by NOTCH
R-HSA-162582Signal Transduction
R-HSA-1643685Disease
R-HSA-1912422Pre-NOTCH Expression and Processing
R-HSA-212436Generic Transcription Pathway
R-HSA-382551Transport of small molecules
R-HSA-425366
R-HSA-425407SLC-mediated transmembrane transport
R-HSA-549132

MSigDB gene sets: 697 (showing top): GOBP_MYELOID_CELL_DIFFERENTIATION, AHRARNT_01, FERRANDO_TAL1_NEIGHBORS, GCACCTT_MIR18A_MIR18B, GOBP_REGULATION_OF_CELL_ACTIVATION, REACTOME_SIGNALING_BY_NOTCH, RODRIGUES_THYROID_CARCINOMA_ANAPLASTIC_UP, GOBP_NEGATIVE_REGULATION_OF_CELL_DEVELOPMENT, GOBP_MUSCLE_TISSUE_DEVELOPMENT, GOBP_REGULATION_OF_ALPHA_BETA_T_CELL_ACTIVATION, GOBP_POSITIVE_REGULATION_OF_HEMOPOIESIS, YAGI_AML_WITH_INV_16_TRANSLOCATION, GOBP_CARTILAGE_DEVELOPMENT, MORF_MSH3, GOBP_SKELETAL_SYSTEM_DEVELOPMENT

GO Biological Process (29): negative regulation of transcription by RNA polymerase II (GO:0000122), ossification (GO:0001503), chondrocyte differentiation (GO:0002062), myeloid leukocyte differentiation (GO:0002573), regulation of transcription by RNA polymerase II (GO:0006357), regulation of plasminogen activation (GO:0010755), hemopoiesis (GO:0030097), myeloid cell differentiation (GO:0030099), neuron differentiation (GO:0030182), negative regulation of granulocyte differentiation (GO:0030853), positive regulation of granulocyte differentiation (GO:0030854), positive regulation of interleukin-2 production (GO:0032743), positive regulation of collagen biosynthetic process (GO:0032967), negative regulation of CD4-positive, alpha-beta T cell differentiation (GO:0043371), positive regulation of CD8-positive, alpha-beta T cell differentiation (GO:0043378), regulation of cell differentiation (GO:0045595), positive regulation of angiogenesis (GO:0045766), positive regulation of DNA-templated transcription (GO:0045893), positive regulation of transcription by RNA polymerase II (GO:0045944), peripheral nervous system neuron development (GO:0048935), regulation of cardiac muscle cell proliferation (GO:0060043), cardiac muscle tissue regeneration (GO:0061026), hematopoietic stem cell proliferation (GO:0071425), positive regulation of extracellular matrix organization (GO:1903055), regulation of connective tissue replacement (GO:1905203), regulation of DNA-templated transcription (GO:0006355), positive regulation of developmental process (GO:0051094), positive regulation of multicellular organismal process (GO:0051240), regulation of multicellular organismal development (GO:2000026)

GO Molecular Function (16): transcription cis-regulatory region binding (GO:0000976), RNA polymerase II transcription regulatory region sequence-specific DNA binding (GO:0000977), RNA polymerase II cis-regulatory region sequence-specific DNA binding (GO:0000978), DNA-binding transcription factor activity, RNA polymerase II-specific (GO:0000981), transcription corepressor binding (GO:0001222), transcription coactivator binding (GO:0001223), DNA-binding transcription activator activity, RNA polymerase II-specific (GO:0001228), DNA binding (GO:0003677), DNA-binding transcription factor activity (GO:0003700), calcium ion binding (GO:0005509), ATP binding (GO:0005524), protein homodimerization activity (GO:0042803), protein heterodimerization activity (GO:0046982), DNA-binding transcription factor binding (GO:0140297), protein binding (GO:0005515), sequence-specific double-stranded DNA binding (GO:1990837)

GO Cellular Component (4): chromatin (GO:0000785), nucleus (GO:0005634), nucleoplasm (GO:0005654), core-binding factor complex (GO:0016513)

Reactome top-level categories

Rollup of top-9 pathways:

CategoryPathways
Transcriptional regulation by RUNX112
Pre-NOTCH Expression and Processing1
SLC-mediated transmembrane transport1
Transcriptional regulation by RUNX21
Transcriptional regulation by RUNX31
ESR-mediated signaling1
Developmental Biology1
SARS-CoV-1-host interactions1
Differentiation of T cells1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cell differentiation4
regulation of transcription by RNA polymerase II3
transcription by RNA polymerase II3
regulation of DNA-templated transcription3
RNA polymerase II transcription regulatory region sequence-specific DNA binding3
granulocyte differentiation2
regulation of granulocyte differentiation2
transcription cis-regulatory region binding2
transcription coregulator binding2
protein dimerization activity2
cellular anatomical structure2
negative regulation of DNA-templated transcription1
multicellular organismal process1
cartilage development1
leukocyte differentiation1
myeloid cell differentiation1
plasminogen activation1
regulation of protein processing1
cell development1
hemopoiesis1
generation of neurons1
negative regulation of myeloid leukocyte differentiation1
positive regulation of myeloid leukocyte differentiation1
positive regulation of cytokine production1
interleukin-2 production1
regulation of interleukin-2 production1
positive regulation of biosynthetic process1
positive regulation of collagen metabolic process1
collagen biosynthetic process1
regulation of collagen biosynthetic process1
CD4-positive, alpha-beta T cell differentiation1
regulation of CD4-positive, alpha-beta T cell differentiation1
negative regulation of alpha-beta T cell differentiation1
negative regulation of CD4-positive, alpha-beta T cell activation1
CD8-positive, alpha-beta T cell differentiation1
regulation of CD8-positive, alpha-beta T cell differentiation1
positive regulation of alpha-beta T cell differentiation1
positive regulation of CD8-positive, alpha-beta T cell activation1
regulation of developmental process1
regulation of cellular process1

Protein interactions and networks

STRING

4422 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
RUNX1CBFBQ13951999
RUNX1RUNX1T1Q06455998
RUNX1ETS1P14921992
RUNX1FOXP3Q9BZS1989
RUNX1GATA2P23769982
RUNX1ETV6P41212982
RUNX1GATA1P15976978
RUNX1LMO2P25791977
RUNX1GATA3P23771977
RUNX1TAL1P17542968
RUNX1EP300Q09472960
RUNX1CBFA2T3O75081955
RUNX1HDAC1Q13547955
RUNX1TCF3P15883932
RUNX1LEF1Q9UJU2925
RUNX1CEBPAP49715925

IntAct

142 interactions, top by confidence:

ABTypeScore
CBFBRUNX1psi-mi:“MI:0407”(direct interaction)0.870
CBFBRUNX1psi-mi:“MI:0915”(physical association)0.870
CBFBRUNX1psi-mi:“MI:0914”(association)0.870
RUNX1CBFBpsi-mi:“MI:0915”(physical association)0.870
HIPK2RUNX1psi-mi:“MI:0915”(physical association)0.640
HIPK2RUNX1psi-mi:“MI:0217”(phosphorylation reaction)0.640
RUNX1HIPK2psi-mi:“MI:0915”(physical association)0.640
CDK6RUNX1psi-mi:“MI:2364”(proximity)0.630
CDK6RUNX1psi-mi:“MI:0915”(physical association)0.630
TAL1RUNX1psi-mi:“MI:0915”(physical association)0.620
TAL1KDM1Apsi-mi:“MI:0914”(association)0.560
RUNX1ELF2psi-mi:“MI:0407”(direct interaction)0.540
RUNX1ELF2psi-mi:“MI:0915”(physical association)0.540
DNAJB8DNAJB6psi-mi:“MI:0914”(association)0.530
WWTR1RUNX1psi-mi:“MI:0407”(direct interaction)0.530
RUNX1WWTR1psi-mi:“MI:0915”(physical association)0.530
TAL1ETS1psi-mi:“MI:0914”(association)0.500
RUNX1AKT1psi-mi:“MI:0915”(physical association)0.450
RUNX1AKT1psi-mi:“MI:2364”(proximity)0.450
RUNX1psi-mi:“MI:0407”(direct interaction)0.440
RUNX1YAP1psi-mi:“MI:0407”(direct interaction)0.440
FOXP3RUNX1psi-mi:“MI:0915”(physical association)0.400

BioGRID (430): YAP1 (Affinity Capture-Western), RUNX1 (Biochemical Activity), CBFB (Affinity Capture-Western), RUNX1 (Affinity Capture-Western), RAG1 (Affinity Capture-Western), RUNX1 (Co-purification), RUNX1 (Affinity Capture-Western), RUNX1 (Reconstituted Complex), SPI1 (Reconstituted Complex), ELF1 (Reconstituted Complex), RUNX1 (Affinity Capture-MS), RUNX1 (Co-localization), CBFB (Affinity Capture-Western), RUNX1 (Affinity Capture-Western), RUNX1 (Affinity Capture-Western)

ESM2 similar proteins: A0A084AFG9, A0A0D1C1H8, A0A0D1CY03, A0A142C7A3, A0A364LYQ6, A0A3G1DJJ7, A0A7M4BDQ2, A1CBG9, A1DDX0, A2RA63, B0Y1D1, B0Y8Y9, B4XXY3, B6H7F3, B8N0E6, G0RS98, G3Y415, G4NEE4, G5EB20, N4XMB0, O00167, O13719, P20945, P34440, P87233, P9WER3, Q01196, Q03347, Q04461, Q08775, Q13761, Q13950, Q1K8E7, Q2U9L6, Q4WD42, Q4WV91, Q4WVI6, Q4WW99, Q4WWN2, Q58DB6

Diamond homologs: G5EFQ5, P22814, Q01196, Q03347, Q08775, Q13761, Q13950, Q25520, Q63046, Q64131, Q6PF39, Q9W349, Q9Z2J9, Q9XSB7

SIGNOR signaling

84 interactions.

AEffectBMechanism
KAT6Aup-regulatesRUNX1binding
CDK1up-regulatesRUNX1phosphorylation
CDK1“up-regulates activity”RUNX1phosphorylation
CDK2“up-regulates activity”RUNX1phosphorylation
CDK6up-regulatesRUNX1phosphorylation
CDK6“up-regulates activity”RUNX1phosphorylation
MAPK1“up-regulates activity”RUNX1phosphorylation
CDK1“down-regulates quantity by destabilization”RUNX1phosphorylation
CDK2“down-regulates activity”RUNX1phosphorylation
CyclinB/CDK1up-regulatesRUNX1phosphorylation
KAT6A/KAT6Bup-regulatesRUNX1binding
CyclinA2/CDK2“down-regulates activity”RUNX1phosphorylation
ERK1/2up-regulatesRUNX1phosphorylation

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 139 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
RUNX1 interacts with co-factors whose precise effect on RUNX1 targets is not known619.0×2e-04
NOTCH1 Intracellular Domain Regulates Transcription615.0×4e-04
SUMOylation of transcription cofactors512.8×3e-03
Constitutive Signaling by NOTCH1 PEST Domain Mutants612.4×8e-04
Constitutive Signaling by NOTCH1 HD+PEST Domain Mutants612.4×8e-04
Differentiation of naive CD4+ T cells to T helper 2 cells (Th2 cells)812.3×1e-04
Transcriptional regulation by RUNX169.2×3e-03
mRNA Splicing - Major Pathway95.2×3e-03

GO biological processes:

GO termPartnersFoldFDR
positive regulation of protein localization to nucleus618.2×3e-04
negative regulation of protein catabolic process514.2×4e-03
cellular response to UV511.5×7e-03
positive regulation of fibroblast proliferation511.5×7e-03
positive regulation of miRNA transcription511.3×7e-03
osteoblast differentiation76.6×7e-03
transcription by RNA polymerase II94.9×7e-03
positive regulation of gene expression154.5×4e-04

Disease & clinical

Cancer significance

From CIViC — curated cancer-variant interpretation:

RUNX1 is a transcription factor that forms a complex with the cofactor CBFB. This complex provides stability to the RUNX1 protein which is involved in the generation of hematopoietic stem cells and for their differentiation into myeloid and lymphoid lines. Loss of RUNX1 function has been shown to impair differentiation between myeloid and lymphoid lines often resulting in the development of leukemia.

From intOGen — cancer-driver classification: loss-of-function (tumor-suppressor-like) across 5 cancer types — ACYC, ALL, AML, BRCA, GBM.

Clinical variants and AI predictions

ClinVar

1866 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic137
Likely pathogenic113
Uncertain significance1026
Likely benign471
Benign110

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1013200GRCh37/hg19 21q22.12(chr21:36164432-36421257)x1Pathogenic
1013619NM_001754.5(RUNX1):c.165dup (p.Leu56fs)Pathogenic
1013620NM_001754.5(RUNX1):c.588del (p.Val197fs)Pathogenic
1067688NC_000021.8:g.(?36231761)(36231885_?)delPathogenic
1068986NM_001754.5(RUNX1):c.713_726del (p.Val238fs)Pathogenic
1069299NM_001754.5(RUNX1):c.140_150del (p.Leu47fs)Pathogenic
1069843NC_000021.8:g.(?36164426)(36421202_?)delPathogenic
1069844NC_000021.8:g.(?36421133)(36421202_?)delPathogenic
1071785NM_001754.5(RUNX1):c.777dup (p.Asn260Ter)Pathogenic
1073884NM_001754.5(RUNX1):c.601dup (p.Arg201fs)Pathogenic
1073907NM_001754.5(RUNX1):c.247dup (p.Ala83fs)Pathogenic
1074352NM_001754.5(RUNX1):c.664dup (p.Ser222fs)Pathogenic
1074523NM_001754.5(RUNX1):c.528_531dup (p.Thr178fs)Pathogenic
1075910NC_000021.8:g.(?36164426)(36171765_?)delPathogenic
1076589NM_001754.5(RUNX1):c.149_158dup (p.Ser53fs)Pathogenic
1194557NM_001754.5(RUNX1):c.1242C>G (p.Tyr414Ter)Pathogenic
1333011Single allelePathogenic
1338044NM_001754.5(RUNX1):c.830del (p.Pro277fs)Pathogenic
1363605NM_001754.5(RUNX1):c.503del (p.Gly168fs)Pathogenic
1438546NM_001754.5(RUNX1):c.585del (p.Thr196fs)Pathogenic
14463NM_001754.4(RUNX1):c.352-1G>TPathogenic
14465NM_001754.5(RUNX1):c.328A>G (p.Lys110Glu)Pathogenic
14466NM_001754.5(RUNX1):c.508+3delPathogenic
14467NM_001754.5(RUNX1):c.861C>A (p.Tyr287Ter)Pathogenic
14468NM_001754.5(RUNX1):c.400G>C (p.Ala134Pro)Pathogenic
14470NM_001754.5(RUNX1):c.442_449del (p.Thr148fs)Pathogenic
1457966NC_000021.8:g.(?36182049)(36231885_?)delPathogenic
1459069NM_001754.5(RUNX1):c.496C>T (p.Arg166Ter)Pathogenic
1459404NC_000021.8:g.(?36231761)(36253020_?)delPathogenic
1460018NM_001754.5(RUNX1):c.637del (p.Gln213fs)Pathogenic

SpliceAI

2341 predictions. Top by Δscore:

VariantEffectΔscore
21:34792606:TGCCG:Tacceptor_gain1.0000
21:34792607:GCCG:Gacceptor_gain1.0000
21:34792608:CCG:Cacceptor_gain1.0000
21:34792608:CCGC:Cacceptor_gain1.0000
21:34792609:CG:Cacceptor_gain1.0000
21:34792609:CGC:Cacceptor_gain1.0000
21:34792611:C:CCacceptor_gain1.0000
21:34799299:A:ACdonor_gain1.0000
21:34799300:C:CCdonor_gain1.0000
21:34859467:CACTT:Cdonor_loss1.0000
21:34859468:ACTTA:Adonor_loss1.0000
21:34859471:TACTT:Tdonor_loss1.0000
21:34859472:A:ACdonor_gain1.0000
21:34859472:A:Cdonor_loss1.0000
21:34859473:C:CTdonor_gain1.0000
21:34859473:CT:Cdonor_gain1.0000
21:34859473:CTT:Cdonor_gain1.0000
21:34859575:TTCC:Tacceptor_gain1.0000
21:34859576:TCC:Tacceptor_gain1.0000
21:34859577:CC:Cacceptor_gain1.0000
21:34859577:CCC:Cacceptor_gain1.0000
21:34859578:CC:Cacceptor_gain1.0000
21:34859579:C:CCacceptor_gain1.0000
21:34859579:CTGT:Cacceptor_loss1.0000
21:34859580:T:Aacceptor_loss1.0000
21:34859588:C:CTacceptor_gain1.0000
21:34859590:CGA:Cacceptor_gain1.0000
21:34859591:G:Tacceptor_gain1.0000
21:34880551:ACGT:Adonor_loss1.0000
21:34880554:TA:Tdonor_loss1.0000

AlphaMissense

0 scored. Top likely-pathogenic:

dbSNP variants (sampled 300 via entrez): RS1000001120 (21:34838090 A>T), RS1000002171 (21:34914598 G>A), RS1000009443 (21:34865869 C>T), RS1000017149 (21:34921070 G>A), RS1000023722 (21:34950876 G>A), RS1000029636 (21:35041408 T>C), RS1000041335 (21:35047260 C>G,T), RS1000050733 (21:34794274 C>A), RS1000060121 (21:34788582 TAAC>T), RS1000066726 (21:34866669 T>C), RS1000079562 (21:34908760 C>T), RS1000088995 (21:34792890 G>A), RS1000092466 (21:35035652 C>T), RS1000104774 (21:34963188 G>T), RS1000116384 (21:35022865 A>G)

Disease associations

OMIM: gene MIM:151385 | disease phenotypes: MIM:601626, MIM:601399, MIM:231200, MIM:185050

GenCC curated gene-disease

DiseaseClassificationInheritance
hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1DefinitiveAutosomal dominant
hereditary thrombocytopenia and hematologic cancer predisposition syndromeDefinitiveAutosomal dominant
acute myeloid leukemiaStrongAutosomal dominant

ClinGen Gene-Disease Validity (1)

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

DiseaseClassificationInheritance
hereditary thrombocytopenia and hematologic cancer predisposition syndromeDefinitiveAD

Mondo (12): hereditary thrombocytopenia and hematologic cancer predisposition syndrome (MONDO:0011071), acute myeloid leukemia (MONDO:0018874), hereditary thrombocytopenia and hematological cancer predisposition syndrome associated with RUNX1 (MONDO:0100083), thrombocytopenia (MONDO:0002049), hereditary neoplastic syndrome (MONDO:0015356), anaplastic ependymoma (MONDO:0016700), atypical chronic myeloid leukemia, BCR-ABL1 negative (MONDO:0004653), aggressive systemic mastocytosis (MONDO:0020333), inherited bleeding disorder, platelet-type (MONDO:0000009), Castleman-Kojima disease (MONDO:0018702), pancytopenia (MONDO:0001529), platelet storage pool deficiency (MONDO:0008495)

Orphanet (9): Acute myeloid leukemia (Orphanet:519), Familial platelet disorder with associated myeloid malignancy (Orphanet:71290), Inherited cancer-predisposing syndrome (Orphanet:140162), Anaplastic ependymoma (Orphanet:251646), Atypical chronic myeloid leukemia (Orphanet:98824), Aggressive systemic mastocytosis (Orphanet:98850), Rare hemorrhagic disorder due to a platelet anomaly (Orphanet:248326), TAFRO syndrome (Orphanet:457077), Alpha delta granule deficiency (Orphanet:734)

HPO phenotypes

68 total (30 of 68 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000421Epistaxis
HP:0000939Osteoporosis
HP:0000967Petechiae
HP:0000978Bruising susceptibility
HP:0000979Purpura
HP:0000989Pruritus
HP:0001025Urticaria
HP:0001409Portal hypertension
HP:0001410Decreased liver function
HP:0001433Hepatosplenomegaly
HP:0001442Typified by somatic mosaicism
HP:0001541Ascites
HP:0001744Splenomegaly
HP:0001824Weight loss
HP:0001871Abnormality of blood and blood-forming tissues
HP:0001873Thrombocytopenia
HP:0001875Decreased total neutrophil count
HP:0001876Pancytopenia
HP:0001894Thrombocytosis
HP:0001903Anemia
HP:0001909Leukemia
HP:0001911Abnormal granulocyte morphology
HP:0001912Abnormal basophil morphology
HP:0001945Fever
HP:0001971Hypersplenism
HP:0001974Increased total leukocyte count
HP:0002014Diarrhea
HP:0002024Malabsorption
HP:0002027Abdominal pain

GWAS associations

122 associations (top):

StudyTraitp-value
GCST001089_10Esophageal cancer8.000000e-22
GCST001178_17Plasma omega-3 polyunsaturated fatty acid level (eicosapentaenoic acid)2.000000e-07
GCST001491_30Immune response to smallpox vaccine (IL-6)5.000000e-07
GCST001949_15Preeclampsia5.000000e-06
GCST002318_54Rheumatoid arthritis3.000000e-09
GCST002318_55Rheumatoid arthritis2.000000e-08
GCST002568_8Esophageal squamous cell carcinoma8.000000e-09
GCST002874_29Psoriasis6.000000e-08
GCST002874_32Psoriasis4.000000e-08
GCST003983_25Male-pattern baldness4.000000e-11
GCST004600_115Eosinophil percentage of white cells1.000000e-10
GCST004600_116Eosinophil percentage of white cells7.000000e-57
GCST004600_117Eosinophil percentage of white cells1.000000e-14
GCST004600_118Eosinophil percentage of white cells1.000000e-14
GCST004603_287Platelet count6.000000e-11
GCST004606_66Eosinophil count3.000000e-12
GCST004606_67Eosinophil count2.000000e-56
GCST004606_93Eosinophil count7.000000e-16
GCST004606_94Eosinophil count2.000000e-13
GCST004607_187Plateletcrit3.000000e-10
GCST004617_39Eosinophil percentage of granulocytes1.000000e-10
GCST004617_40Eosinophil percentage of granulocytes1.000000e-50
GCST004617_41Eosinophil percentage of granulocytes2.000000e-11
GCST004617_42Eosinophil percentage of granulocytes2.000000e-13
GCST004618_53White blood cell count (basophil)3.000000e-14
GCST004623_41Neutrophil percentage of granulocytes1.000000e-38
GCST004623_42Neutrophil percentage of granulocytes1.000000e-11
GCST004624_26Sum eosinophil basophil counts7.000000e-12
GCST004624_73Sum eosinophil basophil counts2.000000e-09
GCST004624_74Sum eosinophil basophil counts8.000000e-43

EFO canonical traits (33, from GWAS)

EFO IDTrait name
EFO:0007760eicosapentaenoic acid measurement
EFO:0004645response to vaccine
EFO:0007991eosinophil percentage of leukocytes
EFO:0004309platelet count
EFO:0004842eosinophil count
EFO:0007985platelet crit
EFO:0007996eosinophil percentage of granulocytes
EFO:0005090basophil count
EFO:0007994neutrophil percentage of granulocytes
EFO:0007992basophil percentage of leukocytes
EFO:0007995basophil percentage of granulocytes
EFO:0004612high density lipoprotein cholesterol measurement
EFO:0009270heel bone mineral density
EFO:0004511femoral neck bone geometry
EFO:0009603stroke outcome severity measurement
EFO:1002011adult onset asthma
EFO:0009941Inhalant adrenergic use measurement
EFO:0007710cognitive decline measurement
EFO:0005193serum IgG glycosylation measurement
EFO:0004509hemoglobin measurement
EFO:0007874gut microbiome measurement
EFO:0011018brain-derived neurotrophic factor measurement
EFO:0008039BMI-adjusted hip circumference
EFO:0004531urate measurement
EFO:0004980appendicular lean mass
EFO:0004251myeloproliferative disorder
EFO:0004348hematocrit
EFO:0004527mean corpuscular hemoglobin
EFO:0005091monocyte count
EFO:0007989monocyte percentage of leukocytes

MeSH disease descriptors (6)

DescriptorNameTree numbers
D015470Leukemia, Myeloid, AcuteC04.557.337.539.275; C15.378.508.539.275
D009386Neoplastic Syndromes, HereditaryC04.700; C16.320.700
D010198PancytopeniaC15.378.243.875
D010981Platelet Storage Pool DeficiencyC15.378.100.685; C15.378.140.735; C15.378.463.735
D013921ThrombocytopeniaC15.378.140.855; C15.378.243.937
C563324Platelet Disorder, Familial, with Associated Myeloid Malignancy (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (2): CHEMBL1615385 (SINGLE PROTEIN), CHEMBL2093862 (PROTEIN-PROTEIN INTERACTION)

Molecules with ChEMBL bioactivity

2 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 6,816 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL3187985APOMORPHINE HYDROCHLORIDE45,278
CHEMBL1232461MOLIBRESIB21,538

Clinical evidence (CIViC)

Drug × variant × indication: 1 predictive associations from 1 curated evidence items; also 6 prognostic, 6 predisposing.

VariantTherapyIndicationEffectLevelCIViC
RUNX1 MutationCytarabineAcute Myeloid LeukemiaResistanceCIViC BEID411

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB variants

1 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs11702779RUNX10.000

Binding affinities (BindingDB)

84 measured of 95 human assays (114 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValue
thiazol-2-amine, 14IC501100 nM
4-[(5-thiophen-2-yl-2-thiophenyl)methylideneamino]phenolIC501680 nM
2-[(6,7-dihydroxy-2-keto-chromen-4-yl)methylthio]-3-(3-methoxyphenyl)quinazolin-4-oneIC502720 nM
thiazol-2-amine, 5IC503000 nM
2-Imino-1-(4-methyl-benzyl)-10-oxo-1,10-dihydro-2H-1,9,10a-triaza-anthracene-3-carboxylic acid (furan-2-ylmethyl)-amideIC503140 nM
MLS000082179EC503160 nM
thiazol-2-amine, 17IC503200 nM
thiazol-2-amine, 13IC503300 nM
MLS000557332IC503900 nM
2-Amino-1-furan-2-ylmethyl-1H-pyrrolo[2,3-b]quinoxaline-3-carboxylic acid isobutyl-amideIC504400 nM
(7-hydroxy-2-oxochromen-4-yl)methyl 2-(3-oxo-4H-1,4-benzothiazin-2-yl)acetateIC504870 nM
4-amino-5-methoxy-9(10H)-acridinoneIC506380 nM
2-amino-1-(2-furanylmethyl)-N-[2-(4-morpholinyl)ethyl]-3-pyrrolo[3,2-b]quinoxalinecarboxamideIC506490 nM
thiazol-2-amine, 8IC506500 nM
MLS000084335EC507120 nM
SMR000217534IC507940 nM
MLS-0111397.0001EC509710 nM
MLS000559785IC5010100 nM
Dimethyl-[4-(2-methyl-5,6-dihydro-pyrazolo[1,5-c]quinazolin-5-yl)-phenyl]-amineEC5010800 nM
MLS000566445IC5011600 nM
3-(2-aminoethylamino)-7-(phenylmethyl)-1-[(phenylmethyl)amino]-6,8-dihydro-5H-2,7-naphthyridine-4-carbonitrileIC5011800 nM
thiazol-2-amine, 6IC5012000 nM
thiazol-2-amine, 9IC5012000 nM
(9-Oxo-9H-acridin-10-yl)-acetic acid (2,5-dimethyl-1-p-tolyl-1H-pyrrol-3-ylmethylene)-hydrazideIC5013000 nM
MLS000336228IC5014400 nM
3-[9-[3-chloro-4-(4-methylphenyl)sulfonyloxyphenyl]-1,8-dioxo-3,4,5,6,7,9-hexahydro-2H-acridin-10-yl]propanoic acidIC5014600 nM
(6aS)-6-methyl-5,6,6a,7-tetrahydro-4H-dibenzo[de,g]quinoline-10,11-diol;hydrochlorideEC5016100 nM
cid_1284208EC5016100 nM
thiazol-2-amine, 19IC5016500 nM
3-Amino-6,7,8,9-tetrahydro-5H-1-thia-10-aza-cyclohepta[f]indene-2-carboxylic acid (5-ethyl-[1,3,4]thiadiazol-2-yl)-amideIC5016600 nM
dimethyl 1-(2-methoxyethyl)-4-(4-propoxyphenyl)-4H-pyridine-3,5-dicarboxylateEC5016700 nM
thiazol-2-amine, 20IC5017000 nM
N-[3-(benzenesulfonyl)-1-benzylpyrrolo[3,2-b]quinoxalin-2-yl]propanamideEC5017300 nM
thiazol-2-amine, 7IC5018000 nM
SMR000034668IC5020000 nM
thiazol-2-amine, 16IC5020500 nM
thiazol-2-amine, 11IC5022500 nM
thiazol-2-amine, 18IC5023500 nM
10-(4-methoxyphenyl)-3,4,6,7,9,10-hexahydro-1,8(2H,5H)-acridinedioneIC5024000 nM
(4E)-4-[[3-(4-hydroxy-2-methylanilino)-1,4-dihydroquinoxalin-2-yl]imino]-3-methylcyclohexa-2,5-dien-1-oneIC5024700 nM
3H-spiro[1,3-benzothiazole-2,3’-indol]-2’(1’H)-oneIC5028200 nM
SMR000230916IC5030500 nM
SMR000127208IC5031200 nM
3-ethyl-2-[(E,3E)-3-(3-ethylthiazolidin-2-ylidene)prop-1-enyl]-2-thiazolin-3-ium;iodideIC5031500 nM
SMR000235790EC5038500 nM
MLS000042566IC5038800 nM
9-(3-bromo-5-ethoxy-4-prop-2-enoxyphenyl)-10-methyl-3,4,5,6,7,9-hexahydro-2H-acridine-1,8-dioneIC5041200 nM
MLS000557330EC5041300 nM
(6aR)-6-methyl-5,6,6a,7-tetrahydro-4H-dibenzo[de,g]quinoline-10,11-diol;hydrate;hydrochlorideEC5042300 nM
MLS000040311IC5043500 nM

ChEMBL bioactivities

67 potent at pChembl≥5 of 139 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
6.59IC50257nMCHEMBL1487114
6.54IC50290nMMOLIBRESIB
6.47IC50340nMCHEMBL1548014
6.43IC50372nMCHEMBL1492213
6.41IC50393nMCHEMBL1555914
6.37IC50429nMCHEMBL1998294
6.32IC50475nMCHEMBL1360981
6.20IC50629nMCHEMBL1299795
6.19IC50643nMCHEMBL1331901
6.15IC50713.4nMCHEMBL1372231
6.06IC50865nMCHEMBL1486938
5.98IC501040nMCHEMBL427876
5.92IC501190nMCHEMBL1429988
5.88IC501330nMCHEMBL1424123
5.87IC501350nMCHEMBL1333600
5.80IC501600nMCHEMBL1372231
5.78IC501670nMCHEMBL1987092
5.77IC501690nMCHEMBL5817797
5.76IC501720nMCHEMBL5861850
5.73IC501860nMCHEMBL1505563
5.73IC501865nMCHEMBL1323994
5.70IC502000nMCHEMBL1499658
5.69IC502040nMCHEMBL1303198
5.67IC502160nMCHEMBL5767058
5.67IC502140nMCHEMBL1328822
5.65IC502220nMCHEMBL1339329
5.63IC502340nMCHEMBL1529346
5.62IC502370nMCHEMBL3196628
5.58IC502650nMCHEMBL5985101
5.58IC502650nMCHEMBL6030757
5.57IC502710nMCHEMBL1410686
5.54IC502890nMCHEMBL1348645
5.53IC502970nMCHEMBL5860717
5.52IC503050nMCHEMBL1567923
5.50IC503190nMCHEMBL3675778
5.47IC503380nMCHEMBL1479811
5.45IC503576nMCHEMBL1483506
5.44IC503636nMCHEMBL1353698
5.43IC503680nMCHEMBL1420108
5.42IC503780nMCHEMBL1301322
5.38IC504200nMCHEMBL504791
5.34IC504570nMCHEMBL1453264
5.33IC504690nMCHEMBL3209562
5.32IC504830nMCHEMBL5842188
5.32IC504740nMCHEMBL1428024
5.30IC504970nMCHEMBL5878001
5.30IC504950nMCHEMBL1604389
5.29IC505080nMCHEMBL1348271
5.27IC505400nMCHEMBL1412731
5.26IC505510nMCHEMBL1378709

PubChem BioAssay actives

13 with measured affinity, of 43 total; 8 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
2-[(4S)-6-(4-chlorophenyl)-8-methoxy-1-methyl-4H-[1,2,4]triazolo[4,3-a][1,4]benzodiazepin-4-yl]-N-ethylacetamide2178832: Inhibition of RUNX1 (unknown origin) incubated for 1 hr by colloidal coomassie staining based LC-MS/MS analysisic500.2900uM
4-(2-chlorophenyl)-1,3-thiazol-2-amine1799112: FRET Assay from Article 10.1016/j.chembiol.2007.09.006: “Allosteric inhibition of the protein-protein interaction between the leukemia-associated proteins Runx1 and CBFbeta.”ic500.7000uM
4-[4-(trifluoromethyl)phenyl]-1,3-thiazol-2-amine1799112: FRET Assay from Article 10.1016/j.chembiol.2007.09.006: “Allosteric inhibition of the protein-protein interaction between the leukemia-associated proteins Runx1 and CBFbeta.”ic503.0000uM
4-(4-methoxyphenyl)-5-propyl-1,3-thiazol-2-amine1799112: FRET Assay from Article 10.1016/j.chembiol.2007.09.006: “Allosteric inhibition of the protein-protein interaction between the leukemia-associated proteins Runx1 and CBFbeta.”ic503.2000uM
5-ethyl-4-(4-methoxyphenyl)-1,3-thiazol-2-amine1799112: FRET Assay from Article 10.1016/j.chembiol.2007.09.006: “Allosteric inhibition of the protein-protein interaction between the leukemia-associated proteins Runx1 and CBFbeta.”ic503.2000uM
4-(2-methylphenyl)-1,3-thiazol-2-amine1799112: FRET Assay from Article 10.1016/j.chembiol.2007.09.006: “Allosteric inhibition of the protein-protein interaction between the leukemia-associated proteins Runx1 and CBFbeta.”ic503.3000uM
4-(3-chlorophenyl)-1,3-thiazol-2-amine1799112: FRET Assay from Article 10.1016/j.chembiol.2007.09.006: “Allosteric inhibition of the protein-protein interaction between the leukemia-associated proteins Runx1 and CBFbeta.”ic506.5000uM
4-(1,3-benzodioxol-5-yl)-1,3-thiazol-2-amine1799112: FRET Assay from Article 10.1016/j.chembiol.2007.09.006: “Allosteric inhibition of the protein-protein interaction between the leukemia-associated proteins Runx1 and CBFbeta.”ic506.5000uM

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
Benzo(a)pyreneaffects methylation, decreases methylation, increases expression4
Cisplatindecreases expression, increases reaction3
Doxorubicindecreases expression, increases expression, increases response to substance3
Aflatoxin B1increases expression, increases methylation3
Calcitrioldecreases expression, increases expression, affects cotreatment2
Chelating Agentsaffects binding, increases expression2
Copperaffects binding, increases expression2
Estradiolincreases expression, affects cotreatment2
Etoposideincreases mutagenesis, increases response to substance2
Tretinoindecreases expression2
Asbestos, Crocidoliteaffects expression2
Cadmium Chloridedecreases expression, increases abundance, increases expression2
HDN-1 compounddecreases expression1
epacadostatdecreases reaction, increases expression1
dicrotophosincreases expression1
cinobufaginincreases expression1
tungsten carbideincreases expression, affects binding1
chloroacetaldehydedecreases expression1
triphenyl phosphateaffects expression1
bisphenol Aaffects cotreatment, increases methylation, decreases methylation1
N(4)-hydroxycytidinedecreases expression1
arsenitedecreases methylation1
tris(1,3-dichloro-2-propyl)phosphateaffects expression1
sodium arseniteaffects methylation1
cobaltous chlorideincreases expression1
butyraldehydedecreases expression1
beryllium sulfateaffects binding, increases reaction1
ochratoxin Adecreases expression1
benzo(e)pyreneincreases methylation1
aflatoxin B2increases methylation1

ChEMBL screening assays

20 unique, capped per target: 17 binding, 3 functional

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL5697562BindingInhibition of RUNX1 (unknown origin) assessed as fold change at 10 uM incubated for 1 hr by colloidal coomassie staining based LC-MS/MS analysisInhibition of BET recruitment to chromatin as an effective treatment for MLL-fusion leukaemia. — Nature
CHEMBL1737904FunctionalPubChem BioAssay. qHTS Assay for Compounds Blocking the Interaction Between CBF-beta and RUNX1 for the Treatment of Acute Myeloid Leukemia: Hit Validation with Orthogonal Assay. (Class of assay: confirmatory)PubChem BioAssay data set

Cellosaurus cell lines

37 cell lines: 28 cancer cell line, 5 embryonic stem cell, 4 induced pluripotent stem cell

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

CellosaurusNameCategorySex
CVCL_0011KM-3Cancer cell lineFemale
CVCL_0589Kasumi-1Cancer cell lineMale
CVCL_1426Mono-Mac-6Cancer cell lineMale
CVCL_1650RehCancer cell lineFemale
CVCL_2150OCI-M2Cancer cell lineSex unspecified
CVCL_2196SKNO-1Cancer cell lineMale
CVCL_3943KOPN-41Cancer cell lineMale
CVCL_8462NOI-90Cancer cell lineFemale
CVCL_8857EU-1Cancer cell lineFemale
CVCL_A049WSU-CLLCancer cell lineFemale

Clinical trials (associated diseases)

301 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00199147PHASE4UNKNOWNEfficacy of G-CSF-Priming in Elderly AML Patients
NCT00304447PHASE4COMPLETEDStudy Evaluating the Effect of Corticosteroids on Mylotarg® Infusion-Related Adverse Events in Patients With Leukemia
NCT00464217PHASE4COMPLETEDTreatment of the Acute Myeloblastic Leukaemia in Patients Over 65 Years
NCT00487448PHASE4COMPLETEDSMD_FLAG-IDA_98: FLAG-IDA in Induction Treatment of High Risk Myelodysplastic Syndromes or Secondary Acute Myeloblastic Leukemia
NCT00488709PHASE4COMPLETEDFludarabine, Cytarabine, Topotecan in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia
NCT00686543PHASE4COMPLETEDOral Posaconazole in High Risk Patients With Gastrointestinal Dysfunction (Study P05115)
NCT01041040PHASE4COMPLETEDLAM07: Study to Analyze the Efficacy of a Risk Adapted Treatment Strategy, Including Gemtuzumab Ozogamicin (GO) During Consolidation, for Patients With Acute Myeloid Leukemia (AML)
NCT01198054PHASE4TERMINATEDLENA-LMA-5:Lenalidomide in Acute Myeloid Leukemia (AML)
NCT01200355PHASE4COMPLETEDPosaconazole Versus Micafungin for Prophylaxis Against Invasive Fungal Infections During Neutropenia in Patients Undergoing Chemotherapy for Acute Myelogenous Leukemia, Acute Lymphocytic Leukemia or Myelodysplastic Syndrome
NCT01347996PHASE4COMPLETEDMaintenance Therapy With Ceplene® (Histamine) and IL-2 on Immune Response and MRD in Acute Myeloid Leukemia
NCT01587430PHASE4UNKNOWN3 Anthracyclines, 2 Types of Consolidation With Different ARA-C Doses and Maintenance in Adult Acute Myeloid Leukemia
NCT01819792PHASE4COMPLETEDRespiratory Viral Infections During Acute Myeloid Leukemia (AML)Chemotherapy Related Aplasia
NCT02024308PHASE4UNKNOWNAML1-ETO Acute Myeloid Leukemia With Fludarabine and Cytarabine Chemotherapy
NCT02027064PHASE4UNKNOWNInterferon for the Intervention of Molecular Relapse in t (8; 21) AML After Allo-HSCT
NCT02277847PHASE4UNKNOWNIdarubicin at Different Dosages as Induction Therapy for Newly Diagnosed Acute Myeloid Leukaemia
NCT02386800PHASE4ACTIVE_NOT_RECRUITINGCINC424A2X01B Rollover Protocol
NCT02926586PHASE4COMPLETEDFludarabine and Cytarabine Versus High-dose Cytarabine for CBF-AML
NCT02933333PHASE4UNKNOWNG-CSF Alone or Combination With GM-CSF on Prevention and Treatment of Infection in Children With Malignant Tumor
NCT03026842PHASE4UNKNOWNDecitabine Versus Conventional Chemotherapy for Maintenance Therapy of Acute Myeloid Leukemia With t(8;21)
NCT03150134PHASE4UNKNOWNEarly Tapering of Immunosuppressive Agents to Immunomodulation to Improve Survival of AML Patients
NCT05144243PHASE4ACTIVE_NOT_RECRUITINGStudy to Assess Adverse Events and Change in Disease State of Oral Venetoclax in Combination With Subcutaneous (SC) Azacitidine in Newly Diagnosed Adult Participants With Acute Myeloid Leukemia (AML) Who Are Ineligible for Intensive Chemotherapy in China
NCT06370000PHASE4RECRUITINGOral Azacitidine in Transplant-Eligible Patients With Acute Myeloid Leukemia (AML) Suffering From Health-Inequality
NCT06571825PHASE4RECRUITINGRIC Allo-HSCT vs. Venetoclax-Based Consolidation in Elderly AML Patients After First CR
NCT07016165PHASE4RECRUITINGCiprofloxacin vs Ceftazidime for Empirical Treatment of High-Risk Neutropenic Fever in Children With Hematologic Malignancies
NCT07044687PHASE4RECRUITINGStudy to Assess Adverse Events and Change in Disease Activity of Oral Venetoclax in Combination With Subcutaneous (SC) or Intravenous (IV) Azacitidine in Newly Diagnosed Adult Participants With Acute Myeloid Leukemia (AML) Who Are Ineligible for Standard Induction Therapy in India
NCT07486713PHASE4RECRUITINGOlutasidenib DDI Study in Patients With IDH1 Mutation Positive Malignancies
NCT07561892PHASE4RECRUITINGStudy of the Effectiveness and Safety of Daunorubicin /Idarubicin ± Silibinin in Treating Newly Diagnosed AML (Non-M3).
NCT00000589PHASE3COMPLETEDTrial to Reduce Alloimmunization to Platelets (TRAP)
NCT00044486PHASE3COMPLETEDProphylaxis Trial of Posaconazole Versus Standard Azole Therapy for Neutropenic Patients (Study P01899)
NCT00093990PHASE3COMPLETEDTipifarnib Versus Best Supportive Care in the Treatment of Newly Diagnosed Acute Myeloid Leukemia (AML)
NCT00125606PHASE3TERMINATEDPhase 3 Trial for AML Patients in CR2 Comparing 8Gy TBI /Fludarabine to Conditioning With TBI 12Gy/Cyclophosphamide
NCT00136084PHASE3COMPLETEDTreatment of Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplasia
NCT00146120PHASE3COMPLETEDRisk-Adapted Therapy of Acute Myeloid Leukemia of Adults (18-60 Years) According to the Cytogenetic Result
NCT00150878PHASE3TERMINATEDStandard vs. Reduced-Intensity Conditioning in Patients With Acute Myeloid Leukemia in First Remission
NCT00151255PHASE3COMPLETEDAll-Trans Retinoic Acid in Combination With Standard Induction and Consolidation Therapy in Older Patients With Newly Diagnosed Acute Myeloid Leukemia
NCT00152139PHASE3COMPLETEDStem Cell Transplantation for Patients With Hematologic Malignancies
NCT00152594PHASE3TERMINATEDVoriconazole or Placebo in the Prophylaxis of Lung Infiltrates in Patients Undergoing Induction Chemotherapy for Acute Myelogenous Leukemia
NCT00186966PHASE3COMPLETEDTreatment of Children and Adolescents With Refractory or Relapsed Acute Myeloid Leukemia
NCT00226512PHASE3WITHDRAWNTo Determine the Role of Adding Campath-1H or ATG Given In-vivo in Addition to Fludarabine and Low Dose Busulfex on Outcome in Patients Treated With Reduced Intensity Conditioning
NCT00260832PHASE3COMPLETEDTrial of Decitabine in Patients With Acute Myeloid Leukemia