CBA

HoliRD REPORT:

Retinitis Pigmentosa

Marina Esteban Medina

María Peña-Chilet

Carlos Loucera

Joaquín Dopazo

Clinical Bioinformatics Area - FPS

Sevilla, January 13, 2020

Collaborators:

Dra.Carmen Ayuso ’s group - U704 CIBERER

Research group at Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid .

Dra.Regina Rodrigo ’s group - U755 CIBERER

Research group at IIS La Fe - Instituto de Investigación Sanitaria La Fe, Valencia.

Dra.Gemma Marfany ’s group - U718 CIBERER

Research group at Instituto de Biomedicina de la Universidad de Barcelona (IBUB), Barcelona. CBA

Objectives and methodology:

The Holistic Rare Disease project (HoliRD) aims to build Diseases Maps for as many Rare Diseases as possible and to model them to systematize research in drug repurposing. In order to achieve this purpose several databases such as ORPHANET, OMIM, HPO, PubMed, KEGG, STRING, as well as the literature is used to collect all the up-to-date knowledge of the diseases under study and defining a Disease Map that contains the functional relationships among the known disease , as well as the functional consequences of their activity. Then, a mechanistic model that accounts for the activity of such map is used. The HiPathia algorithm, which has successfully proven to predict cell activities related to cancer hallmarks (Hidalgo et al., Oncotarget 2017; 8:5160-5178; Hidalgo et al., Biol Direct. 2018;13:16) as well as the effect of inhibitions on cell survival (Cubuk et al., Cancer Res. 2018; 78:6059-6072) is used to simulate the activity of the disease map.

Finally, machine learning algorithms are used to find other , already target of drugs with another indication, which display a potential causal effect on the activity of the previously defined disease map. The drugs that target these proteins are potential candidates for repurposing.

Schematic representation of the method used.

Examples of the use of this approach can be found in Esteban-Medina et al., BMC Bioinformatics. 2019, 20(1):370. CBA

Report

This report describes the results of the different steps of the HoliRD approach applied to .

Identification of genes highly related to the rare disease (RD) under study in Orphanet/OMIM.

A total of 94 genes annotated as Retinitis Pigmentosa (RP) were found in the OMIM/ORPHANET database.

RP highly related genes

Disease ID ID symbol Disease ID Entrez ID Gene Symbol

OMIM:615565 4751 NEK2 OMIM:613862 10461 MERTK

OMIM:613341 9227 LRAT OMIM:617763 23404 EXOSC2

OMIM:615233 5949 RBP3 OMIM:615922 9128 PRPF4

OMIM:613731 6010 RHO OMIM:312600 6102 RP2

OMIM:613767 1258 CNGB1 OMIM:613581 50939 IMPG2

OMIM:617781 9742 IFT140 OMIM:609033 28982 FLVCR1

OMIM:613809 7399 USH2A OMIM:613582 5148 PDE6G

OMIM:617023 60509 AGBL5 OMIM:300029 6103 RPGR

OMIM:613794 6121 RPE65 OMIM:613464 123016 TTC8

OMIM:616544 138050 HGSNAT OMIM:604232 55812 SPATA7

OMIM:180100 6101 RP1 OMIM:180105 3614 IMPDH1

OMIM:615725 57709 SLC7A14 OMIM:600132 7287 TULP1

OMIM:613801 5158 PDE6B OMIM:609923 10210 TOPORS

OMIM:612674 26090 ABHD12 OMIM:613758 6295 SAG

OMIM:617871 112752 IFT43 OMIM:250410 10283 CWC27 CBA

OMIM:608380 375298 CERKL OMIM:268000 23746 AIPL1

OMIM:600059 10594 PRPF8 OMIM:268000 1259 CNGA1

OMIM:276900 10083 USH1C OMIM:268000 157657 C8ORF37

OMIM:276900 4647 MYO7A OMIM:268000 1406 CRX

OMIM:180104 6100 RP9 OMIM:268000 6094 ROM1

OMIM:617460 3098 HK1 OMIM:613810 5145 PDE6A

OMIM:614180 7401 CLRN1 OMIM:613660 92211 CDHR1

OMIM:617304 92840 REEP6 OMIM:612572 3420 IDH3B

OMIM:617433 23370 ARHGEF18 OMIM:606068 84140 FAM161A

OMIM:300424 8481 OFD1 OMIM:608133 5961 PRPH2

OMIM:602772 346007 EYS OMIM:613617 130557 ZNF513

OMIM:614181 4117 MAK OMIM:607921 25794 FSCN2

OMIM:618345 196 AHR OMIM:607236 80025 PANK2

OMIM:600105 23418 CRB1 OMIM:616959 51095 TRNT1

OMIM:610282 64218 SEMA4A OMIM:610599 768206 PRCD

OMIM:618220 9785 DHX38 OMIM:613428 388939 PCARE

OMIM:616469 79797 ZNF408 ORPHA:791 6017 RLBP1

OMIM:613861 79947 DHDDS ORPHA:791 8842 PROM1

OMIM:618195 49855 SCAPER ORPHA:791 7439 BEST1

OMIM:601718 24 ABCA4 ORPHA:791 54806 AHI1

ORPHA:436274 2677 GGCX ORPHA:791 8100 IFT88

OMIM:600138 26121 PRPF31 ORPHA:791 4901 NRL

OMIM:613575 84100 ARL6 ORPHA:791 55975 KLHL7

OMIM:615780 55857 KIZ ORPHA:791 9129 PRPF3

OMIM:613983 24148 PRPF6 ORPHA:791 57670 KIAA1549

OMIM:613827 2979 GUCA1B ORPHA:791 583 BBS2 CBA

OMIM:611131 10002 NR2E3 ORPHA:791 145226 RDH12

OMIM:615434 23568 ARL2BP ORPHA:791 3419 IDH3A

OMIM:610359 23020 SNRNP200 ORPHA:791 7275 TUB

OMIM:617123 55624 POMGNT1 ORPHA:791 762 CA4

OMIM:613769 5995 RGR OMIM:551500 4508 ATP6

OMIM:616394 26160 IFT172 OMIM:613862 10461 MERTK

OMIM:618173 403 ARL3 OMIM:617763 23404 EXOSC2

Identification of highly related HPO to the RD under study:

A total of 22 HPO codes associated to RP with specificity >=7 were selected.

RP highly related HPOs

HPO ID HPO term Specificity level

HP:0000035 Abnormal testis morphology 9

HP:0000135 Hypogonadism 8

HP:0000405 Conductive hearing impairment 10

Sensorineural hearing HP:0000407 10 impairment

HP:0000431 Wide nasal bridge 8

HP:0000463 Anteverted nares 11

HP:0000518 Cataract 7

HP:0000563 Keratoconus 11

HP:0000602 Ophthalmoplegia 7

HP:0000613 Photophobia 9

HP:0000618 Blindness 8 CBA

HP:0000639 Nystagmus 7

HP:0000648 Optic atrophy 9

HP:0000842 Hyperinsulinemia 10

HP:0000987 Atypical scarring of skin 9

HP:0001249 Intellectual disability 7

HP:0001347 Hyperreflexia 7

HP:0005978 Type II diabetes mellitus 9

HP:0007675 Progressive night blindness 7

Abnormality of retinal HP:0007703 8 pigmentation

Abnormal retinal vascular HP:0008046 11 morphology

HP:0008736 Hypoplasia of penis 12

Identification of genes that shared at least HPO-RD codes

Genes with >= 8 RP-HPO codes

Gene Symbol Entrez Gene Symbol Entrez Gene Symbol Entrez Gene Symbol Entrez

ABCA4 24 TRNS1 4574 KDM6A 7403 SUFU 51684

ACTB 60 TRNW 4578 BEST1 7439 NDUFB11 54539

AHR 196 NDP 4693 CLIP2 7461 AHI1 54806

ARL3 403 NDUFS1 4719 WFS1 7466 MKS1 54903

RERE 473 NDUFS2 4720 XRCC4 7518 FANCL 55120

ATP6V1A 523 NDUFS3 4722 RNF113A 7737 SETD5 55209

ATRX 546 NDUFV1 4723 ALMS1 7840 SLC29A3 55315

BBS2 583 NDUFS4 4724 IFT88 8100 FOXRED1 55572 CBA

BCS1L 617 NDUFS8 4728 SMC1A 8243 POMGNT1 55624

BMP4 652 NDUFV2 4729 OFD1 8481 CHD7 55636

BRAF 673 NEK2 4751 PEX3 8504 PEX26 55670

CA4 762 NPHP1 4867 KCNAB2 8514 SPATA7 55812

CDH11 1009 NRAS 4893 CASK 8573 KIZ 55857

ERCC8 1161 NRL 4901 TP63 8626 HDAC8 55869

CNGB1 1258 OPA1 4976 PEX11B 8799 KLHL7 55975

CNGA1 1259 PDE6A 5145 PROM1 8842 RPGRIP1 57096

CRX 1406 PDE6G 5148 BAZ1B 9031 TBC1D24 57465

DHCR7 1717 PDE6B 5158 SMC3 9126 CC2D2A 57545

ELN 2006 PDHA1 5160 PRPF4 9128 KIAA1549 57670

ERCC1 2067 PEX1 5189 PRPF3 9129 SLC7A14 57709

ERCC2 2068 PEX6 5190 LARGE1 9215 AGBL5 60509

ERCC3 2071 PEX10 5192 LRAT 9227 PIEZO2 63895

ERCC4 2072 PEX12 5193 PEX16 9409 PRDM16 63976

ERCC5 2073 PEX13 5194 GTF2IRD1 9569 SEMA4A 64218

ERCC6 2074 PEX14 5195 SEMA3E 9723 NMNAT1 64802

FBN1 2200 POLG 5428 IFT140 9742 NDUFAF5 79133

FGFR1 2260 PEX19 5824 DHX38 9785 FKRP 79147

FLNB 2317 PEX2 5828 NR2E3 10002 TMEM231 79583

GABRD 2563 PEX5 5830 TOPORS 10210 ZNF408 79797

GJA1 2697 RAD21 5885 MERTK 10461 DHDDS 79947

GJB2 2706 RBP3 5949 POMT1 10585 CEP290 80184

GNAS 2778 PRPH2 5961 PRPF8 10594 ARL6 84100

GP1BB 2812 RFC2 5982 PNPLA6 10908 FAM161A 84140

GTF2I 2969 RGR 5995 POLR3A 11128 POMK 84197 CBA

GUCA1B 2979 RHO 6010 RAB3GAP1 22930 TMEM67 91147

GUCY2D 3000 RLBP1 6017 RAB18 22931 NDUFAF2 91942

IDH3B 3420 ROM1 6094 SNRNP200 23020 CDHR1 92211

IMPDH1 3614 RP9 6100 ARHGEF18 23370 REEP6 92840

KIF11 3832 RP1 6101 CRB1 23418 TTC8 123016

KRAS 3845 RP2 6102 ARL2BP 23568 TBC1D20 128637

LIMK1 3984 RPGR 6103 AIPL1 23746 ZNF513 130557

LMNA 4000 RPE65 6121 PRPF6 24148 MPLKIP 136647

LRP5 4041 SAG 6295 RAB3GAP2 25782 HGSNAT 138050

MAK 4117 SDHA 6389 FSCN2 25794 RDH12 145226

KMT2A 4297 SDHB 6390 NIPBL 25836 C8orf37 157657

ATP6 4508 SDHD 6392 PRPF31 26121 ARX 170302

COX1 4512 SKI 6497 IFT172 26160 EYS 346007

COX3 4514 SMARCB1 6598 TBL2 26608 NDUFS7 374291

ND1 4535 SOX10 6663 GMPPB 29925 KIF7 374654

ND4 4538 TFAP2A 7020 POMT2 29954 CERKL 375298

ND5 4540 TUB 7275 SCAPER 49855 PCARE 388939

ND6 4541 TULP1 7287 IMPG2 50939 GDF6 392255

TRNK 4566 USH2A 7399 WDPCP 51057 PRCD 768206

TRNL1 4567 CLRN1 7401 TMEM216 51259 CBA

Genes with >= 10 RP-HPO codes

Gene Symbol Entrez Gene Symbol Entrez Gene Symbol Entrez

ABCA4 24 RGR 5995 RAB18 22931

AHR 196 RHO 6010 SNRNP200 23020

ARL3 403 RLBP1 6017 ARHGEF18 23370

RERE 473 ROM1 6094 CRB1 23418

ATRX 546 RP9 6100 ARL2BP 23568

BBS2 583 RP1 6101 PRPF6 24148

CA4 762 RP2 6102 FSCN2 25794

ERCC8 1161 RPGR 6103 PRPF31 26121

CNGB1 1258 RPE65 6121 IFT172 26160

CNGA1 1259 SAG 6295 TBL2 26608

CRX 1406 SDHA 6389 GMPPB 29925

ELN 2006 SDHD 6392 SCAPER 49855

ERCC2 2068 SKI 6497 IMPG2 50939

ERCC3 2071 TUB 7275 SUFU 51684

ERCC5 2073 TULP1 7287 AHI1 54806

ERCC6 2074 USH2A 7399 POMGNT1 55624

FBN1 2200 CLRN1 7401 SPATA7 55812

GABRD 2563 BEST1 7439 KIZ 55857

GJA1 2697 CLIP2 7461 KLHL7 55975

GTF2I 2969 WFS1 7466 KIAA1549 57670

GUCA1B 2979 XRCC4 7518 SLC7A14 57709

IDH3B 3420 ALMS1 7840 AGBL5 60509

IMPDH1 3614 IFT88 8100 PRDM16 63976

KRAS 3845 OFD1 8481 SEMA4A 64218 CBA

LIMK1 3984 KCNAB2 8514 ZNF408 79797

MAK 4117 PEX11B 8799 DHDDS 79947

ND1 4535 PROM1 8842 CEP290 80184

NEK2 4751 BAZ1B 9031 ARL6 84100

NRL 4901 PRPF4 9128 FAM161A 84140

PDE6A 5145 PRPF3 9129 CDHR1 92211

PDE6G 5148 LRAT 9227 REEP6 92840

PDE6B 5158 GTF2IRD1 9569 TTC8 123016

PEX1 5189 IFT140 9742 ZNF513 130557

PEX6 5190 DHX38 9785 HGSNAT 138050

PEX10 5192 NR2E3 10002 RDH12 145226

PEX12 5193 TOPORS 10210 C8orf37 157657

PEX2 5828 MERTK 10461 EYS 346007

PEX5 5830 PRPF8 10594 CERKL 375298

RBP3 5949 PNPLA6 10908 PCARE 388939

PRPH2 5961 POLR3A 11128 PRCD 768206

RFC2 5982 RAB3GAP1 22930

Genes with >= 22 (all) RP-HPO codes

Gene Symbol Entrez Gene Symbol Entrez Gene Symbol Entrez Gene Symbol Entrez

ABCA4 24 RHO 6010 IFT140 9742 KLHL7 55975

AHR 196 RLBP1 6017 DHX38 9785 KIAA1549 57670

ARL3 403 ROM1 6094 NR2E3 10002 SLC7A14 57709

BBS2 583 RP9 6100 TOPORS 10210 AGBL5 60509

CA4 762 RP1 6101 MERTK 10461 SEMA4A 64218

CNGB1 1258 RP2 6102 PRPF8 10594 ZNF408 79797 CBA

CNGA1 1259 RPGR 6103 SNRNP200 23020 DHDDS 79947

CRX 1406 RPE65 6121 ARHGEF18 23370 ARL6 84100

GUCA1B 2979 SAG 6295 CRB1 23418 FAM161A 84140

IDH3B 3420 TUB 7275 ARL2BP 23568 CDHR1 92211

IMPDH1 3614 TULP1 7287 PRPF6 24148 REEP6 92840

MAK 4117 USH2A 7399 FSCN2 25794 TTC8 123016

NEK2 4751 CLRN1 7401 PRPF31 26121 ZNF513 130557

NRL 4901 BEST1 7439 IFT172 26160 HGSNAT 138050

PDE6A 5145 IFT88 8100 SCAPER 49855 RDH12 145226

PDE6G 5148 OFD1 8481 IMPG2 50939 C8orf37 157657

PDE6B 5158 PROM1 8842 AHI1 54806 EYS 346007

RBP3 5949 PRPF4 9128 POMGNT1 55624 CERKL 375298

PRPH2 5961 PRPF3 9129 SPATA7 55812 PCARE 388939

RGR 5995 LRAT 9227 KIZ 55857 PRCD 768206

In order to maintain the specificity and not over expand the Disease Map of action only genes with >=10 RP-HPO codes were selected.

**Take into account that not all genes can be found in HiPathia pathways, even though it seems like genes sharing 22 (all) RP-HPO codes are enough to expand the RD Map, only 3 of those genes could be found in HiPathia pathways. We have selected those genes that expand the affected HiPathia circuits enough within a certain threshold for the model. ** CBA

Location of the selected disease related genes in KEGG pathways to define the Disease Map of action.

After locating the RD associated genes within KEGG pathways, a total of 226 circuits belonging to 40 KEGG pathways were found as part of the disease map.

KEGG-pathway KEGG-pathway KEGG pathway KEGG pathway code code

Signaling pathways regulating MAPK signaling pathway hsa04010 hsa04550 pluripotency of stem cells

Natural killer cell mediated ErbB signaling pathway hsa04012 hsa04650 cytotoxicity

T cell receptor signaling Ras signaling pathway hsa04014 hsa04660 pathway

B cell receptor signaling Rap1 signaling pathway hsa04015 hsa04662 pathway

cGMP-PKG signaling Fc epsilon RI signaling hsa04022 hsa04664 pathway pathway

Fc gamma R-mediated cAMP signaling pathway hsa04024 hsa04666 phagocytosis

Chemokine signaling Neurotrophin signaling hsa04062 hsa04722 pathway pathway

HIF-1 signaling pathway hsa04066 Cholinergic synapse hsa04725

FoxO signaling pathway hsa04068 Serotonergic synapse hsa04726

Sphingolipid signaling hsa04071 GABAergic synapse hsa04727 pathway

Phospholipase D Regulation of actin hsa04072 hsa04810 signaling pathway cytoskeleton

mTOR signaling pathway hsa04150 Insulin signaling pathway hsa04910

PI3K-Akt signaling hsa04151 GnRH signaling pathway hsa04912 pathway

Progesterone-mediated Apoptosis hsa04210 hsa04914 oocyte maturation CBA

Longevity regulating hsa04211 Estrogen signaling pathway hsa04915 pathway - mammal

Hedgehog signaling hsa04340 Melanogenesis hsa04916 pathway

Axon guidance hsa04360 Prolactin signaling pathway hsa04917

Thyroid hormone signaling VEGF signaling pathway hsa04370 hsa04919 pathway

Tight junction hsa04530 Oxytocin signaling pathway hsa04921

Aldosterone-regulated Gap junction hsa04540 hsa04960 sodium reabsorption

HiPathia is a signal propagation algorithm that considers pathways as collections of circuits defined as sub-pathways or sequences of proteins connecting signal receptor proteins to effector proteins. HiPathia uses expression values genes as proxies of the level of activation of the corresponding protein in the circuit. Taking into account the inferred protein activity and the interactions between the proteins (activation or inhibition) defined in the pathway, the level of activity of a circuit is estimated using a signal propagation algorithm. Ultimately, effector proteins are annotated with a cellular function.

In order to enable a better visualization of the RD Map the HiPathia viewer has been used. The circuits that define the RD Map are marked in RED (please ignore the color legend). The pathways that contain these circuits are highlighted in the right window with a red arrow. The only purpose of this report is to represent the components (genes and interaction) and functions of the circuits that compose the RD Map.

Click to access the RD Map Report

HiPathia uses KEGG pathway for the graphical representation of the circuits. The original pathways can also be visualized in the KEGG repository

https://www.genome.jp/kegg/pathway.html

Select prefix: hsa (Organism) Enter keywords: e.g. FoxOsignalingpathway (any HiPathia pathway) CBA

Prediction of relevance of gene targets from approved drugs extracted from DRUGBANK database (release 5.1.4)

The HoliRD approach takes the mechanistic model of the disease map as the proxy for the molecular basis of the disease outcome. Then, a Multi-Output Random Forest (MORF) regressor, a machine learning algorithm that predicts the circuit activities across the whole disease map, is trained on GTEx gene expression data to find proteins (which are targets for drugs with indications for other diseases) that correctly predict the behavior of the disease map. The drugs targeting the best predictor proteins are candidate for drug repurposing. The relevance score accounts for the accuracy of the prediction contributed by each individual protein. Relevance are absolute values and do not account for the direction of the prediction, that is, if the interaction is an activation or an inhibition.

From a total of 683 targets for approved drugs in the DRUGBANK database (release 5.1.4) the machine learning algorithm selected the 69 most relevant ones.

Entrez Gene symbol Relevance score Entrez Gene symbol Relevance score

41 ASIC1 0.0502591907 2261 FGFR3 0.0039322169

5159 PDGFRB 0.0296326131 4988 OPRM1 0.0038783469

3746 KCNC1 0.0255998206 2335 FN1 0.003839329

11255 HRH3 0.0255148651 6093 ROCK1 0.0034962522

6616 SNAP25 0.0254040526 1441 CSF3R 0.0032551445

2554 GABRA1 0.0251678509 775 CACNA1C 0.0030846682

2742 GLRA2 0.0228657846 6785 ELOVL4 0.0029546928

2563 GABRD 0.0227706901 7068 THRB 0.0029518009

2690 GHR 0.0191701293 3932 LCK 0.0028615588

695 BTK 0.0187155993 338442 HCAR2 0.0028394562

2564 GABRE 0.0182653818 240 ALOX5 0.0027861036

6850 SYK 0.0177121467 2185 PTK2B 0.0027507044

3554 IL1R1 0.0176343903 3945 LDHB 0.0025626085

5327 PLAT 0.0174339453 2247 FGF2 0.0024616473

7097 TLR2 0.0140290294 5894 RAF1 0.0023827902

51175 TUBE1 0.0128894296 10268 RAMP3 0.0023187153 CBA

4214 MAP3K1 0.0100046419 1141 CHRNB2 0.0022857683

6323 SCN1A 0.009438047 786 CACNG1 0.0022558341

5916 RARG 0.008913528 2512 FTL 0.0022552933

1956 EGFR 0.0077361305 6337 SCNN1A 0.0022297033

6718 AKR1D1 0.0067171074 55800 SCN3B 0.0022038451

2593 GAMT 0.0061007533 2568 GABRP 0.0021825875

6324 SCN1B 0.005847443 3614 IMPDH1 0.0021408884

6261 RYR1 0.005710848 116447 TOP1MT 0.0020938788

9475 ROCK2 0.0056217445 3561 IL2RG 0.0020741642

1158 CKM 0.0055433278 6715 SRD5A1 0.0019470211

774 CACNA1B 0.0051321754 3695 ITGB7 0.0018052442

57053 CHRNA10 0.0050653785 6529 SLC6A1 0.0017996186

4921 DDR2 0.0048701953 3718 JAK3 0.0017521897

2161 F12 0.0048430195 291 SLC25A4 0.0017109017

761 CA3 0.0048038891 87 ACTN1 0.0017001003

645 BLVRB 0.0046617892 55 ACPP 0.0016261955

4134 MAP4 0.0046535284 4306 NR3C2 0.0015618201

3683 ITGAL 0.0043098378 301 ANXA1 0.0015237013

64127 NOD2 0.0043031915 CBA

Relevance plot depicting the 69 most relevant gene targets.

Drugs from DRUGBANK db (release 5.1.4) that target top AT.

And the list of drugs that target the 69 most relevant genes follows:

You can click on the hyperlink of the Drug ID to see more detailed information about the drug in DrugBank DB.

Associated Relevance Drug ID Drug Name Drug Effect Target condition score

Actinic Keratosis DB00586 Diclofenac inhibitor ASIC1 0,05026 (AK)

DB00102 Becaplermin PDGFRB 0,02963

Advanced Renal Cell DB00398 Sorafenib antagonist PDGFRB 0,02963 Carcinoma

Advanced Renal Cell DB01268 Sunitinib inhibitor PDGFRB 0,02963 Carcinoma

Advanced Renal Cell DB06589 Pazopanib inhibitor PDGFRB 0,02963 Carcinoma

Leukemia Acute antagonist,inh DB06595 Midostaurin PDGFRB Myeloid Leukemia 0,02963 ibitor (AML) CBA

Metastatic DB08896 Regorafenib inhibitor PDGFRB Gastrointestinal 0,02963 Stromal Tumor

DB06637 Dalfampridine antagonist KCNC1 0,0256

DB05381 Histamine agonist HRH3 0,02551

DB06698 Betahistine antagonist HRH3 0,02551

antagonist,inv Excessive Daytime DB11642 Pitolisant HRH3 0,02551 erse agonist Sleepiness

Botulinum toxin DB00083 inhibitor SNAP25 Blepharospasm 0,0254 type A

positive DB00186 Lorazepam allosteric GABRA1 Agitation 0,02517 modulator

positive DB00228 Enflurane allosteric GABRA1 0,02517 modulator

DB00231 Temazepam potentiator GABRA1 0,02517

positive DB00231 Temazepam allosteric GABRA1 0,02517 modulator

positive DB00237 Butabarbital allosteric GABRA1 0,02517 modulator

Headache, DB00241 Butalbital potentiator GABRA1 0,02517 Tension-Type

positive Headache, DB00241 Butalbital allosteric GABRA1 0,02517 Tension-Type modulator

DB00273 Topiramate agonist GABRA1 Alcohol Dependence 0,02517

positive DB00273 Topiramate allosteric GABRA1 Alcohol Dependence 0,02517 modulator

DB00292 Etomidate agonist GABRA1 0,02517 CBA

positive DB00292 Etomidate allosteric GABRA1 0,02517 modulator

DB00306 Talbutal potentiator GABRA1 0,02517

positive DB00306 Talbutal allosteric GABRA1 0,02517 modulator

DB00312 Pentobarbital potentiator GABRA1 Insomnia 0,02517

positive DB00312 Pentobarbital allosteric GABRA1 Insomnia 0,02517 modulator

positive DB00349 Clobazam allosteric GABRA1 0,02517 modulator

DB00371 Meprobamate agonist GABRA1 0,02517

positive DB00371 Meprobamate allosteric GABRA1 0,02517 modulator

DB00402 Eszopiclone potentiator GABRA1 0,02517

positive DB00402 Eszopiclone allosteric GABRA1 0,02517 modulator

positive DB00404 Alprazolam allosteric GABRA1 Anxiety 0,02517 modulator

DB00418 Secobarbital potentiator GABRA1 0,02517

DB00425 Zolpidem agonist GABRA1 0,02517

DB00474 Methohexital antagonist GABRA1 0,02517

positive Alcohol Withdrawal DB00475 Chlordiazepoxide allosteric GABRA1 0,02517 Syndrome(AWS) modulator

DB00599 Thiopental potentiator GABRA1 0,02517

DB00628 Clorazepic acid positive GABRA1 Acute Alcohol 0,02517 CBA

allosteric Withdrawal modulator

positive DB00659 Acamprosate GABRA1 0,02517 modulator

DB00683 Midazolam potentiator GABRA1 Seizures, Epileptic 0,02517

DB00690 Flurazepam potentiator GABRA1 0,02517

DB00753 Isoflurane agonist GABRA1 0,02517

positive DB00753 Isoflurane allosteric GABRA1 0,02517 modulator

Grand mal DB00794 Primidone potentiator GABRA1 Generalized 0,02517 tonic-clonic seizure

positive Grand mal DB00794 Primidone allosteric GABRA1 Generalized 0,02517 modulator tonic-clonic seizure

positive DB00818 Propofol allosteric GABRA1 0,02517 modulator

Alcohol Withdrawal DB00829 Diazepam potentiator GABRA1 0,02517 Syndrome(AWS)

positive Alcohol Withdrawal DB00829 Diazepam allosteric GABRA1 0,02517 Syndrome(AWS) modulator

Alcohol Withdrawal DB00842 Oxazepam potentiator GABRA1 0,02517 Syndrome(AWS)

positive Alcohol Withdrawal DB00842 Oxazepam allosteric GABRA1 0,02517 Syndrome(AWS) modulator

Methylphenobar DB00849 potentiator GABRA1 0,02517 bital

DB00897 Triazolam potentiator GABRA1 0,02517

DB00897 Triazolam positive GABRA1 0,02517 allosteric CBA

modulator

DB00898 Ethanol agonist GABRA1 Bacterial Infections 0,02517

DB00962 Zaleplon potentiator GABRA1 0,02517

DB01028 Methoxyflurane agonist GABRA1 Severe Pain 0,02517

positive DB01028 Methoxyflurane allosteric GABRA1 Severe Pain 0,02517 modulator

positive DB01068 Clonazepam allosteric GABRA1 Akinetic seizures 0,02517 modulator

DB01154 Thiamylal agonist GABRA1 0,02517

positive DB01159 Halothane allosteric GABRA1 0,02517 modulator

Alcohol Withdrawal DB01174 Phenobarbital potentiator GABRA1 0,02517 Syndrome(AWS)

positive DB01189 Desflurane allosteric GABRA1 0,02517 modulator

DB01198 Zopiclone potentiator GABRA1 0,02517

DB01205 Flumazenil antagonist GABRA1 Anesthesia reversal 0,02517

positive DB01205 Flumazenil allosteric GABRA1 Anesthesia reversal 0,02517 modulator

DB01215 Estazolam potentiator GABRA1 0,02517

positive DB01215 Estazolam allosteric GABRA1 0,02517 modulator

DB01236 Sevoflurane agonist GABRA1 0,02517

positive DB01236 Sevoflurane allosteric GABRA1 0,02517 modulator CBA

Quinidine DB01346 potentiator GABRA1 0,02517 barbiturate

DB01351 Amobarbital potentiator GABRA1 0,02517

DB01353 Butobarbital potentiator GABRA1 0,02517

DB01437 Glutethimide agonist GABRA1 0,02517

positive DB01437 Glutethimide allosteric GABRA1 0,02517 modulator

DB01558 Bromazepam potentiator GABRA1 Acute Anxiety 0,02517

DB01559 Clotiazepam potentiator GABRA1 0,02517

DB01587 Ketazolam potentiator GABRA1 0,02517

DB01588 Prazepam potentiator GABRA1 0,02517

positive DB01588 Prazepam allosteric GABRA1 0,02517 modulator

DB01589 Quazepam potentiator GABRA1 0,02517

positive DB01589 Quazepam allosteric GABRA1 0,02517 modulator

DB01595 Nitrazepam potentiator GABRA1 Insomnia 0,02517

DB01956 Taurine agonist GABRA1 0,02517

agonist,positi DB09118 Stiripentol ve allosteric GABRA1 0,02517 modulator

positive DB11859 Brexanolone allosteric GABRA1 0,02517 modulator

positive DB13872 Lormetazepam allosteric GABRA1 0,02517 modulator

DB00898 Ethanol agonist GLRA2 Bacterial Infections 0,02287 CBA

DB01956 Taurine agonist GLRA2 0,02287

DB00231 Temazepam potentiator GABRD 0,02277

DB00690 Flurazepam potentiator GABRD 0,02277

Alcohol Withdrawal DB00829 Diazepam potentiator GABRD 0,02277 Syndrome(AWS)

Alcohol Withdrawal DB00842 Oxazepam potentiator GABRD 0,02277 Syndrome(AWS)

DB00897 Triazolam potentiator GABRD 0,02277

DB01215 Estazolam potentiator GABRD 0,02277

DB01558 Bromazepam potentiator GABRD Acute Anxiety 0,02277

DB01559 Clotiazepam potentiator GABRD 0,02277

DB01587 Ketazolam potentiator GABRD 0,02277

DB01588 Prazepam potentiator GABRD 0,02277

DB01589 Quazepam potentiator GABRD 0,02277

DB01595 Nitrazepam potentiator GABRD Insomnia 0,02277

Adult Onset Growth DB00052 Somatotropin binder GHR 0,01917 Hormone Deficiency

DB00082 Pegvisomant antagonist GHR 0,01917

Chronic Lymphocytic DB09053 Ibrutinib inhibitor BTK 0,01872 Leukaemia (CLL)

DB11703 Acalabrutinib inhibitor BTK 0,01872

DB00231 Temazepam potentiator GABRE 0,01827

DB00690 Flurazepam potentiator GABRE 0,01827

Alcohol Withdrawal DB00829 Diazepam potentiator GABRE 0,01827 Syndrome(AWS)

Alcohol Withdrawal DB00842 Oxazepam potentiator GABRE 0,01827 Syndrome(AWS)

DB00897 Triazolam potentiator GABRE 0,01827 CBA

DB01215 Estazolam potentiator GABRE 0,01827

DB01558 Bromazepam potentiator GABRE Acute Anxiety 0,01827

DB01559 Clotiazepam potentiator GABRE 0,01827

DB01587 Ketazolam potentiator GABRE 0,01827

DB01588 Prazepam potentiator GABRE 0,01827

DB01589 Quazepam potentiator GABRE 0,01827

DB01595 Nitrazepam potentiator GABRE Insomnia 0,01827

DB12010 Fostamatinib inhibitor SYK 0,01771

Juvenile Idiopathic DB00026 Anakinra antagonist IL1R1 0,01763 Arthritis (JIA)

Aminocaproic DB00513 antagonist PLAT Bleeding 0,01743 Acid

Human DB06404 C1-esterase inhibitor PLAT 0,01743 inhibitor

DB09228 Conestat alfa inhibitor PLAT 0,01743

Tuberculin DB11601 Purified Protein ligand TLR2 0,01403 Derivative

Advanced Soft DB00570 Vinblastine adduct TUBE1 0,01289 Tissue Sarcoma

Metastatic DB11967 Binimetinib inhibitor MAP3K1 0,01 Melanoma

Complex Partial DB00252 Phenytoin inhibitor SCN1A 0,00944 Seizures

DB00273 Topiramate inhibitor SCN1A Alcohol Dependence 0,00944

DB00909 Zonisamide inhibitor SCN1A 0,00944

DB01121 Phenacemide inhibitor SCN1A 0,00944

DB01438 Phenazopyridine inhibitor SCN1A 0,00944

DB04930 Permethrin inhibitor SCN1A Norwegian scabies 0,00944 CBA

DB05541 Brivaracetam inhibitor SCN1A 0,00944

Dichlorobenzyl DB13269 antagonist SCN1A Mouth infection 0,00944 alcohol

DB00210 Adapalene agonist RARG Acne Vulgaris 0,00891

Keratinization DB00459 Acitretin agonist RARG 0,00891 disorders

Chronic Eczema of DB00523 Alitretinoin agonist RARG 0,00891 the hand

DB00755 Tretinoin agonist RARG Acne Vulgaris 0,00891

Psoriasis Vulgaris DB00799 Tazarotene agonist RARG 0,00891 (Plaque Psoriasis)

Metastatic DB00002 Cetuximab antagonist EGFR 0,00774 Colorectal Cancers

DB00317 Gefitinib antagonist EGFR 0,00774

Locally Advanced DB00530 Erlotinib antagonist EGFR Non-Small Cell Lung 0,00774 Cancer

Metastatic Breast DB01259 Lapatinib antagonist EGFR 0,00774 Cancer (MBC)

DB01269 Panitumumab suppressor EGFR 0,00774

Metastatic DB08916 Afatinib inhibitor EGFR Non-Small Cell Lung 0,00774 Cancer

DB09330 Osimertinib inhibitor EGFR 0,00774

DB09559 Necitumumab antagonist EGFR 0,00774

Foreskin DB10772 keratinocyte agonist EGFR 0,00774 (neonatal)

DB11828 Neratinib inhibitor EGFR 0,00774

DB11963 Dacomitinib inhibitor EGFR 0,00774

DB12267 Brigatinib inhibitor EGFR 0,00774 CBA

DB00548 Azelaic acid inhibitor AKR1D1 Acne Vulgaris 0,00672

DB00148 Creatine product of GAMT 0,0061

DB00909 Zonisamide inhibitor SCN1B 0,00585

Malignant DB01219 Dantrolene antagonist RYR1 0,00571 Hyperthermia

DB09085 Tetracaine modulator RYR1 0,00571

DB13931 Netarsudil inhibitor ROCK2 0,00562

DB00148 Creatine ligand CKM 0,00554

Partial-Onset DB00996 Gabapentin inhibitor CACNA1B 0,00513 Seizures

DB01202 Levetiracetam inhibitor CACNA1B Epilepsies 0,00513

DB00202 Succinylcholine agonist CHRNA10 0,00507

DB00333 Methadone antagonist CHRNA10 Opioid Addiction 0,00507

DB01090 Pentolinium antagonist CHRNA10 0,00507

DB01116 Trimethaphan antagonist CHRNA10 0,00507

Metastatic DB08896 Regorafenib inhibitor DDR2 Gastrointestinal 0,00487 Stromal Tumor

Human DB06404 C1-esterase inhibitor F12 0,00484 inhibitor

DB09228 Conestat alfa inhibitor F12 0,00484

Angle-Closure DB00819 Acetazolamide inhibitor CA3 0,0048 Glaucoma

DB00140 Riboflavin product of BLVRB Ariboflavinosis 0,00466

Advanced Cervical DB01229 Paclitaxel #N/A MAP4 0,00465 Cancer

DB01248 Docetaxel #N/A MAP4 Esophageal Cancers 0,00465

DB00095 Efalizumab antibody ITGAL 0,00431 CBA

Antithymocyte Acute cellular DB00098 immunoglobulin #N/A ITGAL 0,00431 rejection (rabbit)

DB11611 Lifitegrast antagonist ITGAL 0,00431

High-grade, DB13615 Mifamurtide ligand NOD2 nonmetastatic 0,0043 Osteosarcoma

Advanced Renal Cell DB09078 Lenvatinib inhibitor FGFR3 0,00393 Carcinoma

Decreased DB09079 Nintedanib inhibitor FGFR3 0,00393 Pulmonary Function

Locally Advanced, Susceptible FGFR3 or FGFR2 genetic alterations, Condition has progressed during or following at least one line of prior DB12147 Erdafitinib inhibitor FGFR3 platinum- containing 0,00393 chemotherapy including within 12 months of neoadjuvant or adjuvant platinum-containing chemotherapy urothelial carcinoma

DB00193 Tramadol agonist OPRM1 Pain, Acute 0,00388

DB00295 Morphine agonist OPRM1 Pain, Chronic 0,00388

DB00318 Codeine agonist OPRM1 Coughing 0,00388

DB00327 Hydromorphone agonist OPRM1 Pain 0,00388

DB00333 Methadone agonist OPRM1 Opioid Addiction 0,00388

DB00497 Oxycodone agonist OPRM1 Severe Pain 0,00388

DB00504 Levallorphan partial agonist OPRM1 0,00388 CBA

partial DB00611 Butorphanol OPRM1 Pain 0,00388 antagonist

DB00652 Pentazocine antagonist OPRM1 Mild pain 0,00388

DB00704 Naltrexone antagonist OPRM1 Alcohol Dependence 0,00388

DB00708 Sufentanil agonist OPRM1 Pain, Acute 0,00388

DB00802 Alfentanil agonist OPRM1 0,00388

Cancer Related Pain DB00813 Fentanyl agonist OPRM1 0,00388 (Breakthrough Pain)

Chronic Functional DB00836 Loperamide agonist OPRM1 0,00388 Diarrhea

DB00844 Nalbuphine antagonist OPRM1 Severe Pain 0,00388

DB00854 Levorphanol agonist OPRM1 Severe Pain 0,00388

DB00899 Remifentanil agonist OPRM1 0,00388

DB00913 Anileridine agonist OPRM1 0,00388

DB00921 Buprenorphine partial agonist OPRM1 Opioid Dependence 0,00388

Cough caused by DB00956 Hydrocodone agonist OPRM1 0,00388 Allergic Rhinitis

DB01081 Diphenoxylate agonist OPRM1 0,00388

DB01183 Naloxone antagonist OPRM1 Opioid Dependence 0,00388

DB01192 Oxymorphone agonist OPRM1 Anxiety 0,00388

DB01209 Dezocine agonist OPRM1 0,00388

Levacetylmethad DB01227 agonist OPRM1 0,00388 ol

DB01452 Diamorphine agonist OPRM1 0,00388

Diabetic Peripheral DB06204 Tapentadol agonist OPRM1 Neuropathic Pain 0,00388 (DPN)

DB06274 Alvimopan antagonist OPRM1 0,00388

DB06800 Methylnaltrexon antagonist OPRM1 0,00388 CBA

e

DB09049 Naloxegol antagonist OPRM1 0,00388

Irritable Bowel DB09089 Trimebutine agonist OPRM1 0,00388 Syndrome (IBS)

DB09209 Pholcodine antagonist OPRM1 0,00388

DB09272 Eluxadoline agonist OPRM1 0,00388

DB11130 Opium agonist OPRM1 0,00388

DB11691 Naldemedine antagonist OPRM1 0,00388

DB08888 Ocriplasmin cleavage FN1 0,00384

DB13931 Netarsudil inhibitor ROCK1 0,0035

Chemotherapy DB00019 Pegfilgrastim agonist CSF3R Induced 0,00326 Neutropenia

Hematopoietic Subsyndrome of DB00099 Filgrastim stimulator CSF3R 0,00326 Acute Radiation Syndrome

DB13144 Lenograstim agonist CSF3R 0,00326

DB13200 Lipegfilgrastim agonist CSF3R Neutropenia, Febrile 0,00326

DB00270 Isradipine inhibitor CACNA1C 0,00308

Atrial Fibrillation DB00308 Ibutilide activator CACNA1C 0,00308 (AF)

DB00343 Diltiazem blocker CACNA1C Anal Fissures 0,00308

DB00381 Amlodipine inhibitor CACNA1C Anginal Pain 0,00308

DB00393 Nimodipine inhibitor CACNA1C 0,00308

DB00401 Nisoldipine inhibitor CACNA1C 0,00308

DB00568 Cinnarizine inhibitor CACNA1C 0,00308

Chronic Stable DB00622 Nicardipine inhibitor CACNA1C 0,00308 Angina Pectoris CBA

Atrial Fibrillation DB00661 Verapamil inhibitor CACNA1C 0,00308 (AF)

DB00825 Levomenthol antagonist CACNA1C Coughing 0,00308

DB01023 Felodipine inhibitor CACNA1C 0,00308

DB01054 Nitrendipine inhibitor CACNA1C 0,00308

Chronic Stable DB01115 Nifedipine inhibitor CACNA1C 0,00308 Angina Pectoris

DB01373 Calcium ligand CACNA1C 0,00308

DB06712 Nilvadipine inhibitor CACNA1C 0,00308

Irritable Bowel DB09089 Trimebutine inhibitor CACNA1C 0,00308 Syndrome (IBS)

DB09236 Lacidipine antagonist CACNA1C 0,00308

DB09238 Manidipine blocker CACNA1C 0,00308

DB12278 Propiverine antagonist CACNA1C Micturition urgency 0,00308

Autonomy of DB00279 Liothyronine agonist THRB 0,00295 thyroid gland

DB00451 Levothyroxine agonist THRB Hypothyroidism 0,00295

DB00509 Dextrothyroxine agonist THRB 0,00295

DB01583 Liotrix agonist THRB 0,00295

Omega-3-carboxy DB09568 potentiator ELOVL4 0,00295 lic acids

Acute Lymphoblastic DB01254 Dasatinib multitarget LCK 0,00286 Leukaemias (ALL)

DB00627 Niacin agonist HCAR2 Atherosclerosis 0,00284

DB00179 Masoprocol inhibitor ALOX5 0,00279

DB00244 Mesalazine inhibitor ALOX5 Crohn' 0,00279

Actinic Keratosis DB00586 Diclofenac potentiator ALOX5 0,00279 (AK)

DB00711 Diethylcarbamazi inhibitor ALOX5 0,00279 CBA

ne

DB00795 Sulfasalazine inhibitor ALOX5 Crohn' 0,00279

Meclofenamic Acute Gouty DB00939 inhibitor ALOX5 0,00279 acid Arthritis

Mild Ulcerative DB01014 Balsalazide inhibitor ALOX5 0,00279 Colitis

Moderate, active DB11817 Baricitinib inhibitor PTK2B 0,00275 Rheumatoid arthritis

DB09118 Stiripentol inhibitor LDHB 0,00256

agonist,induc DB00364 Sucralfate FGF2 Gastric Ulcer (GU) 0,00246 er

Pentosan DB00686 antagonist FGF2 0,00246 Polysulfate

other/unkno DB00877 Sirolimus FGF2 Chordomas 0,00246 wn

Advanced Renal Cell DB00398 Sorafenib inhibitor RAF1 0,00238 Carcinoma

Metastatic DB08896 Regorafenib inhibitor RAF1 Gastrointestinal 0,00238 Stromal Tumor

antagonist,inh Metastatic DB08912 Dabrafenib RAF1 0,00238 ibitor Melanoma

Type 1 DB01278 Pramlintide agonist RAMP3 Insulin-Dependent 0,00232 Diabetes Mellitus

DB00184 Nicotine agonist CHRNB2 Dental Cavity 0,00229

DB00343 Diltiazem blocker CACNG1 Anal Fissures 0,00226

DB00381 Amlodipine blocker CACNG1 Anginal Pain 0,00226

DB00528 Lercanidipine inhibitor CACNG1 0,00226

DB00893 Iron Dextran other FTL 0,00226

DB01054 Nitrendipine inhibitor CACNG1 0,00226 CBA

Sodium ferric DB09517 gluconate binding FTL Anemias 0,00226 complex

Ferric DB13995 pyrophosphate binder FTL 0,00226 citrate

DB00384 Triamterene inhibitor SCNN1A Edema 0,00223

DB00594 Amiloride inhibitor SCNN1A Ascites 0,00223

DB00909 Zonisamide inhibitor SCN3B 0,0022

DB00231 Temazepam potentiator GABRP 0,00218

DB00690 Flurazepam potentiator GABRP 0,00218

Alcohol Withdrawal DB00829 Diazepam potentiator GABRP 0,00218 Syndrome(AWS)

Alcohol Withdrawal DB00842 Oxazepam potentiator GABRP 0,00218 Syndrome(AWS)

DB00897 Triazolam potentiator GABRP 0,00218

DB01215 Estazolam potentiator GABRP 0,00218

DB01558 Bromazepam potentiator GABRP Acute Anxiety 0,00218

DB01559 Clotiazepam potentiator GABRP 0,00218

DB01588 Prazepam potentiator GABRP 0,00218

DB01589 Quazepam potentiator GABRP 0,00218

DB01595 Nitrazepam potentiator GABRP Insomnia 0,00218

Mycophenolate Heart Transplant DB00688 inhibitor IMPDH1 0,00214 mofetil Rejection

Chronic Hepatitis C DB00811 Ribavirin inhibitor IMPDH1 0,00214 Virus (HCV) Infection

Mycophenolic DB01024 inhibitor IMPDH1 0,00214 acid

DB00762 Irinotecan inhibitor TOP1MT Esophageal Cancers 0,00209

DB00041 Aldesleukin agonist IL2RG High Risk 0,00207 CBA

Neuroblastoma

DB00367 Levonorgestrel inhibitor SRD5A1 Endometrial Cancers 0,00195

Benign Prostatic DB01126 Dutasteride inhibitor SRD5A1 0,00195 Hyperplasia (BPH)

Abnormal Uterine DB09389 Norgestrel inhibitor SRD5A1 0,00195 Bleeding

DB09033 Vedolizumab antibody ITGB7 Severe Crohn' 0,00181

DB00906 Tiagabine inhibitor SLC6A1 0,0018

Moderate DB08895 Tofacitinib inhibitor JAK3 0,00175 Rheumatoid arthritis

Moderate, active DB11817 Baricitinib inhibitor JAK3 0,00175 Rheumatoid arthritis

Hypercalcemia of DB00720 Clodronic acid inhibitor SLC25A4 0,00171 Malignancy

incorporation into and DB06773 Human calcitonin ACTN1 0,0017 destabilizatio n

Asymptomatic, metastatic DB06688 Sipuleucel-T other ACPP 0,00163 hormone-refractory Prostate cancer

antagonist,ag Abnormal Uterine DB00396 Progesterone NR3C2 0,00156 onist Bleeding

DB00421 Spironolactone antagonist NR3C2 Acne 0,00156

Primary DB00687 Fludrocortisone agonist NR3C2 adrenocortical 0,00156 insufficiency

High Blood Pressure DB00700 Eplerenone antagonist NR3C2 0,00156 (Hypertension)

DB01395 Drospirenone antagonist NR3C2 Acne Vulgaris 0,00156

Fluocinolone Atopic Dermatitis DB00591 inducer ANXA1 0,00152 acetonide (AD) CBA

Acute Gouty DB00741 Hydrocortisone agonist ANXA1 0,00152 Arthritis

Hydrocortisone Adrenal cortical DB14539 ANXA1 0,00152 acetate hypofunctions

Hydrocortisone Atopic Dermatitis DB14540 ANXA1 0,00152 butyrate (AD)

Hydrocortisone DB14541 ANXA1 0,00152 cypionate

Hydrocortisone DB14542 ANXA1 0,00152 phosphate

Hydrocortisone DB14543 ANXA1 Itching 0,00152 probutate

Hydrocortisone DB14544 ANXA1 0,00152 valerate

Location of top AT in HiPathia circuits and selection of those circuits shared with the Disease Map. A total of 193 /226 circuits from RD Map containing top AT are shown.

Disease Map circuits with top AT

HiPathia pathway: HiPathia pathway: HiPathia pathway: HiPathia pathway: Effector gene Effector gene Effector gene Effector gene

MAPK signaling cAMP signaling FoxO signaling T cell receptor pathway: ATF4* pathway: GRIA1 pathway: FBXO32 signaling pathway: FOS

MAPK signaling cAMP signaling Sphingolipid signaling B cell receptor pathway: FOS pathway: CFTR pathway: MAPK1 signaling pathway: FOS

Phospholipase D MAPK signaling cAMP signaling Fc epsilon RI signaling signaling pathway: pathway: MAPT pathway: SLC9A1 pathway: PLA2G4B MAPK1

Phospholipase D MAPK signaling cAMP signaling Fc gamma R-mediated signaling pathway: pathway: STMN1 pathway: ATP2B1 phagocytosis: CFL1 C06124 CBA

Phospholipase D MAPK signaling cAMP signaling Neurotrophin signaling signaling pathway: pathway: PLA2G4B pathway: CACNA1C pathway: ATF4 MTOR

MAPK signaling cAMP signaling mTOR signaling Neurotrophin signaling pathway: MYC pathway: PDE3A pathway: EIF4E pathway: NFKB1

ErbB signaling cAMP signaling mTOR signaling Neurotrophin signaling pathway: MYC pathway: LIPE pathway: EIF4B pathway: FOXO3

ErbB signaling cAMP signaling mTOR signaling Neurotrophin signaling pathway: ELK1 pathway: TNNI3 pathway: RPS6 pathway: BAD

cAMP signaling Ras signaling pathway: PI3K-Akt signaling Neurotrophin signaling pathway: ATP1B4 PLA2G4B pathway: GYS1 pathway: GSK3B FXYD1

Ras signaling pathway: cAMP signaling PI3K-Akt signaling Serotonergic synapse: ELK1 pathway: AKT3 pathway: MYC CASP3

Ras signaling pathway: cAMP signaling PI3K-Akt signaling GABAergic synapse: ETS1 pathway: RHOA* pathway: CCND1 GABRA1 GPHN

Regulation of actin Ras signaling pathway: cAMP signaling PI3K-Akt signaling cytoskeleton: ACTB BCL2L1 pathway: C00165 pathway: CDKN1B ARPC5

Regulation of actin Ras signaling pathway: cAMP signaling PI3K-Akt signaling cytoskeleton: CFL1 NFKB1 pathway: C01245 pathway: RBL2 ACTB

Regulation of actin Ras signaling pathway: cAMP signaling PI3K-Akt signaling cytoskeleton: MYL12B FASLG pathway: PAK1 pathway: PCK1 MYH9 ACTB

Ras signaling pathway: cAMP signaling PI3K-Akt signaling Regulation of actin PAK4 pathway: AFDN pathway: G6PC cytoskeleton: PXN

Ras signaling pathway: cAMP signaling PI3K-Akt signaling Regulation of actin RHOA pathway: C00416 pathway: FASLG cytoskeleton: IQGAP2

Regulation of actin Ras signaling pathway: cAMP signaling PI3K-Akt signaling cytoskeleton: PFN3 MAPK8 pathway: MAPK8 pathway: BCL2L11 ACTB

Ras signaling pathway: cAMP signaling PI3K-Akt signaling Regulation of actin RAC1* pathway: HCN4 pathway: BCL2L1 cytoskeleton: VCL*

Ras signaling pathway: Chemokine signaling PI3K-Akt signaling Regulation of actin CBA

REL pathway: MAPK1 pathway: BCL2* cytoskeleton: ACTN4

Ras signaling pathway: HIF-1 signaling PI3K-Akt signaling Regulation of actin PLD1 pathway: HK1 pathway: TP53 cytoskeleton: MSN

Ras signaling pathway: FoxO signaling PI3K-Akt signaling Insulin signaling PRKCA pathway: CCNB3 pathway: BCL2L1* pathway: EIF4E

Ras signaling pathway: FoxO signaling PI3K-Akt signaling Insulin signaling C01245 pathway: CCND1 pathway: MYB pathway: ELK1

Ras signaling pathway: FoxO signaling PI3K-Akt signaling GnRH signaling ABL1 pathway: CCNG2 pathway: CCND1 CDK2 pathway: ELK1

Progesterone-mediate Ras signaling pathway: FoxO signaling PI3K-Akt signaling d oocyte maturation: RAB5A pathway: CDKN2B pathway: MAPK1 ARAF

Ras signaling pathway: FoxO signaling PI3K-Akt signaling Estrogen signaling RAP1A pathway: CDKN2D pathway: BCL2 pathway: CREB3***

Ras signaling pathway: FoxO signaling PI3K-Akt signaling Estrogen signaling RAC1** pathway: CDKN1A pathway: MCL1 pathway: CREB3

Ras signaling pathway: FoxO signaling PI3K-Akt signaling Estrogen signaling KSR2 pathway: CDKN1B pathway: RXRA pathway: ESR1 C00951

Ras signaling pathway: FoxO signaling PI3K-Akt signaling Estrogen signaling STK4 STK4 pathway: RBL2 pathway: BCL2** pathway: ESR1 FOS

Estrogen signaling Ras signaling pathway: FoxO signaling PI3K-Akt signaling pathway: ESR1 MLLT4 pathway: PLK4 pathway: EIF4E C00951*

Ras signaling pathway: FoxO signaling PI3K-Akt signaling Melanogenesis: TYR* RAF1* pathway: GADD45G pathway: EIF4B

Rap1 signaling FoxO signaling PI3K-Akt signaling Melanogenesis: TYRP1 pathway: MAPK1 pathway: FASLG pathway: RPS6

Rap1 signaling FoxO signaling PI3K-Akt signaling Melanogenesis: DCT pathway: PLCE1 pathway: BCL2L11 pathway: NOS3

cAMP signaling FoxO signaling PI3K-Akt signaling Prolactin signaling pathway: BDNF pathway: TNFSF10 pathway: CASP9 pathway: CCND1

cAMP signaling FoxO signaling PI3K-Akt signaling Prolactin signaling pathway: FOS pathway: BCL6 pathway: PRKCA pathway: CCND1* CBA

Thyroid hormone cAMP signaling FoxO signaling PI3K-Akt signaling signaling pathway: pathway: JUN pathway: BNIP3 pathway: PKN3 ATP1B4

cAMP signaling PI3K-Akt signaling Thyroid hormone FoxO signaling pathway: CREB3 pathway: signaling pathway: pathway: ATG12 CREBBP C8orf44-SGK3 STAT1

Thyroid hormone cAMP signaling FoxO signaling Apoptosis: BCL2* signaling pathway: pathway: MYL9 pathway: GABARAP TP53

Thyroid hormone cAMP signaling FoxO signaling Axon guidance: RAF1 signaling pathway: pathway: GLI1 pathway: CAT ESR1

Thyroid hormone cAMP signaling FoxO signaling VEGF signaling signaling pathway: pathway: PTCH1 pathway: SOD2 pathway: PLA2G4B THRB

cAMP signaling FoxO signaling Gap junction: GJA1 Oxytocin signaling pathway: HHIP pathway: GADD45G* GJA1 pathway: C00219

cAMP signaling FoxO signaling Gap junction: GJA1 Oxytocin signaling pathway: ACOX1 pathway: ATM GJA1* pathway: PTGS2

cAMP signaling FoxO signaling Gap junction: GJA1 Oxytocin signaling pathway: F2R pathway: PCK1 TJP1 pathway: MEF2C

cAMP signaling FoxO signaling Gap junction: GJA1 Oxytocin signaling pathway: AMH pathway: G6PC GJA1** pathway: JUN

Signaling pathways cAMP signaling FoxO signaling Oxytocin signaling regulating pluripotency pathway: ORAI1 pathway: BCL6* pathway: CCND1 of stem cells: MAPK1*

Natural killer cell cAMP signaling FoxO signaling Oxytocin signaling mediated cytotoxicity: pathway: BAD pathway: IL7R pathway: FOS TNF

cAMP signaling Natural killer cell FoxO signaling Oxytocin signaling pathway: NFKBIA mediated cytotoxicity: pathway: KLF2 pathway: ELK1 NFKB1 CSF2

Natural killer cell Aldosterone-regulated cAMP signaling FoxO signaling mediated cytotoxicity: sodium reabsorption: pathway: PLN pathway: S1PR1 FAS SCNN1A CBA

Natural killer cell Aldosterone-regulated cAMP signaling FoxO signaling mediated cytotoxicity: sodium reabsorption: pathway: RYR2 pathway: RAG1 TNFRSF10D KCNJ1

cAMP signaling pathway: GRIN3A

Matrix correlation of the expression of top AT with the activity of the circuits that compose the RD Map.

In order to understand the nature of the interaction (activation or inhibition) between the most relevant targets and the circuits of the disease map a correlation plot was derived. The plot represents the correlation between the expression level of the most relevant targets and the activity levels of the circuits in the disease map inferred by HiPathia across the GTEx data set. Additionally, the top of the figure represents the effect (pharmacological action) of the drugs.

Hint: a drug with an inhibitory effect in a given target will potentially produce an inhibitory effect in circuits positively correlated (and, it is likely that activation in circuits negatively correlated with the target.)

Click to access and download the Correlation Matrix