ENSG00000141646


Homo sapiens

Features
Gene ID: ENSG00000141646
  
Biological name :SMAD4
  
Synonyms : Q13485 / SMAD4 / SMAD family member 4
  
Possible biological names infered from orthology :
  
Species: Homo sapiens
  
Chr. number: 18
Strand: 1
Band: q21.2
Gene start: 51028394
Gene end: 51085045
  
Corresponding Affymetrix probe sets: 1565702_at (Human Genome U133 Plus 2.0 Array)   1565703_at (Human Genome U133 Plus 2.0 Array)   202526_at (Human Genome U133 Plus 2.0 Array)   202527_s_at (Human Genome U133 Plus 2.0 Array)   235725_at (Human Genome U133 Plus 2.0 Array)   
  
Cross references: Ensembl peptide - ENSP00000466934
Ensembl peptide - ENSP00000478613
Ensembl peptide - ENSP00000468611
Ensembl peptide - ENSP00000466941
Ensembl peptide - ENSP00000341551
Ensembl peptide - ENSP00000381452
Ensembl peptide - ENSP00000464772
Ensembl peptide - ENSP00000464901
Ensembl peptide - ENSP00000465874
Ensembl peptide - ENSP00000465878
Ensembl peptide - ENSP00000466118
NCBI entrez gene - 4089     See in Manteia.
OMIM - 600993
RefSeq - NM_005359
RefSeq Peptide - NP_005350
swissprot - K7EIU8
swissprot - K7EL15
swissprot - K7EL18
swissprot - K7ELK2
swissprot - K7ENG1
swissprot - K7ENG8
swissprot - K7ES96
swissprot - A0A087WUF3
swissprot - Q13485
swissprot - A0A024R274
swissprot - K7EIJ2
Ensembl - ENSG00000141646
  
Related genetic diseases (OMIM): 139210 - Myhre syndrome, 139210
  174900 - Polyposis, juvenile intestinal, 174900
  175050 - Juvenile polyposis/hereditary hemorrhagic telangiectasia syndrome, 175050
  260350 - Pancreatic cancer, somatic, 260350

This gene has been taged as a transcription factor by TFT
See expression report in BioGPS
See gene description in Wikigenes
See gene description in GeneCards
See co-cited genes in PubMed


Ortholog prediction (from Ensembl)
Ortholog nameID Species
 smad4aENSDARG00000075226Danio rerio
 ENSGALG00000039417Gallus gallus
 Smad4ENSMUSG00000024515Mus musculus


Paralog prediction (from Ensembl)
Paralog nameIDSimilarity(%)
SMAD2 / Q15796 / SMAD family member 2ENSG0000017538734
SMAD5 / Q99717 / SMAD family member 5ENSG0000011365833
SMAD9 / O15198 / SMAD family member 9ENSG0000012069333
SMAD1 / Q15797 / SMAD family member 1ENSG0000017036533
SMAD3 / P84022 / SMAD family member 3ENSG0000016694933
SMAD6 / O43541 / SMAD family member 6ENSG0000013783422
SMAD7 / O15105 / SMAD family member 7ENSG0000010166519


Protein motifs (from Interpro)
Interpro ID Name
 IPR001132  SMAD domain, Dwarfin-type
 IPR003619  MAD homology 1, Dwarfin-type
 IPR008984  SMAD/FHA domain superfamily
 IPR013019  MAD homology, MH1
 IPR013790  Dwarfin
 IPR017855  SMAD-like domain superfamily
 IPR036578  SMAD MH1 domain superfamily


Gene Ontology (GO)
TypeGO IDTermEv.Code
 biological_processGO:0000122 negative regulation of transcription by RNA polymerase II TAS
 biological_processGO:0001541 ovarian follicle development IEA
 biological_processGO:0001658 branching involved in ureteric bud morphogenesis IEA
 biological_processGO:0001666 response to hypoxia IMP
 biological_processGO:0001701 in utero embryonic development IEA
 biological_processGO:0001702 gastrulation with mouth forming second IEA
 biological_processGO:0001822 kidney development IEA
 biological_processGO:0003148 outflow tract septum morphogenesis ISS
 biological_processGO:0003190 atrioventricular valve formation IEA
 biological_processGO:0003198 epithelial to mesenchymal transition involved in endocardial cushion formation IEA
 biological_processGO:0003220 left ventricular cardiac muscle tissue morphogenesis ISS
 biological_processGO:0003251 positive regulation of cell proliferation involved in heart valve morphogenesis IEA
 biological_processGO:0003279 cardiac septum development IEA
 biological_processGO:0003360 brainstem development IEA
 biological_processGO:0006351 transcription, DNA-templated IEA
 biological_processGO:0006355 regulation of transcription, DNA-templated IEA
 biological_processGO:0006357 regulation of transcription by RNA polymerase II IEA
 biological_processGO:0006879 cellular iron ion homeostasis ISS
 biological_processGO:0007179 transforming growth factor beta receptor signaling pathway TAS
 biological_processGO:0007183 SMAD protein complex assembly IDA
 biological_processGO:0007283 spermatogenesis IEA
 biological_processGO:0007338 single fertilization IEA
 biological_processGO:0007369 gastrulation IEA
 biological_processGO:0007411 axon guidance IEA
 biological_processGO:0007492 endoderm development IEA
 biological_processGO:0007498 mesoderm development IEA
 biological_processGO:0008283 cell proliferation IEA
 biological_processGO:0008285 negative regulation of cell proliferation IEA
 biological_processGO:0008584 male gonad development IEA
 biological_processGO:0008585 female gonad development IEA
 biological_processGO:0009952 anterior/posterior pattern specification IEA
 biological_processGO:0010614 negative regulation of cardiac muscle hypertrophy ISS
 biological_processGO:0010718 positive regulation of epithelial to mesenchymal transition ISS
 biological_processGO:0010862 positive regulation of pathway-restricted SMAD protein phosphorylation ISS
 biological_processGO:0014033 neural crest cell differentiation IEA
 biological_processGO:0016579 protein deubiquitination TAS
 biological_processGO:0017015 regulation of transforming growth factor beta receptor signaling pathway IMP
 biological_processGO:0030308 negative regulation of cell growth IDA
 biological_processGO:0030509 BMP signaling pathway TAS
 biological_processGO:0030511 positive regulation of transforming growth factor beta receptor signaling pathway IDA
 biological_processGO:0030513 positive regulation of BMP signaling pathway IMP
 biological_processGO:0032525 somite rostral/caudal axis specification IEA
 biological_processGO:0032909 regulation of transforming growth factor beta2 production IMP
 biological_processGO:0033686 positive regulation of luteinizing hormone secretion IEA
 biological_processGO:0035019 somatic stem cell population maintenance TAS
 biological_processGO:0035556 intracellular signal transduction IMP
 biological_processGO:0036302 atrioventricular canal development IEA
 biological_processGO:0042118 endothelial cell activation IEA
 biological_processGO:0042127 regulation of cell proliferation IEA
 biological_processGO:0042733 embryonic digit morphogenesis IEA
 biological_processGO:0045892 negative regulation of transcription, DNA-templated IDA
 biological_processGO:0045893 positive regulation of transcription, DNA-templated IDA
 biological_processGO:0045944 positive regulation of transcription by RNA polymerase II TAS
 biological_processGO:0046881 positive regulation of follicle-stimulating hormone secretion IEA
 biological_processGO:0048589 developmental growth IEA
 biological_processGO:0048663 neuron fate commitment IEA
 biological_processGO:0048729 tissue morphogenesis IEA
 biological_processGO:0048733 sebaceous gland development IEA
 biological_processGO:0048859 formation of anatomical boundary IEA
 biological_processGO:0051098 regulation of binding IEA
 biological_processGO:0051571 positive regulation of histone H3-K4 methylation ISS
 biological_processGO:0051797 regulation of hair follicle development IEA
 biological_processGO:0060021 roof of mouth development ISS
 biological_processGO:0060065 uterus development IEA
 biological_processGO:0060391 positive regulation of SMAD protein signal transduction ISS
 biological_processGO:0060395 SMAD protein signal transduction IDA
 biological_processGO:0060412 ventricular septum morphogenesis ISS
 biological_processGO:0060548 negative regulation of cell death IEA
 biological_processGO:0060956 endocardial cell differentiation IEA
 biological_processGO:0061040 female gonad morphogenesis IEA
 biological_processGO:0061614 pri-miRNA transcription by RNA polymerase II IEA
 biological_processGO:0070102 interleukin-6-mediated signaling pathway ISS
 biological_processGO:0070207 protein homotrimerization IMP
 biological_processGO:0070373 negative regulation of ERK1 and ERK2 cascade ISS
 biological_processGO:0071559 response to transforming growth factor beta IDA
 biological_processGO:0071773 cellular response to BMP stimulus NAS
 biological_processGO:0072133 metanephric mesenchyme morphogenesis IEA
 biological_processGO:0072134 nephrogenic mesenchyme morphogenesis IEA
 biological_processGO:0072520 seminiferous tubule development IEA
 biological_processGO:1901522 positive regulation of transcription from RNA polymerase II promoter involved in cellular response to chemical stimulus TAS
 biological_processGO:1905305 negative regulation of cardiac myofibril assembly ISS
 biological_processGO:2000617 positive regulation of histone H3-K9 acetylation ISS
 cellular_componentGO:0000790 nuclear chromatin IDA
 cellular_componentGO:0005622 intracellular IEA
 cellular_componentGO:0005634 nucleus IDA
 cellular_componentGO:0005654 nucleoplasm TAS
 cellular_componentGO:0005667 transcription factor complex IPI
 cellular_componentGO:0005737 cytoplasm IDA
 cellular_componentGO:0005813 centrosome IDA
 cellular_componentGO:0005829 cytosol TAS
 cellular_componentGO:0032444 activin responsive factor complex IDA
 cellular_componentGO:0071141 SMAD protein complex IMP
 cellular_componentGO:0090575 RNA polymerase II transcription factor complex IEA
 molecular_functionGO:0000977 RNA polymerase II regulatory region sequence-specific DNA binding IEA
 molecular_functionGO:0000978 RNA polymerase II proximal promoter sequence-specific DNA binding IDA
 molecular_functionGO:0000981 RNA polymerase II transcription factor activity, sequence-specific DNA binding NAS
 molecular_functionGO:0000987 proximal promoter sequence-specific DNA binding IDA
 molecular_functionGO:0000989 transcription factor activity, transcription factor binding IDA
 molecular_functionGO:0001076 transcription factor activity, RNA polymerase II transcription factor binding IEA
 molecular_functionGO:0001077 transcriptional activator activity, RNA polymerase II proximal promoter sequence-specific DNA binding IDA
 molecular_functionGO:0001085 RNA polymerase II transcription factor binding IEA
 molecular_functionGO:0001228 transcriptional activator activity, RNA polymerase II transcription regulatory region sequence-specific DNA binding IEA
 molecular_functionGO:0003677 DNA binding IDA
 molecular_functionGO:0003682 chromatin binding IEA
 molecular_functionGO:0003700 DNA-binding transcription factor activity IDA
 molecular_functionGO:0005515 protein binding IPI
 molecular_functionGO:0005518 collagen binding IEA
 molecular_functionGO:0030616 transforming growth factor beta receptor, common-partner cytoplasmic mediator activity IDA
 molecular_functionGO:0042802 identical protein binding IMP
 molecular_functionGO:0042803 protein homodimerization activity IPI
 molecular_functionGO:0043199 sulfate binding IMP
 molecular_functionGO:0043565 sequence-specific DNA binding IDA
 molecular_functionGO:0044212 transcription regulatory region DNA binding IDA
 molecular_functionGO:0046872 metal ion binding IEA
 molecular_functionGO:0046982 protein heterodimerization activity IEA
 molecular_functionGO:0070411 I-SMAD binding IPI
 molecular_functionGO:0070412 R-SMAD binding IPI


Pathways (from Reactome)
Pathway description
Signaling by NODAL
Signaling by Activin
Signaling by BMP
TGF-beta receptor signaling activates SMADs
Downregulation of SMAD2/3:SMAD4 transcriptional activity
SMAD2/SMAD3:SMAD4 heterotrimer regulates transcription
SMAD4 MH2 Domain Mutants in Cancer
SMAD2/3 MH2 Domain Mutants in Cancer
Transcriptional regulation of pluripotent stem cells
Ub-specific processing proteases
RUNX2 regulates bone development
RUNX3 regulates CDKN1A transcription
RUNX3 regulates BCL2L11 (BIM) transcription


Phenotype (from MGI, Zfin or HPO)
IDPhenotypeDefinition Genetic BG
 HP:0000006 Autosomal dominant inheritance "A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele." [HPO:curators]
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 HP:0000023 Inguinal hernia 
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 HP:0000028 Cryptorchidism "Absence of one or both testes from the scrotum owing to failure of the testis or testes to descend through the inguinal canal to the testis." [HPO:curators]
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 HP:0000039 Epispadias "Displacement of the urethral opening on the dorsal (superior) surface of the penis." [HPO:curators]
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 HP:0000047 Hypospadias "Displacement of the urethral opening on the ventral (inferior) surface of the penis." [HPO:curators]
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 HP:0000135 Hypogonadism "Reduced function of the gonads (testes in males or ovaries in females)." [HPO:curators]
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 HP:0000160 Microstomia "The presence of an abnormally small `mouth` (FMA:49184)." [HPO:curators]
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 HP:0000176 Submucous cleft palate "A cleft palate that is covered by the mucous membrane of the roof of the mouth, which can make the cleft more difficult to observe upon physical examination. Soft-palate submucous clefts are characterized by a midline deficiency or lack of muscle tissue. Hard-palate submucous clefts are characterized by bony defects in the midline of the bony palate. It may be possible to detect a submucous cleft palate upon palpation as a notch in the bony palate." [HPO:curators, pmid:19779505]
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 HP:0000193 Bifid uvula "A split or cleft uvula." [HPO:curators]
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 HP:0000202 Cleft lip/palate 
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 HP:0000219 Thin upper lip 
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 HP:0000233 Thin vermillion border 
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 HP:0000252 Microcephaly "Microcephaly is a neurodevelopmental disorder in which the circumference of the head is more than two standard deviations smaller than the age- and gender-dependent norm." [HPO:curators]
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 HP:0000272 Malar hypoplasia "Underdeveloped midface region." [HPO:curators]
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 HP:0000303 Mandibular prognathia "Abnormal prominence of the chin related to an abnormally long mandible." [HPO:curators]
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 HP:0000316 Hypertelorism 
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 HP:0000322 Short philtrum 
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 HP:0000327 Hypoplasia of the maxilla "Underdevelopment of the `Maxilla` (FMA:9711)." [HPO:probinson]
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 HP:0000365 Hearing loss 
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 HP:0000369 Low-set ears "Low-set ears are defined to be set below an arbitrary line drawn between the lateral canthus of the eye and the occipital protruberance." [HPO:curators]
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 HP:0000421 Epistaxis 
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 HP:0000426 Prominent nasal bridge 
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 HP:0000470 Short neck 
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 HP:0000486 Strabismus "Strabismus (also known as squint) is a condition in which the eyes are not properly aligned with each other." [HPO:curators]
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 HP:0000490 Deep set eyes 
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 HP:0000508 Ptosis "Drooping of the eyelid." [HPO:curators]
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 HP:0000518 Cataract "A cataract is an opacity or clouding that develops in the crystalline `lens` (FMA:58241) of the eye or in its `capsule` (FMA:58881)." [HPO:probinson]
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 HP:0000524 Conjunctival telangiectasia "The presence of small (ca. 0.5-1.0 mm) dilated blood vessels near the surface of the mucous membranes of the conjunctiva." [HPO:curators]
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 HP:0000540 Hypermetropia 
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 HP:0000568 Microphthalmos "A developmental anomaly characterized by abnormal smallness of one or both eyes." [HPO:curators]
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 HP:0000574 Thick eyebrows 
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 HP:0000581 Blepharophimosis "Reduced width of the palpebral fissures." [HPO:sdoelken]
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 HP:0000646 Amblyopia "Reduced visual acuity that is uncorrectable by lenses in the absence of detectable anatomic defects in the eye or visual pathways. Ambylopia can result from visual deprivation during the critical period of development of visual abilities which lasts to about the age of 8 years. Thus, ambylopia can result from strabismus, anisometropia, or high hypermetropia in there is a failure to form a focused image in one or both eyes." [HPO:curators]
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 HP:0000708 Behavioural/Psychiatric Abnormality 
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 HP:0000717 Autism 
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 HP:0000772 Abnormality of the ribs 
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 HP:0000787 Kidney stones 
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 HP:0000790 Hematuria "The presence of blood in the urine. Hematuria may be gross hematuria (visible to the naked eye) or microscopic hematuria (detected by dipstick or microscopic examination of the urine)." [HPO:curators]
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 HP:0000819 Diabetes mellitus 
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 HP:0000822 Hypertension "High blood pressure." [HPO:curators]
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 HP:0000826 Precocious puberty "The onset of secondary sexual characteristics before a normal age. Although it is difficult to define normal age ranges because of the marked variation with which puberty begins in normal children, precocious puberty can be defined as the onset of puberty before the age of 8 years in girls or 9 years in boys." [HPO:curators]
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 HP:0000885 Broad ribs 
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 HP:0000926 Platyspondyly 
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 HP:0000944 Abnormality of the metaphyses 
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 HP:0000952 Jaundice "Yellow pigmentation of the skin or sclera due to bilirubin, which in turn is the result of increased bilirubin concentration in the bloodstream." [HPO:curators]
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 HP:0001009 Telangiectasia "Telangiectasias refer to small dilated blood vessels located near the surface of the skin or mucous membranes, measuring between 0.5 and 1 millimeter in diameter." [HPO:curators]
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 HP:0001048 Cavernous hemangioma "The presence of a cavernous hemangioma. A hemangioma characterized by large endothelial spaces (caverns) is called a cavernous hemangioma." [HPO:curators]
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 HP:0001072 Thickened skin 
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 HP:0001081 Cholelithiasis 
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 HP:0001082 Cholecystitis 
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 HP:0001156 Brachydactyly 
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 HP:0001217 Clubbing "Non-edematous swelling/broadening of the soft tissue of the fingertips in all dimensions." [HPO:curators]
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 HP:0001249 Mental retardation 
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 HP:0001250 Seizures "Seizures are an intermittent `abnormality of the central nervous system` (FMA:HP:0002011) due to a sudden, excessive, disorderly discharge of cerebral neurons and characterized clinically by some combination of disturbance of sensation, loss of consciousness, impairment of psychic function, or convulsive movements." [HPO:probinson]
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 HP:0001251 Ataxia "Ataxia is a nonspecific neurological sign and symptom consisting of gross lack of coordination of muscle movements. Ataxia is caused by dysfunction of one or more parts of the nervous system including the cerebellum, the sensory nervous system, the vestibular system, or the cerebral cortex." [HPO:curators]
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 HP:0001263 Developmental retardation "A delay in the achievement of motor or mental milestones manifested prior to age 18 and generally associated with lifelong mental and/or physical impairments." [HPO:curators]
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 HP:0001297 Stroke 
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 HP:0001328 Learning disability 
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 HP:0001342 Cerebral hemorrhage "A cerebral hemorrhage (or intracerebral hemorrhage, ICH), is a type of intracranial hemorrhage that occurs within the brain tissue itself." [HPO:curators]
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 HP:0001376 Decreased mobility of joints 
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 HP:0001387 Joint stiffness "Joint stiffness is a perceived sensation of tightness in a joint or joints when attempting to move them after a period of inactivity. Joint stiffness typically subsides over time." [HPO:curators]
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 HP:0001394 Cirrhosis 
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 HP:0001399 Hepatic failure 
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 HP:0001409 Portal hypertension 
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 HP:0001428 Somatic mutation 
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 HP:0001433 Hepatosplenomegaly 
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 HP:0001508 Failure to thrive 
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 HP:0001511 Intrauterine growth retardation 
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 HP:0001513 Obesity "A status with BODY WEIGHT that is grossly above the acceptable or desirable weight, usually due to accumulation of excess FATS in the body. The standards may vary with age, sex, genetic or cultural background. In the BODY MASS INDEX, a BMI greater than 30.0 kg/m2 is considered obese, and a BMI greater than 40.0 kg/m2 is considered morbidly obese (MORBID OBESITY)." [MeSH:D009765]
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 HP:0001608 Abnormality of the voice "Any abnormality of the voice." [HPO:curators]
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 HP:0001634 Mitral valve prolapse 
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 HP:0001635 Congestive heart failure "The presence of an abnormality of cardiac function that is responsible for the failure of the heart to pump blood at a rate that is commensurate with the needs of the tissues or a state in which abnormally elevated filling pressures are required for the heart to do so. Heart failure is frequently related to a defect in myocardial contraction." [HPO:curators]
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 HP:0001643 Patent ductus arteriosus 
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 HP:0001650 Aortic stenosis "The presence of a stenosis (narrowing) of the aortic valve." [HPO:curators]
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 HP:0001653 Mitral regurgitation "An `abnormality of the mitral valve` (HP:0001633) characterized by insufficiency or incompetence of the mitral valve resulting in retrograde leaking of blood through the mitral valve upon ventricular contraction." [HPO:probinson]
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 HP:0001671 Abnormality of the cardiac septa 
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 HP:0001680 Coarctation of aorta "Coarctation of the aorta is a narrowing or constriction of the aorta just distal to the origin of the left subclavian artery." [HPO:curators]
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 HP:0001698 Pericardial effusion 
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 HP:0001738 Exocrine pancreatic insufficiency 
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 HP:0001824 Weight loss 
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 HP:0001831 Brachydactyly (feet) 
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 HP:0001845 Overriding toes "A congenital condition in which a toe is adducted, dorsifelxed, and medially deviated, generally lying over the metatarsal phalangeal joint of the adjacent toe. Usually, the fifth toe is affected." [HPO:curators]
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 HP:0001903 Anemia 
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 HP:0001935 Microcytic anemia 
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 HP:0002017 Nausea and vomiting 
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 HP:0002027 Abdominal pain 
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 HP:0002035 Rectal prolapse 
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 HP:0002039 Anorexia 
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 HP:0002040 Esophageal varices 
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 HP:0002076 Migraine 
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 HP:0002092 Pulmonary hypertension 
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 HP:0002105 Hemoptysis "Coughing up (expectoration) of blood or blood-streaked sputum from the larynx, trachea, bronchi, or lungs." [HPO:curators]
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 HP:0002138 Subarachnoid hemorrhage 
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 HP:0002204 Pulmonary embolism 
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 HP:0002213 Fine hair 
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 HP:0002239 Gastrointestinal hemorrhage 
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 HP:0002254 Intermittent diarrhea 
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 HP:0002326 Transient ischemic attack 
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 HP:0002408 Cerebral arteriovenous malformation 
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 HP:0002573 Hematochezia 
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 HP:0002576 Intussusception 
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 HP:0002672 Gastrointestinal carcinoma 
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 HP:0002684 Thickened calvaria "The presence of an abnormally thick calvaria." [HPO:curators]
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 HP:0002716 Lymphadenopathy 
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 HP:0002861 Malignant melanoma "A malignant skin tumor of originating from melanocytes, pigment cells normally present in the epidermis and sometimes in the dermis." [HPO:curators]
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 HP:0002866 Hypoplastic iliac wings 
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 HP:0002878 Early respiratory failure 
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 HP:0002894 Pancreatic cancer 
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 HP:0002896 Liver cancer 
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 HP:0002900 Hypokalemia 
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 HP:0002910 Elevated transaminases "Elevations of the levels of SGOT and SGPT in the serum. SGOT (serum glutamic oxaloacetic transaminase) and SGPT (serum glutamic pyruvic transaminase) are transaminases primarily found in the liver and heart and are released into the bloodstream as the result of liver or heart damage. SGOT and SGPT are used clinically mainly as markers of liver damage." [HPO:curators]
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 HP:0002948 Vertebral fusion "A developmental defect leading to the union of two adjacent vertebrae." [HPO:curators]
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 HP:0003002 Breast cancer 
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 HP:0003003 Colon cancer 
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 HP:0003026 Short long bones 
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 HP:0003073 Hypoalbuminemia "Reduction in the concentration of albumin in the blood." [HPO:curators]
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 HP:0003172 Abnormality of the pubic bones 
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 HP:0003241 Genital hypoplasia 
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 HP:0003418 Back pain 
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 HP:0003457 Abnormal EMG findings "Abnormal results of investigations using electromyography (EMG)." [HPO:curators]
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 HP:0003510 Short stature, severe "A severe degree of short stature." [HPO:curators]
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 HP:0003712 Muscle hypertrophy "Hypertrophy (increase in size) of muscle cells (as opposed to hyperplasia, which refers to an increase in the number of muscle cells)." [HPO:curators]
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 HP:0003720 Generalized muscle hypertrophy "Hypertrophy (increase in size) of muscle cells in a generalized (not localized) distribution." [HPO:curators]
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 HP:0004279 Hypoplastic hand 
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 HP:0004322 Decreased body height "A height below that which is expected according to age and gender norms. Although there is no universally accepted definition of short stature, many refer to "short stature" as height more than 2 standard deviations below the mean for age and gender (or below the 3rd percentile for age and gender dependent norms)." [HPO:curators]
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 HP:0004389 Intestinal pseudo-obstruction 
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 HP:0004390 Hamartomatous polyps "Polyp-like protrusions which are histologically hamartomas. These can occur throughout the gastrointestine. Patients with Cowden-Syndrom for example often have multpile hamartomatous gastrointestinal polyps." [HPO:curators]
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 HP:0004394 Multiple gastric polyps 
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 HP:0004396 Poor appetite 
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 HP:0004493 Craniofacial hyperostosis "Hyperostosis refers to a localized bone overgrowth process (as opposed to sclerosis, which refers to a generalized disturbance with increased bone density). This term is used for excessive growth of the craniofacial bones." [HPO:curators]
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 HP:0004621 Large, flattened vertebrae with large pedicles 
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 HP:0004691 2-3 toe syndactyly "`Syndactyly` (HP:0001159) with fusion of toes two and three." [HPO:sdoelken]
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 HP:0004784 juvenile gastrointestinal polyposis 
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 HP:0004894 laryngotracheal stenosis 
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 HP:0004936 Venous thrombosis 
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 HP:0004942 Aortic aneurysms 
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 HP:0005249 Functional intestinal obstruction 
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 HP:0005930 Abnormality of the epiphyses 
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 HP:0006548 Pulmonary arteriovenous malformation 
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 HP:0006574 Hepatic arteriovenous malformation 
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 HP:0006725 Pancreatic adenocarcinoma 
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 HP:0006771 Duodenal carcinoma 
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 HP:0007420 Spontaneous hematomas 
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 HP:0007763 Retinal telangiectasia 
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 HP:0008070 Sparse hair 
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 HP:0008499 High-grade hypermetropia 
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 HP:0008551 Underdeveloped ears 
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 HP:0008818 Large, flared iliac wings 
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 HP:0009381 Hypoplastic/small fingers 
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 HP:0009466 Radial deviation of fingers 
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 HP:0010579 Cone-shaped epiphyses 
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 HP:0011800 Midface retrusion "Posterior positions and/or vertical shortening of the infraorbital and perialar regions, or increased concavity of the face and/or reduced nasolabial angle." [DDD:jclayton-smith]
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 HP:0012334 Extrahepatic cholestasis "Impairment of bile flow due to obstruction in large bile ducts outside the liver." [HPO:probinson]
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 HP:0012385 Camptodactyly "The distal interphalangeal joint and/or the proximal interphalangeal joint of the fingers or toes cannot be extended to 180 degrees by either active or passive extension." [HPO:probinson]
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 HP:0012432 Chronic fatigue "Subjective feeling of tiredness characterized by a lack of energy and motivation that persists for six months or longer." [ORCID:0000-0001-5208-3432]
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 HP:0012745 Short palpebral fissure "Distance between the medial and lateral canthi is more than 2 SD below the mean for age (objective); or, apparently reduced length of the palpebral fissures." [pmid:19125427]
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 HP:0025318 Ovarian carcinoma "A malignant neoplasm originating from the surface ovarian epithelium." []
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 HP:0030053 Stiff skin "An induration (hardening) of the skin" []
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 HP:0030084 Clinodactyly "An angulation of a digit at an interphalangeal joint in the plane of the palm (finger) or sole (toe)." [pmid:16252026]
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 HP:0030680 Abnormality of cardiovascular system morphology "Any structural anomaly of the heart and great vessels." []
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 HP:0030690 Gingival cleft "A fissure in the gingiva (gums), i.e., the mucosal tissue that lies over the mandible and maxilla." []
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 HP:0100333 Unilateral cleft lip 
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 HP:0100541 Femoral hernia "A hernia which occurs just below the inguinal ligament, where abdominal contents pass through a naturally occurring weakness called the femoral canal." [HPO:sdoelken]
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 HP:0100585 Teleangiectasia of the skin 
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 HP:0100592 Peritoneal abscess "The presence of an `abscess` (MPATH:608) of the `peritoneum` (FMA:9584)." [HPO:probinson]
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 HP:0100761 Visceral angiomatosis 
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 HP:0100784 Peripheral arteriovenous fistula 
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 HP:0200008 Multiple intestinal polyps 
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 HP:0410067 Increased level of L-fucose in urine "An increase in the level of L-fucose in the urine." [PMID:2311216]
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Interacting proteins (from Reactome)
Interactor ID Name Interaction type
 ENSG00000175387 SMAD2 / Q15796 / SMAD family member 2  / complex / reaction
 ENSG00000129315 CCNT1 / O60563 / cyclin T1  / reaction
 ENSG00000082258 CCNT2 / O60583 / cyclin T2  / reaction
 ENSG00000136603 SKIL / P12757 / SKI like proto-oncogene  / reaction / complex
 ENSG00000067955 CBFB / Q13951 / core-binding factor beta subunit  / reaction / complex
 ENSG00000170365 SMAD1 / Q15797 / SMAD family member 1  / complex / reaction
 ENSG00000141027 NCOR1 / O75376 / nuclear receptor corepressor 1  / reaction / complex
 ENSG00000166949 SMAD3 / P84022 / SMAD family member 3  / reaction / complex
 ENSG00000185591 SP1 / P08047 / Sp1 transcription factor  / reaction / complex
 ENSG00000133895 MEN1 / O00255 / menin 1  / reaction / complex
 ENSG00000080839 RBL1 / P28749 / RB transcriptional corepressor like 1  / reaction / complex
 ENSG00000198176 TFDP1 / Q14186 / transcription factor Dp-1  / reaction / complex
 ENSG00000049759 NEDD4L / Q96PU5 / neural precursor cell expressed, developmentally down-regulated 4-like, E3 ubiquitin protein ligase  / reaction / complex
 ENSG00000120693 SMAD9 / O15198 / SMAD family member 9  / reaction / complex
 ENSG00000018408 WWTR1 / Q9GZV5 / WW domain containing transcription regulator 1  / complex / reaction
 ENSG00000020633 RUNX3 / Q13761 / runt related transcription factor 3  / reaction / complex
 ENSG00000108854 Q9HAU4 / SMURF2 / SMAD specific E3 ubiquitin protein ligase 2  / complex / reaction
 ENSG00000100614 PPM1A / P35813 / protein phosphatase, Mg2+/Mn2+ dependent 1A  / reaction / complex
 ENSG00000118689 FOXO3 / O43524 / forkhead box O3  / complex / reaction
 ENSG00000205250 E2F4 / Q16254 / E2F transcription factor 4  / complex / reaction
 ENSG00000197323 Q9UPN9 / TRIM33 / tripartite motif containing 33  / complex / reaction
 ENSG00000113658 SMAD5 / Q99717 / SMAD family member 5  / reaction / complex
 ENSG00000133740 E2F5 / Q15329 / E2F transcription factor 5  / reaction / complex
 ENSG00000124486 USP9X / Q93008 / ubiquitin specific peptidase 9, X-linked  / complex / reaction
 ENSG00000114126 TFDP2 / Q14188 / transcription factor Dp-2  / complex / reaction
 ENSG00000177426 TGIF1 / Q15583 / TGFB induced factor homeobox 1  / complex / reaction
 ENSG00000112237 CCNC / P24863 / cyclin C  / reaction
 ENSG00000124813 RUNX2 / Q13950 / runt related transcription factor 2  / reaction / complex
 ENSG00000196498 NCOR2 / Q9Y618 / nuclear receptor corepressor 2  / complex / reaction
 ENSG00000143799 PARP1 / P09874 / poly(ADP-ribose) polymerase 1  / reaction / complex
 ENSG00000136807 CDK9 / P50750 / cyclin dependent kinase 9  / reaction
 ENSG00000118707 TGIF2 / Q9GZN2 / TGFB induced factor homeobox 2  / reaction / complex
 ENSG00000116478 HDAC1 / Q13547 / histone deacetylase 1  / complex / reaction
 ENSG00000160973 FOXH1 / O75593 / forkhead box H1  / complex / reaction
 ENSG00000090061 CCNK / O75909 / cyclin K  / reaction
 ENSG00000157933 SKI / P12755 / SKI proto-oncogene  / complex / reaction
 ENSG00000132964 CDK8 / P49336 / cyclin dependent kinase 8  / reaction






 

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