DHODH

gene
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Summary

DHODH (dihydroorotate dehydrogenase (quinone), HGNC:2867) is a protein-coding gene on chromosome 16q22.2, encoding Dihydroorotate dehydrogenase (quinone), mitochondrial (Q02127). Catalyzes the conversion of dihydroorotate to orotate with quinone as electron acceptor. It is a selective cancer dependency (DepMap: 33.9% of cell lines).

The protein encoded by this gene catalyzes the fourth enzymatic step, the ubiquinone-mediated oxidation of dihydroorotate to orotate, in de novo pyrimidine biosynthesis. This protein is a mitochondrial protein located on the outer surface of the inner mitochondrial membrane.

Source: NCBI Gene 1723 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): postaxial acrofacial dysostosis (Definitive, ClinGen)
  • GWAS associations: 10
  • Clinical variants (ClinVar): 206 total — 7 pathogenic, 3 likely-pathogenic
  • Phenotypes (HPO): 40
  • Druggable target: yes — 13 molecules with ChEMBL bioactivity
  • Cancer dependency (DepMap): dependent in 33.9% of screened cell lines
  • Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity no evidence
  • MANE Select transcript: NM_001361

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:2867
Approved symbolDHODH
Namedihydroorotate dehydrogenase (quinone)
Location16q22.2
Locus typegene with protein product
StatusApproved
Ensembl geneENSG00000102967
Ensembl biotypeprotein_coding
OMIM126064
Entrez1723

Gene structure

Transcript identifiers

Ensembl transcripts: 16 — 11 protein_coding, 3 retained_intron, 1 nonsense_mediated_decay, 1 protein_coding_CDS_not_defined

ENST00000219240, ENST00000571288, ENST00000571392, ENST00000572003, ENST00000572887, ENST00000573843, ENST00000573922, ENST00000574309, ENST00000576145, ENST00000894311, ENST00000894312, ENST00000894313, ENST00000936684, ENST00000936685, ENST00000936686, ENST00000958705

RefSeq mRNA: 1 — MANE Select: NM_001361 NM_001361

CCDS: CCDS42192

Canonical transcript exons

ENST00000219240 — 9 exons

ExonStartEnd
ENSE000014206337200874472008785
ENSE000022941417202347472023633
ENSE000023202797202414572027659
ENSE000036554497201447372014672
ENSE000037879137201702472017106
ENSE000038887937202112472021311
ENSE000038888727202316572023318
ENSE000038938017202236272022475
ENSE000038952457201205072012262

Expression profiles

Bgee: expression breadth ubiquitous, 179 present calls, max score 96.51.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 6.0777 / max 312.4279, expressed in 1621 samples.

FANTOM5 promoters (6 alternative TSS)

Promoter IDTPM avgSamples expressed
1549415.57741619
1549420.141710
1549430.11669
1549460.08568
1549450.082410
1549440.07398

Top tissues by expression

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

TissueAnatomy IDExpression scoreQuality
right lobe of liverUBERON:000111496.51gold quality
liverUBERON:000210791.31gold quality
right atrium auricular regionUBERON:000663189.05gold quality
cardiac atriumUBERON:000208185.93gold quality
apex of heartUBERON:000209882.85gold quality
tibial nerveUBERON:000132382.53gold quality
muscle of legUBERON:000138381.89gold quality
right ovaryUBERON:000211881.83gold quality
gastrocnemiusUBERON:000138881.82gold quality
left ovaryUBERON:000211981.54gold quality
sural nerveUBERON:001548881.53gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099181.36gold quality
hindlimb stylopod muscleUBERON:000425281.36gold quality
omental fat padUBERON:001041481.33gold quality
peritoneumUBERON:000235881.26gold quality
left uterine tubeUBERON:000130380.78gold quality
right uterine tubeUBERON:000130280.52gold quality
right lobe of thyroid glandUBERON:000111980.51gold quality
ventricular zoneUBERON:000305380.45gold quality
adipose tissue of abdominal regionUBERON:000780880.01gold quality
heartUBERON:000094879.62gold quality
rectumUBERON:000105279.52gold quality
cortical plateUBERON:000534379.37gold quality
body of uterusUBERON:000985379.36gold quality
left coronary arteryUBERON:000162679.34gold quality
left lobe of thyroid glandUBERON:000112079.32gold quality
endocervixUBERON:000045879.19gold quality
right coronary arteryUBERON:000162579.07gold quality
ganglionic eminenceUBERON:000402378.82gold quality
heart left ventricleUBERON:000208478.80gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 1.

ExperimentMarker?Max mean expression
E-ANND-3no0.00

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): MYC, TBP

miRNA regulators (miRDB)

82 targeting DHODH, 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-6867-5P100.0082.213464
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-4747-5P100.0067.902681
HSA-MIR-5196-5P100.0067.982761
HSA-MIR-186-5P99.9970.833707
HSA-MIR-806899.9873.852376
HSA-MIR-480399.9871.993117
HSA-MIR-570-3P99.9672.414910
HSA-MIR-6778-3P99.9667.292693
HSA-MIR-55999.9572.283609
HSA-MIR-548AB99.9571.313488
HSA-MIR-141-3P99.9472.792421
HSA-MIR-200A-3P99.9472.682420
HSA-MIR-548A-5P99.9471.273482
HSA-MIR-548AD-5P99.9471.233502
HSA-MIR-548AE-5P99.9471.233502
HSA-MIR-548AK99.9471.243488
HSA-MIR-548AM-5P99.9471.243488
HSA-MIR-548AP-5P99.9471.143489
HSA-MIR-548AQ-5P99.9471.343426
HSA-MIR-548AR-5P99.9471.283515
HSA-MIR-548AS-5P99.9471.223482
HSA-MIR-548AU-5P99.9471.243488
HSA-MIR-548AY-5P99.9471.233502
HSA-MIR-548B-5P99.9471.233502
HSA-MIR-548BB-5P99.9471.273509
HSA-MIR-548C-5P99.9471.243488
HSA-MIR-548D-5P99.9471.233502
HSA-MIR-548H-5P99.9471.243488
HSA-MIR-548I99.9471.253481

Functional genomics

ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map DepMap (CRISPR cell-line fitness): dependent in 33.9% of screened cell lines.

Literature-anchored findings (GeneRIF, showing 30)

  • biophysical analysis of hydrogen bonding pathways in human dihydroorotate dehydrogenase (PMID:17004840)
  • Data provide new insights into the dynamic features of the DHODH reaction and suggest new approaches to the design of inhibitors against DHODH. (PMID:18672895)
  • DHODH polymorphism may be associated with incireased remiaaion in leflunomide treatment in rheumatoid arthritis patients. (PMID:19207032)
  • we report a new association of DHODH A40C polymorphism with leflunomide toxicity in patients with Rheumatoid Arthritis. (PMID:19605743)
  • Data confirmed the presence of DHODH mutations in families with Miller syndrome. (PMID:19915526)
  • DHODH recessively causes Miller syndrome. (PMID:20220176)
  • required for N-(4-hydroxyphenyl)retinamide-induced reactive oxygen species production and apoptosis of cancer epithelial cells (PMID:20399851)
  • DHODH inhibition led to a marked decrease in melanoma growth both in vitro and in xenograft studies (PMID:21430780)
  • biallelic DHODH mutations in four unrelated families with typical clinical features of Miller syndrome. (PMID:22692683)
  • Carriage of a six-marker DHODH haplotype was associated with a reduced treatment response (p = 0.008). (PMID:22966891)
  • The G202A and R346W mutation causes deficient protein stability, and the R135C mutation impairs the substrate-induced enzymatic activity, suggesting that impairment of DHODH activity is linked to the Miller syndrome phenotype. (PMID:22967083)
  • Considering that pyrimidine deficiency alone does not induce craniofacial dysmorphism, the DHODH mutations may contribute to the Miller syndrome in part through somehow altered mitochondrial function. (PMID:23216091)
  • This is the first study to report on conformational changes of the HsDHODH N-terminal microdomain through a combination of CD and DEER spectroscopic techniques (PMID:26086954)
  • This case with grossly raised plasma DHO represents the first biochemical confirmation of functional DHODH deficiency. DHO was also easily detectable in dried plasma and blood spots. (PMID:27370710)
  • The authors show that DHODH-driven pyrimidine biosynthesis is an essential pathway linking respiration to tumorigenesis, pointing to inhibitors of DHODH as potential anti-cancer agents. (PMID:30449682)
  • he preliminary structure-activity relationship was investigated. Compound 9 of biphenyl series and compound 37 of amide series displayed IC50 values of 1.32 muM and 1.45 muM, respectively. This research will provide valuable reference for the research of new structures of hDHODH inhibitors (PMID:31370178)
  • These findings implicate DHODH and PCK1 in the colorectal cancer metastatic progression via pyrimidine nucleotide biosynthesis under hypoxia. (PMID:31841108)
  • Dihydroorotate dehydrogenase in oxidative phosphorylation and cancer. (PMID:32151633)
  • Elevated DHODH expression promotes cell proliferation via stabilizing beta-catenin in esophageal squamous cell carcinoma. (PMID:33060568)
  • SOX2-dependent expression of dihydroorotate dehydrogenase regulates oral squamous cell carcinoma cell proliferation. (PMID:33510132)
  • DHODH-mediated ferroptosis defence is a targetable vulnerability in cancer. (PMID:33981038)
  • DHODH tangoing with GPX4 on the ferroptotic stage. (PMID:34145214)
  • Protein production, kinetic and biophysical characterization of three human dihydroorotate dehydrogenase mutants associated with Miller syndrome. (PMID:35094635)
  • Protein-lipid interactions of human dihydroorotate dehydrogenase and three mutants associated with Miller syndrome. (PMID:35184687)
  • New Insights into the Interaction of Class II Dihydroorotate Dehydrogenases with Ubiquinone in Lipid Bilayers as a Function of Lipid Composition. (PMID:35269583)
  • DHODH is an independent prognostic marker and potent therapeutic target in neuroblastoma. (PMID:35943801)
  • Screening for DAX1/EWS-FLI1 functional inhibitors identified dihydroorotate dehydrogenase as a therapeutic target for Ewing’s sarcoma. (PMID:36825574)
  • Exploiting Cancer Vulnerabilities by Blocking of the DHODH and GPX4 Pathways: A Multifunctional Bodipy/PROTAC Nanoplatform for the Efficient Synergistic Ferroptosis Therapy. (PMID:37204046)
  • Pivotal role of dihydroorotate dehydrogenase as a therapeutic target in adult T-cell leukemia. (PMID:38558052)
  • Bioinformatics analysis and experimental verification of the cancer-promoting effect of DHODH in clear cell renal cell carcinoma. (PMID:38796629)

Cross-species orthologs

6 orthologs

OrganismSymbolGene ID
danio_reriodhodhENSDARG00000051889
danio_reriodpyda.1ENSDARG00000102671
mus_musculusDhodhENSMUSG00000031730
rattus_norvegicusDhodhENSRNOG00000015063
drosophila_melanogasterDhodFBGN0000447
caenorhabditis_elegansdhod-1WBGENE00020932

Paralogs (2): FDXR (ENSG00000161513), DPYD (ENSG00000188641)

Protein

Protein identifiers

Dihydroorotate dehydrogenase (quinone), mitochondrialQ02127 (reviewed: Q02127)

Alternative names: Dihydroorotate oxidase

All UniProt accessions (5): Q02127, I3L449, I3NI32, J3QRJ4, J3QRQ3

UniProt curated annotations — full annotation on UniProt →

Function. Catalyzes the conversion of dihydroorotate to orotate with quinone as electron acceptor. Required for UMP biosynthesis via de novo pathway.

Subunit / interactions. Monomer.

Subcellular location. Mitochondrion inner membrane.

Post-translational modifications. The uncleaved transit peptide is required for mitochondrial targeting and proper membrane integration.

Disease relevance. Postaxial acrofacial dysostosis (POADS) [MIM:263750] An autosomal recessive syndrome characterized by severe micrognathia, cleft lip and/or palate, hypoplasia or aplasia of the posterior elements of the limbs, coloboma of the eyelids and supernumerary nipples. The disease is caused by variants affecting the gene represented in this entry.

Cofactor. Binds 1 FMN per subunit.

Pathway. Pyrimidine metabolism; UMP biosynthesis via de novo pathway; orotate from (S)-dihydroorotate (quinone route): step 1/1.

Miscellaneous. The identification of DHODH defects as the cause of postaxial acrofacial dysostosis (POADS) was obtained via exome sequencing, demonstrating that this method is a powerful tool for identifying genes underlying rare Mendelian disorders. Exome sequencing consists of targeted resequencing of all protein-coding subsequences, which requires around 5% as much sequencing as a whole human genome.

Similarity. Belongs to the dihydroorotate dehydrogenase family. Type 2 subfamily.

RefSeq proteins (1): NP_001352* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR001295Dihydroorotate_DH_CSConserved_site
IPR005719Dihydroorotate_DH_2Family
IPR005720Dihydroorotate_DH_catDomain
IPR013785Aldolase_TIMHomologous_superfamily
IPR050074DHO_dehydrogenaseFamily

Pfam: PF01180

Enzyme classification (BRENDA):

  • EC 1.3.5.2 — dihydroorotate dehydrogenase (quinone) (BRENDA: 23 organisms, 120 substrates, 536 inhibitors, 133 Km, 86 kcat entries)

Substrate kinetics (BRENDA)

28 substrates with measured Km, best-characterized 15. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
DIHYDROOROTATE0.004–0.2925
DECYLUBIQUINONE0.0065–0.34123
S-DIHYDROOROTATE0.0062–0.11513
COENZYME QD0.015–5312
L-DIHYDROOROTATE0.015–0.12312
COENZYME Q17.8–4810
(S)-DIHYDROOROTATE0.02–0.2657
COENZYME Q60.0011–0.0224
UBIQUINONE0.007–0.0624
UBIQUINONE-60.0225–0.0623
COENZYME Q00.17–0.352
METHYL DIHYDROOROTATE0.0154–0.15422
UBIQUINONE-00.04–0.0752
UBIQUINONE-500.01–0.0272
1,4-NAPHTHOQUINONE0.0281

Catalyzed reactions (Rhea), 1 shown:

  • (S)-dihydroorotate + a quinone = orotate + a quinol (RHEA:30187)

UniProt features (70 total): helix 20, strand 15, binding site 13, sequence variant 11, turn 4, topological domain 2, chain 1, transit peptide 1, transmembrane region 1, sequence conflict 1, active site 1

Structure

Experimental structures (PDB)

105 structures, top 30 by resolution.

PDBMethodResolution (Å)
4OQVX-RAY DIFFRACTION1.23
4IGHX-RAY DIFFRACTION1.3
9BKNX-RAY DIFFRACTION1.3
9EG9X-RAY DIFFRACTION1.31
9DHIX-RAY DIFFRACTION1.38
9DHGX-RAY DIFFRACTION1.39
6OC0X-RAY DIFFRACTION1.4
9DHJX-RAY DIFFRACTION1.4
9BKOX-RAY DIFFRACTION1.44
9DHHX-RAY DIFFRACTION1.49
6QU7X-RAY DIFFRACTION1.52
3ZWTX-RAY DIFFRACTION1.55
5H2ZX-RAY DIFFRACTION1.58
5H73X-RAY DIFFRACTION1.58
6FMDX-RAY DIFFRACTION1.58
1D3GX-RAY DIFFRACTION1.6
3ZWSX-RAY DIFFRACTION1.6
5HINX-RAY DIFFRACTION1.6
6J3BX-RAY DIFFRACTION1.6
9CZEX-RAY DIFFRACTION1.6
9V34X-RAY DIFFRACTION1.6
9S1IX-RAY DIFFRACTION1.61
5HQEX-RAY DIFFRACTION1.62
6CJFX-RAY DIFFRACTION1.63
5K9CX-RAY DIFFRACTION1.66
5ZF4X-RAY DIFFRACTION1.66
3W7RX-RAY DIFFRACTION1.68
5K9DX-RAY DIFFRACTION1.7
5ZF8X-RAY DIFFRACTION1.7
6ET4X-RAY DIFFRACTION1.7

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-Q02127-F196.130.91

Functional residue map

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

Catalytic / active sites (1): 214 (nucleophile)

Ligand- & substrate-binding residues (13): 180; 211–216; 211; 254; 282; 283–284; 305; 334; 355–356; 95–99; 99; 119

Function

Pathways and Gene Ontology

Reactome pathways

1 pathways

IDPathway
R-HSA-500753Pyrimidine biosynthesis

MSigDB gene sets: 287 (showing top): GSE45365_CTRL_VS_MCMV_INFECTION_NK_CELL_UP, GOBP_NUCLEOSIDE_DIPHOSPHATE_METABOLIC_PROCESS, BUYTAERT_PHOTODYNAMIC_THERAPY_STRESS_DN, chr16q22, MODULE_255, GOMF_OXIDOREDUCTASE_ACTIVITY_ACTING_ON_THE_CH_CH_GROUP_OF_DONORS, KAAB_HEART_ATRIUM_VS_VENTRICLE_UP, GRAESSMANN_APOPTOSIS_BY_DOXORUBICIN_DN, GRAESSMANN_RESPONSE_TO_MC_AND_DOXORUBICIN_DN, MODULE_317, GOBP_ORGANOPHOSPHATE_METABOLIC_PROCESS, GOBP_NUCLEOSIDE_PHOSPHATE_BIOSYNTHETIC_PROCESS, GOBP_ORGANOPHOSPHATE_BIOSYNTHETIC_PROCESS, MODULE_503, GOBP_PYRIMIDINE_NUCLEOBASE_METABOLIC_PROCESS

GO Biological Process (6): ‘de novo’ pyrimidine nucleobase biosynthetic process (GO:0006207), UDP biosynthetic process (GO:0006225), pyrimidine ribonucleotide biosynthetic process (GO:0009220), ‘de novo’ UMP biosynthetic process (GO:0044205), pyrimidine nucleotide biosynthetic process (GO:0006221), UMP biosynthetic process (GO:0006222)

GO Molecular Function (6): dihydroorotase activity (GO:0004151), dihydroorotate dehydrogenase activity (GO:0004152), dihydroorotate dehydrogenase (quinone) activity (GO:0106430), protein binding (GO:0005515), oxidoreductase activity (GO:0016491), oxidoreductase activity, acting on the CH-CH group of donors (GO:0016627)

GO Cellular Component (6): nucleoplasm (GO:0005654), mitochondrion (GO:0005739), mitochondrial inner membrane (GO:0005743), cytosol (GO:0005829), cytoplasm (GO:0005737), membrane (GO:0016020)

Reactome top-level categories

Rollup of top-1 pathways:

CategoryPathways
Nucleotide biosynthesis1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cellular anatomical structure4
pyrimidine ribonucleotide biosynthetic process2
cytoplasm2
pyrimidine nucleobase biosynthetic process1
pyrimidine ribonucleoside diphosphate biosynthetic process1
UDP metabolic process1
pyrimidine nucleotide biosynthetic process1
pyrimidine ribonucleotide metabolic process1
ribonucleotide biosynthetic process1
UMP biosynthetic process1
pyrimidine nucleotide metabolic process1
nucleotide biosynthetic process1
pyrimidine-containing compound biosynthetic process1
pyrimidine ribonucleoside monophosphate biosynthetic process1
UMP metabolic process1
hydrolase activity, acting on carbon-nitrogen (but not peptide) bonds, in cyclic amides1
oxidoreductase activity, acting on the CH-CH group of donors1
dihydroorotate dehydrogenase activity1
oxidoreductase activity, acting on the CH-CH group of donors, quinone or related compound as acceptor1
binding1
catalytic activity1
oxidoreductase activity1
nuclear lumen1
intracellular membrane-bounded organelle1
organelle inner membrane1
mitochondrial membrane1
intracellular anatomical structure1

Protein interactions and networks

STRING

3074 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
DHODHUMPSP11172978
DHODHDHFR2Q86XF0908
DHODHDHFRP00374882
DHODHCADP27708779
DHODHETFDHQ16134647
DHODHTYMSP04818644
DHODHIMPDH2P12268642
DHODHCTPS1P17812640
DHODHCYB5R4Q7L1T6606
DHODHPPATQ06203602
DHODHCTPS2Q9NRF8600
DHODHAIFM2Q9BRQ8597
DHODHTCOF1Q13428594
DHODHCRYZQ08257593
DHODHGMPSP49915590

IntAct

27 interactions, top by confidence:

ABTypeScore
TTPADHODHpsi-mi:“MI:0915”(physical association)0.560
DHODHRNF19Bpsi-mi:“MI:0915”(physical association)0.560
SLC31A1C2orf72psi-mi:“MI:0914”(association)0.530
TMEM95EXTL3psi-mi:“MI:0914”(association)0.530
SDHCDHODHpsi-mi:“MI:0915”(physical association)0.400
MT2ADHODHpsi-mi:“MI:0915”(physical association)0.370
DHODHTMED10psi-mi:“MI:0915”(physical association)0.370
VAC14PIKFYVEpsi-mi:“MI:0914”(association)0.350
ATAD3ATMEM223psi-mi:“MI:0914”(association)0.350
BST1GXYLT2psi-mi:“MI:0914”(association)0.350
PIPSLC1orf226psi-mi:“MI:0914”(association)0.350
FTLSH3PXD2Bpsi-mi:“MI:0914”(association)0.350
VAC14NUDT19psi-mi:“MI:0914”(association)0.350
C1orf54AGRNpsi-mi:“MI:0914”(association)0.350
GMPPBPRMT3psi-mi:“MI:0914”(association)0.350
SDHDTNNC2psi-mi:“MI:0914”(association)0.350
SERBP1UBA6psi-mi:“MI:0914”(association)0.350
TMEM95CLGNpsi-mi:“MI:0914”(association)0.350
SDHDHBBpsi-mi:“MI:0914”(association)0.350
SFXN1GPD2psi-mi:“MI:0914”(association)0.350
SLC25A16TOMM70psi-mi:“MI:0914”(association)0.350
SLC25A32CSpsi-mi:“MI:0914”(association)0.350
TTPADHODHpsi-mi:“MI:0915”(physical association)0.000
DHODHRNF19Bpsi-mi:“MI:0915”(physical association)0.000

BioGRID (47): DHODH (Affinity Capture-MS), DHODH (Affinity Capture-MS), DHODH (Negative Genetic), DHODH (Negative Genetic), DHODH (Negative Genetic), GINS4 (Negative Genetic), HUS1 (Negative Genetic), MRPL32 (Positive Genetic), TAF2 (Negative Genetic), TIPIN (Negative Genetic), DHODH (Affinity Capture-MS), RNF19B (Two-hybrid), TTPA (Two-hybrid), DHODH (Negative Genetic), DHODH (Affinity Capture-MS)

ESM2 similar proteins: A0K0C0, A0L3J9, A0LDN3, A3CUG3, A4X4L9, A5VTK6, A7HH87, A8JGF7, A8M723, A9GD65, A9MDK1, A9WXF1, B1ZY08, B2GKC1, B2SCQ3, B3R684, B8HFS1, B8ZU00, C0RK37, D0EYG3, L0TAD5, O19097, O83641, P0C5D0, P22989, P28624, P63300, P63301, P63302, P63303, Q02127, Q11IW3, Q1D084, Q1IW89, Q2IG40, Q2J717, Q3BUC6, Q568W0, Q579Z7, Q5E9W3

Diamond homologs: A0JX31, A0M4D0, A0PQW5, A0QZY9, A1KKI2, A1SJF2, A1TAT2, A1TZG0, A1UHW0, A1WTJ3, A3PN03, A3Q1C6, A4QEA4, A4TB97, A4X619, A5CS38, A5U4G5, A5UX75, A6Q2V6, A6Q8G0, A6T739, A6V325, A6WD43, A7HD76, A7HQ77, A7NLW9, A8LY18, A9WDI1, B0CA74, B0R808, B0RIK6, B1MPD4, B1W464, B1WUM4, B2GHT4, B2HFZ1, B2IU79, B4STK4, B4UG99, B5EL46

SIGNOR signaling

5 interactions.

AEffectBMechanism
MYC“up-regulates quantity by expression”DHODH“transcriptional regulation”
DHODH“down-regulates quantity”(S)-dihydroorotate“chemical modification”
DHODH“down-regulates quantity”“coenzyme Q10”“chemical modification”
DHODH“up-regulates quantity”ubiquinol“chemical modification”
DHODH“up-regulates quantity”orotate“chemical modification”

Disease & clinical

Clinical variants and AI predictions

ClinVar

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

ClassificationCount (floor)
Pathogenic7
Likely pathogenic3
Uncertain significance97
Likely benign42
Benign29

Top pathogenic / likely-pathogenic (10)

Variant IDHGVSClassification
1075250NM_001361.5(DHODH):c.248_261del (p.Leu83fs)Pathogenic
16804NM_001361.5(DHODH):c.605G>C (p.Gly202Ala)Pathogenic
16805NM_001361.5(DHODH):c.605G>A (p.Gly202Asp)Pathogenic
16807NM_001361.5(DHODH):c.611del (p.Leu204fs)Pathogenic
16808NM_001361.5(DHODH):c.595C>T (p.Arg199Cys)Pathogenic
2831703NM_001361.5(DHODH):c.574G>T (p.Glu192Ter)Pathogenic
3667173NM_001361.5(DHODH):c.31_46del (p.Gln11fs)Pathogenic
1301617NM_001361.5(DHODH):c.952G>T (p.Glu318Ter)Likely pathogenic
4278090NM_001361.5(DHODH):c.953A>G (p.Glu318Gly)Likely pathogenic
4845790NM_001361.5(DHODH):c.8G>A (p.Trp3Ter)Likely pathogenic

SpliceAI

2087 predictions. Top by Δscore:

VariantEffectΔscore
16:72008786:G:GGdonor_gain1.0000
16:72014472:GGAA:Gacceptor_gain1.0000
16:72020700:A:AGacceptor_gain1.0000
16:72021307:CCAAG:Cdonor_loss1.0000
16:72021308:CAAGG:Cdonor_loss1.0000
16:72021309:AAGGT:Adonor_loss1.0000
16:72021310:AGGTG:Adonor_loss1.0000
16:72021312:G:GAdonor_loss1.0000
16:72023155:C:Aacceptor_gain1.0000
16:72023158:A:AGacceptor_gain1.0000
16:72023158:ACT:Aacceptor_gain1.0000
16:72023159:C:Gacceptor_gain1.0000
16:72023160:T:Aacceptor_gain1.0000
16:72023160:TGCA:Tacceptor_loss1.0000
16:72023161:GCAGT:Gacceptor_loss1.0000
16:72023162:CAGTT:Cacceptor_loss1.0000
16:72023163:A:AGacceptor_gain1.0000
16:72023163:AGT:Aacceptor_loss1.0000
16:72023163:AGTT:Aacceptor_gain1.0000
16:72023163:AGTTG:Aacceptor_gain1.0000
16:72023164:G:GTacceptor_gain1.0000
16:72023164:GT:Gacceptor_gain1.0000
16:72023164:GTT:Gacceptor_gain1.0000
16:72023164:GTTG:Gacceptor_gain1.0000
16:72023164:GTTGG:Gacceptor_gain1.0000
16:72023250:GGC:Gdonor_gain1.0000
16:72023260:G:GTdonor_gain1.0000
16:72023260:G:Tdonor_gain1.0000
16:72023299:GAT:Gdonor_gain1.0000
16:72023631:GAA:Gdonor_gain1.0000

AlphaMissense

2512 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
16:72014593:A:CS119R0.997
16:72014595:T:AS119R0.997
16:72014595:T:GS119R0.997
16:72021239:T:AN211K0.997
16:72021239:T:GN211K0.997
16:72021246:A:CS214R0.997
16:72021248:C:AS214R0.997
16:72021248:C:GS214R0.997
16:72023194:C:AN283K0.997
16:72023194:C:GN283K0.997
16:72022416:A:GK254E0.995
16:72023255:A:CS304R0.995
16:72023257:T:AS304R0.995
16:72023257:T:GS304R0.995
16:72014670:C:AN144K0.994
16:72014670:C:GN144K0.994
16:72017037:A:CS150R0.994
16:72017039:T:AS150R0.994
16:72017039:T:GS150R0.994
16:72023192:A:TN283Y0.994
16:72014591:G:AG118E0.993
16:72021146:C:AN180K0.993
16:72021146:C:GN180K0.993
16:72022418:G:CK254N0.993
16:72022418:G:TK254N0.993
16:72014638:T:CF134L0.992
16:72014640:C:AF134L0.992
16:72014640:C:GF134L0.992
16:72023193:A:TN283I0.992
16:72014519:C:AA94D0.991

dbSNP variants (sampled 300 via entrez): RS1000047281 (16:72007302 C>G), RS1000254272 (16:72015425 AG>A), RS1000347145 (16:72015150 C>A,T), RS1000405453 (16:72024658 T>A), RS1000415050 (16:72020653 G>C), RS1000558497 (16:72020825 G>T), RS1000579100 (16:72011456 T>A), RS1000584082 (16:72014913 C>T), RS1000642562 (16:72010110 A>G), RS1000868813 (16:72020831 C>T), RS1001428421 (16:72026312 CAGGAA>C,CAGGAAAGGAA), RS1001513871 (16:72011736 CCCA>C), RS1001615913 (16:72010764 C>G), RS1001703809 (16:72021098 G>A), RS1002014038 (16:72011805 G>A,T)

Disease associations

OMIM: gene MIM:126064 | disease phenotypes: MIM:263750

GenCC curated gene-disease

DiseaseClassificationInheritance
postaxial acrofacial dysostosisDefinitiveAutosomal recessive

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
postaxial acrofacial dysostosisDefinitiveAR

Mondo (1): postaxial acrofacial dysostosis (MONDO:0009903)

Orphanet (1): Postaxial acrofacial dysostosis (Orphanet:246)

HPO phenotypes

40 total (30 of 40 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000028Cryptorchidism
HP:0000054Micropenis
HP:0000077Abnormality of the kidney
HP:0000175Cleft palate
HP:0000204Cleft upper lip
HP:0000272Malar flattening
HP:0000347Micrognathia
HP:0000358Posteriorly rotated ears
HP:0000369Low-set ears
HP:0000370Abnormality of the middle ear
HP:0000378Cupped ear
HP:0000405Conductive hearing impairment
HP:0000453Choanal atresia
HP:0000486Strabismus
HP:0000494Downslanted palpebral fissures
HP:0000625Eyelid coloboma
HP:0000656Ectropion
HP:0000698Conical tooth
HP:0000767Pectus excavatum
HP:0001159Syndactyly
HP:0001374Congenital hip dislocation
HP:0001510Growth delay
HP:0001760Abnormal foot morphology
HP:0002021Pyloric stenosis
HP:0002558Supernumerary nipple
HP:0002946Supernumerary vertebrae
HP:0002974Radioulnar synostosis
HP:0002984Hypoplasia of the radius
HP:0003022Hypoplasia of the ulna

GWAS associations

10 associations (top):

StudyTraitp-value
GCST000253_4Attention deficit hyperactivity disorder and conduct disorder7.000000e-06
GCST004122_29Fibrinogen levels5.000000e-08
GCST005830_114Hand grip strength7.000000e-11
GCST006004_19Low density lipoprotein cholesterol levels7.000000e-16
GCST006034_2Total cholesterol levels3.000000e-31
GCST006444_8Bone mineral density (hip)2.000000e-06
GCST007326_36Number of sexual partners2.000000e-10
GCST007565_14Morning person2.000000e-15
GCST011346_30Total cholesterol levels1.000000e-36
GCST011741_21LDL cholesterol levels in HIV infection6.000000e-06

EFO canonical traits (5, from GWAS)

EFO IDTrait name
EFO:0006941grip strength measurement
EFO:0004611low density lipoprotein cholesterol measurement
EFO:0004574total cholesterol measurement
EFO:0007702hip bone mineral density
EFO:0008328chronotype measurement

MeSH disease descriptors (1)

DescriptorNameTree numbers
C537680Genee-Wiedemann syndrome (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL1966 (SINGLE PROTEIN)

Molecules with ChEMBL bioactivity

13 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 140,755 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL1450ATOVAQUONE414,589
CHEMBL960LEFLUNOMIDE452,218
CHEMBL973TERIFLUNOMIDE47,575
CHEMBL197194VIDOFLUDIMUS3808
CHEMBL1332971CLONIXIN210,223
CHEMBL1617398FLUNIXIN26,952
CHEMBL219376OXYCINCHOPHEN2513
CHEMBL2263632ASLAN-0032357
CHEMBL300058BREQUINAR SODIUM213,176
CHEMBL38434BREQUINAR28,144
CHEMBL43185PIPERINE210,980
CHEMBL63323NIFLUMIC ACID215,169
CHEMBL4580266KIO-100151

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

PharmGKB clinical annotations

1 annotations.

VariantTypeLevelDrugsPhenotypes
rs3213422Efficacy3leflunomideRheumatoid arthritis

PharmGKB variants

1 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs3213422ATP5A1P3, DHODH, PKD1L330.001leflunomide

GtoPdb / IUPHAR curated pharmacology

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

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

Most potent curated ligand interactions (12 total), top 12:

LigandActionAffinityParameter
orludodstatInhibition8.92pIC50
S416Binding8.77pKd
compound 19 [PMID: 35925768]Binding8.48pKd
S312Binding7.69pKd
farudodstatInhibition7.46pIC50
vidofludimusInhibition7.32pIC50
brequinarInhibition7.0pKi
teriflunomideInhibition6.51pIC50
leflunomideInhibition4.89pKi
BRD9185Inhibition4.3pIC50
DSM421Inhibition4.0pIC50
DSM705Inhibition4.0pIC50

Binding affinities (BindingDB)

311 measured of 372 human assays (391 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
N-(3-chloro-5-methyl-1H-pyrazol-4-yl)-5-fluoro-4-[3-[(1R)-1-hydroxyethyl]-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamideIC500.22 nMWO-2022070069: DIHYDROOROTATE DEHYDROGENASE INHIBITORS
N-(3-chloro-5-methyl-1H-pyrazol-4-yl)-5-fluoro-4-[3-[(1S)-1-hydroxyethyl]-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamideIC500.26 nMWO-2022070069: DIHYDROOROTATE DEHYDROGENASE INHIBITORS
N-(3-chloro-5-methyl-1H-pyrazol-4-yl)-5-fluoro-4-[3-(2-hydroxypropan-2-yl)-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamideIC500.38 nMWO-2022070069: DIHYDROOROTATE DEHYDROGENASE INHIBITORS
3-{[2,3,5,6-tetrafluoro-4-(2-methoxyphenyl)phenyl]carbamoyl}thiophene-2-carboxylic acidIC501 nM
5-cyclopropyl-2-[[6-phenyl-5-(trifluoromethyl)-3-pyridinyl]amino]benzoic acidIC502 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
3-({2,6-difluoro-4-[3-(trifluoromethoxy)phenyl]phenyl}carbamoyl)thiophene-2-carboxylic acidIC502 nM
cyanohydroxybutenamide, 24KI2.7 nM
2-[[2-(2-chlorophenyl)pyrimidin-5-yl]amino]-5-cyclopropylbenzoic acidIC503 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
2-[2,3,5,6-tetrafluoro-4-(3-methoxyphenyl)anilino]pyridine-3-carboxylic acidIC503 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
3,6-dimethyl-2-(2,3,5,6-tetrafluoro-4-phenylphenyl)benzimidazole-4-carboxylic acidIC503 nMUS-9006454: Dihydroorotate dehydrogenase inhibitors
3-{[4-(3-ethoxyphenyl)-2,6-difluorophenyl]carbamoyl}thiophene-2-carboxylic acidIC503 nM
6-methyl-2-[2,3,5,6-tetrafluoro-4-(2-fluorophenyl)phenyl]-1H-benzimidazole-4-carboxylic acidIC503.5 nMUS-9006454: Dihydroorotate dehydrogenase inhibitors
2-[[6-(2-chlorophenyl)-3-pyridinyl]amino]-5-cyclopropylbenzoic acidIC504 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
5-cyclopropyl-2-[2,6-difluoro-4-[3-(trifluoromethoxy)phenyl]anilino]pyridine-3-carboxylic acidIC504 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
2-[4-(2-chlorophenyl)-2,6-difluoro-3-methylanilino]pyridine-3-carboxylic acidIC504 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
5-cyclopropyl-2-[[5-methyl-6-[3-(trifluoromethoxy)phenyl]-3-pyridinyl]amino]benzoic acidIC505 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
2-[[6-(2-fluorophenyl)-5-methyl-3-pyridinyl]amino]-5-methylbenzoic acidIC505 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
2-(2,6-difluoro-3-methyl-4-phenylanilino)pyridine-3-carboxylic acidIC505 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
2-[4-(2-chlorophenyl)-2,6-difluoroanilino]-5-cyclopropylpyridine-3-carboxylic acidIC505 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
2-[4-(2,5-dimethylpyrrol-1-yl)-2,3,5,6-tetrafluorophenyl]-6-methyl-1H-benzimidazole-4-carboxylic acidIC505.6 nMUS-9006454: Dihydroorotate dehydrogenase inhibitors
5-cyclopropyl-2-[(5-methyl-6-phenyl-3-pyridinyl)amino]benzoic acidIC506 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
5-cyclopropyl-2-[4-(3-cyclopropyloxyphenyl)-2,6-difluoroanilino]pyridine-3-carboxylic acidIC506 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
2-[2,6-difluoro-3-methyl-4-[3-(trifluoromethoxy)phenyl]anilino]pyridine-3-carboxylic acidIC506 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
6-methyl-2-(2,3,5,6-tetrafluoro-4-phenylphenyl)-1H-benzimidazole-4-carboxylic acidIC506.8 nMUS-9006454: Dihydroorotate dehydrogenase inhibitors
5-cyclopropyl-2-[[6-(3-methoxyphenyl)-5-(trifluoromethyl)-3-pyridinyl]amino]benzoic acidIC507 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
2-({2,3,5,6-tetrafluoro-4-[3-(trifluoromethoxy)phenyl]phenyl}carbamoyl)cyclopent-1-ene-1-carboxylic acidIC507 nM
cyanocyclopropylpropenamide, 11KI7 nM
5-cyclopropyl-2-[[6-(2-fluorophenyl)-3-pyridinyl]amino]benzoic acidIC508 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
5-chloro-2-(2,6-difluoro-4-phenylanilino)pyridine-3-carboxylic acidIC508 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
6-fluoro-2-[4-(2-fluorophenyl)phenyl]-3-methylquinoline-4-carboxylic acidIC508 nM
2-{[2,3,5,6-tetrafluoro-4-(2-methoxyphenyl)phenyl]carbamoyl}cyclopent-1-ene-1-carboxylic acidIC508 nM
6-methyl-2-[2,3,5,6-tetrafluoro-4-(3-fluorophenyl)phenyl]-1H-benzimidazole-4-carboxylic acidIC508.86 nMUS-9006454: Dihydroorotate dehydrogenase inhibitors
5-methyl-2-[[5-methyl-6-[3-(pyrrolidine-1-carbonyl)phenyl]-3-pyridinyl]amino]benzoic acidIC509 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
5-cyclopropyl-2-[[2-[2-(trifluoromethyl)phenyl]pyrimidin-5-yl]amino]benzoic acidIC509 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
3-{[4-(2-ethoxyphenyl)-2,6-difluorophenyl]carbamoyl}thiophene-2-carboxylic acidIC509 nM
5-cyclopropyl-2-[(5,6-diphenyl-3-pyridinyl)amino]benzoic acidIC5010 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
2-[[6-(3-chlorophenyl)-5-methyl-3-pyridinyl]amino]-5-methylbenzoic acidIC5010 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
5-cyclopropyl-2-[[2-(2-fluorophenyl)pyrimidin-5-yl]amino]benzoic acidIC5010 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
4-{[4-(2-ethoxyphenyl)-2,6-difluorophenyl]carbamoyl}thiophene-3-carboxylic acidIC5010 nM
4-({2,6-difluoro-4-[3-(trifluoromethoxy)phenyl]phenyl}carbamoyl)thiophene-3-carboxylic acidIC5010 nM
5-methyl-2-[[5-methyl-6-(3-propan-2-yloxyphenyl)-3-pyridinyl]amino]benzoic acidIC5011 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
2-[2,6-difluoro-4-(2-methylphenyl)anilino]pyridine-3-carboxylic acidIC5011 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
cyanohydroxybutenamide, 10KI11 nM
2-[[6-(3-methoxyphenyl)-5-(trifluoromethyl)-3-pyridinyl]amino]-5-methylbenzoic acidIC5012 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
2-[[6-[3-(cyclopropylcarbamoyl)phenyl]-5-methyl-3-pyridinyl]amino]-5-methylbenzoic acidIC5012 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
5-cyclopropyl-2-[[2-(2-methylphenyl)pyrimidin-5-yl]amino]benzoic acidIC5012 nMUS-8536165: Azabiphenylaminobenzoic acid derivatives as DHODH inhibitors
2-[2,6-difluoro-4-(3-methoxyphenyl)anilino]-5-methylpyridine-3-carboxylic acidIC5012 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
2-[2,6-difluoro-4-(3-methoxyphenyl)anilino]-5-ethylpyridine-3-carboxylic acidIC5012 nMUS-8691852: Amino nicotinic and isonicotinic acid derivatives as DHODH inhibitors
3-{[3-chloro-4-(2-methoxyphenyl)phenyl]carbamoyl}thiophene-2-carboxylic acidIC5012 nM
6-methyl-2-[2,3,5,6-tetrafluoro-4-(3-hydroxyphenyl)phenyl]-1H-benzimidazole-4-carboxylic acidIC5013.5 nMUS-9006454: Dihydroorotate dehydrogenase inhibitors

ChEMBL bioactivities

2362 potent at pChembl≥5 of 2558 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
9.92IC500.12nMCHEMBL4744558
9.75IC500.179nMCHEMBL5077700
9.74IC500.18nMCHEMBL5405642
9.72IC500.192nMCHEMBL5075013
9.72IC500.19nMCHEMBL5085549
9.71IC500.195nMCHEMBL5083643
9.70IC500.2nMCHEMBL4854356
9.70IC500.202nMCHEMBL5092899
9.70IC500.2nMCHEMBL5180161
9.70IC500.2nMCHEMBL5590963
9.66IC500.22nMCHEMBL5428953
9.66IC500.22nMCHEMBL4791380
9.65IC500.222nMCHEMBL4791380
9.65IC500.225nMCHEMBL5073905
9.65IC500.226nMCHEMBL5882992
9.62IC500.24nMCHEMBL5180161
9.62IC500.24nMCHEMBL5959164
9.60IC500.249nMCHEMBL4753279
9.59IC500.26nMCHEMBL5439317
9.59IC500.26nMCHEMBL5597054
9.58IC500.265nMCHEMBL4745588
9.57IC500.267nMCHEMBL4752247
9.57IC500.27nMCHEMBL4745588
9.56IC500.273nMCHEMBL5781060
9.54IC500.286nMCHEMBL5883896
9.54IC500.292nMCHEMBL5869293
9.52IC500.3nMCHEMBL4852401
9.52IC500.3nMCHEMBL5171223
9.52IC500.3nMCHEMBL5193821
9.52IC500.3nMCHEMBL5437916
9.52IC500.3nMCHEMBL6143921
9.49IC500.32nMCHEMBL5922923
9.45IC500.356nMCHEMBL5596906
9.44IC500.36nMCHEMBL5596906
9.42IC500.38nMCHEMBL4851260
9.42IC500.38nMCHEMBL5431927
9.42IC500.38nMCHEMBL5416427
9.40IC500.396nMCHEMBL4751399
9.40IC500.4nMCHEMBL4859161
9.40IC500.4nMCHEMBL4751399
9.39IC500.41nMCHEMBL4855859
9.38IC500.42nMCHEMBL5598276
9.38IC500.418nMCHEMBL5598276
9.37IC500.43nMCHEMBL5878639
9.36IC500.44nMCHEMBL5598348
9.36IC500.433nMCHEMBL5878639
9.36IC500.435nMCHEMBL5598348
9.35IC500.45nMCHEMBL5409068
9.35IC500.444nMCHEMBL6002389
9.34IC500.46nMCHEMBL5597274

PubChem BioAssay actives

1023 with measured affinity, of 2894 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
6-fluoro-2-[4-(2-fluorophenyl)phenyl]-N-methoxy-3-methylquinoline-4-carboxamide1698251: Inhibition of human DHODHic500.0001uM
N-(2-chloro-6-fluorophenyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-5-fluoro-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxypyridine-3-carboxamide1886119: Inhibition of His fused human DHODH expressed in Escherichia coli using DHO as substrate by DCIP absorbance based colorimetry assayic500.0002uM
N-(2-chloro-6-fluorophenyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-5-fluoro-2-(1,1,1-trifluoropropan-2-yloxy)pyridine-3-carboxamide2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0002uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-2-(2-fluorophenyl)-4-prop-1-en-2-ylisoquinolin-1-one1685175: Inhibition of human DHODH (30 to 390 residues) expressed in Escherichia coli using dihydroorotate as substrate and CoQ10 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-2-(5-fluoro-2-methylphenyl)-4-prop-1-en-2-ylisoquinolin-1-one1685175: Inhibition of human DHODH (30 to 390 residues) expressed in Escherichia coli using dihydroorotate as substrate and CoQ10 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
2-(2-chloro-6-fluorophenyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-4-propan-2-ylisoquinolin-1-one1685175: Inhibition of human DHODH (30 to 390 residues) expressed in Escherichia coli using dihydroorotate as substrate and CoQ10 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
4-(6-amino-5-methyl-2-pyridinyl)-N-(2-chloro-6-fluorophenyl)-5-fluoro-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide1813836: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
5-fluoro-4-[2-(2-hydroxypropan-2-yl)-1-methylimidazol-4-yl]-N-(2-methylphenyl)-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide1813836: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
N-(2-chloro-6-fluorophenyl)-5-fluoro-4-[2-(2-hydroxypropan-2-yl)-1-methylimidazol-4-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide1813836: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
4-(6-amino-5-chloro-2-pyridinyl)-5-fluoro-N-[5-methyl-3-(trifluoromethyl)-1H-pyrazol-4-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide1813836: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
N-(2-chloro-6-fluorophenyl)-5-fluoro-4-(5,6,7,8-tetrahydro-1,8-naphthyridin-2-yl)-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide1813836: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
2-[4-(2-chloro-6-fluorophenoxy)-8-fluoro-5-[(2S)-1,1,1-trifluoropropan-2-yl]oxypyrido[3,4-d]pyridazin-7-yl]-4-ethyl-5-(hydroxymethyl)-1,2,4-triazol-3-one1774652: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
6-(6-amino-5-methyl-2-pyridinyl)-7-fluoro-2-(2-methylphenyl)-4-propan-2-ylisoquinolin-1-one2011751: Inhibition of human DHODH using dihydroorotate and CoQ6 as substrate by DCIP dye based spectrophotometry analysisic500.0002uM
N-(3-chloro-5-methyl-1H-pyrazol-4-yl)-5-fluoro-4-[3-[(1R)-1-hydroxyethyl]-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide2010110: Inhibition of human DHODH using DHO and CoQ6 as substrate by DCIP dye based spectrophotometric analysisic500.0002uM
5-fluoro-4-[2-(2-hydroxypropan-2-yl)-1-methylimidazol-4-yl]-N-[2-(trideuteriomethyl)phenyl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide1813836: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0002uM
N-(3-chloro-2-methoxy-5-methyl-4-pyridinyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-5-fluoro-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxypyridine-3-carboxamide1886119: Inhibition of His fused human DHODH expressed in Escherichia coli using DHO as substrate by DCIP absorbance based colorimetry assayic500.0003uM
N-(4-chloro-2-methoxy-3-pyridinyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-5-fluoro-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxypyridine-3-carboxamide1886119: Inhibition of His fused human DHODH expressed in Escherichia coli using DHO as substrate by DCIP absorbance based colorimetry assayic500.0003uM
2-(2-chloro-6-fluorophenyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-4-prop-1-en-2-ylisoquinolin-1-one1685175: Inhibition of human DHODH (30 to 390 residues) expressed in Escherichia coli using dihydroorotate as substrate and CoQ10 as co-substrate by DCIP dye based spectrophotometry analysisic500.0003uM
2-(2-chloro-6-fluoro-3-methoxyphenyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-4-prop-1-en-2-ylisoquinolin-1-one1685175: Inhibition of human DHODH (30 to 390 residues) expressed in Escherichia coli using dihydroorotate as substrate and CoQ10 as co-substrate by DCIP dye based spectrophotometry analysisic500.0003uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-2-(2-methylphenyl)-4-[(2R)-1,1,1-trifluoropropan-2-yl]isoquinolin-1-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0003uM
N-(2-chloro-6-fluorophenyl)-5-fluoro-4-[3-[(1S)-1-hydroxyethyl]-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide2010110: Inhibition of human DHODH using DHO and CoQ6 as substrate by DCIP dye based spectrophotometric analysisic500.0003uM
N-(3-chloro-5-methyl-1H-pyrazol-4-yl)-5-fluoro-4-[3-[(1S)-1-hydroxyethyl]-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide2010110: Inhibition of human DHODH using DHO and CoQ6 as substrate by DCIP dye based spectrophotometric analysisic500.0003uM
2-[1-(2-chloro-6-fluoro-3-methoxyphenoxy)-8-[(2S)-1,1,1-trifluoropropan-2-yl]oxyisoquinolin-6-yl]-4-ethyl-5-(hydroxymethyl)-1,2,4-triazol-3-one1774652: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0003uM
6-(2-chloro-6-fluorophenyl)-2-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-3-fluoro-8-propan-2-yl-1,6-naphthyridin-5-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0004uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-2-(2-fluoro-6-methylphenyl)-4-propan-2-ylisoquinolin-1-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0004uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-2-(2-methylphenyl)-4-propan-2-ylisoquinolin-1-one1685175: Inhibition of human DHODH (30 to 390 residues) expressed in Escherichia coli using dihydroorotate as substrate and CoQ10 as co-substrate by DCIP dye based spectrophotometry analysisic500.0004uM
2-(2-chlorophenyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-4-propan-2-ylisoquinolin-1-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0004uM
7-fluoro-6-[2-(2-hydroxypropan-2-yl)-1-methylimidazol-4-yl]-2-(2-methylphenyl)-4-propan-2-ylisoquinolin-1-one2011751: Inhibition of human DHODH using dihydroorotate and CoQ6 as substrate by DCIP dye based spectrophotometry analysisic500.0004uM
7-fluoro-6-[2-(2-hydroxypropan-2-yl)-1-methylimidazol-4-yl]-2-(2-methylphenyl)-4-propan-2-ylphthalazin-1-one2011751: Inhibition of human DHODH using dihydroorotate and CoQ6 as substrate by DCIP dye based spectrophotometry analysisic500.0004uM
N-(3-chloro-5-methyl-1H-pyrazol-4-yl)-5-fluoro-4-[3-(2-hydroxypropan-2-yl)-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide2010110: Inhibition of human DHODH using DHO and CoQ6 as substrate by DCIP dye based spectrophotometric analysisic500.0004uM
2-[1-[2-chloro-6-fluoro-3-(2-methoxyethoxy)phenoxy]-8-[(2S)-1,1,1-trifluoropropan-2-yl]oxyisoquinolin-6-yl]-4-ethyl-5-(hydroxymethyl)-1,2,4-triazol-3-one1774652: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0004uM
2-[4-(2-chloro-6-fluoroanilino)-8-fluoro-5-[(2S)-1,1,1-trifluoropropan-2-yl]oxypyrido[3,4-d]pyridazin-7-yl]-4-ethyl-5-(hydroxymethyl)-1,2,4-triazol-3-one1774652: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0004uM
2-[1-[2-chloro-3-(dimethylamino)-6-fluorophenoxy]-8-[(2S)-1,1,1-trifluoropropan-2-yl]oxyisoquinolin-6-yl]-4-ethyl-5-(hydroxymethyl)-1,2,4-triazol-3-one1774652: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0004uM
N-(2-chloro-6-fluorophenyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-5-fluoro-2-propan-2-yloxypyridine-3-carboxamide1886119: Inhibition of His fused human DHODH expressed in Escherichia coli using DHO as substrate by DCIP absorbance based colorimetry assayic500.0005uM
3-[4-[3-(dimethylamino)phenyl]-3,5-difluorophenyl]benzo[f]benzotriazole-4,9-dione1657902: Inhibition of human DHODH using dihydroorotate as substrate and CoQ10 as co-substrate preincubated for 30 mins followed by substrate addition by DCIP coupled microplate reader assayic500.0005uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-2-(4-fluoro-2-methylphenyl)-4-propan-2-ylisoquinolin-1-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0005uM
2-[2-(difluoromethyl)phenyl]-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-4-propan-2-ylisoquinolin-1-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0005uM
7-fluoro-6-[2-[(1R)-1-hydroxyethyl]-1-methylimidazol-4-yl]-2-(2-methylphenyl)-4-propan-2-ylisoquinolin-1-one2011751: Inhibition of human DHODH using dihydroorotate and CoQ6 as substrate by DCIP dye based spectrophotometry analysisic500.0005uM
N-(2-chloro-6-fluorophenyl)-5-fluoro-4-[3-[(1R)-1-hydroxyethyl]-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide2010110: Inhibition of human DHODH using DHO and CoQ6 as substrate by DCIP dye based spectrophotometric analysisic500.0005uM
N-(2-chloro-6-fluorophenyl)-5-fluoro-4-[3-(2-hydroxypropan-2-yl)-4-methylpyrazol-1-yl]-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxybenzamide2010110: Inhibition of human DHODH using DHO and CoQ6 as substrate by DCIP dye based spectrophotometric analysisic500.0005uM
7-fluoro-6-[2-(2-hydroxypropan-2-yl)-1-(trideuteriomethyl)imidazol-4-yl]-2-(2-methylphenyl)-4-propan-2-ylisoquinolin-1-one2011751: Inhibition of human DHODH using dihydroorotate and CoQ6 as substrate by DCIP dye based spectrophotometry analysisic500.0005uM
6-fluoro-2-[4-(2-fluorophenyl)phenyl]-3-methylquinoline-4-carboxylic acid1698251: Inhibition of human DHODHic500.0005uM
N-(2,4-dichloro-3-pyridinyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-5-fluoro-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxypyridine-3-carboxamide1886119: Inhibition of His fused human DHODH expressed in Escherichia coli using DHO as substrate by DCIP absorbance based colorimetry assayic500.0006uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-5-fluoro-N-(2-methoxy-3,5-dimethyl-4-pyridinyl)-2-[(2S)-1,1,1-trifluoropropan-2-yl]oxypyridine-3-carboxamide1886119: Inhibition of His fused human DHODH expressed in Escherichia coli using DHO as substrate by DCIP absorbance based colorimetry assayic500.0006uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-2-(5-fluoro-2-methylphenyl)-4-propan-2-ylisoquinolin-1-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0006uM
2-(3-chloro-2-methoxy-5-methyl-4-pyridinyl)-6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-4-propan-2-ylisoquinolin-1-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0006uM
2-[8-(2-chloro-6-fluorophenoxy)-4-fluoro-1-(1,1,1-trifluoropropan-2-yloxy)-2,7-naphthyridin-3-yl]-4-ethyl-5-(hydroxymethyl)-1,2,4-triazol-3-one1774652: Inhibition of human DHODH using dihydroorotate as substrate and CoQ6 as co-substrate by DCIP dye based spectrophotometry analysisic500.0006uM
7-fluoro-6-[5-(2-hydroxypropan-2-yl)-1-methyl-1,2,4-triazol-3-yl]-2-(2-methylphenyl)-4-propan-2-ylisoquinolin-1-one2011751: Inhibition of human DHODH using dihydroorotate and CoQ6 as substrate by DCIP dye based spectrophotometry analysisic500.0006uM
6-[4-ethyl-3-(hydroxymethyl)-5-oxo-1,2,4-triazol-1-yl]-7-fluoro-4-propan-2-yl-2-[2-(trifluoromethyl)phenyl]isoquinolin-1-one2119927: Inhibition of recombinant human DHODH followed by DHO substrate by DCIP dye absorbance based spectrophotometric analysisic500.0007uM
2-[4-(2,6-difluorophenoxy)-5-methyl-3-propan-2-yloxypyrazol-1-yl]-5-ethylpyrimidine1196386: Inhibition of His-tagged human DHODH assessed as reduction of DCIP by spectrophotometryic500.0008uM

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
teriflunomideaffects reaction, decreases reaction, increases oxidation, decreases activity, decreases expression3
Acetaminophendecreases expression3
sodium arsenitedecreases expression, affects cotreatment, increases abundance, increases expression2
brequinardecreases activity2
2-cyano-3-hydroxy-N-(4-(trifluoromethyl)phenyl)-2-hepten-6-ynamideaffects reaction, decreases reaction, increases oxidation, decreases activity2
Arsenicaffects methylation, affects cotreatment, increases abundance, increases expression2
Benzo(a)pyrenedecreases expression, increases methylation2
Tretinoindecreases expression2
4,5-dihydroorotic acidaffects reaction, decreases reaction, increases oxidation1
lawsonedecreases activity1
juglonedecreases activity1
naphthazarindecreases activity1
bisphenol Adecreases expression1
lapacholdecreases activity1
nobiletindecreases expression, decreases reaction1
sodium arsenatedecreases expression, decreases reaction1
O,O-diethyl O-3,5,6-trichloro-2-pyridyl phosphateaffects expression, affects response to substance1
beta-lapachoneincreases expression1
plumbagindecreases activity1
dichloroallyl lawsonedecreases activity1
manganese chlorideaffects cotreatment, increases abundance, increases expression1
1,4-naphthoquinonedecreases activity1
celastroldecreases expression1
di-n-butylphosphoric acidaffects expression1
perfluoro-n-nonanoic aciddecreases expression1
X 910279affects reaction, decreases reaction, increases oxidation1
HR 325decreases activity1
malononitrilamide 279decreases activity1
polyporic aciddecreases activity1
K 7174decreases expression1

ChEMBL screening assays

297 unique, capped per target: 286 binding, 7 admet, 2 functional, 2 toxicity

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1016137BindingInhibition of human DHODHIdentification of a metabolically stable triazolopyrimidine-based dihydroorotate dehydrogenase inhibitor with antimalarial activity in mice. — J Med Chem
CHEMBL4378108ADMETInhibition of human DHODH expressed in Escherichia coli using L-dihydroorotate as substrateThe Development Process for Discovery and Clinical Advancement of Modern Antimalarials. — J Med Chem
CHEMBL4615025FunctionalInhibition of DHODH in human ARN8 cells assessed as increase in p53 level at 250 nM incubated for 24 hrs in presence of 100 uM de novo pyrimidine ribonucleotide synthesis pathway inhibitor, uridine by Western blot analysisOptimization of Tetrahydroindazoles as Inhibitors of Human Dihydroorotate Dehydrogenase and Evaluation of Their Activity and In Vitro Metabolic Stability. — J Med Chem

Cellosaurus cell lines

4 cell lines: 4 cancer cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_D7NQUbigene A-549 DHODH KOCancer cell lineMale
CVCL_D8K3Ubigene HCT 116 DHODH KOCancer cell lineMale
CVCL_XN24HAP1 DHODH (-)Cancer cell lineMale
CVCL_YZ46A549 DHODH-/-Cancer cell lineMale

Clinical trials (associated diseases)

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

TrialPhaseStatusTitle
NCT04931056Not specifiedCOMPLETEDA Post Market Clinical Follow-up Study on Biomet Microfixation HTR PEKK (Midface), Facial & Mandibular Plates.