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VGLL2

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Summary

VGLL2 (vestigial like family member 2, HGNC:20232) is a protein-coding gene on chromosome 6q22.1, encoding Transcription cofactor vestigial-like protein 2 (Q8N8G2). May act as a specific coactivator for the mammalian TEFs.

This gene encodes a protein with a transcriptional enhancer factor 1 (TEF-1) interaction domain. The encoded protein may act as a co-factor of TEF-1 regulated gene expression during skeletal muscle development. Alternatively spliced transcript variants encoding multiple isoforms have been observed.

Source: NCBI Gene 245806 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): isolated congenital syngnathia (Strong, GenCC)
  • GWAS associations: 20
  • Clinical variants (ClinVar): 66 total
  • GTEx eGene: eQTL in 9 tissues, sQTL in 1 (q < 0.05)
  • Constraint (gnomAD): pLI 0.00 (LoF-tolerant), LOEUF 1.22 (unconstrained)
  • MANE Select transcript: NM_182645

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:20232
Approved symbolVGLL2
Namevestigial like family member 2
Location6q22.1
Locus typegene with protein product
StatusApproved
Ensembl geneENSG00000170162
Ensembl biotypeprotein_coding
OMIM609979
Entrez245806

Gene structure

Transcript identifiers

Ensembl transcripts: 8 — 7 protein_coding, 1 nonsense_mediated_decay

MANE Select: ENST00000326274

Transcript support level (Ensembl TSL; 1 = fully mRNA-supported): TSL 1: 2

ENST00000326274, ENST00000352536, ENST00000963224, ENST00000963225, ENST00001012201, ENST00001128657, ENST00001128658, ENST00001128659

RefSeq mRNA: 2 — MANE Select: NM_182645 NM_153453, NM_182645

CCDS: CCDS5114, CCDS5115

Canonical transcript exons

ENST00000326274 — 4 exons

ExonStartEnd
ENSE00001125990117268182117268491
ENSE00001229738117270543117271064
ENSE00001343964117265558117265844
ENSE00001397066117272454117273565

Expression profiles

Bgee: expression breadth broad, 86 present calls, max score 97.25.

FANTOM5 (CAGE): breadth tissue_specific, TPM avg 0.9496 / max 160.9558, expressed in 135 samples.

Highest expression (Bgee): skeletal muscle tissue of rectus abdominis, hindlimb stylopod muscle, tibialis anterior, skeletal muscle tissue, biceps brachii.

Genetic regulation across tissues (GTEx eQTL / sQTL)

VGLL2 is an eGene in GTEx v10 — its expression is genetically regulated (eQTL) in 9 tissues and its splicing (sQTL) in 1 (q < 0.05). Strongest associations first; slope = normalized effect of the lead variant’s alternative allele.

10 significant tissue × QTL associations:

TissueQTLq-valueSlopeLead variant
Adipose Visceral Omentumeqtl2.9e-42+1.126:117270456:G:C
Brain Spinal cord cervical c-1eqtl6.9e-17+1.246:117270124:G:A
Esophagus Mucosaeqtl5.4e-11+1.646:117197226:G:C
Brain Substantia nigraeqtl4.1e-09+0.946:117270456:G:C
Minor Salivary Glandeqtl8.7e-07+0.556:116975247:G:T
Heart Atrial Appendageeqtl1.5e-05+0.346:117204822:C:G
Skin Not Sun Exposed Suprapubiceqtl6.4e-05+0.286:116973965:G:A
Skin Sun Exposed Lower legeqtl1.4e-03+0.196:116972485:C:G
Muscle Skeletalsqtl3.1e-03-0.286:117272042:A:G
Brain Cerebellumeqtl1.6e-02-0.466:117310503:T:C

FANTOM5 promoters

1 alternative TSS:

Promoter IDTPM avgSamples expressed
694450.9496135

Top tissues by expression

showing 100 of 225 tissues by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
skeletal muscle tissue of rectus abdominisUBERON:000451197.25gold quality
hindlimb stylopod muscleUBERON:000425297.13gold quality
tibialis anteriorUBERON:000138595.83gold quality
skeletal muscle tissueUBERON:000113495.74gold quality
biceps brachiiUBERON:000150795.69gold quality
skeletal muscle tissue of biceps brachiiUBERON:000450295.36gold quality
quadriceps femorisUBERON:000137795.22gold quality
vastus lateralisUBERON:000137994.98gold quality
deltoidUBERON:000147694.62gold quality
gastrocnemiusUBERON:000138894.01gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099192.96gold quality
muscle of legUBERON:000138392.69gold quality
cardiac muscle of right atriumUBERON:000337991.18silver quality
muscle tissueUBERON:000238589.21gold quality
left ventricle myocardiumUBERON:000656688.27gold quality
male germ line stem cell (sensu Vertebrata) in testisCL:0000089 ∩ UBERON:000047386.54gold quality
upper arm skinUBERON:000426385.71gold quality
kidney epitheliumUBERON:000481982.01gold quality
nasal cavity epitheliumUBERON:000538473.74gold quality
pancreatic ductal cellCL:000207973.46silver quality
body of tongueUBERON:001187672.63gold quality
epithelial cell of pancreasCL:000008369.27gold quality
tongueUBERON:000172369.14gold quality
superficial temporal arteryUBERON:000161469.11gold quality
epithelium of nasopharynxUBERON:000195168.22gold quality
ileal mucosaUBERON:000033168.18silver quality
cerebellar vermisUBERON:000472066.18gold quality
cardiac atriumUBERON:000208165.44gold quality
lateral nuclear group of thalamusUBERON:000273665.44silver quality
superior surface of tongueUBERON:000737164.73gold quality
right atrium auricular regionUBERON:000663164.17gold quality
oocyteCL:000002363.77gold quality
synovial jointUBERON:000221762.82gold quality
layer of synovial tissueUBERON:000761662.27gold quality
subthalamic nucleusUBERON:000190661.82gold quality
substantia nigra pars reticulataUBERON:000196661.58gold quality
germinal epithelium of ovaryUBERON:000130461.51gold quality
amniotic fluidUBERON:000017361.48gold quality
thymusUBERON:000237060.33gold quality
pharyngeal mucosaUBERON:000035560.03silver quality
cardia of stomachUBERON:000116259.74gold quality
substantia nigra pars compactaUBERON:000196558.81gold quality
jejunumUBERON:000211558.62gold quality
mucosa of paranasal sinusUBERON:000503058.46gold quality
tibiaUBERON:000097958.45gold quality
ventral tegmental areaUBERON:000269158.37gold quality
lateral globus pallidusUBERON:000247658.36gold quality
inferior vagus X ganglionUBERON:000536358.35gold quality
heart right ventricleUBERON:000208058.24gold quality
superior vestibular nucleusUBERON:000722758.03gold quality
pericardiumUBERON:000240757.98gold quality
medulla oblongataUBERON:000189657.69gold quality
nippleUBERON:000203057.64gold quality
dorsal root ganglionUBERON:000004457.47gold quality
trigeminal ganglionUBERON:000167557.43gold quality
pylorusUBERON:000116657.36gold quality
ponsUBERON:000098857.33gold quality
renal medullaUBERON:000036257.30gold quality
penisUBERON:000098957.18gold quality
saphenous veinUBERON:000731856.73gold quality
trabecular bone tissueUBERON:000248356.52silver quality
parietal pleuraUBERON:000240056.43gold quality
epithelium of mammary glandUBERON:000324456.21gold quality
pigmented layer of retinaUBERON:000178256.10gold quality
mammary ductUBERON:000176556.02gold quality
visceral pleuraUBERON:000240155.97gold quality
tracheaUBERON:000312655.77gold quality
vena cavaUBERON:000408755.64gold quality
esophagus squamous epitheliumUBERON:000692055.34gold quality
tendon of biceps brachiiUBERON:000818855.31gold quality
oral cavityUBERON:000016755.29silver quality
Brodmann (1909) area 46UBERON:000648354.58gold quality
spermCL:000001954.50gold quality
urethraUBERON:000005753.95gold quality
placentaUBERON:000198753.74gold quality
oviduct epitheliumUBERON:000480452.70gold quality
heartUBERON:000094851.95gold quality
lower lobe of lungUBERON:000894951.61silver quality
parotid glandUBERON:000183151.54gold quality
deciduaUBERON:000245051.44gold quality
spinal cordUBERON:000224050.02gold quality
skin of hipUBERON:000155449.96silver quality
seminal vesicleUBERON:000099849.77gold quality
tendonUBERON:000004349.40gold quality
C1 segment of cervical spinal cordUBERON:000646949.18gold quality
cardiac ventricleUBERON:000208249.11gold quality
bronchusUBERON:000218549.03gold quality
heart left ventricleUBERON:000208448.80gold quality
bronchial epithelial cellCL:000232848.67gold quality
apex of heartUBERON:000209847.22gold quality
hypothalamusUBERON:000189847.17gold quality
sural nerveUBERON:001548846.98gold quality
globus pallidusUBERON:000187546.82gold quality
adult organismUBERON:000702345.83gold quality
mammalian vulvaUBERON:000099745.49gold quality
entorhinal cortexUBERON:000272845.31gold quality
colonic mucosaUBERON:000031744.41gold quality
parietal lobeUBERON:000187244.25gold quality
medial globus pallidusUBERON:000247743.96gold quality
gingivaUBERON:000182843.84gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 0.

ExperimentMarker?Max mean expression
E-ANND-3no1.96

HPA expression

RNA tissue specificity: Tissue enriched

40 HPA tissues / cells by nTPM:

Tissue / cellAxisnTPM
Skeletal muscletissue121.3
Tonguetissue28.7
Heart muscletissue5.2
Prefrontal cortextissue1.4
Cerebral cortextissue1.4
Motor cortextissue1.3
Midbraintissue1.2
Hypothalamustissue1.1
Corpus callosumtissue1.1
Retrosplenial and cingulate cortextissue1.0
Retrosplenial cortextissue0.9
Esophagustissue0.8
Occipital cortextissue0.6
Insular cortextissue0.6
Ponstissue0.5
Medulla oblongatatissue0.5
Thalamustissue0.5
Prostatetissue0.5
Somatosensory cortextissue0.5
Testistissue0.4
Spinal cordtissue0.4
Hippocampal formationtissue0.4
Entorhinal cortextissue0.4
Temporal cortextissue0.4
Basal gangliatissue0.3
Putamentissue0.3
Superior colliculitissue0.3
Cerebellumtissue0.3
Substantia nigratissue0.3
Skin 1tissue0.2
Postcentral gyrustissue0.2
Ventral forebraintissue0.2
Olfactory bulbtissue0.2
Septumtissue0.2
Seminal vesicletissue0.1
Amygdalatissue0.1
Choroid plexustissue0.1
Placentatissue0.1
Hippocampustissue0.1
Periaqueductal graytissue0.1

Brain sub-regions (HPA Brain Atlas): detected in 168; highest nTPM — Ventromedial nucleus (4.7), Lateral geniculate body (4.4), Ventral posterolateral thalamic nucleus (4.2), Anterior thalamic nucleus, ventral (4.0), Pulvinar (3.8).

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): FEZF1, MEF2C, MYF5, MYOD1, MYOG, NR0B1, SATB2

miRNA regulators (miRDB)

Targeting VGLL2 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific).

showing 30 of 60 miRNAs:

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-5011-5P100.0083.465820
HSA-MIR-190A-3P100.0080.355520
HSA-MIR-318599.9968.121959
HSA-MIR-4789-3P99.9970.752484
HSA-MIR-4715-3P99.9866.03670
HSA-MIR-1229-3P99.9766.49906
HSA-MIR-651-3P99.9473.485177
HSA-MIR-6721-5P99.9368.922981
HSA-MIR-130599.9171.433443
HSA-MIR-4753-3P99.9071.033786
HSA-MIR-6875-3P99.8270.262983
HSA-MIR-4659A-3P99.8072.624248
HSA-MIR-4659B-3P99.8072.624248
HSA-MIR-129999.7771.242389
HSA-MIR-4645-3P99.7669.33993
HSA-MIR-10393-3P99.7266.56961
HSA-MIR-6801-5P99.7266.50981
HSA-MIR-182599.7268.111089
HSA-MIR-366099.6867.331149
HSA-MIR-452699.6867.071136
HSA-MIR-320299.6667.702737
HSA-MIR-3679-3P99.6469.881599
HSA-MIR-516B-5P99.5666.331495
HSA-MIR-568999.5071.261154
HSA-MIR-20A-3P99.4469.101575
HSA-MIR-942-5P99.4168.401977
HSA-MIR-425199.4069.193363
HSA-MIR-751599.3168.221795
HSA-MIR-20B-3P99.2967.05784
HSA-MIR-6731-5P99.2867.422375

Functional genomics

gnomAD constraint: pLI 5.83e-06, LOEUF 1.22, missense Z -2.64 — population loss-of-function intolerance (pLI ≥ 0.9 = LoF-intolerant; lower LOEUF = more constrained). gnomAD

Regional missense constraint (gnomAD RMC): no regional variation along ENST00000326274 — one region, missense o/e 1.09.

Literature-anchored findings (GeneRIF, showing 5)

  • role in promoting skeletal muscle differention (PMID:12376544)
  • VITO-1 is a crucial new cofactor of the muscle regulatory programme (PMID:14762206)
  • Identify novel and recurrent VGLL2-related fusions in pediatric spindle and sclerosing rhabdomyosarcomas. (PMID:26501226)
  • A new perspective on the interaction between the Vg/VGLL1-3 proteins and the TEAD transcription factors. (PMID:33060790)
  • VGLL2-NCOA2 leverages developmental programs for pediatric sarcomagenesis. (PMID:36656711)

Cross-species orthologs

4 orthologs

OrganismSymbolGene ID
danio_reriovgll2aENSDARG00000041706
mus_musculusVgll2ENSMUSG00000049641
rattus_norvegicusVgll2ENSRNOG00000000405
drosophila_melanogastervgFBGN0003975

Paralogs (2): VGLL1 (ENSG00000102243), VGLL3 (ENSG00000206538)

Mouse-model phenotypes

Observed phenotypes of the mouse ortholog (MGI:2447460) from MGI (Alliance of Genome Resources) — knockout/mutant phenotypes, ranked by annotation count. 2 distinct phenotype terms.

Mouse phenotype (MP)Records
abnormal skeletal muscle fiber type ratio1
impaired exercise endurance1

Genomic neighbors (locus context)

Genes flanking this one on the chromosome (NCBI/Entrez gene neighborhood). Positional context only — some neighbors share regulatory elements (bidirectional promoters, antisense/overlapping transcripts), but chromosomal adjacency is not itself a functional relationship (see Interactions for that).

SymbolTypeEntrez
RFX6protein-coding222546
ROS1protein-coding6098

Protein

Protein identifiers

Transcription cofactor vestigial-like protein 2 — Q8N8G2 (reviewed: Q8N8G2)

Alternative names: Protein VITO1

All UniProt accessions (1): Q8N8G2

UniProt curated annotations — full annotation on UniProt →

Function. May act as a specific coactivator for the mammalian TEFs. May play a role in the development of skeletal muscles.

Subunit / interactions. Interacts with TEFs. Binds to TEAD1/TEF1.

Subcellular location. Nucleus.

Tissue specificity. Skeletal muscle.

Similarity. Belongs to the vestigial family.

Isoforms (2)

UniProt IDNamesCanonical?
Q8N8G2-11yes
Q8N8G2-22

RefSeq proteins (2): NP_703154, NP_872586* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR011520Vg_famFamily

Pfam: PF07545

UniProt features (11 total): compositionally biased region 5, region of interest 4, chain 1, splice variant 1

Structure

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q8N8G2-F155.140.13

Human Protein Atlas

Protein class: Predicted intracellular proteins

Protein evidence: Evidence at protein level

Function

Pathways and Gene Ontology

Reactome pathways

0 curated (TAS) of 0; 0 disease pathways. Curated-first; evidence = TAS (manually curated) vs IEA (electronic inference).

MSigDB gene sets: 48 (showing top): GOBP_MUSCLE_TISSUE_DEVELOPMENT, BENPORATH_ES_WITH_H3K27ME3, AGTCTTA_MIR499, GOBP_MUSCLE_STRUCTURE_DEVELOPMENT, GOBP_SKELETAL_MUSCLE_ORGAN_DEVELOPMENT, YRTCANNRCGC_UNKNOWN, chr6q22, GOMF_TRANSCRIPTION_COACTIVATOR_ACTIVITY, MEISSNER_NPC_HCP_WITH_H3K4ME2_AND_H3K27ME3, MEISSNER_BRAIN_HCP_WITH_H3K4ME2_AND_H3K27ME3, MIKKELSEN_MCV6_HCP_WITH_H3K27ME3, MIKKELSEN_NPC_HCP_WITH_H3K27ME3, GOBP_POSITIVE_REGULATION_OF_TRANSCRIPTION_BY_RNA_POLYMERASE_II, YANG_BCL3_TARGETS_UP, GOMF_TRANSCRIPTION_COREGULATOR_ACTIVITY

GO Biological Process (4): DNA-templated transcription (GO:0006351), regulation of transcription by RNA polymerase II (GO:0006357), regulation of DNA-templated transcription (GO:0006355), positive regulation of DNA-templated transcription (GO:0045893)

GO Molecular Function (2): transcription coactivator activity (GO:0003713), protein binding (GO:0005515)

GO Cellular Component (2): nucleus (GO:0005634), cytoplasm (GO:0005737)

GO top-level categories

14 GO namespaces:

CategoryTerms
regulation of DNA-templated transcription2
DNA-templated transcription2
gene expression1
RNA biosynthetic process1
transcription by RNA polymerase II1
regulation of gene expression1
regulation of RNA biosynthetic process1
positive regulation of RNA biosynthetic process1
transcription coregulator activity1
positive regulation of DNA-templated transcription1
binding1
intracellular membrane-bounded organelle1
intracellular anatomical structure1
cellular anatomical structure1

Protein interactions and networks

STRING

showing 15 of 294 interactions by confidence (×1000):

Protein AProtein BPartner UniProtScore
VGLL2TEAD1P28347894
VGLL2WWTR1Q9GZV5757
VGLL2MYOD1P15172698
VGLL2YAP1P46937673
VGLL2NCOA2Q15596655
VGLL2MYOGP15173637
VGLL2TFCP2Q12800570
VGLL2TEAD4Q15561534
VGLL2MYH1P12882523
VGLL2MEF2AQ02078506
VGLL2PAX3P23760492
VGLL2ACTA1P02568490
VGLL2CITED2Q99967459
VGLL2VGLL4Q14135442
VGLL2TCN2P20062386

IntAct

Human interaction partners of VGLL2 in IntAct, one row per partner (best MIscore; records = supporting IntAct interaction records).

1 partners by confidence:

PartnerInteraction typeMIscoreRecords
TEAD3physical association0.5603

BioGRID (2 interactions; top human partners by supporting records): RNF4 (Affinity Capture-MS), TEAD3 (Two-hybrid)

Disease & clinical

Genetic variants

Variant evidence for VGLL2: 66 ClinVar records (0 pathogenic / likely pathogenic); 20 GWAS associations.

ClinVar

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

ClassificationCount (floor)
Pathogenic0
Likely pathogenic0
Uncertain significance61
Likely benign1
Benign3

SpliceAI

Top 10 splice-impact sites by Δscore (adjacent positions with the same effect merged into one range; 26 predictions of 348):

Position(s)EffectΔscoreSites
6:117265845–117265846donor_loss1.00004
6:117268492–117268493donor_loss1.00005
6:117268175acceptor_gain0.9900
6:117268180–117268181acceptor_loss0.99006
6:117265845donor_loss0.9800
6:117270521acceptor_gain0.9700
6:117268179acceptor_loss0.9600
6:117270518acceptor_gain0.9600
6:117270529acceptor_gain0.9600
6:117270541–117270542acceptor_loss0.95005

AlphaMissense

568 missense substitutions predicted likely pathogenic (of 2,064 scored), across 152 residues. Top 20 hotspot residues, ranked by the number of likely-pathogenic substitutions (of those reachable by a single-nucleotide change), then by mean score:

ResidueLikely-pathogenic substitutionsMean am_pathogenicityMax am_pathogenicity
M790.8880.984
H10280.9970.999
F10380.9961.000
D10080.9910.999
F8880.9610.999
F14580.9550.991
F9180.9490.999
D9480.9090.985
F14180.9040.988
D23680.7650.903
C8570.9960.999
C370.9920.999
W14670.9810.996
R10570.9450.995
S270.9300.994
M3570.8720.970
E7970.8700.963
G9360.9960.999
V9960.9910.998
Y8060.9520.999

HPA cancer prognostics

RNA cancer specificity: Cancer enhanced (Glioblastoma Multiforme, Lung Adenocarcinoma)

Disease associations

OMIM: gene MIM:609979 | disease phenotypes:

GenCC curated gene-disease

1 curated gene-disease records:

DiseaseClassificationInheritanceRecords
isolated congenital syngnathiaStrongAutosomal recessive

Mondo (1): isolated congenital syngnathia (MONDO:0015409)

GWAS associations

20 associations:

StudyTraitp-value
GCST006014_12Creatine kinase levels6e-15
GCST90011899_196Aspartate aminotransferase levels4e-14
GCST010796_4064Electrocardiogram morphology (amplitude at temporal datapoints)5e-14
GCST90020028_193Hip circumference adjusted for BMI1e-13
GCST000817_46Height1e-11
GCST008839_148Height8e-11
GCST010796_4118Electrocardiogram morphology (amplitude at temporal datapoints)4e-10
GCST010989_61Body size at age 105e-10
GCST012226_701Waist circumference adjusted for body mass index6e-10
GCST010796_4063Electrocardiogram morphology (amplitude at temporal datapoints)1e-9
GCST90020028_194Hip circumference adjusted for BMI2e-9
GCST007094_65Diastolic blood pressure4e-9
GCST010796_4116Electrocardiogram morphology (amplitude at temporal datapoints)1e-8
GCST005989_17Serum total protein levels2e-8
GCST010796_4062Electrocardiogram morphology (amplitude at temporal datapoints)2e-8
GCST010796_4117Electrocardiogram morphology (amplitude at temporal datapoints)2e-8
GCST004731_1Facial emotion recognition (fearful faces)1e-6
GCST008155_73Waist-hip ratio1e-6
GCST003542_178Night sleep phenotypes2e-6
GCST004748_74Lung cancer5e-6

EFO canonical traits (from GWAS)

9 canonical traits:

EFO IDTrait name
EFO:0008329facial emotion recognition measurement
EFO:0004534creatine kinase measurement
EFO:0006336diastolic blood pressure
EFO:0004343waist-hip ratio
EFO:0004327electrocardiography
EFO:0009819comparative body size at age 10, self-reported
EFO:0007789BMI-adjusted waist circumference
EFO:0004736aspartate aminotransferase measurement
EFO:0008039BMI-adjusted hip circumference

Drugs & pharmacology

Drug and pharmacology data

Is drug target: no

PharmGKB: 1 entry (CPIC guideline: no)

CTD chemical–gene interactions

21 total (human), top 21 by PubMed support.

ChemicalActions (top 5)PubMed papers
Benzo(a)pyrenedecreases expression, increases methylation2
Nickeldecreases expression2
bisphenol Aaffects cotreatment, decreases methylation1
terbufosincreases methylation1
arseniteincreases methylation1
ferrous chloridedecreases expression1
S-(1,2-dichlorovinyl)cysteineaffects response to substance, increases expression, affects cotreatment1
pentanalincreases expression1
abrineincreases expression1
incobotulinumtoxinAdecreases expression1
Fulvestrantaffects cotreatment, decreases methylation1
Diethylhexyl Phthalateincreases expression1
Fonofosincreases methylation1
Lipopolysaccharidesaffects response to substance, affects cotreatment, increases expression1
Parathionincreases methylation1
Smokeincreases expression1
Dronabinoldecreases expression1
Triclosanincreases expression1
Valproic Aciddecreases methylation1
Aflatoxin B1decreases methylation1
Okadaic Acidincreases expression1

Clinical trials (associated diseases)

Via MONDO — disease-level, not drug-specific.