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. 2026 Mar 19;40(2):172–184. doi: 10.7555/JBR.39.20250166

Table 2. Pleiotropic genes druggable for skin diseases or GIT diseases.

Pleiotropic genes Drugs Indication Action Trait pairs

For each gene, only one drug is present (All drugs are listed in Supplementary Table 6). Drugs simultaneously applicable to skin diseases and GIT diseases are marked in bold.*Unknown means still in trials.Abbreviations: AD, atopic dermatitis; GORD, gastro-oesophageal reflux disease; HS, hidradenitis suppurativa; IBD, inflammatory bowel disease; IBS, irritable bowel syndrome; PUD, peptic ulcer disease; SLE, systemic lupus erythematosus.

CYP21A2 Ketoconazole Seborrheic dermatitis and fungal skin infections Inhibitor AD–IBD, HS–IBD, SLE–IBD, SLE–IBS, Urticaria–IBD
ERBB2 Trastuzumab Gastroesophageal and gastric cancers Binder antibody SLE–IBD
ERBB3 Tucatinib Colorectal cancer Inhibitor AD–GORD
FCGR2A Etanercept Plaque psoriasis Ligand SLE–IBD
FCGR2B Etanercept Plaque psoriasis Ligand SLE–IBD
IL12B Ustekinumab Plaque psoriasis, Crohn's disease, and ulcerative colitis Inhibitor Psoriasis–IBD
IL13 Lebrikizumab Atopic dermatitis Antibody AD–PUD, Psoriasis–PUD, Psoriasis–IBD
IL2 Cefazolin Bacterial infections of the skin Inhibitor AD–IBD, AD–IBS, Psoriasis–IBD
IL2RA Aldesleukin Metastatic melanoma Agonist modulator AD–PUD, AD–IBD
IL4 Dupilumab Atopic dermatitis Inhibitor antibody AD–GORD, AD–IBD, Psoriasis–IBD
ITGAX Efalizumab Chronic plaque psoriasis Antibody SLE–IBD
KAT5 Coenzyme A Acne (in trials) Unknown* AD–IBD, AD–IBS
LTA Etanercept Plaque psoriasis Ligand AD–PUD, AD–GORD, SLE–PUD, SLE–GORD, SLE–IBD, SLE–IBS, Psoriasis–PUD, Psoriasis–GORD, Psoriasis–IBD, Urticaria–GORD
NEU1 Celecoxib Familial adenomatous polyposis Inhibitor AD–IBD, SLE–IBD, Urticaria–GORD, Urticaria–IBS
PDE4A Roflumilast Psoriasis vulgaris and seborrheic dermatitis Inhibitor SLE–IBD, Psoriasis–IBD
S1PR5 Ozanimod Ulcerative colitis Agonist SLE–IBD, Psoriasis–IBD
TNF Adalimumab Crohn's disease, ulcerative colitis, psoriasis, and hidradenitis suppurativa Inhibitor antibody Psoriasis–IBS
TUBB Tirbanibulin Actinic keratosis Inhibitor Acne–GORD, Urticaria–GORD, Urticaria–IBD, Urticaria–IBS