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. 2021 May 25;46(10):1788–1801. doi: 10.1038/s41386-021-01023-4

Table 2.

Prioritized genes for nootropic re-purposing.

Gene ID Gene name Predicted nootropic function Drug name(s) MOA Drug indications
CA1 Carbonic anhydrase 1 Antagonist

Acetazolamide

Benzthiazide

Brinzolamide

Chlorthalidone

Diclofenamide

Dorzolamide

Ethoxzolamide

Methazolamide

Topiramate

Trichlormethiazide

Methyclothiazide

Levosulpiride

Zonisamide

Bendroflumethiazide

Hydroflumethiazide

Coumarin

Amlodipine

• Carbonic anhydrase inhibitor

• Glutamate receptor antagonist

• Kainate receptor antagonist

• Chloride channel blocker

• Chloride reabsorption inhibitor

• Dopamine receptor antagonist

• Sodium channel blocker

• T-type calcium channel blocker

• Sodium/potassium/chloride transporter inhibitor

• Vitamin K antagonist

• Calcium channel blocker

Congestive heart failure

Duodenal ulcer disease

Dyspepsia

Edema

Epilepsy

Glaucoma

Hypertension

Migraine headache

Ocular hypertension

Acute glomerulonephritis (AGN)

Anxiety

Asthma

Celiac disease

Chronic renal failure

Chronic stable angina

Coronary artery disease (CAD)

Hepatic cirrhosis

Irritable bowel syndrome

Nephrotic syndrome

Premature ejaculation (PE)

Psychosis

Schizophrenia

Seizures

Ulcerative colitis

Vertigo

CA13 Carbonic anhydrase 13 Antagonist

Ethoxzolamide

Zonisamide

• Carbonic anhydrase inhibitor

• Sodium channel blocker

• T-type calcium channel blocker

Glaucoma

Duodenal ulcer disease

Epilepsy

CACNA2D2 Calcium voltage-gated channel auxiliary subunit alpha2delta 2 Agonist Gabapentin-Enacarbil Adrenergic receptor agonist

Restless leg syndrome

Postherpetic neuralgia

CACNG3 Calcium voltage-gated channel auxiliary subunit gamma3 Agonist Gabapentin-enacarbil Adrenergic receptor agonist

Restless leg syndrome

Postherpetic neuralgia

CLCN2 Chloride voltage-gated channel 2 Agonist Lubiprostone Chloride channel activator

Constipation

Irritable bowel syndrome

DHODH Dihydroorotate dehydrogenase (quinone) Antagonist

Leflunomide

Atovaquone

Teriflunomide

• Dihydroorotate dehydrogenase inhibitor

• Mitochondrial electron transport inhibitor

• PDGFR tyrosine kinase receptor inhibitor

Multiple Sclerosis

Rheumatoid Arthritis

Pneumonia

DPP4 Dipeptidyl peptidase 4 Antagonist

Alogliptin

Anagliptin

Linagliptin

Saxagliptin

Sitagliptin

Teneligliptin

Trelagliptin

Vildagliptin

Atorvastatin

• Dipeptidyl peptidase inhibitor

• HMGCR inhibitor

Diabetes mellitus

stroke

Cholesterol reduction

GRIA4 Glutamate ionotropic receptor AMPA type subunit 4 Agonist Piracetam Acetylcholine agonist Senile dementia
GRIN2A Glutamate ionotropic receptor NMDA type subunit 2 A Antagonist

Acamprosate

Amantadine

Telbamate

Halothane

Memantine

Atomoxetine

Milnacipran

Gabapentin

• Glutamate receptor antagonist

• Norepinephrine transporter inhibitor

• Serotonin-norepinephrine reuptake inhibitor (SNRI)

• Calcium channel blocker

Abstinence from alcohol

Alzheimer’s disease

Epilepsy

General anaesthetic

Influenza A virus infection

Parkinson’s Disease

Restless leg syndrome

Senile dementia

Virus herpes simplex (HSV)

Attention deficit/hyperactivity disorder (ADHD)

Fibromyalgia

Seizures

Pain from shingles

HTR1D 5-hydroxytryptamine receptor 1D Agonist

Serotonin

Almotriptan

Dihydroergotamine

Eletriptan

Frovatriptan

Naratriptan

Rizatriptan

Sumatriptan

Zolmitriptan

Aripiprazole

Oxymetazoline

Bromocriptine

Cabergoline

lIsuride

Pramipexole

Ropinirole

Serotonin receptor agonist

• Adrenergic receptor agonist

• Dopamine receptor agonist

• Growth factor receptor activator

Bipolar disorder

Depression

Migraine headache

Schizophrenia

Sleeplessness

Acromegaly

Hyperprolactinemia

Nasal congestion

Parkinson’s Disease

Restless leg syndrome

HTR5A 5-hydroxytryptamine receptor 5 A Antagonist

Ergotamine

Yohimbine

Asenapine

Clozapine

Loxapine

Olanzapine

Vortioxetine

Ketanserin

Methysergide

• Serotonin receptor antagonist

• Adrenergic receptor antagonist

• Dopamine receptor antagonist

• Serotonin receptor agonist^

Bipolar disorder

Bradycardia

Cardiac arrythmia

Depression

Headache

Hypertension

Migraine headache

Schizophrenia

SLC6A4 Solute carrier family 6 member 4 Agonist

Vortioxetine

Dopamine

Dextromethorphan

Tapentadol

• Serotonin receptor agonist

• Dopamine receptor agonist

• Glutamate receptor antagonist

• Opioid receptor agonist

• Sigma receptor agonist

Depression

Acute pain

Cough suppressant

Headache

Muscle pain

Tremors

Ventricular arrhythmias

PDE4C Phosphodiesterase 4 C Agonist Ketotifen

• Phosphodiesterase inhibitor

• Histamine receptor agonist

• Leukotriene receptor antagonist

Itching
PDE4D Phosphodiesterase 4D Antagonist

Aminophylline

Doxofylline

Caffeine

Dyphyllin

Ketotifen

Ibudilast

Apremilast

Dipyridamole

Pentoxifylline

Roflumilast

Iloprost

• Phosphodiesterase inhibitor

• Adenosine receptor antagonist

• Histamine receptor agonist

• Leukotriene receptor antagonist

• Platelet aggregation inhibitor

• Prostanoid receptor agonist

Asthma

Bronchitis

Chronic obstructive pulmonary disease

Claudication

Coronary artery disease (CAD)

Drowsiness

Emphysema

Fatigue

Hypertension

Itching

Peripheral artery disease (PAD)

Psoriasis

Psoriatic arthritis

Pulmonary arterial hypertension (PAH)

Stroke

PSMA5 Proteasome subunit alpha 5 Antagonist

Bortezomib

Carfilzomib

• Proteasome inhibitor

• NFkB pathway inhibitor

Multiple myeloma

Mantle cell lymphoma (MCL)

THRB Thyroid hormone receptor beta Agonist

Levothyroxine

Liothyronine

Tiratricol

• Thyroid hormone receptor beta

Myxedema coma

Hypothyroidism

Refetoff syndrome

Predicted nootropic function was obtained from gene expression association with general cognitive ability. MOA, drug names and drug indications were annotated via Broad Institute Connectivity MAP: Drug Re-Purposing hub. Labels in bold directly implicate the gene, while labels in italics indicate drugs and MOA that are consistent with the predicted nootropic function, but only indirectly implicate the gene.

MOA Mechanism of Action.