TTLL4

gene
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Also known as KIAA0173

Summary

TTLL4 (tubulin tyrosine ligase like 4, HGNC:28976) is a protein-coding gene on chromosome 2q35, encoding Tubulin monoglutamylase TTLL4 (Q14679). Monoglutamylase which modifies both tubulin and non-tubulin proteins, adding a single glutamate on the gamma-carboxyl group of specific glutamate residues of target proteins.

Predicted to enable tubulin binding activity and tubulin-glutamic acid ligase activity. Predicted to be involved in microtubule cytoskeleton organization and protein polyglutamylation. Predicted to act upstream of or within regulation of blastocyst development. Predicted to be located in cytosol. Predicted to be active in ciliary basal body.

Source: NCBI Gene 9654 — RefSeq curated summary.

At a glance

  • GWAS associations: 7
  • Clinical variants (ClinVar): 157 total
  • MANE Select transcript: NM_014640

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:28976
Approved symbolTTLL4
Nametubulin tyrosine ligase like 4
Location2q35
Locus typegene with protein product
StatusApproved
AliasesKIAA0173
Ensembl geneENSG00000135912
Ensembl biotypeprotein_coding
OMIM618738
Entrez9654

Gene structure

Transcript identifiers

Ensembl transcripts: 32 — 21 protein_coding, 9 retained_intron, 2 nonsense_mediated_decay

ENST00000392102, ENST00000415717, ENST00000417196, ENST00000417855, ENST00000424644, ENST00000434241, ENST00000436668, ENST00000437755, ENST00000442769, ENST00000448224, ENST00000457313, ENST00000461181, ENST00000465558, ENST00000467841, ENST00000472527, ENST00000475950, ENST00000480472, ENST00000480929, ENST00000491899, ENST00000494428, ENST00000863359, ENST00000863360, ENST00000863361, ENST00000863362, ENST00000863363, ENST00000917349, ENST00000917350, ENST00000917351, ENST00000917352, ENST00000917353, ENST00000917354, ENST00000958172

RefSeq mRNA: 1 — MANE Select: NM_014640 NM_014640

CCDS: CCDS2422

Canonical transcript exons

ENST00000392102 — 20 exons

ExonStartEnd
ENSE00000922311218740058218740167
ENSE00000922312218740521218740584
ENSE00000922313218745109218745233
ENSE00000922314218745691218745801
ENSE00000922324218752763218752973
ENSE00000922325218753115218753185
ENSE00001510708218754134218755416
ENSE00001510709218737579218739163
ENSE00001510710218727269218727347
ENSE00001510712218710835218711037
ENSE00003506572218747597218747725
ENSE00003519640218747290218747372
ENSE00003538530218753584218753669
ENSE00003557432218748105218748227
ENSE00003560895218751704218751806
ENSE00003568129218746155218746231
ENSE00003589579218750009218750146
ENSE00003632128218748836218748934
ENSE00003645234218749253218749387
ENSE00003691390218747003218747194

Expression profiles

Bgee: expression breadth ubiquitous, 239 present calls, max score 96.73.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 19.7245 / max 322.5290, expressed in 1796 samples.

FANTOM5 promoters (16 alternative TSS)

Promoter IDTPM avgSamples expressed
2537213.43791750
253743.36451364
253730.7290475
253800.4821114
253710.3675192
253840.288995
253790.268757
253860.203587
253870.187592
253810.150758

Top tissues by expression

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

TissueAnatomy IDExpression scoreQuality
left testisUBERON:000453396.73gold quality
right testisUBERON:000453496.60gold quality
C1 segment of cervical spinal cordUBERON:000646994.69gold quality
tibial nerveUBERON:000132394.46gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099194.05gold quality
testisUBERON:000047393.76gold quality
pigmented layer of retinaUBERON:000178293.43gold quality
retinaUBERON:000096693.41gold quality
ventricular zoneUBERON:000305393.20gold quality
lower esophagus mucosaUBERON:003583492.12gold quality
right uterine tubeUBERON:000130292.10gold quality
adenohypophysisUBERON:000219691.24gold quality
spinal cordUBERON:000224091.12gold quality
skin of abdomenUBERON:000141690.54gold quality
granulocyteCL:000009490.41gold quality
minor salivary glandUBERON:000183090.09gold quality
sural nerveUBERON:001548889.87gold quality
pituitary glandUBERON:000000789.70gold quality
skin of legUBERON:000151189.68gold quality
right adrenal gland cortexUBERON:003582789.58gold quality
mucosa of transverse colonUBERON:000499189.31gold quality
caudate nucleusUBERON:000187389.29gold quality
ganglionic eminenceUBERON:000402389.28gold quality
monocyteCL:000057689.24gold quality
upper lobe of left lungUBERON:000895289.20gold quality
left adrenal gland cortexUBERON:003582589.14gold quality
right frontal lobeUBERON:000281089.09gold quality
putamenUBERON:000187489.03gold quality
leukocyteCL:000073888.97gold quality
right adrenal glandUBERON:000123388.95gold quality

Single-cell (SCXA)

Detected in 2 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-ANND-3yes5.03
E-GEOD-99795no63.32

Regulation

Is transcription factor: no

miRNA regulators (miRDB)

67 targeting TTLL4, 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-3613-3P100.0076.367965
HSA-MIR-4510100.0066.602050
HSA-MIR-6127100.0066.762188
HSA-MIR-6129100.0066.462080
HSA-MIR-6130100.0066.692012
HSA-MIR-6133100.0066.482064
HSA-MIR-450099.9972.722367
HSA-MIR-520G-5P99.9966.76658
HSA-LET-7A-5P99.9872.291790
HSA-LET-7B-5P99.9872.311790
HSA-LET-7C-5P99.9872.291790
HSA-LET-7E-5P99.9872.291790
HSA-LET-7F-5P99.9872.561784
HSA-LET-7G-5P99.9872.371784
HSA-LET-7I-5P99.9872.371788
HSA-MIR-98-5P99.9872.331787
HSA-MIR-806899.9873.852376
HSA-LET-7D-5P99.9671.761632
HSA-MIR-445899.9671.641650
HSA-MIR-589-3P99.9169.622088
HSA-MIR-7162-3P99.8968.161682
HSA-MIR-1211999.8768.351653
HSA-MIR-477999.8666.501583
HSA-MIR-132199.8465.301811
HSA-MIR-473999.8465.251832
HSA-MIR-4756-5P99.8464.981809
HSA-MIR-607999.8468.541170
HSA-MIR-6715A-3P99.8368.051473
HSA-MIR-313399.8170.923506
HSA-MIR-4713-5P99.7867.801794

Literature-anchored findings (GeneRIF, showing 2)

  • Characterization of another human tubulin tyrosine ligase-like gene family member (PMID:11054573)
  • Tubulin Tyrosine Ligase Like 4 (TTLL4) overexpression in breast cancer cells is associated with brain metastasis and alters exosome biogenesis. (PMID:32998758)

Cross-species orthologs

6 orthologs

OrganismSymbolGene ID
danio_reriottll4ENSDARG00000078935
mus_musculusTtll4ENSMUSG00000033257
rattus_norvegicusTtll4ENSRNOG00000017129
drosophila_melanogasterTTLL4AFBGN0026147
drosophila_melanogasterTTLL4BFBGN0031574
caenorhabditis_elegansWBGENE00014232

Paralogs (12): TTLL1 (ENSG00000100271), TTLL12 (ENSG00000100304), TTLL2 (ENSG00000120440), TTLL9 (ENSG00000131044), TTLL7 (ENSG00000137941), TTLL8 (ENSG00000138892), TTLL10 (ENSG00000162571), TTLL6 (ENSG00000170703), TTLL11 (ENSG00000175764), KPRP (ENSG00000203786), TTLL13 (ENSG00000213471), TTLL3 (ENSG00000214021)

Protein

Protein identifiers

Tubulin monoglutamylase TTLL4Q14679 (reviewed: Q14679)

Alternative names: Protein monoglutamylase TTLL4, Tubulin–tyrosine ligase-like protein 4

All UniProt accessions (11): C9J3I1, C9J982, C9JB60, E7EX20, E9PH58, Q14679, H7BZY4, H7C1F7, H7C2S3, H7C421, H7C470

UniProt curated annotations — full annotation on UniProt →

Function. Monoglutamylase which modifies both tubulin and non-tubulin proteins, adding a single glutamate on the gamma-carboxyl group of specific glutamate residues of target proteins. Involved in the side-chain initiation step of the polyglutamylation reaction but not in the elongation step. Preferentially modifies beta-tail tubulin over the alpha-tubulin. Monoglutamylates nucleosome assembly proteins NAP1L1 and NAP1L4. Monoglutamylates nucleotidyltransferase CGAS, leading to inhibition of CGAS catalytic activity, thereby preventing antiviral defense function. Involved in KLF4 glutamylation which impedes its ubiquitination, thereby leading to somatic cell reprogramming, pluripotency maintenance and embryogenesis.

Subcellular location. Cytoplasm. Cell projection. Cilium. Cytoskeleton. Cilium basal body.

Domain organisation. The flexible c-MTBD (cationic microtubule binding domain) region mediates binding to microtubules. It is positively charged and becomes ordered when bound to microtubules: it interacts with a negatively charged patch on tubulin. The presence of positive charges in the c-MTBD region is essential for proper binding. Arg-727 is the main determinant for regioselectivity, which segregates between initiases and elongases in all tubulin–tyrosine ligase family. A glutamine residue at this position is found in elongases TTLL6, TTLL9, TTLL11, TTLL13, TTLL10 and favors glutamate-chain elongation, whereas an arginine residue is found in initiases TTLL2, TTLL4, TTLL5, TTLL3, TTLL8 and favors initiation.

Similarity. Belongs to the tubulin–tyrosine ligase family.

RefSeq proteins (1): NP_055455* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR004344TTL/TTLL_famFamily

Pfam: PF03133

Catalyzed reactions (Rhea), 1 shown:

  • L-glutamyl-[protein] + L-glutamate + ATP = gamma-L-glutamyl-L-glutamyl-[protein] + ADP + phosphate + H(+) (RHEA:60144)

UniProt features (39 total): binding site 15, sequence variant 8, compositionally biased region 6, region of interest 5, chain 1, domain 1, site 1, modified residue 1, mutagenesis site 1

Structure

Experimental structures (PDB)

1 structures.

PDBMethodResolution (Å)
5T6XX-RAY DIFFRACTION1.69

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q14679-F159.090.35

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 (1): 727 (essential for specifying initiation versus elongation step of the polyglutamylase activity)

Ligand- & substrate-binding residues (15): 721; 727–728; 727; 749–752; 762–764; 788; 809–810; 811; 812; 833; 893; 906

Post-translational modifications (1): 691

Mutagenesis-validated functional residues (1):

PositionPhenotype
978–981decreased binding to microtubules and polyglutamylase activity.

Function

Pathways and Gene Ontology

Reactome pathways

1 pathways

IDPathway
R-HSA-8955332Carboxyterminal post-translational modifications of tubulin

MSigDB gene sets: 177 (showing top): GOBP_EMBRYO_DEVELOPMENT_ENDING_IN_BIRTH_OR_EGG_HATCHING, BUYTAERT_PHOTODYNAMIC_THERAPY_STRESS_DN, MORF_BRCA1, YANG_BREAST_CANCER_ESR1_LASER_DN, FRASOR_RESPONSE_TO_SERM_OR_FULVESTRANT_DN, GGAMTNNNNNTCCY_UNKNOWN, GOCC_MICROTUBULE_ORGANIZING_CENTER, MODULE_205, GOBP_IN_UTERO_EMBRYONIC_DEVELOPMENT, SMID_BREAST_CANCER_LUMINAL_A_DN, GOBP_BLASTOCYST_DEVELOPMENT, LIAO_METASTASIS, CYTAGCAAY_UNKNOWN, GOBP_PEPTIDYL_GLUTAMIC_ACID_MODIFICATION, BOYAULT_LIVER_CANCER_SUBCLASS_G1_UP

GO Biological Process (5): microtubule cytoskeleton organization (GO:0000226), protein polyglutamylation (GO:0018095), peptidyl-glutamic acid modification (GO:0018200), regulation of blastocyst development (GO:0120222), protein modification process (GO:0036211)

GO Molecular Function (8): ATP binding (GO:0005524), tubulin binding (GO:0015631), metal ion binding (GO:0046872), protein-glutamic acid ligase activity (GO:0070739), tubulin-glutamic acid ligase activity (GO:0070740), protein-glutamic acid ligase activity, initiating (GO:0106437), nucleotide binding (GO:0000166), ligase activity (GO:0016874)

GO Cellular Component (8): cytosol (GO:0005829), microtubule (GO:0005874), ciliary basal body (GO:0036064), 9+0 non-motile cilium (GO:0097731), cytoplasm (GO:0005737), cytoskeleton (GO:0005856), cilium (GO:0005929), cell projection (GO:0042995)

Reactome top-level categories

Rollup of top-1 pathways:

CategoryPathways
Post-translational protein modification1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure3
protein-glutamic acid ligase activity2
cytoskeleton organization1
microtubule-based process1
peptidyl-glutamic acid modification1
peptidyl-amino acid modification1
blastocyst development1
regulation of developmental process1
protein metabolic process1
macromolecule modification1
adenyl ribonucleotide binding1
purine ribonucleoside triphosphate binding1
cytoskeletal protein binding1
cation binding1
acid-amino acid ligase activity1
catalytic activity, acting on a protein1
nucleoside phosphate binding1
heterocyclic compound binding1
catalytic activity1
cytoplasm1
microtubule cytoskeleton1
polymeric cytoskeletal fiber1
microtubule organizing center1
cilium1
non-motile cilium1
intracellular anatomical structure1
intracellular membraneless organelle1
intraciliary transport particle1
membrane-bounded organelle1
plasma membrane bounded cell projection1

Protein interactions and networks

STRING

676 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
TTLL4AGBL4Q5VU57807
TTLL4TTLL12Q14166709
TTLL4AGBL5Q8NDL9684
TTLL4TTLQ8NG68570
TTLL4TTLL5Q6EMB2570
TTLL4ATAT1Q5SQI0554
TTLL4CPXM2Q8N436530
TTLL4TTLL10Q6ZVT0515
TTLL4AGTPBP1Q9UPW5479
TTLL4SPASTQ9UBP0471
TTLL4TTLL1O95922451
TTLL4TTLL6Q8N841438
TTLL4KIF17Q9P2E2433
TTLL4TTLL11Q8NHH1432
TTLL4SVBPQ8N300426

IntAct

22 interactions, top by confidence:

ABTypeScore
MAPK8IP1MAPK8psi-mi:“MI:0914”(association)0.770
MAPK8IP1HOXC8psi-mi:“MI:0914”(association)0.530
NNOP56psi-mi:“MI:0914”(association)0.530
AHSPTTLL4psi-mi:“MI:0914”(association)0.530
AGTPBP1TTLL4psi-mi:“MI:0915”(physical association)0.400
Xpo1IFT56psi-mi:“MI:0914”(association)0.350
LZTS2MYO9Apsi-mi:“MI:0914”(association)0.350
VTNHAT1psi-mi:“MI:0914”(association)0.350
PSME3C11orf98psi-mi:“MI:0914”(association)0.350
PIPSLC1orf226psi-mi:“MI:0914”(association)0.350
FTLSH3PXD2Bpsi-mi:“MI:0914”(association)0.350
TTLL4ANKRD28psi-mi:“MI:0914”(association)0.350
AHSPRP2psi-mi:“MI:0914”(association)0.350
MAPK8IP1NEDD4psi-mi:“MI:0914”(association)0.350
MAPK8IP2SEMG1psi-mi:“MI:0914”(association)0.350
AHSPGMFBpsi-mi:“MI:0914”(association)0.350
FTLpsi-mi:“MI:0914”(association)0.350
PCM1CCDC66psi-mi:“MI:2364”(proximity)0.270

BioGRID (36): TTLL4 (Affinity Capture-RNA), TTLL4 (Affinity Capture-MS), TTLL4 (Proximity Label-MS), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-RNA), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-MS), TTLL4 (Affinity Capture-RNA), TTLL4 (Affinity Capture-MS)

ESM2 similar proteins: A0JM98, A1L1H3, A4Q9E8, A4Q9F0, A4Q9F6, A6NNM8, A7MBJ2, A8CVX7, D3ZF42, O54928, O75159, O88866, P51957, P57058, P59110, Q08D35, Q0P4M4, Q14679, Q29RN6, Q5NC05, Q5QJC4, Q5R978, Q5RHD1, Q5SUS0, Q5T7B8, Q63679, Q68UT7, Q6EEF3, Q6EMB2, Q6GQJ2, Q6IE81, Q6IE82, Q6IRU7, Q6NWW5, Q6P1H6, Q6P7W0, Q6PCM1, Q6PJP8, Q6ZPI0, Q7TP65

Diamond homologs: A2APC3, A4Q9E4, A4Q9E5, A4Q9E8, A4Q9F0, A4Q9F1, A4Q9F4, A4Q9F6, A6NNM8, A6PVC2, A8CVX7, A8X9V4, B2GUB3, E9P886, F7E540, H2KZM9, O95922, P38160, P38584, Q09647, Q0VC71, Q14679, Q1ECV4, Q23AS2, Q23K29, Q23MT7, Q23SI8, Q3SXZ7, Q3SZH6, Q564U4, Q5PPI9, Q5R978, Q641W7, Q6EEF3, Q6EMB2, Q6ZT98, Q80UG8, Q8CHB8, Q8N841, Q8NG68

SIGNOR signaling

0 interactions.

Disease & clinical

Clinical variants and AI predictions

ClinVar

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

ClassificationCount (floor)
Pathogenic0
Likely pathogenic0
Uncertain significance127
Likely benign7
Benign4

Top pathogenic / likely-pathogenic (0)

SpliceAI

2952 predictions. Top by Δscore:

VariantEffectΔscore
2:218740163:GGAGG:Gdonor_gain1.0000
2:218740164:GAGG:Gdonor_gain1.0000
2:218740164:GAGGG:Gdonor_gain1.0000
2:218740166:GG:Gdonor_gain1.0000
2:218740167:GG:Gdonor_gain1.0000
2:218740168:G:GGdonor_gain1.0000
2:218740168:GTGA:Gdonor_loss1.0000
2:218740169:T:Adonor_loss1.0000
2:218740517:CTA:Cacceptor_loss1.0000
2:218740518:TA:Tacceptor_loss1.0000
2:218740519:A:AGacceptor_gain1.0000
2:218740520:G:Aacceptor_loss1.0000
2:218740520:G:GGacceptor_gain1.0000
2:218740520:GGA:Gacceptor_gain1.0000
2:218740582:TAGG:Tdonor_loss1.0000
2:218740583:AGGTA:Adonor_loss1.0000
2:218740584:GGT:Gdonor_loss1.0000
2:218740585:G:Tdonor_loss1.0000
2:218740586:T:Gdonor_loss1.0000
2:218745680:A:AGacceptor_gain1.0000
2:218745800:AA:Adonor_gain1.0000
2:218745802:G:GGdonor_gain1.0000
2:218747002:GCTAA:Gacceptor_gain1.0000
2:218747191:GCCA:Gdonor_gain1.0000
2:218747195:G:GGdonor_gain1.0000
2:218747288:A:AGacceptor_gain1.0000
2:218747289:G:GGacceptor_gain1.0000
2:218747289:GCCA:Gacceptor_gain1.0000
2:218747720:TTGC:Tdonor_gain1.0000
2:218747726:G:GGdonor_gain1.0000

AlphaMissense

7879 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
2:218745729:T:AW609R1.000
2:218745729:T:CW609R1.000
2:218746178:T:AW641R1.000
2:218746178:T:CW641R1.000
2:218747037:G:CR670T1.000
2:218747039:A:CK671Q1.000
2:218747041:G:CK671N1.000
2:218747041:G:TK671N1.000
2:218747180:T:AW718R1.000
2:218747180:T:CW718R1.000
2:218748156:C:AN810K1.000
2:218748156:C:GN810K1.000
2:218749330:A:TD893V1.000
2:218745760:T:AV619D0.999
2:218746166:T:AW637R0.999
2:218746166:T:CW637R0.999
2:218746180:G:CW641C0.999
2:218746180:G:TW641C0.999
2:218747008:C:AN660K0.999
2:218747008:C:GN660K0.999
2:218747009:C:GH661D0.999
2:218747024:T:CF666L0.999
2:218747026:C:AF666L0.999
2:218747026:C:GF666L0.999
2:218747033:G:AG669R0.999
2:218747033:G:CG669R0.999
2:218747033:G:TG669W0.999
2:218747034:G:AG669E0.999
2:218747037:G:TR670M0.999
2:218747038:G:CR670S0.999

dbSNP variants (sampled 300 via entrez): RS1000142178 (2:218712547 C>T), RS1000152674 (2:218736302 T>C), RS1000167682 (2:218752078 T>A), RS1000266793 (2:218759209 C>T), RS1000289072 (2:218743015 G>A), RS1000298137 (2:218744839 C>T), RS1000375787 (2:218756813 A>C,T), RS1000431865 (2:218749898 T>G), RS1000510590 (2:218713585 G>A), RS1000571296 (2:218718368 ATTTTC>A), RS1000597591 (2:218709025 G>A), RS1000630851 (2:218746676 G>A,C,T), RS1000661829 (2:218724715 C>CTGCCATTT), RS1000708056 (2:218751522 A>G,T), RS1000781731 (2:218728163 T>C,G)

Disease associations

OMIM: gene MIM:618738 | disease phenotypes:

GenCC curated gene-disease

Mondo (0):

Orphanet (0):

HPO phenotypes

0 total (0 of 0 shown, HPO-id order):

GWAS associations

7 associations (top):

StudyTraitp-value
GCST001664_1Amyotrophic lateral sclerosis6.000000e-07
GCST002702_116Height2.000000e-08
GCST006661_114Male-pattern baldness2.000000e-16
GCST010083_351Hemoglobin levels1.000000e-15
GCST90020025_1749Waist-to-hip ratio adjusted for BMI2.000000e-10
GCST90020027_590Waist-hip index9.000000e-11
GCST90020029_984Waist circumference adjusted for body mass index3.000000e-09

EFO canonical traits (3, from GWAS)

EFO IDTrait name
EFO:0004509hemoglobin measurement
EFO:0007788BMI-adjusted waist-hip ratio
EFO:0007789BMI-adjusted waist circumference

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

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

CTD chemical–gene interactions

19 total (human), top 19 by PubMed support.

ChemicalActions (top 5)PubMed papers
Cyclosporineincreases expression2
dicrotophosincreases expression1
triphenyl phosphateaffects expression1
pirinixic acidaffects binding, increases activity, increases expression1
bisphenol Aincreases methylation1
hydroxyhydroquinoneincreases expression1
beta-lapachoneincreases expression1
sodium arseniteincreases expression1
cobaltous chloridedecreases expression1
di-n-butylphosphoric acidaffects expression1
K 7174increases expression1
Sunitinibincreases expression1
Benzo(a)pyreneincreases expression1
Caffeineincreases phosphorylation1
Doxorubicindecreases expression1
Estradiolincreases expression1
Formaldehydedecreases expression1
Tretinoinincreases expression1
Copper Sulfateincreases expression1

Clinical trials (associated diseases)

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

No linked Atlas pages yet — the cross-entity mesh grows as the corpus expands.