General Information of Drug Off-Target (DOT) (ID: OTO2BC0F)

DOT Name Transcription factor GATA-6 (GATA6)
Synonyms GATA-binding factor 6
Gene Name GATA6
Related Disease
Atrial septal defect 9 ( )
Atrioventricular septal defect 5 ( )
GATA6-related congenital heart disease with or without pancreatic agenesis or neonatal diabetes ( )
Glioblastoma multiforme ( )
Pancreatic hypoplasia-diabetes-congenital heart disease syndrome ( )
Adrenocortical carcinoma ( )
Atrial fibrillation ( )
Atrial septal defect ( )
Benign prostatic hyperplasia ( )
Breast cancer ( )
Breast carcinoma ( )
Cholangiocarcinoma ( )
Colon cancer ( )
Colorectal carcinoma ( )
Congenital contractural arachnodactyly ( )
Congenital heart disease ( )
Epithelial ovarian cancer ( )
Gastric cancer ( )
Hyperglycemia ( )
Lung carcinoma ( )
Lung neoplasm ( )
Neonatal diabetes mellitus ( )
Neoplasm ( )
Obsolete metabolic syndrome ( )
Ovarian cancer ( )
Pancreatic ductal carcinoma ( )
Polydactyly ( )
Pulmonary hypertension ( )
Stomach cancer ( )
Type-1/2 diabetes ( )
Ventricular septal defect ( )
Carcinoma ( )
Lung adenocarcinoma ( )
Lung squamous cell carcinoma ( )
Tetralogy of fallot ( )
Familial atrial fibrillation ( )
Non-insulin dependent diabetes ( )
Colon carcinoma ( )
Congenital diaphragmatic hernia ( )
Conotruncal heart malformations ( )
Endometriosis ( )
Germ cell tumor ( )
Hepatocellular carcinoma ( )
Lung cancer ( )
Monogenic diabetes ( )
Non-small-cell lung cancer ( )
Pancreatic cancer ( )
Patent ductus arteriosus ( )
Persistent truncus arteriosus ( )
UniProt ID
GATA6_HUMAN
3D Structure
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2D Sequence (FASTA)
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3D Structure (PDB)
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Pfam ID
PF00320 ; PF05349
Sequence
MALTDGGWCLPKRFGAAGADASDSRAFPAREPSTPPSPISSSSSSCSRGGERGPGGASNC
GTPQLDTEAAAGPPARSLLLSSYASHPFGAPHGPSAPGVAGPGGNLSSWEDLLLFTDLDQ
AATASKLLWSSRGAKLSPFAPEQPEEMYQTLAALSSQGPAAYDGAPGGFVHSAAAAAAAA
AAASSPVYVPTTRVGSMLPGLPYHLQGSGSGPANHAGGAGAHPGWPQASADSPPYGSGGG
AAGGGAAGPGGAGSAAAHVSARFPYSPSPPMANGAAREPGGYAAAGSGGAGGVSGGGSSL
AAMGGREPQYSSLSAARPLNGTYHHHHHHHHHHPSPYSPYVGAPLTPAWPAGPFETPVLH
SLQSRAGAPLPVPRGPSADLLEDLSESRECVNCGSIQTPLWRRDGTGHYLCNACGLYSKM
NGLSRPLIKPQKRVPSSRRLGLSCANCHTTTTTLWRRNAEGEPVCNACGLYMKLHGVPRP
LAMKKEGIQTRKRKPKNINKSKTCSGNSNNSIPMTPTSTSSNSDDCSKNTSPTTQPTASG
AGAPVMTGAGESTNPENSELKYSGQDGLYIGVSLASPAEVTSSVRPDSWCALALA
Function
Transcriptional activator. Regulates SEMA3C and PLXNA2. Involved in gene regulation specifically in the gastric epithelium. May regulate genes that protect epithelial cells from bacterial infection. Involved in bone morphogenetic protein (BMP)-mediated cardiac-specific gene expression. Binds to BMP response element (BMPRE) DNA sequences within cardiac activating regions. In human skin, controls several physiological processes contributing to homeostasis of the upper pilosebaceous unit. Triggers ductal and sebaceous differentiation as well as limits cell proliferation and lipid production to prevent hyperseborrhoea. Mediates the effects of retinoic acid on sebocyte proliferation, differentiation and lipid production. Also contributes to immune regulation of sebocytes and antimicrobial responses by modulating the expression of anti-inflammatory genes such as IL10 and pro-inflammatory genes such as IL6, TLR2, TLR4, and IFNG. Activates TGFB1 signaling which controls the interfollicular epidermis fate.
Tissue Specificity Expressed in heart, gut and gut-derived tissues. Expressed in skin upper pilosebaceous unit. Expression is decreased or lost in acne lesions .
Reactome Pathway
Cardiogenesis (R-HSA-9733709 )
Formation of definitive endoderm (R-HSA-9823730 )
Factors involved in megakaryocyte development and platelet production (R-HSA-983231 )
Surfactant metabolism (R-HSA-5683826 )

Molecular Interaction Atlas (MIA) of This DOT

49 Disease(s) Related to This DOT
Disease Name Disease ID Evidence Level Mode of Inheritance REF
Atrial septal defect 9 DIS6XRGG Definitive Autosomal dominant [1]
Atrioventricular septal defect 5 DISDU9K4 Definitive Autosomal dominant [2]
GATA6-related congenital heart disease with or without pancreatic agenesis or neonatal diabetes DISZB39O Definitive Autosomal dominant [3]
Glioblastoma multiforme DISK8246 Definitive Biomarker [4]
Pancreatic hypoplasia-diabetes-congenital heart disease syndrome DISR6WPA Definitive Autosomal dominant [5]
Adrenocortical carcinoma DISZF4HX Strong Biomarker [6]
Atrial fibrillation DIS15W6U Strong Genetic Variation [7]
Atrial septal defect DISJT76B Strong CausalMutation [8]
Benign prostatic hyperplasia DISI3CW2 Strong Altered Expression [9]
Breast cancer DIS7DPX1 Strong Altered Expression [10]
Breast carcinoma DIS2UE88 Strong Altered Expression [10]
Cholangiocarcinoma DIS71F6X Strong Altered Expression [11]
Colon cancer DISVC52G Strong Altered Expression [12]
Colorectal carcinoma DIS5PYL0 Strong Altered Expression [13]
Congenital contractural arachnodactyly DISOM1K7 Strong Biomarker [11]
Congenital heart disease DISQBA23 Strong Genetic Variation [14]
Epithelial ovarian cancer DIS56MH2 Strong Genetic Variation [15]
Gastric cancer DISXGOUK Strong Altered Expression [16]
Hyperglycemia DIS0BZB5 Strong Altered Expression [17]
Lung carcinoma DISTR26C Strong Genetic Variation [15]
Lung neoplasm DISVARNB Strong Biomarker [18]
Neonatal diabetes mellitus DISFHF9K Strong Autosomal dominant [19]
Neoplasm DISZKGEW Strong Biomarker [20]
Obsolete metabolic syndrome DISH33EG Strong Autosomal dominant [19]
Ovarian cancer DISZJHAP Strong Genetic Variation [15]
Pancreatic ductal carcinoma DIS26F9Q Strong Biomarker [21]
Polydactyly DIS25BMZ Strong Posttranslational Modification [22]
Pulmonary hypertension DIS1RSP5 Strong Biomarker [23]
Stomach cancer DISKIJSX Strong Altered Expression [16]
Type-1/2 diabetes DISIUHAP Strong Genetic Variation [24]
Ventricular septal defect DISICO41 Strong Genetic Variation [25]
Carcinoma DISH9F1N moderate Altered Expression [26]
Lung adenocarcinoma DISD51WR moderate Biomarker [27]
Lung squamous cell carcinoma DISXPIBD moderate Biomarker [28]
Tetralogy of fallot DISMHFNW Moderate Autosomal dominant [29]
Familial atrial fibrillation DISL4AGF Supportive Autosomal dominant [30]
Non-insulin dependent diabetes DISK1O5Z Disputed Biomarker [31]
Colon carcinoma DISJYKUO Limited Altered Expression [12]
Congenital diaphragmatic hernia DIS0IPVU Limited Genetic Variation [32]
Conotruncal heart malformations DIS7FMIG Limited Autosomal recessive [29]
Endometriosis DISX1AG8 Limited Biomarker [33]
Germ cell tumor DIS62070 Limited Biomarker [34]
Hepatocellular carcinoma DIS0J828 Limited Altered Expression [20]
Lung cancer DISCM4YA Limited Genetic Variation [15]
Monogenic diabetes DISEB8Q0 Limited Biomarker [35]
Non-small-cell lung cancer DIS5Y6R9 Limited Altered Expression [36]
Pancreatic cancer DISJC981 Limited Biomarker [21]
Patent ductus arteriosus DIS9P8YS Limited CausalMutation [8]
Persistent truncus arteriosus DISRZ8EA Limited Genetic Variation [37]
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⏷ Show the Full List of 49 Disease(s)
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This DOT
This DOT Affected the Drug Response of 1 Drug(s)
Drug Name Drug ID Highest Status Interaction REF
Warfarin DMJYCVW Approved Transcription factor GATA-6 (GATA6) affects the response to substance of Warfarin. [54]
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24 Drug(s) Affected the Gene/Protein Processing of This DOT
Drug Name Drug ID Highest Status Interaction REF
Valproate DMCFE9I Approved Valproate increases the expression of Transcription factor GATA-6 (GATA6). [38]
Ciclosporin DMAZJFX Approved Ciclosporin decreases the expression of Transcription factor GATA-6 (GATA6). [39]
Tretinoin DM49DUI Approved Tretinoin increases the expression of Transcription factor GATA-6 (GATA6). [40]
Acetaminophen DMUIE76 Approved Acetaminophen decreases the expression of Transcription factor GATA-6 (GATA6). [41]
Cisplatin DMRHGI9 Approved Cisplatin decreases the expression of Transcription factor GATA-6 (GATA6). [42]
Estradiol DMUNTE3 Approved Estradiol decreases the expression of Transcription factor GATA-6 (GATA6). [43]
Quercetin DM3NC4M Approved Quercetin increases the expression of Transcription factor GATA-6 (GATA6). [39]
Testosterone DM7HUNW Approved Testosterone decreases the expression of Transcription factor GATA-6 (GATA6). [44]
Phenobarbital DMXZOCG Approved Phenobarbital affects the expression of Transcription factor GATA-6 (GATA6). [45]
Progesterone DMUY35B Approved Progesterone increases the expression of Transcription factor GATA-6 (GATA6). [46]
Menadione DMSJDTY Approved Menadione affects the expression of Transcription factor GATA-6 (GATA6). [47]
Indomethacin DMSC4A7 Approved Indomethacin increases the expression of Transcription factor GATA-6 (GATA6). [48]
Alitretinoin DMME8LH Approved Alitretinoin increases the expression of Transcription factor GATA-6 (GATA6). [40]
Beta-carotene DM0RXBT Approved Beta-carotene increases the expression of Transcription factor GATA-6 (GATA6). [40]
Vitamin A DMJ2AH4 Approved Vitamin A increases the expression of Transcription factor GATA-6 (GATA6). [40]
EXISULIND DMBY56U Phase 3 EXISULIND decreases the expression of Transcription factor GATA-6 (GATA6). [49]
Benzo(a)pyrene DMN7J43 Phase 1 Benzo(a)pyrene decreases the expression of Transcription factor GATA-6 (GATA6). [39]
PMID28460551-Compound-2 DM4DOUB Patented PMID28460551-Compound-2 decreases the expression of Transcription factor GATA-6 (GATA6). [50]
CHIR-99021 DMB8MNU Patented CHIR-99021 increases the expression of Transcription factor GATA-6 (GATA6). [51]
NS398 DMINUWH Terminated NS398 decreases the expression of Transcription factor GATA-6 (GATA6). [49]
Formaldehyde DM7Q6M0 Investigative Formaldehyde decreases the expression of Transcription factor GATA-6 (GATA6). [52]
Nickel chloride DMI12Y8 Investigative Nickel chloride increases the expression of Transcription factor GATA-6 (GATA6). [53]
OXYQUINOLINE DMZVS9Y Investigative OXYQUINOLINE decreases the expression of Transcription factor GATA-6 (GATA6). [39]
all-trans-4-oxo-retinoic acid DMM2R1N Investigative all-trans-4-oxo-retinoic acid increases the expression of Transcription factor GATA-6 (GATA6). [40]
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⏷ Show the Full List of 24 Drug(s)

References

1 A novel GATA6 mutation in patients with tetralogy of Fallot or atrial septal defect. J Hum Genet. 2010 Oct;55(10):662-7. doi: 10.1038/jhg.2010.84. Epub 2010 Jul 15.
2 Identification of GATA6 sequence variants in patients with congenital heart defects. Pediatr Res. 2010 Oct;68(4):281-5. doi: 10.1203/PDR.0b013e3181ed17e4.
3 Technical standards for the interpretation and reporting of constitutional copy-number variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen). Genet Med. 2020 Feb;22(2):245-257. doi: 10.1038/s41436-019-0686-8. Epub 2019 Nov 6.
4 The promoter hypermethylation status of GATA6, MGMT, and FHIT in glioblastoma.Cell Mol Neurobiol. 2012 Mar;32(2):237-44. doi: 10.1007/s10571-011-9753-7. Epub 2011 Sep 18.
5 GATA6 haploinsufficiency causes pancreatic agenesis in humans. Nat Genet. 2011 Dec 11;44(1):20-22. doi: 10.1038/ng.1035.
6 Transcription factors GATA-6, SF-1, and cell proliferation in human adrenocortical tumors.Mol Cell Endocrinol. 2005 Apr 15;233(1-2):47-56. doi: 10.1016/j.mce.2005.01.012.
7 Gain-of-function mutations in GATA6 lead to atrial fibrillation.Heart Rhythm. 2017 Feb;14(2):284-291. doi: 10.1016/j.hrthm.2016.10.014. Epub 2016 Oct 15.
8 Whole exome sequencing identifies de novo mutations in GATA6 associated with congenital diaphragmatic hernia.J Med Genet. 2014 Mar;51(3):197-202. doi: 10.1136/jmedgenet-2013-101989. Epub 2014 Jan 2.
9 GATA-6 and NF-B activate CPI-17 gene transcription and regulate Ca2+ sensitization of smooth muscle contraction.Mol Cell Biol. 2013 Mar;33(5):1085-102. doi: 10.1128/MCB.00626-12. Epub 2012 Dec 28.
10 GATA5 activation of the progesterone receptor gene promoter in breast cancer cells is influenced by the +331G/A polymorphism.Cancer Res. 2006 Feb 1;66(3):1384-90. doi: 10.1158/0008-5472.CAN-05-2715.
11 The interaction of LOXL2 with GATA6 induces VEGFA expression and angiogenesis in cholangiocarcinoma.Int J Oncol. 2019 Sep;55(3):657-670. doi: 10.3892/ijo.2019.4837. Epub 2019 Jul 15.
12 The miR-196b miRNA inhibits the GATA6 intestinal transcription factor and is upregulated in colon cancer patients.Oncotarget. 2017 Jan 17;8(3):4747-4759. doi: 10.18632/oncotarget.13580.
13 miR-455 Functions as a Tumor Suppressor Through Targeting GATA6 in Colorectal Cancer.Oncol Res. 2019 Feb 21;27(3):311-316. doi: 10.3727/096504018X15220579006875. Epub 2018 Apr 3.
14 Targeted sequencing identifies novel GATA6 variants in a large cohort of patients with conotruncal heart defects.Gene. 2018 Jan 30;641:341-348. doi: 10.1016/j.gene.2017.10.083. Epub 2017 Oct 31.
15 Multiple roles and regulatory mechanisms of the transcription factor GATA6 in human cancers.Clin Genet. 2020 Jan;97(1):64-72. doi: 10.1111/cge.13630. Epub 2019 Aug 28.
16 GATA6 suppresses migration and metastasis by regulating the miR-520b/CREB1 axis in gastric cancer.Cell Death Dis. 2019 Jan 15;10(2):35. doi: 10.1038/s41419-018-1270-x.
17 Negative impact of hyperglycaemia on mouse alveolar development.Cell Cycle. 2018;17(1):80-91. doi: 10.1080/15384101.2017.1403683. Epub 2017 Dec 21.
18 Codon 12 region of mouse K-ras gene is the site for in vitro binding of transcription factors GATA-6 and NF-Y.Biochemistry (Mosc). 2005 Oct;70(10):1180-4. doi: 10.1007/s10541-005-0244-7.
19 The Gene Curation Coalition: A global effort to harmonize gene-disease evidence resources. Genet Med. 2022 Aug;24(8):1732-1742. doi: 10.1016/j.gim.2022.04.017. Epub 2022 May 4.
20 Deregulated GATA6 modulates stem cell-like properties and metabolic phenotype in hepatocellular carcinoma.Int J Cancer. 2019 Oct 1;145(7):1860-1873. doi: 10.1002/ijc.32248. Epub 2019 Mar 28.
21 GATA6 regulates EMT and tumour dissemination, and is a marker of response to adjuvant chemotherapy in pancreatic cancer.Gut. 2017 Sep;66(9):1665-1676. doi: 10.1136/gutjnl-2015-311256. Epub 2016 Jun 20.
22 Gata6 restricts Isl1 to the posterior of nascent hindlimb buds through Isl1 cis-regulatory modules.Dev Biol. 2018 Feb 1;434(1):74-83. doi: 10.1016/j.ydbio.2017.11.013. Epub 2017 Dec 7.
23 Simvastatin restores down-regulated GATA-6 expression in pulmonary hypertensive rats.Exp Lung Res. 2009 Jun;35(5):411-26. doi: 10.1080/01902140902736819.
24 Case report: maternal mosaicism resulting in inheritance of a novel GATA6 mutation causing pancreatic agenesis and neonatal diabetes mellitus.Diagn Pathol. 2017 Jan 3;12(1):1. doi: 10.1186/s13000-016-0592-1.
25 Novel and functional DNA sequence variants within the GATA6 gene promoter in ventricular septal defects.Int J Mol Sci. 2014 Jul 17;15(7):12677-87. doi: 10.3390/ijms150712677.
26 Frequent genomic copy number gain and overexpression of GATA-6 in pancreatic carcinoma.Cancer Biol Ther. 2008 Oct;7(10):1593-601. doi: 10.4161/cbt.7.10.6565. Epub 2008 Oct 7.
27 GATA6-positive lung adenocarcinomas are associated with invasive mucinous adenocarcinoma morphology, hepatocyte nuclear factor 4 expression, and KRAS mutations.Histopathology. 2018 Jul;73(1):38-48. doi: 10.1111/his.13500. Epub 2018 Apr 17.
28 SFTA1P, LINC00968, GATA6-AS1, TBX5-AS1, and FEZF1-AS1 are crucial long non-coding RNAs associated with the prognosis of lung squamous cell carcinoma.Oncol Lett. 2019 Oct;18(4):3985-3993. doi: 10.3892/ol.2019.10744. Epub 2019 Aug 14.
29 Classification of Genes: Standardized Clinical Validity Assessment of Gene-Disease Associations Aids Diagnostic Exome Analysis and Reclassifications. Hum Mutat. 2017 May;38(5):600-608. doi: 10.1002/humu.23183. Epub 2017 Feb 13.
30 Novel GATA6 loss-of-function mutation responsible for familial atrial fibrillation. Int J Mol Med. 2012 Oct;30(4):783-90. doi: 10.3892/ijmm.2012.1068. Epub 2012 Jul 18.
31 Pancreatic Histopathology of Human Monogenic Diabetes Due to Causal Variants in KCNJ11, HNF1A, GATA6, and LMNA.J Clin Endocrinol Metab. 2018 Jan 1;103(1):35-45. doi: 10.1210/jc.2017-01159.
32 A novel GATA6 variant in a boy with neonatal diabetes and diaphragmatic hernia: a familial case with a review of the literature.J Pediatr Endocrinol Metab. 2019 Sep 25;32(9):1027-1030. doi: 10.1515/jpem-2019-0057.
33 The Essential Role of GATA6 in the Activation of Estrogen Synthesis in Endometriosis.Reprod Sci. 2019 Jan;26(1):60-69. doi: 10.1177/1933719118756751. Epub 2018 Feb 5.
34 Transcription factors GATA-4 and GATA-6, and their potential downstream effectors in ovarian germ cell tumors.Tumour Biol. 2005 Sep-Oct;26(5):265-73. doi: 10.1159/000087565. Epub 2005 Aug 17.
35 Two novel GATA6 mutations cause childhood-onset diabetes mellitus, pancreas malformation and congenital heart disease.Horm Res Paediatr. 2013;79(4):250-6. doi: 10.1159/000348844. Epub 2013 Apr 26.
36 GATA6-upregulating autophagy promotes TKI resistance in nonsmall cell lung cancer.Cancer Biol Ther. 2019;20(9):1206-1212. doi: 10.1080/15384047.2019.1599665. Epub 2019 May 16.
37 A novel mutation in GATA6 causes pancreatic agenesis.Pediatr Diabetes. 2015 Feb;16(1):67-70. doi: 10.1111/pedi.12111. Epub 2014 Jan 17.
38 Design principles of concentration-dependent transcriptome deviations in drug-exposed differentiating stem cells. Chem Res Toxicol. 2014 Mar 17;27(3):408-20.
39 Comparison of phenotypic and transcriptomic effects of false-positive genotoxins, true genotoxins and non-genotoxins using HepG2 cells. Mutagenesis. 2011 Sep;26(5):593-604.
40 Beta-carotene and apocarotenals promote retinoid signaling in BEAS-2B human bronchioepithelial cells. Arch Biochem Biophys. 2006 Nov 1;455(1):48-60.
41 Blood transcript immune signatures distinguish a subset of people with elevated serum ALT from others given acetaminophen. Clin Pharmacol Ther. 2016 Apr;99(4):432-41.
42 Activation of AIFM2 enhances apoptosis of human lung cancer cells undergoing toxicological stress. Toxicol Lett. 2016 Sep 6;258:227-236.
43 17-Estradiol Activates HSF1 via MAPK Signaling in ER-Positive Breast Cancer Cells. Cancers (Basel). 2019 Oct 11;11(10):1533. doi: 10.3390/cancers11101533.
44 The exosome-like vesicles derived from androgen exposed-prostate stromal cells promote epithelial cells proliferation and epithelial-mesenchymal transition. Toxicol Appl Pharmacol. 2021 Jan 15;411:115384. doi: 10.1016/j.taap.2020.115384. Epub 2020 Dec 25.
45 Reproducible chemical-induced changes in gene expression profiles in human hepatoma HepaRG cells under various experimental conditions. Toxicol In Vitro. 2009 Apr;23(3):466-75. doi: 10.1016/j.tiv.2008.12.018. Epub 2008 Dec 30.
46 Endometrial receptivity is affected in women with high circulating progesterone levels at the end of the follicular phase: a functional genomics analysis. Hum Reprod. 2011 Jul;26(7):1813-25.
47 Global gene expression analysis reveals differences in cellular responses to hydroxyl- and superoxide anion radical-induced oxidative stress in caco-2 cells. Toxicol Sci. 2010 Apr;114(2):193-203. doi: 10.1093/toxsci/kfp309. Epub 2009 Dec 31.
48 Mechanisms of indomethacin-induced alterations in the choline phospholipid metabolism of breast cancer cells. Neoplasia. 2006 Sep;8(9):758-71.
49 GATA-6 transcriptional regulation of 15-lipoxygenase-1 during NSAID-induced apoptosis in colorectal cancer cells. Cancer Res. 2002 Feb 15;62(4):1178-83.
50 Cell-based two-dimensional morphological assessment system to predict cancer drug-induced cardiotoxicity using human induced pluripotent stem cell-derived cardiomyocytes. Toxicol Appl Pharmacol. 2019 Nov 15;383:114761. doi: 10.1016/j.taap.2019.114761. Epub 2019 Sep 15.
51 Exposure-based assessment of chemical teratogenicity using morphogenetic aggregates of human embryonic stem cells. Reprod Toxicol. 2020 Jan;91:74-91. doi: 10.1016/j.reprotox.2019.10.004. Epub 2019 Nov 8.
52 Gene expression changes in primary human nasal epithelial cells exposed to formaldehyde in vitro. Toxicol Lett. 2010 Oct 5;198(2):289-95.
53 The contact allergen nickel triggers a unique inflammatory and proangiogenic gene expression pattern via activation of NF-kappaB and hypoxia-inducible factor-1alpha. J Immunol. 2007 Mar 1;178(5):3198-207.
54 Genetic variations in the transcription factors GATA4 and GATA6 and bleeding complications in patients receiving warfarin therapy. Drug Des Devel Ther. 2019 May 17;13:1717-1727. doi: 10.2147/DDDT.S198018. eCollection 2019.