DHFR

gene
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Also known as DHFR1

Summary

DHFR (dihydrofolate reductase, HGNC:2861) is a protein-coding gene on chromosome 5q14.1, encoding Dihydrofolate reductase (P00374). Catalyzes the reduction of 7,8-dihydrofolate (DHF) to 5,6,7,8-tetrahydrofolate in a NADPH-dependent manner. It is a selective cancer dependency (DepMap: 69.8% of cell lines).

Dihydrofolate reductase converts dihydrofolate into tetrahydrofolate, a methyl group shuttle required for the de novo synthesis of purines, thymidylic acid, and certain amino acids. While the functional dihydrofolate reductase gene has been mapped to chromosome 5, multiple intronless processed pseudogenes or dihydrofolate reductase-like genes have been identified on separate chromosomes. Dihydrofolate reductase deficiency has been linked to megaloblastic anemia. Several transcript variants encoding different isoforms have been found for this gene.

Source: NCBI Gene 1719 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): constitutional megaloblastic anemia with severe neurologic disease (Definitive, GenCC)
  • GWAS associations: 9
  • Clinical variants (ClinVar): 597 total — 26 pathogenic, 11 likely-pathogenic
  • Phenotypes (HPO): 25
  • Druggable target: yes — 23 molecules with ChEMBL bioactivity
  • Cancer dependency (DepMap): dependent in 69.8% of screened cell lines
  • MANE Select transcript: NM_000791

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:2861
Approved symbolDHFR
Namedihydrofolate reductase
Location5q14.1
Locus typegene with protein product
StatusApproved
AliasesDHFR1
Ensembl geneENSG00000228716
Ensembl biotypeprotein_coding
OMIM126060
Entrez1719

Gene structure

Transcript identifiers

Ensembl transcripts: 8 — 5 protein_coding, 2 retained_intron, 1 protein_coding_CDS_not_defined

ENST00000439211, ENST00000504396, ENST00000505337, ENST00000508282, ENST00000511032, ENST00000513048, ENST00000513314, ENST00000935289

RefSeq mRNA: 3 — MANE Select: NM_000791 NM_000791, NM_001290354, NM_001290357

CCDS: CCDS47240, CCDS78028, CCDS78029

Canonical transcript exons

ENST00000439211 — 6 exons

ExonStartEnd
ENSE000015633158062622680629165
ENSE000015948588065400880654057
ENSE000017523048065440480654983
ENSE000034657258063387780633992
ENSE000036453868064938980649494
ENSE000036686818063788380638009

Expression profiles

Bgee: expression breadth ubiquitous, 290 present calls, max score 98.32.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 8.0997 / max 78.0778, expressed in 1754 samples.

FANTOM5 promoters (3 alternative TSS)

Promoter IDTPM avgSamples expressed
623147.87861750
623130.208499
623120.01285

Top tissues by expression

295 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
buccal mucosa cellCL:000233698.32gold quality
ventricular zoneUBERON:000305397.43gold quality
ganglionic eminenceUBERON:000402396.56gold quality
embryoUBERON:000092296.35gold quality
trabecular bone tissueUBERON:000248395.28gold quality
bone marrowUBERON:000237194.37gold quality
bone marrow cellCL:000209293.45gold quality
oocyteCL:000002393.03gold quality
inferior vagus X ganglionUBERON:000536391.65gold quality
jejunal mucosaUBERON:000039991.54gold quality
endothelial cellCL:000011591.12gold quality
rectumUBERON:000105291.09gold quality
subthalamic nucleusUBERON:000190691.03gold quality
nephron tubuleUBERON:000123190.11gold quality
medial globus pallidusUBERON:000247790.02gold quality
tongue squamous epitheliumUBERON:000691989.77gold quality
secondary oocyteCL:000065589.68gold quality
vermiform appendixUBERON:000115489.68gold quality
caecumUBERON:000115389.53gold quality
globus pallidusUBERON:000187589.49gold quality
duodenumUBERON:000211489.44gold quality
lymph nodeUBERON:000002989.43gold quality
jejunumUBERON:000211589.34gold quality
spinal cordUBERON:000224089.32gold quality
thymusUBERON:000237089.27gold quality
medulla oblongataUBERON:000189689.24gold quality
liverUBERON:000210789.21gold quality
C1 segment of cervical spinal cordUBERON:000646989.21gold quality
renal medullaUBERON:000036289.20gold quality
colonic epitheliumUBERON:000039789.11gold quality

Single-cell (SCXA)

Detected in 10 experiment(s), a significant marker in 7.

ExperimentMarker?Max mean expression
E-GEOD-93593yes254.25
E-GEOD-76312yes236.38
E-GEOD-81383yes158.39
E-CURD-112yes38.54
E-CURD-122yes25.07
E-GEOD-125970yes21.22
E-ANND-3yes7.63
E-MTAB-6379no400.53
E-MTAB-6524no182.41
E-MTAB-6108no148.74

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): CUX1, E2F1, E2F4, ELK3, MYC, NR0B2, NR3C1, RB1, RBL2, SP1, SP2, TBP, TFDP1

miRNA regulators (miRDB)

101 targeting DHFR, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-656-3P100.0072.152788
HSA-MIR-4795-3P100.0074.624024
HSA-MIR-4455100.0065.481587
HSA-MIR-190A-3P100.0080.355520
HSA-MIR-3163100.0077.238605
HSA-MIR-428299.9975.366408
HSA-MIR-548AJ-3P99.9673.385345
HSA-MIR-548X-3P99.9673.385345
HSA-MIR-570-3P99.9672.414910
HSA-MIR-548J-3P99.9472.614881
HSA-MIR-335-3P99.9373.364958
HSA-MIR-548AE-3P99.9372.664867
HSA-MIR-548AH-3P99.9372.544872
HSA-MIR-548AM-3P99.9372.544872
HSA-MIR-548AQ-3P99.9372.664867
HSA-MIR-10523-5P99.9169.222038
HSA-MIR-806299.8868.43995
HSA-MIR-30A-3P99.8769.742928
HSA-MIR-30D-3P99.8769.922917
HSA-MIR-30E-3P99.8769.682942
HSA-MIR-5003-3P99.8569.292517
HSA-MIR-576-5P99.8470.462582
HSA-MIR-5010-3P99.8370.602357
HSA-MIR-442099.8270.081624
HSA-MIR-181B-2-3P99.8170.061646
HSA-MIR-181B-3P99.8170.061646
HSA-MIR-374C-5P99.8072.062910
HSA-MIR-655-3P99.8072.192909
HSA-MIR-2681-5P99.7567.641655
HSA-MIR-6885-3P99.7570.363187

Functional genomics

DepMap (CRISPR cell-line fitness): dependent in 69.8% of screened cell lines.

Literature-anchored findings (GeneRIF, showing 40)

  • protein folding of dihydrofolate reductases (DHFR) from human, Escherichia coli, and Lactobacillus casei were elucidated and compared using intrinsic Trp fluorescence and fluorescence-detected ANS binding (PMID:11779239)
  • studied differences between the regulation of Plasmodium and human dihydrofolate reductases (PMID:11964483)
  • Computer modeling studies of the structural role of NADPH binding to active site mutants of human dihydrofolate reductase in complex with piritrexim (PMID:11996001)
  • Molecular mechanisms that govern translational regulation of DHFR in response to MTX. Review. (PMID:12084458)
  • The crystal structures of two human dihydrofolate reductase (hDHFR) ternary complexes, each with bound NADPH cofactor and a lipophilic antifolate inhibitor, have been determined at atomic resolution. (PMID:12096917)
  • Identification of amino acid residues on dihydrofolate reductase protein that mediate binding to its own mRNA (PMID:12384595)
  • E2F-responsive dihydrofolate reductase promoter regulates the balance between acetylation and methylation of histone H3 lysine 9 (PMID:12588981)
  • RNA polymerase II accumulates in the promoter-proximal region of the dihydrofolate reductase and gamma-actin genes. (PMID:12612070)
  • cooperative regulation of dhfr gene transcription by Sp1 and E2F in human osteosarcoma cells, U2OS (PMID:12788094)
  • Characterization of a cis-acting regulatory element in dihydrofolate reductase mRNA that functions as a dihydrofolate reductase response element. (PMID:14664697)
  • Amplification of the DHFR gene may occur more frequently in the presence of RB1-mediated negative regulation of its activity and can be present at clinical onset in osteosarcoma patients (PMID:14679136)
  • The polymorphic alleles that diminish bioavailability of reduced folate in the mother during pregnancy was found to contribute to SB and found to be a 19 bp deletion allele (frequency 0.45) within intron-1 of dihydrofolate reductase (DHFR). (PMID:14735580)
  • DHFR exists in two conformations, one bound to DHFR mRNA and the other bound to NADPH (PMID:15817466)
  • GroEL bound hDHFR might best be described as a dynamic ensemble of randomly structured conformers (PMID:16116078)
  • Point mutations in 5 codons of the DHFR gene, which is known to be related to pyrimethamine resistance, were detected in 15 out of the 50 samples (30%). (PMID:16124424)
  • The Expression of baseline dihydrofolate reductase and glycinamide ribonucleotide formyl transferase tended to be higher in responders but this association was not significant. (PMID:16467096)
  • switch-like behavior results from a well-studied mechanism for the action of human dihydrofolate reductase (PMID:16735474)
  • The 19-bp deletion genotype of DHFR gene was associated with a lower plasma total Homocysteine compared with the wild-type genotype. (PMID:16969375)
  • transcriptional repression of the major promoter of the dihydrofolate reductase gene depends on a non-coding transcript initiated from the upstream minor promoter and involves both the direct interaction of the RNA and promoter-specific interference (PMID:17237763)
  • We did not find evidence for an effect of the DHFR 19-bp deletion or 9-bp repeat on spina bifida risk in mothers and children. (PMID:17336564)
  • DHFR 19-bp deletion polymorphism affects the transcription of DHFR gene in humans (PMID:17413111)
  • The DHFR intron 19-bp deletion allele may be a protective neural tube defects genetic factor by increasing DHFR mRNA levels in pregnant women. (PMID:17486595)
  • study reports that the 19bp-deletion polymorphism of DHFR acts independently (OR 2.69, 95% CI; 1.00-7.28, p<0.05) and in concert with related folate polymorphisms as a significant risk factor for autism (PMID:17597297)
  • The tea polyphenol, epigallocatechin-3-gallate, is an efficient inhibitor of human dihydrofolate reductase. (PMID:17683969)
  • Preinvasive cervical lesions display locus specific gene amplification of DHFR, and could be considered as a biological marker for genomic instability in the cervix. (PMID:17917571)
  • DHFR27 RNA could repress the luciferase expression in a DHFR-dependent manner when placed upstream of luciferase mRNA. (PMID:18045573)
  • analysis of human dihydrofolate reductase folding trajectories inside the GroEL GroES chaperonin cavity and free in solution (PMID:18093916)
  • An insertion/deletion polymorphism of the dihydrofolate reductase gene is associated with variation in serum and red blood cell folate concentrations in women (PMID:18247058)
  • MDM2 regulates dihydrofolate reductase activity through monoubiquitination. (PMID:18451149)
  • our early results showed that neither of MTHFR 677CT and DHFR 19-bp deletion polymorphisms were associated with breast cancer risk (PMID:18498051)
  • A 19-base pair deletion polymorphism in dihydrofolate reductase is a functional polymorphism, because it limits assimilation of folic acid into cellular folate stores at high and low folic acid intakes. (PMID:19022952)
  • Dhps-437 and dhps-540 are strongly associated with SP treatment failure and should be evaluated further as a method for surveillance of SP-based therapy in DRC. (PMID:19055622)
  • the first kinetic parameters for DHFR from pjDHFR and pcDHFR with methotrexate (MTX), trimethoprim (TMP), and its potent analogue, PY957, is reported. (PMID:19196009)
  • The nuclear translocation of DHFR was not a pre-requisite for DNA damage induced apoptosis. (PMID:19360472)
  • DHFR 19-bp insertion/deletion polymorphism and MTHFR C677T in adult acute lymphoblastic leukaemia (PMID:19536847)
  • dihydrofolate reductase knockdown has a role in the anticancer activity of 2-hydroxyoleic acid (PMID:19666584)
  • The reduction of folic acid by DHFR per gram of human liver (n = 6) is, on average, less than 2% of that in rat liver at physiological pH. (PMID:19706381)
  • DHFR is a novel modulator of beta-catenin and GSK3 signaling (PMID:19727391)
  • DNA variants have a role in predisposition to disease-free survival in childhood acute lymphoblastic leukemia (PMID:19861437)
  • The 19-base pair deletion polymorphism of DHFR was studied in Japanese. The genotype distribution was wild/wild, 11.9%; wild/deletion, 40.1%; deletion/deletion, 48.0%. Frequencies of wild type and deletion alleles were 0.32 and 0.68, respectively. (PMID:20834190)

Cross-species orthologs

6 orthologs

OrganismSymbolGene ID
danio_reriodhfrENSDARG00000004251
danio_reriozgc:153031ENSDARG00000068876
mus_musculusDhfrENSMUSG00000021707
rattus_norvegicusENSRNOG00000082925
drosophila_melanogasterDhfrFBGN0004087
caenorhabditis_elegansdhfr-1WBGENE00007974

Paralogs (2): TYMS (ENSG00000176890), DHFR2 (ENSG00000178700)

Protein

Protein identifiers

Dihydrofolate reductaseP00374 (reviewed: P00374)

All UniProt accessions (3): P00374, B0YJ76, B4DM58

UniProt curated annotations — full annotation on UniProt →

Function. Catalyzes the reduction of 7,8-dihydrofolate (DHF) to 5,6,7,8-tetrahydrofolate in a NADPH-dependent manner. Key enzyme in folate metabolism. Contributes to the nuclear and mitochondrial de novo thymidylate biosynthesis pathway. Catalyzes an essential reaction for de novo glycine and purine synthesis, and for DNA precursor synthesis. Binds its own mRNA and that of DHFR2.

Subunit / interactions. Homodimer. Part of the de novo thymidylate synthesis complex composed at least by SHMT1, DHFR and TYMS. Interacts with SHMT1; this interaction is DNA-dependent and mediates DHFR co-localization with LMNB1.

Subcellular location. Mitochondrion. Cytoplasm. Nucleus.

Tissue specificity. Widely expressed in fetal and adult tissues, including throughout the fetal and adult brains and whole blood. Expression is higher in the adult brain than in the fetal brain.

Post-translational modifications. Sumoylated by UBE2I/UBC9.

Disease relevance. Megaloblastic anemia due to dihydrofolate reductase deficiency (DHFRD) [MIM:613839] An inborn error of metabolism, characterized by megaloblastic anemia and/or pancytopenia, severe cerebral folate deficiency, and cerebral tetrahydrobiopterin deficiency. Clinical features include variable neurologic symptoms, ranging from severe developmental delay and generalized seizures in infancy, to childhood absence epilepsy with learning difficulties, to lack of symptoms. The disease is caused by variants affecting the gene represented in this entry.

Pathway. Cofactor biosynthesis; tetrahydrofolate biosynthesis; 5,6,7,8-tetrahydrofolate from 7,8-dihydrofolate: step 1/1.

Similarity. Belongs to the dihydrofolate reductase family.

Isoforms (2)

UniProt IDNamesCanonical?
P00374-11yes
P00374-22

RefSeq proteins (3): NP_000782, NP_001277283, NP_001277286 (=MANE)

Domains & families (InterPro)

IDNameType
IPR001796DHFR_domDomain
IPR012259DHFRFamily
IPR017925DHFR_CSConserved_site
IPR024072DHFR-like_dom_sfHomologous_superfamily

Pfam: PF00186

Enzyme classification (BRENDA):

  • EC 1.5.1.3 — dihydrofolate reductase (BRENDA: 90 organisms, 121 substrates, 914 inhibitors, 438 Km, 293 kcat entries)

Substrate kinetics (BRENDA)

12 substrates with measured Km, best-characterized 12. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
7,8-DIHYDROFOLATE241
NADPH0.0004–0.415157
DIHYDROFOLATE0.0006–0.2388
8-METHYLPTERIN0.03–0.34
FOLATE0.0041–0.00672
NADH0.268–0.322
10-FORMYL-DIHYDROFOLATE0.0031
6-HYDROXYMETHYLPTERIN0.00341
DIHYDROPTEROATE0.00091
L-THREO-NEOPTERIN0.00351
NADP+0.1231
ACETYLPYRIDINE ADENINE NUCLEOTIDE0

Catalyzed reactions (Rhea), 1 shown:

  • (6S)-5,6,7,8-tetrahydrofolate + NADP(+) = 7,8-dihydrofolate + NADPH + H(+) (RHEA:15009)

UniProt features (44 total): strand 15, mutagenesis site 8, binding site 8, helix 5, sequence variant 2, turn 2, chain 1, domain 1, splice variant 1, sequence conflict 1

Structure

Experimental structures (PDB)

89 structures, top 30 by resolution.

PDBMethodResolution (Å)
1KMVX-RAY DIFFRACTION1.05
1KMSX-RAY DIFFRACTION1.09
4M6JX-RAY DIFFRACTION1.2
5HSRX-RAY DIFFRACTION1.21
3FS6X-RAY DIFFRACTION1.23
3GHWX-RAY DIFFRACTION1.24
2W3BX-RAY DIFFRACTION1.27
3GHCX-RAY DIFFRACTION1.3
3GHVX-RAY DIFFRACTION1.3
3NTZX-RAY DIFFRACTION1.35
3NU0X-RAY DIFFRACTION1.35
3NXOX-RAY DIFFRACTION1.35
3NXRX-RAY DIFFRACTION1.35
3NXXX-RAY DIFFRACTION1.35
4G95X-RAY DIFFRACTION1.35
4M6KX-RAY DIFFRACTION1.4
2C2SX-RAY DIFFRACTION1.4
3F8YX-RAY DIFFRACTION1.45
4KEBX-RAY DIFFRACTION1.45
5HQYX-RAY DIFFRACTION1.46
5HQZX-RAY DIFFRACTION1.46
5HSUX-RAY DIFFRACTION1.46
5HUIX-RAY DIFFRACTION1.46
5HVEX-RAY DIFFRACTION1.46
2C2TX-RAY DIFFRACTION1.5
2W3AX-RAY DIFFRACTION1.5
3GI2X-RAY DIFFRACTION1.53
3S3VX-RAY DIFFRACTION1.53
5SDBX-RAY DIFFRACTION1.55
6DAVX-RAY DIFFRACTION1.55

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P00374-F196.320.97

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Ligand- & substrate-binding residues (8): 10; 16–22; 31–36; 55–57; 65; 71; 77–79; 117–124

Mutagenesis-validated functional residues (8):

PositionPhenotype
23decreases affinity for nadp and dihydrofolate over 10-fold.
23strongly decreased affinity for methotrexate. decreases catalytic rate constant 200-fold. decreases affinity for nadp an
32reduces catalytic rate 5-fold. reduces affinity for dihydrofolate 9-fold; when associated with e-36.
36reduces catalytic rate 2-fold. reduces affinity for dihydrofolate 9-fold; when associated with r-32.
36increases affinity for dihydrofolate about 3-fold. reduces affinity for nadph about 3-fold.
36increases affinity for dihydrofolate about 2-fold. no effect on affinity for nadph.
65increases affinity for dihydrofolate about 3-fold. no effect on affinity for nadph.
65increases affinity for dihydrofolate about 15-fold. no effect on affinity for nadph.

Function

Pathways and Gene Ontology

Reactome pathways

3 pathways

IDPathway
R-HSA-1474151Tetrahydrobiopterin (BH4) synthesis, recycling, salvage and regulation
R-HSA-196757Metabolism of folate and pterines
R-HSA-69205G1/S-Specific Transcription

MSigDB gene sets: 472 (showing top): BROWNE_HCMV_INFECTION_30MIN_DN, GOBP_RESPONSE_TO_NITROGEN_COMPOUND, MULLIGHAN_NPM1_SIGNATURE_3_UP, HORIUCHI_WTAP_TARGETS_DN, BUYTAERT_PHOTODYNAMIC_THERAPY_STRESS_DN, REACTOME_G1_S_SPECIFIC_TRANSCRIPTION, YAGI_AML_WITH_INV_16_TRANSLOCATION, RODRIGUES_THYROID_CARCINOMA_POORLY_DIFFERENTIATED_UP, GOBP_POLYOL_METABOLIC_PROCESS, GOBP_SUPEROXIDE_METABOLIC_PROCESS, GOBP_REGENERATION, GOBP_NEUROGENESIS, GOBP_RESPONSE_TO_AXON_INJURY, GOBP_CELLULAR_RESPONSE_TO_OXYGEN_CONTAINING_COMPOUND, GOBP_PYRIMIDINE_NUCLEOBASE_METABOLIC_PROCESS

GO Biological Process (10): tetrahydrobiopterin biosynthetic process (GO:0006729), one-carbon metabolic process (GO:0006730), negative regulation of translation (GO:0017148), axon regeneration (GO:0031103), response to methotrexate (GO:0031427), dihydrofolate metabolic process (GO:0046452), tetrahydrofolate metabolic process (GO:0046653), tetrahydrofolate biosynthetic process (GO:0046654), folic acid metabolic process (GO:0046655), regulation of removal of superoxide radicals (GO:2000121)

GO Molecular Function (11): mRNA regulatory element binding translation repressor activity (GO:0000900), mRNA binding (GO:0003729), dihydrofolate reductase activity (GO:0004146), folic acid binding (GO:0005542), NADP binding (GO:0050661), molecular adaptor activity (GO:0060090), NADPH binding (GO:0070402), sequence-specific mRNA binding (GO:1990825), RNA binding (GO:0003723), protein binding (GO:0005515), oxidoreductase activity (GO:0016491)

GO Cellular Component (3): mitochondrion (GO:0005739), cytosol (GO:0005829), cytoplasm (GO:0005737)

Reactome top-level categories

Rollup of top-3 pathways:

CategoryPathways
Metabolism of cofactors1
Metabolism of water-soluble vitamins and cofactors1
G1/S Transition1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
folic acid-containing compound metabolic process3
dicarboxylic acid metabolic process2
mRNA binding2
binding2
cytoplasm2
cellular anatomical structure2
diol biosynthetic process1
pteridine-containing compound biosynthetic process1
tetrahydrobiopterin metabolic process1
small molecule metabolic process1
translation1
regulation of translation1
negative regulation of gene expression1
negative regulation of protein metabolic process1
neuron projection regeneration1
response to axon injury1
axon development1
response to nitrogen compound1
response to oxygen-containing compound1
folic acid-containing compound biosynthetic process1
tetrahydrofolate metabolic process1
removal of superoxide radicals1
regulation of superoxide metabolic process1
regulation of cellular response to oxidative stress1
regulation of response to reactive oxygen species1
translation repressor activity1
RNA binding1
oxidoreductase activity, acting on the CH-NH group of donors, NAD or NADP as acceptor1
vitamin binding1
carboxylic acid binding1
modified amino acid binding1
heterocyclic compound binding1
adenyl nucleotide binding1
molecular_function1
anion binding1
NADP binding1
nucleic acid binding1
catalytic activity1
intracellular membrane-bounded organelle1
intracellular anatomical structure1

Protein interactions and networks

STRING

3932 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
DHFRTYMSP04818996
DHFRDHODHQ02127882
DHFRGARTP22102876
DHFRSHMT1P34896869
DHFRATICP31939863
DHFRMTHFD1P11586862
DHFRMTHFRP42898844
DHFRTK2O00142820
DHFRSHMT2P34897817
DHFRSPRP35270815
DHFRFPGSQ05932810
DHFRDHPSP49366789
DHFRTCN2P20062787
DHFRQDPRP09417774
DHFRMTRQ99707766

IntAct

60 interactions, top by confidence:

ABTypeScore
RFXANKRFXAPpsi-mi:“MI:0914”(association)0.780
CFTRESYT2psi-mi:“MI:2364”(proximity)0.710
DHFRDHFR2psi-mi:“MI:0915”(physical association)0.560
SFNOXSR1psi-mi:“MI:0914”(association)0.530
LPAR1TMEM223psi-mi:“MI:0914”(association)0.530
NRASESYT2psi-mi:“MI:2364”(proximity)0.480
AIFM1HAX1psi-mi:“MI:0914”(association)0.420
nleFDHFRpsi-mi:“MI:0915”(physical association)0.370
FOXB1DDX39Apsi-mi:“MI:0914”(association)0.350
FOXL1DDX39Apsi-mi:“MI:0914”(association)0.350
HSCBRBP5psi-mi:“MI:0914”(association)0.350
TRAF2UMAD1psi-mi:“MI:0914”(association)0.350
RBCK1UMAD1psi-mi:“MI:0914”(association)0.350
SHARPINMAP3K7psi-mi:“MI:0914”(association)0.350
TRAF2TMEM178Bpsi-mi:“MI:0914”(association)0.350
SHARPINUMAD1psi-mi:“MI:0914”(association)0.350
TNIP2TMEM178Bpsi-mi:“MI:0914”(association)0.350
LRRK2psi-mi:“MI:0914”(association)0.350
ELOVL1LDHApsi-mi:“MI:0914”(association)0.350
SAR1BUBA6psi-mi:“MI:0914”(association)0.350
KCNE3PIK3R2psi-mi:“MI:0914”(association)0.350
HNRNPCL2SMCHD1psi-mi:“MI:0914”(association)0.350
CCT8L2DVL2psi-mi:“MI:0914”(association)0.350
LGI1APAF1psi-mi:“MI:0914”(association)0.350
PIGHILVBLpsi-mi:“MI:0914”(association)0.350
NPAS1CIBAR1psi-mi:“MI:0914”(association)0.350
IL5RAPOTEFpsi-mi:“MI:0914”(association)0.350

BioGRID (160): GKAP1 (Two-hybrid), DHFR (Synthetic Growth Defect), DHFR (Affinity Capture-MS), DHFR (Affinity Capture-MS), DHFR (Negative Genetic), DHFR (Affinity Capture-MS), CDC73 (Synthetic Lethality), CHEK1 (Synthetic Lethality), WEE1 (Synthetic Lethality), DHFR (Affinity Capture-RNA), DHFR (Affinity Capture-MS), DHFR (Affinity Capture-MS), DHFR (Affinity Capture-MS), DHFR (Affinity Capture-MS), DHFR (Biochemical Activity)

ESM2 similar proteins: A0A1J6KGJ9, A0A314KSQ4, B0BNF8, B4G0F3, B8BKI7, B9N1F9, B9SQI7, C6JS30, E0CSI1, O80526, O82782, P00374, P00375, P00376, P00377, P00378, P04753, P09503, P11172, P27421, P29411, Q05B63, Q28DS0, Q2QNG7, Q2R483, Q5I0K3, Q5NVE1, Q5R421, Q5R514, Q5R8R4, Q5R962, Q5RDZ0, Q5RFI8, Q5ZID6, Q640V9, Q69YN2, Q6YJI5, Q7SYN4, Q7TNK6, Q7Z4G4

Diamond homologs: G4VJD6, O02604, O62583, O81395, P00374, P00375, P00376, P00377, P00378, P04174, P04753, P07382, P07807, P09503, P0A547, P0ABQ4, P0ABQ5, P0ABQ6, P0C0P0, P0C0P1, P11045, P12833, P13922, P13955, P16126, P16184, P17719, P20712, P22573, P22906, P27421, P28019, P31073, P31074, P36591, P43791, P45350, P46103, P51820, P57243

SIGNOR signaling

10 interactions.

AEffectBMechanism
pemetrexeddown-regulatesDHFR“chemical inhibition”
E2F1“up-regulates quantity by expression”DHFR“transcriptional regulation”
TFDP1“up-regulates quantity by expression”DHFR“transcriptional regulation”
pralatrexate“down-regulates activity”DHFR“chemical inhibition”
methotrexate“down-regulates activity”DHFR“chemical inhibition”
trimetrexate“down-regulates activity”DHFR“chemical inhibition”
“pemetrexed disodium”“down-regulates activity”DHFR“chemical inhibition”
DHFR“down-regulates quantity”dihydrofolate(2-)“chemical modification”
DHFR“up-regulates quantity”(6S)-5,6,7,8-tetrahydrofolate(2-)“chemical modification”

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 84 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
TNFR1-induced NF-kappa-B signaling pathway531.7×2e-04

GO biological processes:

GO termPartnersFoldFDR
canonical NF-kappaB signal transduction524.4×1e-03

Disease & clinical

Clinical variants and AI predictions

ClinVar

597 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic26
Likely pathogenic11
Uncertain significance278
Likely benign198
Benign18

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1071775NM_002439.5(MSH3):c.213_220dup (p.Gln74fs)Pathogenic
1072664NM_002439.5(MSH3):c.205_224dup (p.His78fs)Pathogenic
1074257NC_000005.9:g.(?79949868)(79952360_?)delPathogenic
1366267NC_000005.9:g.(?79949868)(80064832_?)delPathogenic
1755218NM_002439.5(MSH3):c.122del (p.Thr41fs)Pathogenic
1771531NM_002439.5(MSH3):c.139_178del (p.Val47fs)Pathogenic
2091670NM_002439.5(MSH3):c.71del (p.Val23_Leu24insTer)Pathogenic
2424436NC_000005.9:g.(?79949868)(80074665_?)delPathogenic
2424446NC_000005.9:g.(?79949868)(80171681_?)delPathogenic
2451067NM_002439.5(MSH3):c.205_224del (p.Pro69fs)Pathogenic
2451077NM_002439.5(MSH3):c.147_154dup (p.Ala52fs)Pathogenic
2673497NM_002439.5(MSH3):c.85C>T (p.Gln29Ter)Pathogenic
2673506NM_002439.5(MSH3):c.36del (p.Ala13fs)Pathogenic
2673531NM_002439.5(MSH3):c.90dup (p.Thr31fs)Pathogenic
2673556NM_002439.5(MSH3):c.85del (p.Gln29fs)Pathogenic
2673571NM_002439.5(MSH3):c.61C>T (p.Gln21Ter)Pathogenic
2807709NM_002439.5(MSH3):c.153_190del (p.Ala52fs)Pathogenic
2808231NM_002439.5(MSH3):c.86del (p.Gln29fs)Pathogenic
29673NM_000791.4(DHFR):c.238C>T (p.Leu80Phe)Pathogenic
29674NM_000791.4(DHFR):c.458A>T (p.Asp153Val)Pathogenic
2986392NM_002439.5(MSH3):c.114del (p.Ser39fs)Pathogenic
3246482NC_000005.9:g.(?79950547)(80171681_?)delPathogenic
3246487NC_000005.9:g.(?79949868)(80088673_?)delPathogenic
4716925NM_002439.5(MSH3):c.66_145dup (p.Pro49delinsArgPheTer)Pathogenic
642642NC_000005.10:g.(?80654718)(80679103_?)delPathogenic
831715NC_000005.10:g.(?80654049)(80679103_?)delPathogenic
1067890NM_000791.4(DHFR):c.-476C>GLikely pathogenic
1478214NM_002439.5(MSH3):c.237_237+1dupLikely pathogenic
1790284NM_002439.5(MSH3):c.237+1G>ALikely pathogenic
2676748NM_002439.5(MSH3):c.200dup (p.Ala68fs)Likely pathogenic

SpliceAI

1138 predictions. Top by Δscore:

VariantEffectΔscore
5:80633868:TATAC:Tdonor_loss1.0000
5:80633869:ATACT:Adonor_loss1.0000
5:80633870:TACT:Tdonor_loss1.0000
5:80633871:ACTTA:Adonor_loss1.0000
5:80633872:CTTAC:Cdonor_loss1.0000
5:80633873:T:TAdonor_loss1.0000
5:80633874:TACT:Tdonor_loss1.0000
5:80633875:A:ACdonor_gain1.0000
5:80633876:C:CAdonor_gain1.0000
5:80633876:CT:Cdonor_gain1.0000
5:80633876:CTCTG:Cdonor_gain1.0000
5:80633992:CCTT:Cacceptor_gain1.0000
5:80633995:T:TCacceptor_gain1.0000
5:80654961:CATA:Cdonor_gain1.0000
5:80654962:ATA:Adonor_gain1.0000
5:80654963:TA:Tdonor_gain1.0000
5:80654963:TAGTA:Tdonor_loss1.0000
5:80654964:AG:Adonor_loss1.0000
5:80654965:G:GGdonor_gain1.0000
5:80654965:GTAG:Gdonor_loss1.0000
5:80654966:T:Adonor_loss1.0000
5:80629123:AATG:Adonor_gain0.9900
5:80633875:ACT:Adonor_gain0.9900
5:80633876:CTC:Cdonor_gain0.9900
5:80633876:CTCT:Cdonor_gain0.9900
5:80633989:CTTC:Cacceptor_gain0.9900
5:80633992:CC:Cacceptor_loss0.9900
5:80633993:C:CAacceptor_loss0.9900
5:80633993:C:CCacceptor_gain0.9900
5:80633994:T:Cacceptor_gain0.9900

AlphaMissense

1243 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
5:80649407:A:TV75D0.992
5:80654417:A:GW25R0.990
5:80654417:A:TW25R0.990
5:80649459:A:GW58R0.989
5:80649459:A:TW58R0.989
5:80649418:T:AR71S0.986
5:80649418:T:GR71S0.986
5:80654039:G:CF35L0.986
5:80654039:G:TF35L0.986
5:80654041:A:GF35L0.986
5:80649412:A:CN73K0.985
5:80649412:A:TN73K0.985
5:80649470:C:AG54V0.985
5:80637912:A:GW114R0.984
5:80637912:A:TW114R0.984
5:80654415:C:AW25C0.982
5:80654415:C:GW25C0.982
5:80629111:A:CF180L0.981
5:80629111:A:TF180L0.981
5:80629113:A:GF180L0.981
5:80649400:G:CS77R0.981
5:80649400:G:TS77R0.981
5:80649402:T:GS77R0.981
5:80649434:C:GR66P0.981
5:80649471:C:GG54R0.979
5:80649476:A:TI52N0.979
5:80637902:C:TG117D0.978
5:80637902:C:AG117V0.976
5:80654437:C:TG18D0.975
5:80654461:G:TA10D0.975

dbSNP variants (sampled 300 via entrez): RS1000156862 (5:80652305 G>C), RS1000198608 (5:80648204 T>G), RS1000272435 (5:80634235 A>T), RS1000395606 (5:80630609 G>A,T), RS1000444073 (5:80639287 A>G), RS1000888448 (5:80642264 T>A), RS1000955125 (5:80643398 G>A), RS1000980239 (5:80637992 G>A,C), RS1001316153 (5:80632780 C>G,T), RS1001341936 (5:80650152 C>A,T), RS1001488212 (5:80638464 C>A), RS1001524927 (5:80626617 A>T), RS1001538316 (5:80632248 G>C), RS1001664400 (5:80632361 A>G), RS1001927715 (5:80655940 A>G)

Disease associations

OMIM: gene MIM:126060 | disease phenotypes: MIM:617100, MIM:606764, MIM:613839

GenCC curated gene-disease

DiseaseClassificationInheritance
constitutional megaloblastic anemia with severe neurologic diseaseDefinitiveAutosomal recessive

Mondo (5): hereditary neoplastic syndrome (MONDO:0015356), endometrial carcinoma (MONDO:0002447), familial adenomatous polyposis 4 (MONDO:0044300), gastrointestinal stromal tumor (MONDO:0011719), constitutional megaloblastic anemia with severe neurologic disease (MONDO:0013456)

Orphanet (4): Inherited cancer-predisposing syndrome (Orphanet:140162), MSH3-related polyposis (Orphanet:480536), Gastrointestinal stromal tumor (Orphanet:44890), Constitutional megaloblastic anemia with severe neurologic disease (Orphanet:319651)

HPO phenotypes

25 total (26 of 25 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000952Jaundice
HP:0000980Pallor
HP:0001251Ataxia
HP:0001252Hypotonia
HP:0001263Global developmental delay
HP:0001290Generalized hypotonia
HP:0001321Cerebellar hypoplasia
HP:0001873Thrombocytopenia
HP:0001876Pancytopenia
HP:0001889Megaloblastic anemia
HP:0002059Cerebral atrophy
HP:0002121Generalized non-motor (absence) seizure
HP:0002240Hepatomegaly
HP:0002421Poor head control
HP:0003621Juvenile onset
HP:0005484Secondary microcephaly
HP:0005518Increased mean corpuscular volume
HP:0011149Absence seizure with eyelid myoclonia
HP:0011968Feeding difficulties
HP:0012446Decreased CSF 5-methyltetrahydrofolate concentration
HP:0012448Delayed myelination
HP:0025097Eyelid myoclonus
HP:0025435Increased circulating lactate dehydrogenase concentration
HP:0040087Abnormal blood folate concentration
HP:0012114Endometrial carcinoma

GWAS associations

9 associations (top):

StudyTraitp-value
GCST002654_1Shingles1.000000e-06
GCST002654_2Shingles4.000000e-06
GCST003372_48Glomerular filtration rate (creatinine)1.000000e-07
GCST004691_1Huntington’s disease progression1.000000e-10
GCST010172_6Idiopathic downbeat nystagmus5.000000e-07
GCST010701_1Cortical surface area (MOSTest)1.000000e-08
GCST010702_52Subcortical volume (MOSTest)8.000000e-10
GCST010703_285Brain morphology (MOSTest)4.000000e-15
GCST011618_9Cortical thickness1.000000e-15

EFO canonical traits (3, from GWAS)

EFO IDTrait name
EFO:0008336disease progression measurement
EFO:0004346neuroimaging measurement
EFO:0004840cortical thickness

MeSH disease descriptors (3)

DescriptorNameTree numbers
D046152Gastrointestinal Stromal TumorsC04.557.450.565.370; C06.301.371.308; C06.405.249.308
D009386Neoplastic Syndromes, HereditaryC04.700; C16.320.700
C565095Megaloblastic Anemia due to Dihydrofolate Reductase Deficiency (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL202 (SINGLE PROTEIN)

Molecules with ChEMBL bioactivity

23 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 998,127 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL119TRIMETREXATE457,002
CHEMBL1201746PRALATREXATE414,348
CHEMBL1679LEUCOVORIN481,374
CHEMBL22TRIMETHOPRIM456,015
CHEMBL225071RALTITREXED496,748
CHEMBL225072PEMETREXED455,761
CHEMBL34259METHOTREXATE4398,396
CHEMBL36PYRIMETHAMINE419,344
CHEMBL439SULFADIAZINE431,545
CHEMBL455SULFACETAMIDE418,129
CHEMBL6067485GENTAMICIN4
CHEMBL686MEFENAMIC ACID461,835
CHEMBL898DIFLUNISAL454,786
CHEMBL973TERIFLUNOMIDE47,575
CHEMBL134561ICLAPRIM3962
CHEMBL19633DIAVERIDINE21,584
CHEMBL280378EPIROPRIM2529
CHEMBL296373EDATREXATE233,704
CHEMBL376180AMINOPTERIN2346
CHEMBL38434BREQUINAR28,144
CHEMBL747CYCLOGUANIL2
CHEMBL7492PIRITREXIM2
CHEMBL4468777FANOTAPRIM1

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB clinical annotations

9 annotations.

VariantTypeLevelDrugsPhenotypes
rs1053129Efficacy3methotrexateOsteosarcoma
rs1105525Efficacy3methotrexateAcute lymphoblastic leukemia
rs1643650Efficacy3methotrexateRheumatoid arthritis
rs1650697Toxicity3pemetrexedMesothelioma;Non-Small Cell Lung Carcinoma
rs1650723Toxicity3methotrexateOsteosarcoma
rs408626Efficacy,Toxicity3methotrexateAcute lymphoblastic leukemia
rs442767Toxicity3pemetrexedNon-Small Cell Lung Carcinoma
rs442767Toxicity3methotrexateAcute lymphoblastic leukemia
rs70991108Toxicity3methotrexateAcute lymphoblastic leukemia;Drug-induced liver injury;Leukopenia;Thrombocytopenia

PharmGKB variants

15 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs7387DHFR0.000
rs408626DHFR, MSH335.501methotrexate
rs442767DHFR, MSH332.252pemetrexed;methotrexate
rs1053129DHFR32.251methotrexate
rs1105525DHFR, MSH332.751methotrexate
rs1643650DHFR30.001methotrexate
rs1643657DHFR0.000
rs1650697DHFR, MSH332.501pemetrexed
rs1650723DHFR32.251methotrexate
rs10072026DHFR, MSH30.000
rs12517451DHFR0.000
rs34965641DHFR0.000
rs70991108DHFR, MSH330.501methotrexate
rs3045983DHFR, MSH30.000
rs200850015DHFR, MSH30.000

GtoPdb / IUPHAR curated pharmacology

(IUPHAR/BPS Guide to Pharmacology — expert-curated)

Target class: enzyme — 1.-.-.- Oxidoreductases

Most potent curated ligand interactions (7 total), top 7:

LigandActionAffinityParameter
compound 9 [PMID: 15615544]Inhibition10.47pKi
methotrexateInhibition8.92pKi
pemetrexedInhibition8.15pKi
trimetrexateInhibition7.89pKi
pralatrexateInhibition7.35pKi
iclaprimInhibition6.11pKi
diflunisalInhibition4.47pKi

Binding affinities (BindingDB)

76 measured of 90 human assays (203 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
7-[5,6-dimethyl-2-(1,3-thiazol-2-yl)benzimidazol-1-yl]-6-methylquinazoline-2,4-diamineKI2.9 nMUS-8835445: Dihydrofolate reductase inhibitors
7-(2-ethoxynaphthalen-1-yl)-6-methylquinazoline-2,4-diamineKI4.5 nMUS-8835445: Dihydrofolate reductase inhibitors
N-[3-[3-(2,4-diaminoquinazolin-7-yl)-4-ethoxyphenyl]phenyl]methanesulfonamideKI5.8 nMUS-8835445: Dihydrofolate reductase inhibitors
6-chloro-7-[5,6-dimethyl-2-(1,3-thiazol-2-yl)benzimidazol-1-yl]quinazoline-2,4-diamineKI7.6 nMUS-8835445: Dihydrofolate reductase inhibitors
Adamantane-1-carboxylic acid (2,4-diamino-6-methyl-pyrimidin-5-yl)-amide; ethane sulfonateKI9 nM
1-[3-(2,4-diamino-6-methylquinazolin-7-yl)phenyl]ethanoneKI26.3 nMUS-8835445: Dihydrofolate reductase inhibitors
[3-(2,4-diamino-6-methylquinazolin-7-yl)-4-methoxyphenyl]methanolKI27.5 nMUS-8835445: Dihydrofolate reductase inhibitors
3-(2,4-diamino-6-methylquinazolin-7-yl)-4-ethoxy-N,N-diethylbenzamideKI34 nMUS-8835445: Dihydrofolate reductase inhibitors
4-[2-(2,4-Diamino-5,6,7,8-tetrahydropyrido[3,2-d]pyrimidin-6-yl)ethyl]benzoyl-L-glutamic acid (17a)IC5040 nM
4-[2-(2,4-Diamino-5-formyl-5,6,7,8-tetrahydropyrido[3,2-d]pyrimidin-6-yl)ethyl]benzoyl-L-glutamic acid (19a)IC5041 nM
7-(3-amino-5-isocyanophenyl)-6-methylquinazoline-2,4-diamineKI44 nMUS-8835445: Dihydrofolate reductase inhibitors
7-[3-(isocyanomethyl)phenyl]-6-methylquinazoline-2,4-diamineKI44 nMUS-8835445: Dihydrofolate reductase inhibitors
6-methyl-7-(3,4,5-trimethoxyphenyl)quinazoline-2,4-diamineKI47.1 nMUS-8835445: Dihydrofolate reductase inhibitors
7-(1H-indol-3-yl)-6-methylquinazoline-2,4-diamineKI50.5 nMUS-8835445: Dihydrofolate reductase inhibitors
7-(2-chloro-5-methoxy-4-pyridinyl)-6-methylquinazoline-2,4-diamineKI52.4 nMUS-8835445: Dihydrofolate reductase inhibitors
methyl 1-(2,4-diaminoquinazolin-7-yl)-2-(1,3-thiazol-2-yl)benzimidazole-5-carboxylateKI53.1 nMUS-8835445: Dihydrofolate reductase inhibitors
[4-[2,4-diamino-6-(imidazol-1-ylmethyl)quinazolin-7-yl]-2-(hydroxymethyl)phenyl]methanolKI53.6 nMUS-8835445: Dihydrofolate reductase inhibitors
[5-(2,4-diamino-6-methylquinazolin-7-yl)-4-methoxypyrimidin-2-yl]methanolKI54.7 nMUS-8835445: Dihydrofolate reductase inhibitors
7-(3-isocyanophenyl)-6-methylquinazoline-2,4-diamineKI55 nMUS-8835445: Dihydrofolate reductase inhibitors
[5-chloro-4-(2,4-diamino-6-methylquinazolin-7-yl)-2-pyridinyl]methanolKI56 nMUS-8835445: Dihydrofolate reductase inhibitors
4-[2-(2-Diamino-4-hydroxy-5,6,7,8-tetrahydropyrido[3,2-d]pyrimidin-6-yl)ethyl]benzoyl-L-glutamic acid (18a)IC5059 nM
6-ethyl-5-[3-(3-methoxy-5-pyridin-4-ylphenyl)prop-1-ynyl]pyrimidine-2,4-diamineIC5061 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
7-[5,6-dimethyl-2-(1,3-thiazol-2-yl)benzimidazol-1-yl]quinazoline-2,4-diamineKI93.5 nMUS-8835445: Dihydrofolate reductase inhibitors
CHEMBL3234115IC5097 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
6-ethyl-5-[3-(2-methoxy-5-phenylphenyl)but-1-ynyl]pyrimidine-2,4-diamineIC50100 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
7-(4-aminophenyl)-6-methylquinazoline-2,4-diamineKI138 nMUS-8835445: Dihydrofolate reductase inhibitors
6-ethyl-5-(3-(5-methoxybiphenyl-3-yl)prop-1-ynyl)pyrimidine-2,4-diamineIC50140 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
6-ethyl-5-[3-(3-pyrimidin-5-ylphenyl)prop-1-ynyl]pyrimidine-2,4-diamineIC50160 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
[1-(2,4-diamino-6-methylquinazolin-7-yl)-6-methoxy-2-(1,3-thiazol-2-yl)benzimidazol-5-yl]methanolKI170 nMUS-8835445: Dihydrofolate reductase inhibitors
6-methyl-7-(1H-pyrrolo[2,3-b]pyridin-5-yl)quinazoline-2,4-diamineKI235 nMUS-8835445: Dihydrofolate reductase inhibitors
7-(1H-indol-4-yl)-6-methylquinazoline-2,4-diamineKI245 nMUS-8835445: Dihydrofolate reductase inhibitors
3-[2-(2,4-diaminoquinazolin-7-yl)-5,6-dimethylbenzimidazol-1-yl]propan-1-olKI263 nMUS-8835445: Dihydrofolate reductase inhibitors
6-ethyl-5-[3-(3-pyridin-3-ylphenyl)prop-1-ynyl]pyrimidine-2,4-diamineIC50290 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
5-(3-(biphenyl-3-yl)prop-1-ynyl)-6-ethylpyrimidine-2,4-diamineIC50290 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
4-[2-(2-Amino-4-hydroxy-5-allyl-5,6,7,8-tetrahydropyrido[3,2-d]pyrimidin-6-yl)ethyl]benzoyl-L-glutamic acid (23a)IC50298 nM
6-[(benzyloxy)methyl]-5-(4-{[(4-chlorophenyl)methyl]amino}phenyl)pyrimidine-2,4-diamineIC50300 nM
6-ethyl-5-(3-(4-methoxybiphenyl-3-yl)prop-1-ynyl)pyrimidine-2,4-diamineIC50300 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
7-(5-methyl-2-thiophen-2-ylbenzimidazol-1-yl)quinazoline-2,4-diamineKI314 nMUS-8835445: Dihydrofolate reductase inhibitors
[1-(2,4-diamino-6-chloroquinazolin-7-yl)-6-methoxy-2-(1,3-thiazol-2-yl)benzimidazol-5-yl]methanolKI320 nMUS-8835445: Dihydrofolate reductase inhibitors
1-[3-(2,4-diaminoquinazolin-7-yl)phenyl]ethanoneKI323 nMUS-8835445: Dihydrofolate reductase inhibitors
6-ethyl-5-[3-(2-methoxy-5-pyridin-4-ylphenyl)prop-1-ynyl]pyrimidine-2,4-diamineIC50330 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
7-(2,5-dimethoxyphenyl)quinazoline-2,4-diamineKI345 nMUS-8835445: Dihydrofolate reductase inhibitors
CHEMBL2335416IC50400 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
6-ethyl-5-[3-(3-pyridin-4-ylphenyl)prop-1-ynyl]pyrimidine-2,4-diamineIC50520 nMUS-8853228: Heterocyclic analogs of propargyl-linked inhibitors of dihydrofolate reductase
7-(5,6-dimethyl-2-pyridin-2-ylbenzimidazol-1-yl)quinazoline-2,4-diamineKI572 nMUS-8835445: Dihydrofolate reductase inhibitors
7-[2-(3,3-difluorobutylsulfanyl)-6-methoxybenzimidazol-1-yl]quinazoline-2,4-diamineKI586 nMUS-8835445: Dihydrofolate reductase inhibitors
7-(5,6-dimethyl-2-thiophen-3-ylbenzimidazol-1-yl)quinazoline-2,4-diamineKI663 nMUS-8835445: Dihydrofolate reductase inhibitors
4-[2-[2,4-Diamino-5-(2,3-dibromopropyl)-5,6,7,8-tetrahydropyrido[3,2-d]pyrimidin-6-yl]ethyl]benzoyl-L-glutamic acid (21a)IC50680 nM
7-(4-aminophenyl)quinazoline-2,4-diamineKI702 nMUS-8835445: Dihydrofolate reductase inhibitors
4-[2-(2,4-Diamino-5-allyl-5,6,7,8-tetrahydropyrido[3,2-d]pyrimidin-6-yl)ethyl]benzoyl-L-glutamic acid (20a)IC50706 nM

ChEMBL bioactivities

1537 potent at pChembl≥5 of 1792 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
11.00Ki0.01nMMETHOTREXATE
11.00Ki0.01nMCHEMBL305177
10.87Ki0.0134nMPRALATREXATE
10.60Ki0.025nMPIRITREXIM
10.47Ki0.034nMCHEMBL390990
10.42Ki0.038nMMETHOTREXATE
10.40Ki0.04nMTRIMETREXATE
10.11Ki0.077nMCHEMBL388501
10.11Ki0.077nMMETHOTREXATE
10.00Ki0.1nMCHEMBL369258
10.00Ki0.1nMCHEMBL171765
10.00Ki0.1nMCHEMBL170760
10.00Kd0.1nMCHEMBL135937
9.97Ki0.107nMCHEMBL35364
9.96Ki0.11nMMETHOTREXATE
9.92Ki0.12nMCHEMBL443763
9.88Ki0.131nMCHEMBL284943
9.75Ki0.179nMMETHOTREXATE
9.74Ki0.183nMCHEMBL35427
9.70Ki0.2nMCHEMBL170837
9.70Ki0.2nMCHEMBL352960
9.70Kd0.2nMCHEMBL135937
9.68Ki0.21nMAMINOPTERIN
9.54Ki0.29nMCHEMBL354249
9.52Ki0.3nMCHEMBL170758
9.41IC500.39nMCHEMBL251427
9.40Ki0.4nMCHEMBL424170
9.40Ki0.4nMCHEMBL171494
9.38IC500.42nMTRIMETREXATE
9.30Kd0.5nMCHEMBL135581
9.27Ki0.54nMCHEMBL162476
9.22IC500.6nMMETHOTREXATE
9.22Kd0.6nMCHEMBL135581
9.16Ki0.69nMCHEMBL168069
9.15IC500.7nMMETHOTREXATE
9.14IC500.72nMMETHOTREXATE
9.10Ki0.8nMCHEMBL301030
9.09IC500.82nMMETHOTREXATE
9.08IC500.84nMCHEMBL349572
9.00IC501nMMETHOTREXATE
9.00IC501nMCHEMBL36083
8.96IC501.1nMCHEMBL18155
8.93IC501.18nMMETHOTREXATE
8.92IC501.2nMMETHOTREXATE
8.89IC501.3nMCHEMBL2261432
8.89IC501.3nMCHEMBL83644
8.87IC501.35nMCHEMBL160505
8.87IC501.34nMCHEMBL160699
8.85IC501.4nMTRIMETREXATE
8.85IC501.4nMMETHOTREXATE

PubChem BioAssay actives

1453 with measured affinity, of 3493 total; 50 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
2-[[4-carboxy-4-[[4-[(2,4-diaminoquinazolin-6-yl)methylamino]benzoyl]amino]butyl]carbamoyl]benzoic acid57132: Compound was evaluated for the inhibition of Dihydrofolate reductase at concentration ranged from 0.15-0.50 uMki<0.0001uM
2-[[4-carboxy-4-[[4-[(2,4-diaminopyrido[2,3-d]pyrimidin-6-yl)methylamino]benzoyl]amino]butyl]carbamoyl]benzoic acid57132: Compound was evaluated for the inhibition of Dihydrofolate reductase at concentration ranged from 0.15-0.50 uMki<0.0001uM
2-[[4-carboxy-4-[[4-[(2,4-diamino-5-chloroquinazolin-6-yl)methylamino]benzoyl]amino]butyl]carbamoyl]benzoic acid57132: Compound was evaluated for the inhibition of Dihydrofolate reductase at concentration ranged from 0.15-0.50 uMki<0.0001uM
(2S)-2-[6-[(2,4-diaminopteridin-6-yl)methylamino]-3-oxo-1H-isoindol-2-yl]pentanedioic acid282637: Inhibition of human DHFRki<0.0001uM
2-[[4-carboxy-4-[[4-[(2,4-diamino-5-methylquinazolin-6-yl)methylamino]benzoyl]amino]butyl]carbamoyl]benzoic acid57132: Compound was evaluated for the inhibition of Dihydrofolate reductase at concentration ranged from 0.15-0.50 uMki<0.0001uM
Methotrexate1314225: Inhibition of recombinant human DHFR assessed as reduction in NADPH oxidation using dihydrofolate as substrate by fluorescence spectrophotometric analysiski<0.0001uM
Pralatrexate1894187: Inhibition of DHFR (unknown origin) at pH 6.7ki<0.0001uM
5-(3-chlorophenyl)-6-[2-[2-(3-phenylpropoxy)phenyl]ethyl]pyrimidine-2,4-diamine;hydrochloride1611287: Inhibition of human dihydrofolate reductase using dihydrofolate as substrate in presence of NADPH by UV-vis spectrophotometry analysiski<0.0001uM
(2S)-2-[[4-[(2,4-diaminopteridin-6-yl)methylamino]benzoyl]amino]pentanedioic acid219254: Inhibitory activity against Wild-type human DHFRki<0.0001uM
8-methyl-7-pentan-3-ylpyrrolo[3,2-f]quinazoline-1,3-diamine1260819: Competitive inhibition of human recombinant DHFR preincubated for 2 mins followed by substrate addition in presence of dihydrofolateki<0.0001uM
2-[[4-[(2,4-diaminoquinazolin-6-yl)methylamino]benzoyl]amino]pentanedioic acid219254: Inhibitory activity against Wild-type human DHFRki<0.0001uM
2-[[4-carboxy-4-[[4-[(2,4-diaminopteridin-6-yl)methylamino]benzoyl]amino]butyl]carbamoyl]benzoic acid57132: Compound was evaluated for the inhibition of Dihydrofolate reductase at concentration ranged from 0.15-0.50 uMki<0.0001uM
2-[[4-carboxy-4-[[4-[(2,4-diamino-5-methylpyrido[2,3-d]pyrimidin-6-yl)methylamino]benzoyl]amino]butyl]carbamoyl]benzoic acid57132: Compound was evaluated for the inhibition of Dihydrofolate reductase at concentration ranged from 0.15-0.50 uMki<0.0001uM
2-[[4-carboxy-4-[[4-[(6,8-diaminoquinoxalin-2-yl)methylamino]benzoyl]amino]butyl]carbamoyl]benzoic acid57138: Inhibitory activity against human recombinant Dihydrofolate reductaseki<0.0001uM
2-[[4-carboxy-4-[[4-[1-(6,8-diaminoquinoxalin-2-yl)pent-4-yn-2-yl]benzoyl]amino]butyl]carbamoyl]benzoic acid57138: Inhibitory activity against human recombinant Dihydrofolate reductaseki<0.0001uM
2-[[4-carboxy-4-[[4-[2-(6,8-diaminoquinoxalin-2-yl)ethyl]benzoyl]amino]butyl]carbamoyl]benzoic acid57138: Inhibitory activity against human recombinant Dihydrofolate reductaseki<0.0001uM
2-[[4-carboxy-4-[[4-[1-(6,8-diaminoquinoxalin-2-yl)butan-2-yl]benzoyl]amino]butyl]carbamoyl]benzoic acid57138: Inhibitory activity against human recombinant Dihydrofolate reductaseki<0.0001uM
2-[[4-carboxy-4-[[4-[2-(6,8-diaminonaphthalen-2-yl)ethyl]benzoyl]amino]butyl]carbamoyl]benzoic acid57138: Inhibitory activity against human recombinant Dihydrofolate reductaseki<0.0001uM
2-[[4-carboxy-4-[[4-[(2,4-diaminopyrido[3,2-d]pyrimidin-6-yl)methylamino]benzoyl]amino]butyl]carbamoyl]benzoic acid57132: Compound was evaluated for the inhibition of Dihydrofolate reductase at concentration ranged from 0.15-0.50 uMki<0.0001uM
2-[[4-[(2,4-diaminopyrido[2,3-d]pyrimidin-6-yl)methylamino]naphthalene-1-carbonyl]amino]pentanedioic acid56168: Tested for inhibition against Dihydrofolate reductase from Pneumocystis cariniiic50<0.0001uM
6-[(2,5-dimethoxyphenyl)methyl]-5-methylpyrido[2,3-d]pyrimidine-2,4-diamine57133: Inhibition of human recombinant Dihydrofolate reductase enzymeki<0.0001uM
Trimethoprim1179551: Binding affinity to DHFR (unknown origin) by NMR analysiski<0.0001uM
5-methyl-6-[(3,4,5-trimethoxyanilino)methyl]quinazoline-2,4-diamine1915711: Inhibition of DHFR (unknown origin) assessed as inhibition constantki<0.0001uM
2-[[4-[3-carboxypropyl-[(2,4-diaminopteridin-6-yl)methyl]amino]benzoyl]amino]pentanedioic acid56458: Inhibitory activity against Trypanosoma cruzi dihydrofolate reductaseki0.0001uM
2-[[4-[4-carboxybutyl-[(2,4-diaminopteridin-6-yl)methyl]amino]benzoyl]amino]pentanedioic acid56458: Inhibitory activity against Trypanosoma cruzi dihydrofolate reductaseki0.0001uM
2-amino-5-methyl-8-(2-methylpropyl)-2,3-dihydropyrido[2,3-d]pyrimidin-4-one57126: Tested for the apparent dissociation constant for binding of compound to ternary NADPH complex with human dihydrofolate reductase using equation 4kd0.0001uM
2-[6-[(2,4-diaminopteridin-6-yl)methylamino]-3-oxo-1H-isoindol-2-yl]pentanedioic acid282637: Inhibition of human DHFRki0.0001uM
7-tert-butyl-8-ethylpyrrolo[3,2-f]quinazoline-1,3-diamine57133: Inhibition of human recombinant Dihydrofolate reductase enzymeki0.0001uM
7-butan-2-yl-8-ethylpyrrolo[3,2-f]quinazoline-1,3-diamine57133: Inhibition of human recombinant Dihydrofolate reductase enzymeki0.0001uM
7-pentan-3-yl-8-propan-2-ylpyrrolo[3,2-f]quinazoline-1,3-diamine57133: Inhibition of human recombinant Dihydrofolate reductase enzymeki0.0001uM
2-[[4-[5-carboxypentyl-[(2,4-diaminopteridin-6-yl)methyl]amino]benzoyl]amino]pentanedioic acid56458: Inhibitory activity against Trypanosoma cruzi dihydrofolate reductaseki0.0002uM
8-tert-butyl-7-propan-2-ylpyrrolo[3,2-f]quinazoline-1,3-diamine57133: Inhibition of human recombinant Dihydrofolate reductase enzymeki0.0002uM
8-ethyl-7-pentan-3-ylpyrrolo[3,2-f]quinazoline-1,3-diamine57133: Inhibition of human recombinant Dihydrofolate reductase enzymeki0.0002uM
(2R)-2-[[4-[2-(2,4-diamino-5,6,7,8-tetrahydropyrido[2,3-d]pyrimidin-6-yl)ethyl]benzoyl]amino]-2-methylpentanedioic acid57139: Inhibitory activity against recombinant human dihydrofolate reductase (DHFR)ki0.0003uM
5-[(2-fluorophenyl)methoxy]quinazoline-2,4-diamine313040: Inhibition of human recombinant DHFRic500.0004uM
8-methyl-7-(2-methylbutan-2-yl)pyrrolo[3,2-f]quinazoline-1,3-diamine57133: Inhibition of human recombinant Dihydrofolate reductase enzymeki0.0004uM
7-pentan-3-yl-8-propylpyrrolo[3,2-f]quinazoline-1,3-diamine57133: Inhibition of human recombinant Dihydrofolate reductase enzymeki0.0004uM
2-amino-7-methyl-8-propyl-2,3-dihydropyrido[2,3-d]pyrimidin-4-one57123: Tested for the apparent dissociation constant for binding of compound to binary NADPH complex with human dihydrofolate reductase using equation 4kd0.0005uM
2-[[4-[(2,4-diaminoquinazolin-5-yl)methylamino]benzoyl]amino]pentanedioic acid219254: Inhibitory activity against Wild-type human DHFRki0.0005uM
(2R)-2-[[5-[2-(2,4-diamino-5,6,7,8-tetrahydropyrido[2,3-d]pyrimidin-6-yl)ethyl]thiophene-2-carbonyl]amino]-2-methylpentanedioic acid57139: Inhibitory activity against recombinant human dihydrofolate reductase (DHFR)ki0.0007uM
5-[[4-methoxy-3,5-bis[(E)-prop-1-enyl]phenyl]methyl]pyrimidine-2,4-diamine56001: Antibacterial activity against Escherichia coliki0.0008uM
(2R,4R)-2-[[4-[(2,4-diaminopteridin-6-yl)methyl-methylamino]benzoyl]amino]-4-fluoropentanedioic acid56966: Inhibitory activity against Dihydrofolate reductase (DHFR) isolated from CCRF-CEM human leukemia cells in experiment 1ic500.0008uM
4H-pyrrolo[3,2-f]quinazoline-1,3-diamine1260819: Competitive inhibition of human recombinant DHFR preincubated for 2 mins followed by substrate addition in presence of dihydrofolateki0.0010uM
5-amino-2-[[4-[(2,4-diaminopteridin-6-yl)methyl-methylamino]benzoyl]amino]pentanoic acid56974: Inhibitory concentration against dihydrofolate reductase enzyme (DHFR) enzyme isolated from CCRF-CEM human leukemia cells. value mentioned is from literatureic500.0010uM
5-amino-2-[[4-[(2,4-diaminopteridin-6-yl)methyl-methylamino]benzoyl]amino]-4,4-difluoropentanoic acid56973: Inhibitory concentration against dihydrofolate reductase enzyme (DHFR) enzyme isolated from CCRF-CEM human leukemia cells.ic500.0013uM
2-[[4-[(2,4-diaminopteridin-6-yl)methyl-methylamino]benzoyl]amino]-3,3-difluoropentanedioic acid56967: Inhibitory activity against Dihydrofolate reductase (DHFR) isolated from CCRF-CEM human leukemia cells in experiment 2ic500.0013uM
2-[[4-[(2,4-diaminopteridin-6-yl)methyl-methylamino]benzoyl]amino]-4-fluoropentanedioic acid56966: Inhibitory activity against Dihydrofolate reductase (DHFR) isolated from CCRF-CEM human leukemia cells in experiment 1ic500.0014uM
6-[(3,5-dimethoxyphenyl)methyl]-5-methylpyrido[2,3-d]pyrimidine-2,4-diamine56975: Inhibitory concentration against dihydrofolate reductase of rat liveric500.0015uM
5-(3-chlorophenyl)-6-ethylpyrimidine-2,4-diamine1533249: Inhibition of human DHFRki0.0016uM
6-fluoro-2-[4-(2-fluorophenyl)phenyl]-3-methylquinoline-4-carboxylic acid1439522: Inhibition of recombinant human N-terminal truncated GST-tagged DHFR (31 to 395 residues) expressed in Escherichia coli BL21(DE3) pyrD using DHO as substrate preincubated for 5 mins followed by substrate addition measured for 5 mins by DCIP oxidation based CoQ10 enzyme coupled assayic500.0018uM

CTD chemical–gene interactions

114 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Methotrexateaffects cotreatment, affects binding, decreases activity, increases response to substance, decreases response to substance (+5 more)13
Folic Acidincreases expression, decreases reaction, decreases abundance, affects expression, affects response to substance (+2 more)6
bisphenol Adecreases expression, affects expression, affects cotreatment, decreases methylation4
sodium arsenitedecreases expression, increases expression, increases mutagenesis4
Tobacco Smoke Pollutiondecreases expression, increases methylation4
Benzo(a)pyreneincreases expression, decreases expression3
Fluorouracilaffects expression, increases expression3
perfluorooctanoic aciddecreases expression2
epigallocatechin gallateaffects binding, decreases activity, affects cotreatment, increases expression2
Air Pollutantsincreases expression, decreases expression, increases abundance2
Arsenicaffects methylation, affects response to substance2
Cisplatindecreases expression, increases reaction, increases expression2
Leucovorinincreases expression, decreases abundance, decreases reaction2
7,8-Dihydro-7,8-dihydroxybenzo(a)pyrene 9,10-oxideincreases expression, decreases expression2
aristolochic acid Iincreases expression1
GSK-J4decreases expression1
afuresertibdecreases expression1
TAK-243increases sumoylation1
syringic aciddecreases activity1
methylmercuric chloridedecreases expression1
ferulic aciddecreases activity1
naringindecreases activity1
triphenyl phosphateaffects expression1
propionaldehydedecreases expression1
methylselenic aciddecreases expression1
sodium arsenatedecreases expression1
methylparabendecreases expression1
tris(1,3-dichloro-2-propyl)phosphatedecreases expression1
cobaltous chloridedecreases expression1
alpha-cobratoxindecreases expression, decreases reaction1

ChEMBL screening assays

457 unique, capped per target: 426 binding, 16 admet, 12 functional, 3 toxicity

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1017358BindingInhibition of DHFRA new bastadin from the sponge Psammaplysilla purpurea. — J Nat Prod
CHEMBL3867373ADMETInhibition of recombinant human DHFR expressed in Escherichia coli preincubated for 15 mins followed by addition of DHF as substrate and NADPH measured after 60 mins by resazurin/diaphorase coupled assayDiscovery of Potent and Selective Leads against Toxoplasma gondii Dihydrofolate Reductase via Structure-Based Design. — ACS Med Chem Lett
CHEMBL5148457ToxicityInhibition of recombinant human DHFR expressed in Escherichia coli BL21 (DE3) cells using dihydrofolate as substrate in presence of NADPH by spectrophotometric analysisMultitarget, Selective Compound Design Yields Potent Inhibitors of a Kinetoplastid Pteridine Reductase 1. — J Med Chem

Clinical trials (associated diseases)

300 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00190697PHASE4COMPLETEDA Study of LY353381 (Arzoxifene) for Patients Who Benefitted From This Drug in Other Oncology Trials and Wished to Continue Treatment
NCT00719017PHASE4UNKNOWNUpper Vaginectomy Versus Brachytherapy in Patients With Early Stage Endometrial Cancer Treated With Laparoscopic Surgery
NCT02543710PHASE4RECRUITINGBiomarker Guided Treatment in Gynaecological Cancer
NCT03349463PHASE4UNKNOWNEvaluation of Fluciclovine Uptake in Patients With Cervical, Ovarian Epithelial or Endometrial Cancers.
NCT03752606PHASE4COMPLETEDApplication of Tachosil During Lymphadenectomy
NCT05949424PHASE4UNKNOWNOPTI - DOSE: Optimal Dosing of Oral Anticancer Drugs in Older Adults
NCT06049693PHASE4COMPLETEDIron Prehabilitation in Endometrial Cancer
NCT06726291PHASE4RECRUITINGAkynzeo as Antiemetic Treatment in Patients With Endometrial Cancer
NCT06871787PHASE4NOT_YET_RECRUITINGNear-Infrared Fluorescence Imaging With Indocyanine Green to Evaluate Bowel Anastomoses in Gynecologic Oncology Surgery
NCT07281547PHASE4NOT_YET_RECRUITINGLow Dose Aspirin to Lower Inflammation and Prevent Endometrial Cancer in Postmenopausal Women With Non-atrophic Endometrial Changes and Pain
NCT07462663PHASE4NOT_YET_RECRUITINGSHAPE-ENDO: Multimodal Pre-Surgical Optimization in Patients With Obesity and Early-Stage Endometrial Cancer (Phase 1)
NCT00002459PHASE3COMPLETEDRadiation Therapy or No Further Treatment Following Surgery in Treating Patients With Cancer of the Uterus
NCT00002493PHASE3COMPLETEDRadiation Therapy Compared With Combination Chemotherapy in Treating Patients With Advanced Endometrial Cancer
NCT00002641PHASE3COMPLETEDSurgery With or Without Chemotherapy in Treating Patients With Soft Tissue Sarcoma
NCT00002764PHASE3COMPLETEDSurgery With or Without Combination Chemotherapy in Treating Patients With Lung Metastases From Soft Tissue Sarcoma
NCT00002920PHASE3COMPLETEDS9630, Medroxyprogesterone in Treating Women With Breast Cancer
NCT00002976PHASE3TERMINATEDEstrogen Replacement Therapy in Treating Women With Early-Stage Endometrial Cancer
NCT00003267PHASE3COMPLETEDPelvic Drains After Radical Hysterectomy in Treating Patients With Uterine, Cervical, or Vaginal Cancer
NCT00003691PHASE3COMPLETEDCombination Chemotherapy With or Without G-CSF in Treating Patients With Stage III, Stage IV, or Recurrent Endometrial Cancer
NCT00003749PHASE3COMPLETEDSurgery With or Without Lymphadenectomy and Radiation Therapy in Treating Patients With Endometrial Cancer
NCT00005583PHASE3COMPLETEDRadiation Therapy With or Without Chemotherapy in Treating Patients With High-Risk Endometrial Cancer
NCT00006027PHASE3COMPLETEDComparison of Radiation Therapy With or Without Combination Chemotherapy Following Surgery in Treating Patients With Stage I or Stage II Endometrial Cancer
NCT00016341PHASE3TERMINATEDCombination Chemotherapy Compared With Hormone Therapy in Treating Patients With Recurrent, Stage III, or Stage IV Endometrial Cancer
NCT00033605PHASE3COMPLETEDOctreotide in Preventing Diarrhea in Patients Who Are Undergoing Radiation Therapy to the Pelvis
NCT00096408PHASE3COMPLETEDLaparoscopic Approach to Cancer of the Endometrium
NCT00245050PHASE3COMPLETEDPyridoxine in Preventing Hand-Foot Syndrome in Patients Who Are Receiving Liposomal Doxorubicin for Cancer
NCT00376844PHASE3COMPLETEDExternal-Beam Radiation Therapy Compared With Vaginal Brachytherapy After Surgery for Stage I Endometrial Cancer
NCT00411138PHASE3UNKNOWNRandomized Trial of Radiation Therapy With or Without Chemotherapy for Endometrial Cancer
NCT00566644PHASE3TERMINATEDIntrauterine Levonorgestrel and Observation or Observation Alone in Preventing Atypical Endometrial Hyperplasia and Endometrial Cancer in Women With Hereditary Non-Polyposis Colorectal Cancer or Lynch Syndrome
NCT00883116PHASE3TERMINATEDA Study of Ixabepilone as Second-line Therapy for Locally Advanced, Recurrent, or Metastatic Endometrial Cancer
NCT01087268PHASE3UNKNOWNHyperbaric Oxygen Therapy in Treating Long-Term Gastrointestinal Adverse Effects Caused by Radiation Therapy in Patients With Pelvic Cancer
NCT01470677PHASE3COMPLETEDTachosil for the Prevention of Symptomatic Lymph Cysts
NCT01672892PHASE3COMPLETEDStandard Versus Intensity-Modulated Pelvic Radiation Therapy in Treating Patients With Endometrial or Cervical Cancer
NCT01767155PHASE3COMPLETEDZoptarelin Doxorubicin (AEZS 108) as Second Line Therapy for Endometrial Cancer
NCT02584478PHASE3UNKNOWNPhase 1/2a/3 Evaluation of Adding AL3818 to Standard Platinum-Based Chemotherapy in Subjects With Recurrent or Metastatic Endometrial, Ovarian, Fallopian, Primary Peritoneal or Cervical Carcinoma (AL3818-US-002)
NCT02762214PHASE3UNKNOWNRole of Uterine Manipulator in Hysterectomy - Ro.Man.HY
NCT03469674PHASE3ACTIVE_NOT_RECRUITINGPORTEC-4a: Molecular Profile-based Versus Standard Adjuvant Radiotherapy in Endometrial Cancer
NCT03555422PHASE3COMPLETEDMaintenance With Selinexor/Placebo After Combination Chemotherapy in Participants With Endometrial Cancer [SIENDO]
NCT03603184PHASE3COMPLETEDAtezolizumab Trial in Endometrial Cancer - AtTEnd
NCT03785288PHASE3RECRUITINGVaginal Cuff Brachytherapy Fractionation Study