FLT3

gene
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Also known as STK1FLK2CD135

Summary

FLT3 (fms related receptor tyrosine kinase 3, HGNC:3765) is a protein-coding gene on chromosome 13q12.2, encoding Receptor-type tyrosine-protein kinase FLT3 (P36888). Tyrosine-protein kinase that acts as a cell-surface receptor for the cytokine FLT3LG and regulates differentiation, proliferation and survival of hematopoietic progenitor cells and of dendritic cells. In precision oncology, FLT3 ITD confers sensitivity to Gilteritinib in Acute Myeloid Leukemia (CIViC Level A); 79 further curated variant–drug associations are listed below.

This gene encodes a class III receptor tyrosine kinase that regulates hematopoiesis. This receptor is activated by binding of the fms-related tyrosine kinase 3 ligand to the extracellular domain, which induces homodimer formation in the plasma membrane leading to autophosphorylation of the receptor. The activated receptor kinase subsequently phosphorylates and activates multiple cytoplasmic effector molecules in pathways involved in apoptosis, proliferation, and differentiation of hematopoietic cells in bone marrow. Mutations that result in the constitutive activation of this receptor result in acute myeloid leukemia and acute lymphoblastic leukemia.

Source: NCBI Gene 2322 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): leukemia, acute myeloid, susceptibility to (Limited, ClinGen)
  • GWAS associations: 63
  • Clinical variants (ClinVar): 245 total — 10 pathogenic, 4 likely-pathogenic
  • Phenotypes (HPO): 5
  • Druggable target: yes — 143 molecules with ChEMBL bioactivity
  • Precision-oncology evidence (CIViC): 80 curated variant–drug associations
  • Cancer driver (intOGen): activating (oncogene-like) across 2 cancer types
  • Transcription factor: yes — 19 downstream targets (CollecTRI)
  • MANE Select transcript: NM_004119

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:3765
Approved symbolFLT3
Namefms related receptor tyrosine kinase 3
Location13q12.2
Locus typegene with protein product
StatusApproved
AliasesSTK1, FLK2, CD135
Ensembl geneENSG00000122025
Ensembl biotypeprotein_coding
OMIM136351
Entrez2322

Gene structure

Transcript identifiers

Ensembl transcripts: 4 — 2 protein_coding, 1 nonsense_mediated_decay, 1 protein_coding_CDS_not_defined

ENST00000241453, ENST00000380987, ENST00000469894, ENST00000864668

RefSeq mRNA: 1 — MANE Select: NM_004119 NM_004119

CCDS: CCDS31953

Canonical transcript exons

ENST00000241453 — 24 exons

ExonStartEnd
ENSE000008274012803718528037288
ENSE000008274022803593528036043
ENSE000008274032803549528035673
ENSE000008274042803430128034407
ENSE000008274052803408228034214
ENSE000008274062803388728033991
ENSE000008274072802817828028288
ENSE000008274082802708828027241
ENSE000009066082804827528048443
ENSE000009066092804938428049537
ENSE000009066102804963528049774
ENSE000009066112805009528050222
ENSE000009066122805254528052674
ENSE000009066132805734728057462
ENSE000009066142806186728062069
ENSE000009066152807049128070612
ENSE000014871162800327428004174
ENSE000035131562801445228014557
ENSE000035194362802335028023477
ENSE000035528512801559028015701
ENSE000035656362802486128024943
ENSE000035981462801846728018589
ENSE000036920162801515728015256
ENSE000038963962810046828100576

Expression profiles

Bgee: expression breadth ubiquitous, 166 present calls, max score 86.25.

FANTOM5 (CAGE): breadth broad, TPM avg 2.7806 / max 577.0111, expressed in 297 samples.

FANTOM5 promoters (2 alternative TSS)

Promoter IDTPM avgSamples expressed
1365272.7297296
1365260.050921

Top tissues by expression

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

TissueAnatomy IDExpression scoreQuality
male germ line stem cell (sensu Vertebrata) in testisCL:0000089 ∩ UBERON:000047386.25gold quality
cerebellar hemisphereUBERON:000224581.49gold quality
cerebellar cortexUBERON:000212981.37gold quality
monocyteCL:000057681.07gold quality
mononuclear cellCL:000084280.55gold quality
leukocyteCL:000073880.03gold quality
right hemisphere of cerebellumUBERON:001489080.01gold quality
cerebellumUBERON:000203779.31gold quality
bone marrow cellCL:000209273.72silver quality
bone marrowUBERON:000237172.76gold quality
lymph nodeUBERON:000002971.18gold quality
granulocyteCL:000009470.09gold quality
body of pancreasUBERON:000115069.61gold quality
spleenUBERON:000210668.87gold quality
vermiform appendixUBERON:000115468.31gold quality
C1 segment of cervical spinal cordUBERON:000646967.90gold quality
gall bladderUBERON:000211066.94gold quality
pancreasUBERON:000126466.82gold quality
right lungUBERON:000216766.38gold quality
bloodUBERON:000017866.37gold quality
pigmented layer of retinaUBERON:000178266.30gold quality
spinal cordUBERON:000224065.24gold quality
caecumUBERON:000115363.82gold quality
cerebellar vermisUBERON:000472063.55silver quality
tibialis anteriorUBERON:000138563.36silver quality
islet of LangerhansUBERON:000000662.86gold quality
rectumUBERON:000105262.02gold quality
prefrontal cortexUBERON:000045161.12gold quality
small intestine Peyer’s patchUBERON:000345461.08gold quality
epithelial cell of pancreasCL:000008359.89gold quality

Single-cell (SCXA)

Detected in 5 experiment(s), a significant marker in 4.

ExperimentMarker?Max mean expression
E-MTAB-6678yes171.14
E-HCAD-6yes29.00
E-ANND-3yes10.72
E-MTAB-9801yes8.15
E-GEOD-99795no21.87

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

19 targets.

TargetRegulation
BCL2L1Activation
BCL2L11Repression
CDKN1AActivation
CDKN1BRepression
CEBPAUnknown
CEBPBRepression
CISHActivation
FZD4Unknown
ID1Activation
PARP1Activation
PIM1Activation
PIM2Activation
PTPN6Unknown
RAD51Activation
SOCS2Activation
SOCS3Activation
SPI1Unknown
USP22Activation
XRCC5Activation

Upstream regulators (CollecTRI, top): CEBPA, HES1, HOXA9, IKZF1, KAT6B, MEIS1, MYB, NCOR1, PAX5, PML, RUNX1, SPI1, STAT3, TXK

miRNA regulators (miRDB)

56 targeting FLT3, 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-4533100.0069.482758
HSA-MIR-518D-5P100.0067.51979
HSA-MIR-518E-5P100.0067.66954
HSA-MIR-518F-5P100.0067.51979
HSA-MIR-519A-5P100.0067.66954
HSA-MIR-519B-5P100.0067.66954
HSA-MIR-519C-5P100.0067.66954
HSA-MIR-520C-5P100.0067.51979
HSA-MIR-522-5P100.0067.66954
HSA-MIR-523-5P100.0067.66954
HSA-MIR-526A-5P100.0067.51979
HSA-MIR-3924100.0072.092394
HSA-MIR-3163100.0077.238605
HSA-MIR-1277-5P100.0073.955056
HSA-MIR-6798-5P100.0065.77699
HSA-MIR-548C-3P99.9974.017587
HSA-MIR-520G-5P99.9966.76658
HSA-MIR-548P99.9872.253784
HSA-MIR-570-3P99.9672.414910
HSA-MIR-497-5P99.9271.832674
HSA-MIR-15A-5P99.9072.802787
HSA-MIR-15B-5P99.9072.782798
HSA-MIR-16-5P99.9072.802780
HSA-MIR-195-5P99.9072.812805
HSA-MIR-449399.9066.48977
HSA-MIR-424-5P99.8971.902641
HSA-MIR-6838-5P99.8971.942690
HSA-MIR-3140-3P99.8868.472069
HSA-MIR-469899.8471.414303
HSA-MIR-139-5P99.8069.501399

Literature-anchored findings (GeneRIF, showing 40)

  • First report of D835X mutations in human. Activating mutation of D835 within the activation loop of FLT3 in human hematologic malignancies. (PMID:11290608)
  • Flt3/Flk-2-ligand in synergy with thrombopoietin may slow down megakaryocyte development by causing increased proliferation of megakaryocyte progenitor cells. (PMID:11983110)
  • induces acute promyelocytic leukemia in a mouse model (PMID:12060771)
  • Analysis of FLT3 length mutations in 1003 patients with acute myeloid leukemia (PMID:12070009)
  • duplicated in relapsed acute myeloid leukemia (PMID:12239146)
  • mutations occur in paired presentation and relapse samples from patients with acute myeloid leukemia (PMID:12239147)
  • 767 of 6586 genes differed in expression between FLT3-WT- and FLT-ITD(internal tandem duplication)-expressing cell lines. ITD mutations of Flt3 activate transcriptional programs that partially mimic IL-3 activity. (PMID:12468433)
  • Internal tandem duplication of the Flt3 gene appearing or altering at time of AML relapse suggests Flt3-gene abnormalities are very important in the pathogenesis of chemotherapy-resistant AML (PMID:12481903)
  • The striking difference in flt3 and c-kit expression on hematopoietic stem cells translated into a corresponding difference in flt3 and c-kit function because FL was more efficient than SCF at supporting the survival of HSCs (PMID:12676789)
  • Intracellular signaling initiated by Flt3 ligation modulates the functional phenotype for native human AML blasts both with and without genetic Flt3 abnormalities. (PMID:12681969)
  • FLT3 mutations that lead to constitutive receptor activation and confer a poor prognosis in AML (PMID:12691136)
  • FLT3/ITD is less common in pediatric than in adult acute myeloid leukemia and FLT3/ITD is a strong and independent adverse prognostic factor, and high ratios between mutant and WT-FLT3 further compromise prognosis. (PMID:12816873)
  • antiapoptotic pathways from FLT3 with internal tandem duplication are more divergent than those from WtFLT3 (PMID:12842996)
  • Mutations in the FLT3 gene are common in AML, including tandem repeats or a mutation in the kinase domain. (PMID:12854887)
  • No significant correlation was found between FLT3 mutations and high levels of MDR1 in acute myeloid leukemia. (PMID:12926083)
  • REVIEW: The role of FLT3 mutations in APL and other AML (PMID:12935959)
  • wtFLT3 is often constitutively activated by FLT3 ligand in AML and thus, like its mutated form, might contribute to the altered signaling that characterizes leukemogenesis. (PMID:12969963)
  • FLT3-D835/I836 mutations are one of the second genetic events in infant ALL with MLL rearrangements or pediatric ALL with hyperdiploidy (PMID:14504097)
  • reduced AML1 activities predispose cells to the acquisition of the activating FLT3 mutation as a secondary event leading to full transformation in acute myeloblastic leukemia M0 (PMID:14562119)
  • distinct activating FLT3-TKD mutations at position D835 mediate primary resistance to FLT3 PTK inhibitors in FLT3-transformed cell lines (PMID:14604974)
  • FLT3 mutations are associated with molecular lesions in acute myeloid leukemias (PMID:14630076)
  • Phosphorylation is inhibited by SU11248 in acute myeloid leukemia. (PMID:14654525)
  • search for the presence of FLT3 mutations in leukemic blasts from 71 patients with childhood acute lymphoblastic leukemia discovered three novel in-frame deletions within a 7-amino acid region of the receptor juxtamembrane domain. (PMID:14670924)
  • FLT3 analysis shows the autoinhibitory conformation of its complete juxtamembrane domain (PMID:14759363)
  • FLT3 Asp(835) mutations may have a role in relapse of acute myeloid leukemia (PMID:14977832)
  • FLT3 can negatively regulate Foxo transcription factors, thereby promoting cell survival and proliferation. (PMID:14981546)
  • Mutations of Flt3 may disrupt transcriptional repressor function resulting in aberrant gene regulation and abnormal leukemia cell growth. (PMID:14982881)
  • Activating mutations in the FLT3 RTK gene were found in each of 3 CD117/KIT(+) cases that were analyzed, but not in 52 other adult T-acute lymphoblastic leukemia (PMID:15044257)
  • CXCR-4 expression was significantly higher in fetal liver tyrosine kinase-3 (Flt3)/internal tandem duplication (ITD) acute myeloid leukemia (PMID:15054042)
  • Internal tandem duplication of the juxtamembrane domain or by activating point mutations in the second tyrosine kinase domain in FLT3 are associated with leukocytosis and the monocytic FAB subtypes M4 and M5. (PMID:15059064)
  • Flt3 mutations identify patients at high risk of relapse (PMID:15061200)
  • FLT3/internal tandem duplication(ITD) mutations confer a particularly poor prognosis in pediatric acute myelogenous leukemia patients (PMID:15166029)
  • high frequency of FLT3 mutations in adult acute myelocytic leukemia without recurrent cytogenetic translocations. (PMID:15167911)
  • FLT3 autoinhibited structure showed that N841 is the key residue in a hydrogen-bonding network that likely stabilizes the activation loop (PMID:15178581)
  • Wild-type Flt3-overexpressing CD34+ cells exposed to high levels of its physiologic ligand did not produce early cobblestone areas (PMID:15242879)
  • FLT3 has roles in different signal transduction pathways that control proliferation, survival and other processes in hematopoietic cells [review] (PMID:15253381)
  • The loss of a clone with a mutation in the FLT3 gene at relapse did not improve the prognosis. (PMID:15289019)
  • Inspection of the FLT3 structure revealed that Y842 is the key residue in regulating the switch from the closed to the open (= active) conformation of the FLT3 activation loop (PMID:15345593)
  • mutations of specific residues located in the activation loop (D835X and 836-deletion in Flt-3; D816V in c-Kit) as well as a 6-base pair (6-bp) insertion at residue 840 in Flt-3 operate in a similar way (PMID:15363457)
  • transformation of TF-1 cells with FLT3/ITD mutations suppressed the activity of SHP-1 by approximately 3-fold (PMID:15574429)

Cross-species orthologs

2 orthologs

OrganismSymbolGene ID
mus_musculusFlt3ENSMUSG00000042817
rattus_norvegicusFlt3ENSRNOG00000054764

Paralogs (53): INSRR (ENSG00000027644), MUSK (ENSG00000030304), FLT4 (ENSG00000037280), EPHA3 (ENSG00000044524), ROS1 (ENSG00000047936), LTK (ENSG00000062524), ERBB3 (ENSG00000065361), TIE1 (ENSG00000066056), FGFR2 (ENSG00000066468), FGFR3 (ENSG00000068078), EPHA8 (ENSG00000070886), FGFR1 (ENSG00000077782), EPHA6 (ENSG00000080224), TYRO3 (ENSG00000092445), FLT1 (ENSG00000102755), MET (ENSG00000105976), EPHB6 (ENSG00000106123), PDGFRB (ENSG00000113721), EPHA4 (ENSG00000116106), TEK (ENSG00000120156), KDR (ENSG00000128052), EPHB2 (ENSG00000133216), PDGFRA (ENSG00000134853), EPHA7 (ENSG00000135333), IGF1R (ENSG00000140443), NTRK3 (ENSG00000140538), ERBB2 (ENSG00000141736), EPHA2 (ENSG00000142627), EPHA5 (ENSG00000145242), EGFR (ENSG00000146648), EPHA1 (ENSG00000146904), NTRK2 (ENSG00000148053), MERTK (ENSG00000153208), EPHB1 (ENSG00000154928), KIT (ENSG00000157404), FGFR4 (ENSG00000160867), DDR2 (ENSG00000162733), RYK (ENSG00000163785), MST1R (ENSG00000164078), LMTK2 (ENSG00000164715)

Protein

Protein identifiers

Receptor-type tyrosine-protein kinase FLT3P36888 (reviewed: P36888)

Alternative names: FL cytokine receptor, Fetal liver kinase-2, Fms-like tyrosine kinase 3, Stem cell tyrosine kinase 1

All UniProt accessions (2): E7ER61, P36888

UniProt curated annotations — full annotation on UniProt →

Function. Tyrosine-protein kinase that acts as a cell-surface receptor for the cytokine FLT3LG and regulates differentiation, proliferation and survival of hematopoietic progenitor cells and of dendritic cells. Promotes phosphorylation of SHC1 and AKT1, and activation of the downstream effector MTOR. Promotes activation of RAS signaling and phosphorylation of downstream kinases, including MAPK1/ERK2 and/or MAPK3/ERK1. Promotes phosphorylation of FES, FER, PTPN6/SHP, PTPN11/SHP-2, PLCG1, and STAT5A and/or STAT5B. Activation of wild-type FLT3 causes only marginal activation of STAT5A or STAT5B. Mutations that cause constitutive kinase activity promote cell proliferation and resistance to apoptosis via the activation of multiple signaling pathways.

Subunit / interactions. Monomer in the absence of bound FLT3LG. Homodimer in the presence of bound FLT3LG. Interacts with FIZ1 following ligand activation. Interacts with FES, FER, LYN, FGR, HCK, SRC and GRB2. Interacts with PTPRJ/DEP-1 and PTPN11/SHP2. Interacts with RNF115 and RNF126. (Microbial infection) Interacts with human cytomegalovirus protein UL7.

Subcellular location. Membrane. Endoplasmic reticulum lumen.

Tissue specificity. Detected in bone marrow, in hematopoietic stem cells, in myeloid progenitor cells and in granulocyte/macrophage progenitor cells (at protein level). Detected in bone marrow, liver, thymus, spleen and lymph node, and at low levels in kidney and pancreas. Highly expressed in T-cell leukemia.

Post-translational modifications. N-glycosylated, contains complex N-glycans with sialic acid. Autophosphorylated on several tyrosine residues in response to FLT3LG binding. FLT3LG binding also increases phosphorylation of mutant kinases that are constitutively activated. Dephosphorylated by PTPRJ/DEP-1, PTPN1, PTPN6/SHP-1, and to a lesser degree by PTPN12. Dephosphorylation is important for export from the endoplasmic reticulum and location at the cell membrane. Rapidly ubiquitinated by UBE2L6 and the E3 ubiquitin-protein ligase SIAH1 after autophosphorylation, leading to its proteasomal degradation.

Disease relevance. Leukemia, acute myelogenous (AML) [MIM:601626] A subtype of acute leukemia, a cancer of the white blood cells. AML is a malignant disease of bone marrow characterized by maturational arrest of hematopoietic precursors at an early stage of development. Clonal expansion of myeloid blasts occurs in bone marrow, blood, and other tissue. Myelogenous leukemias develop from changes in cells that normally produce neutrophils, basophils, eosinophils and monocytes. The gene represented in this entry may be involved in disease pathogenesis. Somatic mutations that lead to constitutive activation of FLT3 are frequent in AML patients. These mutations fall into two classes, the most common being in-frame internal tandem duplications of variable length in the juxtamembrane region that disrupt the normal regulation of the kinase activity. Likewise, point mutations in the activation loop of the kinase domain can result in a constitutively activated kinase.

Activity regulation. Present in an inactive conformation in the absence of bound ligand. FLT3LG binding leads to dimerization and activation by autophosphorylation.

Domain organisation. The juxtamembrane autoregulatory region is important for normal regulation of the kinase activity and for maintaining the kinase in an inactive state in the absence of bound ligand. Upon tyrosine phosphorylation, it mediates interaction with the SH2 domains of numerous signaling partners. In-frame internal tandem duplications (ITDs) result in constitutive activation of the kinase. The activity of the mutant kinase can be stimulated further by FLT3LG binding.

Miscellaneous. Can be used as diagnostic tool to establish the exact cause of acute myeloid leukemia, and to determine the optimal therapy.

Similarity. Belongs to the protein kinase superfamily. Tyr protein kinase family. CSF-1/PDGF receptor subfamily.

Isoforms (2)

UniProt IDNamesCanonical?
P36888-11yes
P36888-22

RefSeq proteins (1): NP_004110* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000719Prot_kinase_domDomain
IPR001245Ser-Thr/Tyr_kinase_cat_domDomain
IPR001824Tyr_kinase_rcpt_3_CSConserved_site
IPR007110Ig-like_domDomain
IPR008266Tyr_kinase_ASActive_site
IPR011009Kinase-like_dom_sfHomologous_superfamily
IPR013151Immunoglobulin_domDomain
IPR013783Ig-like_foldHomologous_superfamily
IPR017441Protein_kinase_ATP_BSBinding_site
IPR020635Tyr_kinase_cat_domDomain
IPR036179Ig-like_dom_sfHomologous_superfamily
IPR050122RTKFamily

Pfam: PF00047, PF07714

Enzyme classification (BRENDA):

  • EC 2.7.10.1 — receptor protein-tyrosine kinase (BRENDA: 44 organisms, 214 substrates, 574 inhibitors, 11 Km, 0 kcat entries)

Substrate kinetics (BRENDA)

4 substrates with measured Km, best-characterized 4. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
ATP0.0011–0.1294
AC-DYFE-6-CHLORO-W-NHME0.00511
AC-DYFGW-NHME0.071
YFEW0.2321

Catalyzed reactions (Rhea), 1 shown:

  • L-tyrosyl-[protein] + ATP = O-phospho-L-tyrosyl-[protein] + ADP + H(+) (RHEA:10596)

UniProt features (100 total): helix 16, strand 15, sequence variant 14, modified residue 13, glycosylation site 10, disulfide bond 7, sequence conflict 6, mutagenesis site 4, turn 3, binding site 2, topological domain 2, domain 2, signal peptide 1, chain 1, transmembrane region 1, splice variant 1, region of interest 1, active site 1

Structure

Experimental structures (PDB)

11 structures.

PDBMethodResolution (Å)
1RJBX-RAY DIFFRACTION2.1
6JQRX-RAY DIFFRACTION2.2
5X02X-RAY DIFFRACTION2.4
6IL3X-RAY DIFFRACTION2.5
8XB1X-RAY DIFFRACTION2.85
4RT7X-RAY DIFFRACTION3.1
4XUFX-RAY DIFFRACTION3.2
7QDPX-RAY DIFFRACTION3.69
3QS7X-RAY DIFFRACTION4.3
7ZV9X-RAY DIFFRACTION4.51
3QS9X-RAY DIFFRACTION7.8

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P36888-F176.190.30

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): 811 (proton acceptor)

Ligand- & substrate-binding residues (2): 644; 616–624

Post-translational modifications (13): 572, 574, 589, 591, 599, 726, 759, 768, 793, 842, 955, 969, 993

Disulfide bonds (7): 35–65, 103–114, 199–206, 232–241, 272–330, 368–407, 381–392

Glycosylation sites (10): 43, 100, 151, 306, 323, 351, 354, 473, 502, 541

Mutagenesis-validated functional residues (4):

PositionPhenotype
589reduced phosphorylation of the wild-type kinase in response to ligand binding. no effect on the phosphorylation of the c
591no significant effect on tyrosine phosphorylation. abolishes activation of stat5a.
599abolishes interaction with ptpn11/shp2 and phosphorylation of ptpn11/shp2.
644abolishes kinase activity.

Function

Pathways and Gene Ontology

Reactome pathways

27 pathways

IDPathway
R-HSA-109704PI3K Cascade
R-HSA-1257604PIP3 activates AKT signaling
R-HSA-2219530Constitutive Signaling by Aberrant PI3K in Cancer
R-HSA-5673001RAF/MAP kinase cascade
R-HSA-6811558PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling
R-HSA-9607240FLT3 Signaling
R-HSA-9645135STAT5 Activation
R-HSA-9702509FLT3 mutants bind TKIs
R-HSA-9702518STAT5 activation downstream of FLT3 ITD mutants
R-HSA-9702569KW2449-resistant FLT3 mutants
R-HSA-9702577semaxanib-resistant FLT3 mutants
R-HSA-9702581crenolanib-resistant FLT3 mutants
R-HSA-9702590gilteritinib-resistant FLT3 mutants
R-HSA-9702596lestaurtinib-resistant FLT3 mutants
R-HSA-9702600midostaurin-resistant FLT3 mutants
R-HSA-9702605pexidartinib-resistant FLT3 mutants
R-HSA-9702614ponatinib-resistant FLT3 mutants
R-HSA-9702620quizartinib-resistant FLT3 mutants
R-HSA-9702624sorafenib-resistant FLT3 mutants
R-HSA-9702632sunitinib-resistant FLT3 mutants
R-HSA-9702636tandutinib-resistant FLT3 mutants
R-HSA-9702998linifanib-resistant FLT3 mutants
R-HSA-9703009tamatinib-resistant FLT3 mutants
R-HSA-9703648Signaling by FLT3 ITD and TKD mutants
R-HSA-9706369Negative regulation of FLT3
R-HSA-9706374FLT3 signaling through SRC family kinases
R-HSA-9706377FLT3 signaling by CBL mutants

MSigDB gene sets: 0 (showing top):

GO Biological Process (26): leukocyte homeostasis (GO:0001776), myeloid progenitor cell differentiation (GO:0002318), pro-B cell differentiation (GO:0002328), cell surface receptor protein tyrosine kinase signaling pathway (GO:0007169), positive regulation of cell population proliferation (GO:0008284), cell migration (GO:0016477), peptidyl-tyrosine phosphorylation (GO:0018108), cytokine-mediated signaling pathway (GO:0019221), hemopoiesis (GO:0030097), B cell differentiation (GO:0030183), common myeloid progenitor cell proliferation (GO:0035726), positive regulation of tyrosine phosphorylation of STAT protein (GO:0042531), regulation of apoptotic process (GO:0042981), positive regulation of MAP kinase activity (GO:0043406), positive regulation of MAPK cascade (GO:0043410), lymphocyte proliferation (GO:0046651), protein autophosphorylation (GO:0046777), positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction (GO:0051897), cellular response to cytokine stimulus (GO:0071345), cellular response to glucocorticoid stimulus (GO:0071385), dendritic cell differentiation (GO:0097028), liver regeneration (GO:0097421), protein phosphorylation (GO:0006468), cell surface receptor signaling pathway (GO:0007166), positive regulation of macromolecule metabolic process (GO:0010604), vascular endothelial growth factor signaling pathway (GO:0038084)

GO Molecular Function (15): protein tyrosine kinase activity (GO:0004713), transmembrane receptor protein tyrosine kinase activity (GO:0004714), cytokine receptor activity (GO:0004896), vascular endothelial growth factor receptor activity (GO:0005021), ATP binding (GO:0005524), growth factor binding (GO:0019838), nuclear glucocorticoid receptor binding (GO:0035259), protein-containing complex binding (GO:0044877), phosphatidylinositol 3-kinase activator activity (GO:0141038), nucleotide binding (GO:0000166), protein kinase activity (GO:0004672), transmembrane signaling receptor activity (GO:0004888), protein binding (GO:0005515), kinase activity (GO:0016301), transferase activity (GO:0016740)

GO Cellular Component (7): endoplasmic reticulum (GO:0005783), endoplasmic reticulum lumen (GO:0005788), plasma membrane (GO:0005886), endosome membrane (GO:0010008), signaling receptor complex (GO:0043235), membrane (GO:0016020), protein-containing complex (GO:0032991)

Reactome top-level categories

Rollup of top-10 pathways:

CategoryPathways
Drug resistance of FLT3 mutants11
IRS-mediated signalling1
Intracellular signaling by second messengers1
PI3K/AKT Signaling in Cancer1
MAPK1/MAPK3 signaling1
Negative regulation of the PI3K/AKT network1
Cytokine Signaling in Immune system1
FLT3 Signaling1
FLT3 signaling in disease1
Signaling by FLT3 ITD and TKD mutants1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
cell population proliferation2
protein phosphorylation2
positive regulation of intracellular signal transduction2
binding2
immune system process1
homeostasis of number of cells1
hematopoietic progenitor cell differentiation1
lymphoid progenitor cell differentiation1
enzyme-linked receptor protein signaling pathway1
regulation of cell population proliferation1
positive regulation of cellular process1
cell motility1
peptidyl-tyrosine modification1
cell surface receptor signaling pathway1
cellular response to cytokine stimulus1
cell development1
lymphocyte differentiation1
B cell activation1
tyrosine phosphorylation of STAT protein1
regulation of tyrosine phosphorylation of STAT protein1
positive regulation of peptidyl-tyrosine phosphorylation1
apoptotic process1
regulation of programmed cell death1
MAP kinase activity1
regulation of MAP kinase activity1
positive regulation of MAPK cascade1
positive regulation of protein serine/threonine kinase activity1
MAPK cascade1
regulation of MAPK cascade1
mononuclear cell proliferation1
lymphocyte activation1
phosphatidylinositol 3-kinase/protein kinase B signal transduction1
regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction1
response to cytokine1
response to glucocorticoid1
cellular response to corticosteroid stimulus1
protein kinase activity1
protein tyrosine kinase activity1
transmembrane receptor protein kinase activity1
transmembrane signaling receptor activity1

Protein interactions and networks

STRING

3157 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
FLT3FLT3LGP49771998
FLT3KITLGP21583953
FLT3NPM1P06748935
FLT3CD34P28906873
FLT3IL3P08700864
FLT3ASXL1Q8IXJ9861
FLT3DNMT3AQ9Y6K1851
FLT3TET2Q6N021850
FLT3SLAMF1Q13291832
FLT3RUNX1Q01196825
FLT3IL7RP16871822
FLT3IDH1O75874815
FLT3CSF2P04141814
FLT3CEBPAP49715812
FLT3IDH2P48735797

IntAct

85 interactions, top by confidence:

ABTypeScore
SYKFLT3psi-mi:“MI:0407”(direct interaction)0.740
SYKFLT3psi-mi:“MI:0217”(phosphorylation reaction)0.740
FLT3SYKpsi-mi:“MI:0915”(physical association)0.740
SYKFLT3psi-mi:“MI:0914”(association)0.740
FLT3SYKpsi-mi:“MI:0403”(colocalization)0.740
GRB10FLT3psi-mi:“MI:0915”(physical association)0.590
FLT3GRB10psi-mi:“MI:0915”(physical association)0.590
ABL2FLT3psi-mi:“MI:0407”(direct interaction)0.540

BioGRID (328): FLT3 (Negative Genetic), VHL (Negative Genetic), FLT3 (Affinity Capture-MS), UBC (Affinity Capture-Western), FLT3 (Affinity Capture-MS), SPRY3 (Positive Genetic), SERPINE1 (Positive Genetic), NUAK1 (Positive Genetic), NDUFS5 (Positive Genetic), SULT1A3 (Positive Genetic), PCDHA3 (Positive Genetic), PCDHA12 (Positive Genetic), PCDHAC1 (Positive Genetic), PCDHA1 (Positive Genetic), PCDHAC2 (Positive Genetic)

ESM2 similar proteins: A0A1D5NSM8, B1AUH1, B3DK56, B3EX02, B8UU59, E2RK30, E9PZ36, E9Q612, G5E8Q8, H2A0L8, O08775, O14522, O88488, P08922, P08941, P08F94, P0C5E4, P28827, P28828, P29392, P35822, P36888, P86091, P97435, P98072, P98073, P98074, Q00342, Q05546, Q12913, Q15262, Q16827, Q26627, Q28920, Q5GIT4, Q63132, Q64455, Q6DIV5, Q6YI48, Q78DX7

Diamond homologs: D2IYS2, G3V9H8, O08775, O42127, O73791, O73798, O97799, P00529, P00545, P04048, P05532, P05622, P07333, P07949, P09581, P09619, P10721, P11362, P13369, P16092, P16234, P17948, P18460, P18461, P20786, P21802, P21803, P21804, P22182, P22455, P22607, P23049, P26618, P26619, P33497, P35546, P35590, P35916, P35917, P35918

SIGNOR signaling

115 interactions.

AEffectBMechanism
FLT3up-regulatesFLT3phosphorylation
sunitinibdown-regulatesFLT3“chemical inhibition”
anthra[1,9-cd]pyrazol-6(2H)-onedown-regulatesFLT3“chemical inhibition”
CHIR-124down-regulatesFLT3“chemical inhibition”
4-amino-5-fluoro-3-[5-(4-methyl-1-piperazinyl)-1,3-dihydrobenzimidazol-2-ylidene]-2-quinolinonedown-regulatesFLT3“chemical inhibition”
“dovitinib; bis(lactic acid)”down-regulatesFLT3“chemical inhibition”
[4-[2-(1H-indazol-3-yl)ethenyl]phenyl]-(1-piperazinyl)methanonedown-regulatesFLT3“chemical inhibition”
MK-2461down-regulatesFLT3“chemical inhibition”
FLT3up-regulatesSkeletal_muscle_differentiation
quizartinibdown-regulatesFLT3“chemical inhibition”
tandutinibdown-regulatesFLT3“chemical inhibition”
TG101209down-regulatesFLT3“chemical inhibition”
FLT3“up-regulates activity”AKT
FLT3“down-regulates quantity by repression”CEBPA“transcriptional regulation”
FLT3“up-regulates activity”SHC1phosphorylation
FLT3“up-regulates activity”AKT1
FLT3“up-regulates activity”RUNX1
sunitinib“down-regulates activity”FLT3“chemical inhibition”
regorafenib“down-regulates activity”FLT3“chemical inhibition”
PIM1“up-regulates quantity”FLT3phosphorylation
FLT3“down-regulates quantity”PTPN6“transcriptional regulation”
FLT3“up-regulates activity”Glycolysis
FLT3“up-regulates activity”CTNNB1phosphorylation

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 29 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
Regulation of signaling by CBL6156.8×1e-10
FLT3 Signaling8145.7×5e-14
Downstream signal transduction5100.2×7e-08
Signaling by SCF-KIT791.5×9e-11
GPVI-mediated activation cascade581.2×2e-07
FCGR3A-mediated phagocytosis549.3×1e-06
Constitutive Signaling by Aberrant PI3K in Cancer533.4×6e-06
PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling525.5×2e-05

GO biological processes:

GO termPartnersFoldFDR
ephrin receptor signaling pathway693.8×1e-08
cellular response to transforming growth factor beta stimulus562.8×2e-06
T cell receptor signaling pathway641.4×1e-06
intracellular signal transduction813.9×4e-06

Disease & clinical

Cancer significance

From CIViC — curated cancer-variant interpretation:

FLT3 is an important cytokine receptor involved in normal hematopoiesis. Mutations in this gene are common in acute myeloid leukemia (AML) and screening for mutations in this gene has been recommended by the World Health Organization in patients with AML, particularly in cases of cytogenetically normal AML (CN-AML). FLT3 mutations commonly co-occur with mutations such as NPM1 that are associated with CN-AML and likely modulate prognostic impact. While FLT3-ITD mutations have been associated with poorer prognosis in AML, the prognostic impact of FLT3-TKD mutations are still up for debate.

From intOGen — cancer-driver classification: activating (oncogene-like) across 2 cancer types — ALL, AML.

Clinical variants and AI predictions

ClinVar

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

ClassificationCount (floor)
Pathogenic10
Likely pathogenic4
Uncertain significance78
Likely benign40
Benign85

Top pathogenic / likely-pathogenic (14)

Variant IDHGVSClassification
16270FLT3, INTERNAL TANDEM DUPPathogenic
16271NM_004119.3(FLT3):c.2520_2521insGGATCC (p.Ser840_Asn841insGlySer)Pathogenic
16272NM_004119.3(FLT3):c.2504A>T (p.Asp835Val)Pathogenic
16273NM_004119.3(FLT3):c.2503G>C (p.Asp835His)Pathogenic
16274NM_004119.3(FLT3):c.2503G>A (p.Asp835Asn)Pathogenic
16276NM_004119.3(FLT3):c.2503G>T (p.Asp835Tyr)Pathogenic
16277NM_004119.3(FLT3):c.2503_2505del (p.Asp835del)Pathogenic
16278NM_004119.3(FLT3):c.1777_1779del (p.Asp593del)Pathogenic
219096NM_004119.3(FLT3):c.1773_1793dup (p.Tyr597_Glu598insAspValAspPheArgGluTyr)Pathogenic
375972NM_004119.3(FLT3):c.2505T>A (p.Asp835Glu)Pathogenic
2572500NM_004119.3(FLT3):c.2533A>G (p.Arg845Gly)Likely pathogenic
4528371NM_004119.3(FLT3):c.1715A>G (p.Tyr572Cys)Likely pathogenic
590265t(13;17)(q12.2;q11.2)Likely pathogenic
800354NM_004119.3(FLT3):c.1714T>C (p.Tyr572His)Likely pathogenic

SpliceAI

4139 predictions. Top by Δscore:

VariantEffectΔscore
13:28015155:A:ACdonor_gain1.0000
13:28015156:C:CCdonor_gain1.0000
13:28015156:CATTT:Cdonor_gain1.0000
13:28015584:ACTT:Adonor_loss1.0000
13:28015585:CTT:Cdonor_loss1.0000
13:28015586:TTAC:Tdonor_loss1.0000
13:28015587:TACCA:Tdonor_loss1.0000
13:28015588:A:ACdonor_gain1.0000
13:28015588:ACCAA:Adonor_loss1.0000
13:28015589:C:CCdonor_gain1.0000
13:28015697:CGGGC:Cacceptor_gain1.0000
13:28015698:GGGC:Gacceptor_gain1.0000
13:28015698:GGGCC:Gacceptor_loss1.0000
13:28015699:GGC:Gacceptor_gain1.0000
13:28015699:GGCC:Gacceptor_loss1.0000
13:28015700:GC:Gacceptor_gain1.0000
13:28015700:GCC:Gacceptor_loss1.0000
13:28015701:CC:Cacceptor_gain1.0000
13:28015702:C:Aacceptor_loss1.0000
13:28015702:C:CCacceptor_gain1.0000
13:28015703:T:Aacceptor_loss1.0000
13:28015714:C:CTacceptor_gain1.0000
13:28015714:C:Tacceptor_gain1.0000
13:28015715:A:Tacceptor_gain1.0000
13:28023349:CCGA:Cdonor_gain1.0000
13:28023352:A:ACdonor_gain1.0000
13:28023353:C:CCdonor_gain1.0000
13:28023356:AAATT:Adonor_gain1.0000
13:28023374:T:TAdonor_gain1.0000
13:28028172:GGTTA:Gdonor_loss1.0000

AlphaMissense

6557 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
13:28014535:A:GW926R1.000
13:28014535:A:TW926R1.000
13:28015608:A:GW879R1.000
13:28015608:A:TW879R1.000
13:28015629:A:GW872R1.000
13:28015629:A:TW872R1.000
13:28015636:A:CS869R1.000
13:28015636:A:TS869R1.000
13:28015638:T:GS869R1.000
13:28015681:C:AW854C1.000
13:28015681:C:GW854C1.000
13:28015683:A:GW854R1.000
13:28015683:A:TW854R1.000
13:28018522:T:AD829V1.000
13:28018522:T:CD829G1.000
13:28018522:T:GD829A1.000
13:28018564:C:AR815M1.000
13:28018564:C:GR815T1.000
13:28018576:T:AD811V1.000
13:28018576:T:GD811A1.000
13:28027187:A:GL703P1.000
13:28028246:A:GL662P1.000
13:28033897:T:AK644N1.000
13:28033897:T:GK644N1.000
13:28033898:T:AK644I1.000
13:28033901:A:TV643D1.000
13:28033904:G:TA642D1.000
13:28033943:G:TA629D1.000
13:28033964:C:TG622E1.000
13:28033966:A:CF621L1.000

dbSNP variants (sampled 300 via entrez): RS1000016858 (13:28073991 G>A), RS1000110668 (13:28078727 T>A), RS1000118684 (13:28067804 C>G,T), RS1000134178 (13:28079768 G>A), RS1000144711 (13:28036292 T>C), RS1000194439 (13:28006084 T>A,C), RS1000234380 (13:28032538 A>G), RS1000277067 (13:28072547 C>A,T), RS1000338328 (13:28021160 C>A,T), RS1000366438 (13:28024061 C>T), RS1000385109 (13:28044561 T>C), RS1000402186 (13:28032948 C>T), RS1000417700 (13:28088909 C>A), RS1000524703 (13:28079007 C>T), RS1000538875 (13:28037122 T>G)

Disease associations

OMIM: gene MIM:136351 | disease phenotypes: MIM:601626, MIM:254500

GenCC curated gene-disease

DiseaseClassificationInheritance
leukemia, acute myeloid, susceptibility toLimitedAutosomal dominant

ClinGen Gene-Disease Validity (1)

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

DiseaseClassificationInheritance
leukemia, acute myeloid, susceptibility toLimitedAD

Mondo (5): acute myeloid leukemia (MONDO:0018874), acute lymphoblastic leukemia (MONDO:0004967), atypical chronic myeloid leukemia, BCR-ABL1 negative (MONDO:0004653), plasma cell myeloma (MONDO:0009693), leukemia, acute myeloid, susceptibility to (MONDO:0100173)

Orphanet (5): Acute myeloid leukemia (Orphanet:519), Acute lymphoblastic leukemia (Orphanet:513), Atypical chronic myeloid leukemia (Orphanet:98824), Multiple myeloma (Orphanet:29073), AL amyloidosis (Orphanet:85443)

HPO phenotypes

5 total (5 of 5 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0001442Typified by somatic mosaicism
HP:0004808Acute myeloid leukemia
HP:0006721Acute lymphoblastic leukemia
HP:0010982Polygenic inheritance

GWAS associations

63 associations (top):

StudyTraitp-value
GCST002553_1Pancreatic cancer2.000000e-09
GCST002783_390Body mass index1.000000e-07
GCST002783_476Body mass index3.000000e-07
GCST004129_8White blood cell count (monocyte)8.000000e-11
GCST004608_183Granulocyte percentage of myeloid white cells5.000000e-12
GCST004608_184Granulocyte percentage of myeloid white cells2.000000e-136
GCST004609_199Monocyte percentage of white cells5.000000e-25
GCST004609_200Monocyte percentage of white cells4.000000e-188
GCST004610_134White blood cell count2.000000e-19
GCST004610_135White blood cell count5.000000e-12
GCST004613_36Sum neutrophil eosinophil counts2.000000e-11
GCST004614_13Granulocyte count7.000000e-12
GCST004620_84Sum basophil neutrophil counts2.000000e-12
GCST004625_130Monocyte count3.000000e-10
GCST004625_131Monocyte count3.000000e-240
GCST004625_132Monocyte count2.000000e-41
GCST004625_133Monocyte count7.000000e-12
GCST004626_121Myeloid white cell count8.000000e-21
GCST004626_122Myeloid white cell count5.000000e-16
GCST004626_123Myeloid white cell count1.000000e-10
GCST004629_133Neutrophil count7.000000e-12
GCST004632_35Lymphocyte percentage of white cells1.000000e-12
GCST005977_9Monocyte count4.000000e-15
GCST005989_25Serum total protein levels1.000000e-08
GCST005990_16Non-albumin protein levels6.000000e-09
GCST007277_18Tourette syndrome2.000000e-07
GCST007469_8Rapid automatized naming of digits8.000000e-06
GCST007932_71Medication use (thyroid preparations)2.000000e-26
GCST008129_78Body mass index1.000000e-18
GCST008479_29Psoriasis6.000000e-06

EFO canonical traits (18, from GWAS)

EFO IDTrait name
EFO:0004340body mass index
EFO:0005091monocyte count
EFO:0007997granulocyte percentage of myeloid white cells
EFO:0007989monocyte percentage of leukocytes
EFO:0004833neutrophil count
EFO:0004842eosinophil count
EFO:0007987granulocyte count
EFO:0005090basophil count
EFO:0007993lymphocyte percentage of leukocytes
EFO:0005301reading and spelling ability
EFO:0009933Thyroid preparation use measurement
EFO:0004614apolipoprotein A 1 measurement
EFO:0004612high density lipoprotein cholesterol measurement
EFO:0009819comparative body size at age 10, self-reported
EFO:0004587lymphocyte count
EFO:0010701mean reticulocyte volume
EFO:0007990neutrophil percentage of leukocytes
EFO:0007985platelet crit

MeSH disease descriptors (2)

DescriptorNameTree numbers
D015470Leukemia, Myeloid, AcuteC04.557.337.539.275; C15.378.508.539.275
D009101Multiple MyelomaC04.557.595.500; C14.907.454.460; C15.378.147.780.650; C15.378.463.515.460; C20.683.515.845; C20.683.780.650

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (4): CHEMBL1974 (SINGLE PROTEIN), CHEMBL3430908 (SELECTIVITY GROUP), CHEMBL4523735 (PROTEIN-PROTEIN INTERACTION), CHEMBL4630730 (PROTEIN-PROTEIN INTERACTION)

Molecules with ChEMBL bioactivity

143 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 291,138 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL1171837PONATINIB48,955
CHEMBL1173655AFATINIB415,144
CHEMBL1287853FEDRATINIB43,554
CHEMBL1289494TIVOZANIB44,455
CHEMBL1289926AXITINIB415,732
CHEMBL1336SORAFENIB486,060
CHEMBL180022NERATINIB49,404
CHEMBL1834657INFIGRATINIB PHOSPHATE4285
CHEMBL1852688INFIGRATINIB42,209
CHEMBL1873475IBRUTINIB47,994
CHEMBL189963PALBOCICLIB413,102
CHEMBL1946170REGORAFENIB412,678
CHEMBL1983268ENTRECTINIB43,510
CHEMBL2035187PACRITINIB43,345
CHEMBL2103830FOSTAMATINIB43,841
CHEMBL2105709QUIZARTINIB DIHYDROCHLORIDE4285
CHEMBL2105717CABOZANTINIB411,177
CHEMBL2403108CERITINIB48,551
CHEMBL24828VANDETANIB442,230
CHEMBL255863NILOTINIB438,627
CHEMBL288441BOSUTINIB4
CHEMBL3301607FILGOTINIB4
CHEMBL3301610ABEMACICLIB4
CHEMBL3301622GILTERITINIB4
CHEMBL3545311BRIGATINIB4
CHEMBL3813873PEXIDARTINIB4
CHEMBL4582651PRALSETINIB4
CHEMBL477772PAZOPANIB4
CHEMBL502835NINTEDANIB4
CHEMBL535SUNITINIB4

Clinical evidence (CIViC)

Drug × variant × indication: 80 predictive associations from 98 curated evidence items; also 25 prognostic, 10 oncogenic, 5 diagnostic, 1 functional.

VariantTherapyIndicationEffectLevelCIViC
FLT3 ITDGilteritinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC AEID12621 +2
FLT3 ITD OR FLT3 D835 OR FLT3 I836GilteritinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC AEID7728
FLT3 MutationMidostaurinAcute Myeloid LeukemiaSensitivity/ResponseCIViC AEID5261
FLT3 ITDSorafenibAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID1040 +2
FLT3 F691LPexidartinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID8674 +1
FLT3 ITDMidostaurinAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID7061 +1
FLT3 ITDSorafenib + Hematopoietic Cell TransplantationAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID9069 +1
FLT3 MutationNilotinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID5575 +1
FLT3 AmplificationSunitinibColorectal CancerSensitivity/ResponseCIViC BEID11667
FLT3 ITDLestaurtinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID297
FLT3 ITDPacritinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID9217
FLT3 MutationGilteritinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID7283
FLT3 TKD MUTATIONMidostaurinAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID1295
FLT3 F691LQuizartinibAcute Myeloid LeukemiaResistanceCIViC BEID9718 +1
FLT3 D835Quizartinib + SorafenibAcute Myeloid LeukemiaResistanceCIViC BEID1038
FLT3 D835SorafenibAcute Myeloid LeukemiaResistanceCIViC BEID1039
FLT3 F691LPexidartinibAcute Myeloid LeukemiaResistanceCIViC BEID9717
FLT3 ITDAnthracycline Antineoplastic Antibiotic + TretinoinAcute Promyelocytic LeukemiaResistanceCIViC BEID1112
FLT3 ITDSelumetinibAcute Myeloid LeukemiaResistanceCIViC BEID1137
FLT3 ITDTretinoinAcute Myeloid LeukemiaResistanceCIViC BEID127
FLT3 TKD MUTATIONSorafenibAcute Myeloid LeukemiaResistanceCIViC BEID248
FLT3 T227MSunitinibRenal Cell CarcinomaAdverse ResponseCIViC BEID1317
FLT3 D835SunitinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC CEID4024 +2
FLT3 D835VSunitinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC CEID4022 +2
FLT3 D835HSunitinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC CEID4027 +1
FLT3 D835YGilteritinibAcute Myeloid LeukemiaSensitivity/ResponseCIViC CEID12620 +1
FLT3 D835YSorafenibAcute Myeloid LeukemiaSensitivity/ResponseCIViC CEID12625 +1
FLT3 AmplificationRegorafenib AnhydrousColorectal CancerSensitivity/ResponseCIViC CEID7102
FLT3 AmplificationSorafenibColorectal CancerSensitivity/ResponseCIViC CEID7103
FLT3 OverexpressionSunitinibB-cell Adult Acute Lymphocytic LeukemiaSensitivity/ResponseCIViC CEID1528

+50 more predictive associations (showing top 30 by evidence level).

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

PharmGKB clinical annotations

1 annotations.

VariantTypeLevelDrugsPhenotypes
rs1933437Toxicity3sunitinibLeukopenia;Myelosuppression;Neutropenia;Thrombocytopenia

PharmGKB variants

2 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs1933437FLT336.501sunitinib
rs66520040FLT30.000

GtoPdb / IUPHAR curated pharmacology

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

Target class: catalytic receptor — Type III RTKs: PDGFR, CSFR, Kit, FLT3 receptor family

Most potent curated ligand interactions (67 total), top 25:

LigandActionAffinityParameter
gilteritinibInhibition9.52pIC50
nefextinibInhibition9.47pIC50
denfivontinibInhibition9.4pIC50
AC710Inhibition9.3pKd
Gö 6976Inhibition9.15pIC50
TTT-3002Inhibition9.14pIC50
crenolanibInhibition9.13pKd
compound 8i [PMID: 22765894]Inhibition9.1pIC50
compound 8h [PMID: 22765894]Inhibition9.07pIC50
dorsomorphinInhibition9.0pIC50
dovitinibInhibition9.0pIC50
RGB-286638Inhibition9.0pIC50
ilorasertibInhibition9.0pIC50
tuspetinibInhibition8.96pIC50
compound 2c [PMID: 24900538]Inhibition8.68pIC50
compound 6li [Chan et al., 2022]Inhibition8.6pKd
ENMD-2076Inhibition8.52pIC50
compound 5e [PMID: 28580438]Inhibition8.44pKd
compound 18e [PMID: 31670517]Inhibition8.4pIC50
compound 34f [PMID: 37535845]Inhibition8.4pIC50
linifanibInhibition8.4pIC50
URMC-099Inhibition8.4pIC50
quizartinibInhibition8.38pIC50
mivavotinibInhibition8.34pIC50
AKN-028Inhibition8.22pIC50

Binding affinities (BindingDB)

774 measured of 1128 human assays (1129 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
5-[(4-hydroxycyclohexyl)amino]-3-[4-(4-methylpiperazin-1-yl)anilino]-6-propan-2-ylpyrazine-2-carboxamideIC500.23 nMUS-8969336: Diamino heterocyclic carboxamide compound
3-[3-methoxy-4-(4-methylpiperazin-1-yl)anilino]-5-(oxan-4-ylamino)-6-propan-2-ylpyrazine-2-carboxamideIC500.29 nMUS-8969336: Diamino heterocyclic carboxamide compound
1-[2-(4-methylphenyl)-5-tert-butyl-pyrazol-3-yl]-3-[4-(2-morpholin-4-ylethoxy)naphthalen-1-yl]ureaKD0.37 nM
6-ethyl-5-[(4-hydroxycyclohexyl)amino]-3-[3-methyl-4-(4-propan-2-ylpiperazin-1-yl)anilino]pyrazine-2-carboxamideIC500.37 nMUS-8969336: Diamino heterocyclic carboxamide compound
6-ethyl-5-[(4-hydroxycyclohexyl)amino]-3-[4-(4-methylpiperazin-1-yl)anilino]pyrazine-2-carboxamideIC500.4 nMUS-8969336: Diamino heterocyclic carboxamide compound
3-[4-(4-methylpiperazin-1-yl)anilino]-5-(oxan-4-ylamino)-6-propan-2-ylpyrazine-2-carboxamideIC500.41 nMUS-8969336: Diamino heterocyclic carboxamide compound
4-[[5-[5-[(1-adamantylmethylamino)methyl]-2-pyridinyl]-2-(butylamino)pyrimidin-4-yl]amino]cyclohexan-1-olIC500.43 nMUS-9649309: Therapeutic uses of selected pyrimidine compounds with anti-Mer tyrosine kinase activity
3-[4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]anilino]-5-(oxan-4-ylamino)-6-propan-2-ylpyrazine-2-carboxamideIC500.51 nMUS-8969336: Diamino heterocyclic carboxamide compound
5-[(4-hydroxycyclohexyl)amino]-3-[4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]-3-(trifluoromethyl)anilino]-6-propan-2-ylpyrazine-2-carboxamideIC500.51 nMUS-8969336: Diamino heterocyclic carboxamide compound
6-ethyl-3-[3-fluoro-4-(4-methylpiperazin-1-yl)anilino]-5-(oxan-4-ylamino)pyrazine-2-carboxamideIC500.58 nMUS-8969336: Diamino heterocyclic carboxamide compound
6-ethyl-5-[(4-hydroxycyclohexyl)amino]-3-[3-methyl-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]anilino]pyrazine-2-carboxamideIC500.65 nMUS-8969336: Diamino heterocyclic carboxamide compound
1-[5-(1-hydroxy-2-methylpropan-2-yl)-1,2-oxazol-3-yl]-3-[4-[6-(2-morpholin-4-ylethoxy)imidazo[2,1-b][1,3]benzothiazol-2-yl]phenyl]ureaKD0.68 nMUS-8551963: Imidazolothiazole compounds and methods of use thereof
US20250360145, Example 119IC500.73 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
6-ethyl-5-[(4-hydroxy-4-methylcyclohexyl)amino]-3-[3-methyl-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]anilino]pyrazine-2-carboxamideIC500.78 nMUS-8969336: Diamino heterocyclic carboxamide compound
US20250360145, Example 87IC500.83 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
6-ethyl-5-[(4-hydroxycyclohexyl)amino]-3-[4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]anilino]pyrazine-2-carboxamideIC500.86 nMUS-8969336: Diamino heterocyclic carboxamide compound
6-ethyl-5-[(4-hydroxy-4-methylcyclohexyl)amino]-3-[3-methyl-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]anilino]pyrazine-2-carboxamideIC500.86 nMUS-8969336: Diamino heterocyclic carboxamide compound
4-[[5-[5-(7-azabicyclo[2.2.1]heptan-7-ylmethyl)-2-pyridinyl]-2-(butylamino)pyrimidin-4-yl]amino]cyclohexan-1-olIC500.86 nMUS-9649309: Therapeutic uses of selected pyrimidine compounds with anti-Mer tyrosine kinase activity
6-ethyl-5-[(4-hydroxycyclohexyl)amino]-3-[4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]-3-(trifluoromethyl)anilino]pyrazine-2-carboxamideIC501 nMUS-8969336: Diamino heterocyclic carboxamide compound
4-[[5-[5-[(1-adamantylamino)methyl]-2-pyridinyl]-2-(butylamino)pyrimidin-4-yl]amino]cyclohexan-1-olIC501 nMUS-9649309: Therapeutic uses of selected pyrimidine compounds with anti-Mer tyrosine kinase activity
6-ethyl-3-[3-methyl-4-[4-(1-methylpiperidin-4-yl)piperazin-1-yl]anilino]-5-(oxan-4-ylamino)pyrazine-2-carboxamideIC501.2 nMUS-8969336: Diamino heterocyclic carboxamide compound
N-[3-[2-[4-(4-methylpiperazin-1-yl)anilino]-7-oxopteridin-8-yl]phenyl]prop-2-enamideIC501.2 nMUS-9670213: Pteridine ketone derivative and applications thereof as EGFR, BLK, and FLT3 inhibitor
1-(5-tert-butyl-1,2-oxazol-3-yl)-3-[4-[10-[2-[(1S,4S)-2,5-diazabicyclo[2.2.1]heptan-2-yl]ethoxy]-7-thia-2,5,9-triazatricyclo[6.4.0.02,6]dodeca-1(8),3,5,9,11-pentaen-4-yl]phenyl]ureaIC501.2 nMUS-9216997: Tri-heterocyclic derivatives, preparation process and uses thereof
4-[[2-(butylamino)-5-[5-[[(8-methyl-8-azabicyclo[3.2.1]octan-3-yl)amino]methyl]-2-pyridinyl]pyrimidin-4-yl]amino]cyclohexan-1-olIC501.2 nMUS-9649309: Therapeutic uses of selected pyrimidine compounds with anti-Mer tyrosine kinase activity
4-[[2-(4-methylanilino)-5-[5-(pyrrolidin-1-ylmethyl)-2-pyridinyl]pyrimidin-4-yl]amino]cyclohexan-1-olIC501.2 nMUS-9649309: Therapeutic uses of selected pyrimidine compounds with anti-Mer tyrosine kinase activity
US20250360145, Example 83IC501.2 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
6-ethyl-3-[3-methyl-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]anilino]-5-(oxan-4-ylamino)pyrazine-2-carboxamideIC501.3 nMUS-8969336: Diamino heterocyclic carboxamide compound
4-[[2-(3-fluoroanilino)-5-[5-(pyrrolidin-1-ylmethyl)-2-pyridinyl]pyrimidin-4-yl]amino]cyclohexan-1-olIC501.3 nMUS-9649309: Therapeutic uses of selected pyrimidine compounds with anti-Mer tyrosine kinase activity
4-[[2-(4-fluoroanilino)-5-[5-(pyrrolidin-1-ylmethyl)-2-pyridinyl]pyrimidin-4-yl]amino]cyclohexan-1-olIC501.5 nMUS-9649309: Therapeutic uses of selected pyrimidine compounds with anti-Mer tyrosine kinase activity
4-[2-(butylamino)-5-[4-(4-methylpiperazin-1-yl)phenyl]pyrrolo[2,3-d]pyrimidin-7-yl]cyclohexan-1-olIC501.5 nMUS-10004755: Therapeutic uses of selected pyrrolopyrimidine compounds with anti-mer tyrosine kinase activity
1-[5-(1,3-dihydroxy-2-methylpropan-2-yl)-1,2-oxazol-3-yl]-3-[4-[6-(2-morpholin-4-ylethoxy)imidazo[2,1-b][1,3]benzothiazol-2-yl]phenyl]ureaKD1.6 nMUS-8551963: Imidazolothiazole compounds and methods of use thereof
6-chloro-5-[(4-hydroxycyclohexyl)amino]-3-[3-methyl-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]anilino]pyrazine-2-carboxamideIC501.6 nMUS-8969336: Diamino heterocyclic carboxamide compound
StaurosporineKD1.7 nM
6-ethyl-3-[4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]anilino]-5-(oxan-4-ylamino)pyrazine-2-carboxamideIC501.9 nMUS-8969336: Diamino heterocyclic carboxamide compound
GilteritinibIC501.9 nMUS-8969336: Diamino heterocyclic carboxamide compound
(4R)-4-[(1R)-1-[[7-[3-methoxy-4-(trifluoromethoxy)phenyl]-1,6-naphthyridin-5-yl]oxy]ethyl]pyrrolidin-2-oneIC501.9 nMUS-8969568: Substituted naphthyridines and their use as medicaments
FORETINIBIC501.9 nM
US20250360145, Example 101IC501.9 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
4-[5-[4-(azepan-4-ylamino)phenyl]-2-(butylamino)pyrrolo[2,3-d]pyrimidin-7-yl]cyclohexan-1-olIC502 nMUS-10004755: Therapeutic uses of selected pyrrolopyrimidine compounds with anti-mer tyrosine kinase activity
8-(4-methylcyclohexyl)-N-(5,6,7,8-tetrahydro-1,6-naphthyridin-2-yl)-4,6,8,11-tetrazatricyclo[7.4.0.02,7]trideca-1(9),2,4,6,10,12-hexaen-5-amineIC502.1 nMUS-8623885: Fused tricyclic dual inhibitors of CDK 4/6 and FLT3
4-[2-(4-hydroxybutylamino)-5-[4-[(4-methylpiperazin-1-yl)methyl]phenyl]pyrrolo[2,3-d]pyrimidin-7-yl]cyclohexan-1-olIC502.1 nMUS-10004755: Therapeutic uses of selected pyrrolopyrimidine compounds with anti-mer tyrosine kinase activity
3-methoxy-8-[[5-methoxy-6-[(5-methoxy-2-pyridinyl)methoxy]-3-pyridinyl]methyl]-1,5-naphthyridineIC502.1 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
US20250360145, Example 93IC502.1 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
US20250360145, Example 56IC502.2 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
US20250360145, Example 72IC502.2 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
US20250360145, Example 100IC502.2 nMUS-20250360145: CSF-1R INHIBITORS AND USES THEREOF
N-[3-[2-[2-methoxy-4-(4-methylpiperazin-1-yl)anilino]-7-oxopteridin-8-yl]phenyl]prop-2-enamideIC502.36 nMUS-9670213: Pteridine ketone derivative and applications thereof as EGFR, BLK, and FLT3 inhibitor
2-hydroxy-1-[2-[[8-(4-methylcyclohexyl)-4,6,8,11-tetrazatricyclo[7.4.0.02,7]trideca-1(9),2,4,6,10,12-hexaen-5-yl]amino]-7,8-dihydro-5H-1,6-naphthyridin-6-yl]ethanoneIC502.4 nMUS-8623885: Fused tricyclic dual inhibitors of CDK 4/6 and FLT3
8-(4-methylcyclohexyl)-N-[6-(2-methylsulfonylethyl)-7,8-dihydro-5H-1,6-naphthyridin-2-yl]-4,6,8,11-tetrazatricyclo[7.4.0.02,7]trideca-1(9),2,4,6,10,12-hexaen-5-amineIC502.4 nMUS-8623885: Fused tricyclic dual inhibitors of CDK 4/6 and FLT3
4-[[2-(4-methoxyanilino)-5-[5-(pyrrolidin-1-ylmethyl)-2-pyridinyl]pyrimidin-4-yl]amino]cyclohexan-1-olIC502.4 nMUS-9649309: Therapeutic uses of selected pyrimidine compounds with anti-Mer tyrosine kinase activity

ChEMBL bioactivities

6100 potent at pChembl≥5 of 6100 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
11.00Kd0.01nMCHEMBL5176837
11.00Kd0.01nMCHEMBL5927784
10.92Kd0.012nMCHEMBL5176837
10.82IC500.015nMCHEMBL4744130
10.81Kd0.0154nMCHEMBL5195819
10.80Kd0.016nMCRENOLANIB
10.77Kd0.017nMCHEMBL6078253
10.68Kd0.021nMCHEMBL6002371
10.62IC500.024nMCHEMBL5440655
10.60Kd0.025nMCHEMBL5927784
10.47Kd0.034nMCHEMBL6078253
10.42IC500.038nMCHEMBL4519741
10.30IC500.05nMCHEMBL6191359
10.30IC500.05nMCHEMBL6191849
10.30IC500.05nMCHEMBL6192901
10.30IC500.05nMCHEMBL6189235
10.25Kd0.056nMCHEMBL6078253
10.22IC500.06nMCRENOLANIB
10.22IC500.06nMCHEMBL6192930
10.21IC500.061nMCHEMBL5641913
10.21IC500.061nMCHEMBL5641673
10.20IC500.063nMCHEMBL5639694
10.20IC500.063nMCHEMBL5639591
10.19Kd0.065nMCHEMBL6002371
10.14IC500.072nMCHEMBL4790915
10.13Kd0.074nMCHEMBL6078253
10.10IC500.08nMCHEMBL6188781
10.10IC500.08nMCHEMBL6189029
10.10IC500.08nMCHEMBL6192679
10.05IC500.09nMCHEMBL6191366
10.03Kd0.093nMCHEMBL256961
10.00IC500.101nMCHEMBL4086149
10.00IC500.1nMCHEMBL4513768
10.00Ki0.1nMCHEMBL4864449
10.00Ki0.1nMCHEMBL4870188
10.00IC500.1nMCHEMBL5268237
10.00Kd0.1nMCHEMBL6078253
10.00Ki0.1nMCHEMBL273187
9.99IC500.102nMCHEMBL5639373
9.96IC500.11nMCHEMBL5593388
9.96Kd0.11nMCHEMBL6002371
9.93IC500.118nMCHEMBL5647067
9.93IC500.117nMCHEMBL5646935
9.92IC500.121nMCHEMBL5440655
9.92IC500.119nMCHEMBL5646820
9.92Kd0.12nMCHEMBL6002371
9.91IC500.123nMCHEMBL3612622
9.89IC500.13nMCHEMBL4092761
9.88IC500.132nMCHEMBL5639601
9.85IC500.14nMCHEMBL6190161

PubChem BioAssay actives

2949 with measured affinity, of 6100 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-[7-methoxy-6-(1-methylpyrazol-4-yl)imidazo[1,2-a]pyridin-3-yl]-N-pyrrolidin-3-ylpyridin-2-amine1894563: Binding affinity to FLT3-ITD-D835V mutant (unknown origin) assessed as dissociation constantkd<0.0001uM
1-(5-tert-butyl-1,2-oxazol-3-yl)-3-[3-fluoro-4-(1H-imidazo[4,5-b]pyridin-7-yloxy)phenyl]urea1696916: Inhibition of FLT3 ITD mutant (unknown origin) expressed in mouse BaF3 cellsic50<0.0001uM
2-[(E)-[2-(2-hydroxy-1H-indol-3-yl)indol-3-ylidene]amino]oxy-1-piperazin-1-ylethanone;hydrochloride1868178: Binding affinity to FLT3 ITD/F691L double mutant (unknown origin) by KINOMEscan assaykd<0.0001uM
N-[(5-methyl-1H-imidazol-2-yl)methyl]-4-(8,9,10,11-tetrahydro-3H-pyrazolo[4,5-a]phenanthridin-7-yl)benzamide2003941: Inhibition of FLT3 D835Y mutant (unknown origin)ic50<0.0001uM
Ponatinib2183012: Inhibition of FLT3-ITD F691I mutant (unknown origin) expressed in mouse BaF3 cells assessed as inhibition of FLT3-driven cell viability incubated for 72 hrs by CellTiter 96 aqueous one solution assayic50<0.0001uM
1-[2-[5-[(3-methyloxetan-3-yl)methoxy]benzimidazol-1-yl]quinolin-8-yl]piperidin-4-amine1562814: Inhibition of FLT3 D835Y mutant (unknown origin)ic500.0001uM
5-chloro-3-[1-(2-methyl-5-nitrophenyl)sulfonylpyrrol-3-yl]pyrazolo[1,5-a]pyrimidine1245695: Inhibition of FLT3 (unknown origin) using biotin-Glu-Gly-Pro-Trp-Leu-Glu-Glu-Glu-Glu-Glu-Ala-Tyr-Gly-Trp-Met-Asp-Phe-NH2 as substrate after 90 mins by luminescence assayic500.0001uM
1-(5-tert-butyl-1,2-oxazol-3-yl)-3-[4-(6,7-dimethoxyquinolin-4-yl)oxy-3-fluorophenyl]urea1696916: Inhibition of FLT3 ITD mutant (unknown origin) expressed in mouse BaF3 cellsic500.0001uM
N-[6-(4-ethylpiperazin-1-yl)-2-methylpyrimidin-4-yl]-5-pyridin-4-yl-1,3-thiazol-2-amine;hydrochloride1581288: Inhibition of wild type FLT3 (unknown origin) expressed in HEK293T cells assessed as decrease in FLT3 phosphorylation at 0.1 to 1000 nM after 1 hr by Western blot analysisic500.0001uM
4-[(6-ethylthieno[2,3-d]pyrimidin-4-yl)amino]-N-[4-[(4-methylpiperazin-1-yl)methyl]phenyl]-1H-pyrazole-5-carboxamide1489804: Inhibition of human FLT3 using EAIYAAPFAKKK as substrate preincubated for 20 mins followed by [gamma-33P]-ATP addition measure after 120 mins by filter binding methodic500.0001uM
N-[4-(diethylaminomethyl)phenyl]-4-(7H-pyrrolo[2,3-d]pyrimidin-4-ylamino)-1H-pyrazole-5-carboxamide1489804: Inhibition of human FLT3 using EAIYAAPFAKKK as substrate preincubated for 20 mins followed by [gamma-33P]-ATP addition measure after 120 mins by filter binding methodic500.0001uM
N-[(2S,4S,6R)-2,6-dimethyl-16-oxo-29-oxa-1,7,17-triazaoctacyclo[12.12.2.12,6.07,28.08,13.015,19.020,27.021,26]nonacosa-8,10,12,14,19,21,23,25,27-nonaen-4-yl]-N-methylbenzamide1691299: Inhibition of human FLT3 D835Y mutant EAIYAAPFAKKK peptide as substrate in presence of 33P-gamma ATP by hotspot kinase assayic500.0001uM
1-[4-[3-[[4-(1H-pyrrolo[2,3-b]pyridin-3-yl)pyrimidin-2-yl]amino]phenyl]-1,4-diazepan-1-yl]ethanone1756404: Inhibition of FLT3 ITD mutant (unknown origin) using Glu/Tyr peptide substrate incubated for 120 mins measured after 40 mins incubation under dark by ADP-glo based luminescence assayki0.0001uM
1-[4-[4-[[4-(1H-pyrrolo[2,3-b]pyridin-3-yl)pyrimidin-2-yl]amino]phenyl]piperazin-1-yl]ethanone1756404: Inhibition of FLT3 ITD mutant (unknown origin) using Glu/Tyr peptide substrate incubated for 120 mins measured after 40 mins incubation under dark by ADP-glo based luminescence assayki0.0001uM
3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-N-[(3R)-pyrrolidin-3-yl]-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
(4-aminopiperidin-1-yl)-[3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-1H-indazol-5-yl]methanone2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
N-(3-aminopropyl)-3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
N-[(1S,3S)-3-aminocyclopentyl]-3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
N-(3-aminopropyl)-3-(6-piperidin-1-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
N-[(1S,3R)-3-aminocyclopentyl]-3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
N-[(1S,3S)-3-aminocyclopentyl]-3-(6-methoxy-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143349: Inhibition of recombinant FLT3 D835Y mutant (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-N-[[(3S)-pyrrolidin-3-yl]methyl]-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
N-[3-(dimethylamino)propyl]-3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-N-[[(3R)-pyrrolidin-3-yl]methyl]-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
N-(4-aminocyclohexyl)-3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0001uM
(15S,16R,18R)-16-amino-N,15-dimethyl-3-oxo-28-oxa-4,14,19-triazaoctacyclo[12.11.2.115,18.02,6.07,27.08,13.019,26.020,25]octacosa-1,6,8,10,12,20,22,24,26-nonaene-16-carboxamide1927343: Inhibition of FLT3 (unknown origin) autophosphorylation expressed in human Leukemia cellsic500.0001uM
3-N-[4-(4-morpholin-4-ylcyclohexyl)phenyl]-1-pyridin-2-yl-1,2,4-triazole-3,5-diamine649408: Inhibition of human recombinant FLT3 by radiometric assayki0.0002uM
N-[(E)-(5-cyanopyrazolo[1,5-a]pyrimidin-3-yl)methylideneamino]-N,2-dimethyl-5-nitrobenzenesulfonamide1245695: Inhibition of FLT3 (unknown origin) using biotin-Glu-Gly-Pro-Trp-Leu-Glu-Glu-Glu-Glu-Glu-Ala-Tyr-Gly-Trp-Met-Asp-Phe-NH2 as substrate after 90 mins by luminescence assayic500.0002uM
N-[2-(5-chloropyrazolo[1,5-a]pyrimidin-3-yl)ethyl]-2-methyl-5-nitrobenzenesulfonamide1245695: Inhibition of FLT3 (unknown origin) using biotin-Glu-Gly-Pro-Trp-Leu-Glu-Glu-Glu-Glu-Glu-Ala-Tyr-Gly-Trp-Met-Asp-Phe-NH2 as substrate after 90 mins by luminescence assayic500.0002uM
N-[2-(5-chloropyrazolo[1,5-a]pyrimidin-3-yl)ethyl]-5-cyano-N,2-dimethylbenzenesulfonamide1245695: Inhibition of FLT3 (unknown origin) using biotin-Glu-Gly-Pro-Trp-Leu-Glu-Glu-Glu-Glu-Glu-Ala-Tyr-Gly-Trp-Met-Asp-Phe-NH2 as substrate after 90 mins by luminescence assayic500.0002uM
4-[(2-methyl-6,7-dihydro-5H-cyclopenta[d]pyrimidin-4-yl)amino]-N-(4-piperazin-1-ylphenyl)-1H-pyrazole-5-carboxamide1360758: Inhibition of human FLT3 by Hotspot assayic500.0002uM
2-[4-(4-acetylpiperazin-1-yl)anilino]-4-(1H-indazol-3-yl)pyrimidine-5-carbonitrile1756404: Inhibition of FLT3 ITD mutant (unknown origin) using Glu/Tyr peptide substrate incubated for 120 mins measured after 40 mins incubation under dark by ADP-glo based luminescence assayki0.0002uM
2-[(E)-[2-(2-hydroxy-1H-indol-3-yl)indol-3-ylidene]amino]oxy-N-[(3S)-pyrrolidin-3-yl]acetamide;hydrochloride1868174: Inhibition of human recombinant His-tagged FLT3/D835Y mutant expressed in baculovirus expression system incubated for 30 mins in presence of ATP by HTRF analysisic500.0002uM
2-[(E)-[2-(5-chloro-2-hydroxy-1H-indol-3-yl)indol-3-ylidene]amino]oxy-1-piperazin-1-ylethanone;hydrochloride1868174: Inhibition of human recombinant His-tagged FLT3/D835Y mutant expressed in baculovirus expression system incubated for 30 mins in presence of ATP by HTRF analysisic500.0002uM
2-[(E)-[2-(2-hydroxy-1H-indol-3-yl)indol-3-ylidene]amino]oxy-N-[(3R)-pyrrolidin-3-yl]acetamide;hydrochloride1868174: Inhibition of human recombinant His-tagged FLT3/D835Y mutant expressed in baculovirus expression system incubated for 30 mins in presence of ATP by HTRF analysisic500.0002uM
2-[(E)-[2-(5-fluoro-2-hydroxy-1H-indol-3-yl)indol-3-ylidene]amino]oxy-1-piperazin-1-ylethanone;hydrochloride1868174: Inhibition of human recombinant His-tagged FLT3/D835Y mutant expressed in baculovirus expression system incubated for 30 mins in presence of ATP by HTRF analysisic500.0002uM
2-[(E)-[2-(5-bromo-2-hydroxy-1H-indol-3-yl)indol-3-ylidene]amino]oxy-1-piperazin-1-ylethanone;hydrochloride1868174: Inhibition of human recombinant His-tagged FLT3/D835Y mutant expressed in baculovirus expression system incubated for 30 mins in presence of ATP by HTRF analysisic500.0002uM
N-[(1S,3S)-3-aminocyclopentyl]-3-[6-(furan-3-yl)-1H-benzimidazol-2-yl]-1H-indazole-5-carboxamide2143349: Inhibition of recombinant FLT3 D835Y mutant (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0002uM
3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-N-(piperidin-3-ylmethyl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0002uM
N-(3-aminopropyl)-3-(6-pyrrolidin-1-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0002uM
N-(3-amino-2-methylpropyl)-3-(6-morpholin-4-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143345: Inhibition of recombinant wild type FLT3 kinase domain (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0002uM
N-[(1S,3S)-3-aminocyclopentyl]-3-(6-pyrrolidin-1-yl-1H-benzimidazol-2-yl)-1H-indazole-5-carboxamide2143349: Inhibition of recombinant FLT3 D835Y mutant (unknown origin) using peptide substrate incubated for for 30 mins by HTRF assayic500.0002uM
3,3,3-trifluoro-1-[4-[[2-[[6-(2-methyl-4-pyridinyl)-1H-benzimidazol-2-yl]amino]-4-pyridinyl]methyl]piperazin-1-yl]propan-1-one1582167: Inhibition of recombinant human N-terminal GST-tagged FLT3 (564 to end residues) expressed in sf21 cells using biotin labelled Ahx-GGEEEEYFELVKKKK peptide as substrate preincubated with enzyme for 15 mins followed by substrate addition and further incubated for 45 mins in presence of 10 uM of ATP by TR-FRET assayic500.0003uM
1-[[6-[4-[2-(2-hydroxyethylamino)ethoxy]phenyl]-5-methyl-2-thiophen-2-ylthieno[2,3-d]pyrimidin-4-yl]amino]-3-methylpyrrole-2,5-dione;hydrochloride1317473: Inhibition of human FLT3 D835Y mutant preincubated for 15 mins followed by poly(Glu:Tyr) substrate addition for 30 mins in presence of [gamma-32P]ATP by TR-FRET assayic500.0003uM
4-amino-5-fluoro-3-[6-(4-methylpiperazin-1-yl)-1H-benzimidazol-2-yl]-1H-quinolin-2-one1425006: Kinobeads (epsilon), multiple immobilized ATP-competitive broad spectrum kinase inhibitors, used to assess residual binding of ~300 proteins simultaneously from cell lysate in the presence of a compound. Quantitative readout performed by mass spectrometry.kd0.0003uM
5-fluoro-3-[(3E)-3-(2-piperazin-1-ylethoxyimino)indol-2-yl]-1H-indol-2-ol1868174: Inhibition of human recombinant His-tagged FLT3/D835Y mutant expressed in baculovirus expression system incubated for 30 mins in presence of ATP by HTRF analysisic500.0003uM
N-[4-(piperazin-1-ylmethyl)phenyl]-4-(thieno[2,3-d]pyrimidin-4-ylamino)-1H-pyrazole-5-carboxamide1489804: Inhibition of human FLT3 using EAIYAAPFAKKK as substrate preincubated for 20 mins followed by [gamma-33P]-ATP addition measure after 120 mins by filter binding methodic500.0003uM
N-[4-[(4-methyl-1,4-diazepan-1-yl)methyl]phenyl]-4-(thieno[2,3-d]pyrimidin-4-ylamino)-1H-pyrazole-5-carboxamide1489804: Inhibition of human FLT3 using EAIYAAPFAKKK as substrate preincubated for 20 mins followed by [gamma-33P]-ATP addition measure after 120 mins by filter binding methodic500.0003uM
8-(4-aminophenyl)-2-[3-methyl-4-(4-methylpiperazin-1-yl)anilino]pteridin-7-one1635671: Binding affinity to human partial length FLT3 D835V mutant (592 to 969 residues) expressed in mammalian expression system after 1 hrkd0.0003uM
N-(2,4-dimethoxyphenyl)-4-(1H-indol-3-yl)pyrimidin-2-amine1927363: Binding affinity to human FLT3 assessed as inhibition constantki0.0003uM

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
Sorafenibincreases response to substance, decreases reaction, increases phosphorylation, decreases activity, decreases phosphorylation5
ponatinibdecreases activity, decreases reaction, increases phosphorylation, decreases phosphorylation4
Arsenic Trioxidedecreases reaction, increases expression, affects binding, increases reaction, decreases phosphorylation (+1 more)3
Benzo(a)pyreneaffects methylation, decreases expression, increases methylation3
sodium arseniteincreases expression, increases phosphorylation2
Semaxinibdecreases activity2
Tretinoinaffects cotreatment, decreases expression, increases reaction, increases response to substance2
2-hydroxy-1-(2-((9-(4-methylcyclohexyl)-9H-pyrido(4’,3’-4,5)pyrrolo(2,3-d)pyrimidin-2-yl)amino)-7,8-dihydro-1,6-naphthyridin-6(5H)-yl)ethanonedecreases phosphorylation1
pexidartinibdecreases activity1
RGFP966affects reaction, decreases expression, decreases phosphorylation1
bisphenol Faffects cotreatment, increases methylation1
S63845decreases expression, increases reaction1
parthenolideincreases reaction, decreases expression1
fulvic acidaffects cotreatment, decreases reaction, increases expression1
bisphenol Aincreases expression1
ethyl-p-hydroxybenzoatedecreases expression1
terbufosincreases methylation1
benzo(e)pyreneincreases methylation1
celastroldecreases expression1
bafilomycin Aincreases degradation, decreases reaction, increases expression1
midostaurindecreases response to substance, decreases activity1
romidepsindecreases phosphorylation, increases reaction1
gedunindecreases expression1
tanespimycindecreases expression1
SU 5614decreases activity1
D-65476increases reaction, affects cotreatment, decreases expression1
THRX 165724decreases phosphorylation1
NSC 23766affects response to substance1
palbociclibaffects response to substance, decreases expression, decreases phosphorylation1
5-((5-fluoro-2-oxo-1,2-dihydro-3H-indol-3-ylidene)methyl)-N-(2-hydroxy-3-morpholin-4-ylpropyl)-2,4-dimethyl-1H-pyrrole-3-carboxamidedecreases phosphorylation1

ChEMBL screening assays

3132 unique, capped per target: 3096 binding, 24 functional, 8 admet, 4 toxicity

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1003890BindingInhibition of Flt3Discovery of pyrrolopyridine-pyridone based inhibitors of Met kinase: synthesis, X-ray crystallographic analysis, and biological activities. — J Med Chem
CHEMBL1963779FunctionalPUBCHEM_BIOASSAY: Navigating the Kinome. (Class of assay: other) Panel member name: FLT3PubChem BioAssay data set
CHEMBL3826089ADMETInhibition of FLT3 (unknown origin)Discovery of a potent and highly selective transforming growth factor β receptor-associated kinase 1 (TAK1) inhibitor by structure based drug design (SBDD). — Bioorg Med Chem

Cellosaurus cell lines

189 cell lines: 144 cancer cell line, 39 factor-dependent cell line, 4 embryonic stem cell, 2 spontaneously immortalized cell line

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

CellosaurusNameCategorySex
CVCL_0064MV4-11Cancer cell lineMale
CVCL_0138ACH-2Cancer cell lineFemale
CVCL_0207CCRF-CEMCancer cell lineFemale
CVCL_0614Kasumi-6Cancer cell lineMale
CVCL_0R18CEM-TART clone 1A2Cancer cell lineFemale
CVCL_0U11CEM/MX1Cancer cell lineFemale
CVCL_1150CTV-1Cancer cell lineMale
CVCL_1B35CEM/VM-1Cancer cell lineFemale
CVCL_1E04Rev-CEMCancer cell lineFemale
CVCL_1G53CEM-GFPCancer cell lineFemale

Clinical trials (associated diseases)

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

TrialPhaseStatusTitle
NCT00199147PHASE4UNKNOWNEfficacy of G-CSF-Priming in Elderly AML Patients
NCT00304447PHASE4COMPLETEDStudy Evaluating the Effect of Corticosteroids on Mylotarg® Infusion-Related Adverse Events in Patients With Leukemia
NCT00464217PHASE4COMPLETEDTreatment of the Acute Myeloblastic Leukaemia in Patients Over 65 Years
NCT00487448PHASE4COMPLETEDSMD_FLAG-IDA_98: FLAG-IDA in Induction Treatment of High Risk Myelodysplastic Syndromes or Secondary Acute Myeloblastic Leukemia
NCT00488709PHASE4COMPLETEDFludarabine, Cytarabine, Topotecan in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia
NCT00686543PHASE4COMPLETEDOral Posaconazole in High Risk Patients With Gastrointestinal Dysfunction (Study P05115)
NCT01041040PHASE4COMPLETEDLAM07: Study to Analyze the Efficacy of a Risk Adapted Treatment Strategy, Including Gemtuzumab Ozogamicin (GO) During Consolidation, for Patients With Acute Myeloid Leukemia (AML)
NCT01198054PHASE4TERMINATEDLENA-LMA-5:Lenalidomide in Acute Myeloid Leukemia (AML)
NCT01200355PHASE4COMPLETEDPosaconazole Versus Micafungin for Prophylaxis Against Invasive Fungal Infections During Neutropenia in Patients Undergoing Chemotherapy for Acute Myelogenous Leukemia, Acute Lymphocytic Leukemia or Myelodysplastic Syndrome
NCT01347996PHASE4COMPLETEDMaintenance Therapy With Ceplene® (Histamine) and IL-2 on Immune Response and MRD in Acute Myeloid Leukemia
NCT01587430PHASE4UNKNOWN3 Anthracyclines, 2 Types of Consolidation With Different ARA-C Doses and Maintenance in Adult Acute Myeloid Leukemia
NCT01819792PHASE4COMPLETEDRespiratory Viral Infections During Acute Myeloid Leukemia (AML)Chemotherapy Related Aplasia
NCT02024308PHASE4UNKNOWNAML1-ETO Acute Myeloid Leukemia With Fludarabine and Cytarabine Chemotherapy
NCT02027064PHASE4UNKNOWNInterferon for the Intervention of Molecular Relapse in t (8; 21) AML After Allo-HSCT
NCT02277847PHASE4UNKNOWNIdarubicin at Different Dosages as Induction Therapy for Newly Diagnosed Acute Myeloid Leukaemia
NCT02386800PHASE4ACTIVE_NOT_RECRUITINGCINC424A2X01B Rollover Protocol
NCT02926586PHASE4COMPLETEDFludarabine and Cytarabine Versus High-dose Cytarabine for CBF-AML
NCT02933333PHASE4UNKNOWNG-CSF Alone or Combination With GM-CSF on Prevention and Treatment of Infection in Children With Malignant Tumor
NCT03026842PHASE4UNKNOWNDecitabine Versus Conventional Chemotherapy for Maintenance Therapy of Acute Myeloid Leukemia With t(8;21)
NCT03150134PHASE4UNKNOWNEarly Tapering of Immunosuppressive Agents to Immunomodulation to Improve Survival of AML Patients
NCT05144243PHASE4ACTIVE_NOT_RECRUITINGStudy to Assess Adverse Events and Change in Disease State of Oral Venetoclax in Combination With Subcutaneous (SC) Azacitidine in Newly Diagnosed Adult Participants With Acute Myeloid Leukemia (AML) Who Are Ineligible for Intensive Chemotherapy in China
NCT06370000PHASE4RECRUITINGOral Azacitidine in Transplant-Eligible Patients With Acute Myeloid Leukemia (AML) Suffering From Health-Inequality
NCT06571825PHASE4RECRUITINGRIC Allo-HSCT vs. Venetoclax-Based Consolidation in Elderly AML Patients After First CR
NCT07016165PHASE4RECRUITINGCiprofloxacin vs Ceftazidime for Empirical Treatment of High-Risk Neutropenic Fever in Children With Hematologic Malignancies
NCT07044687PHASE4RECRUITINGStudy to Assess Adverse Events and Change in Disease Activity of Oral Venetoclax in Combination With Subcutaneous (SC) or Intravenous (IV) Azacitidine in Newly Diagnosed Adult Participants With Acute Myeloid Leukemia (AML) Who Are Ineligible for Standard Induction Therapy in India
NCT07486713PHASE4RECRUITINGOlutasidenib DDI Study in Patients With IDH1 Mutation Positive Malignancies
NCT07561892PHASE4RECRUITINGStudy of the Effectiveness and Safety of Daunorubicin /Idarubicin ± Silibinin in Treating Newly Diagnosed AML (Non-M3).
NCT00000589PHASE3COMPLETEDTrial to Reduce Alloimmunization to Platelets (TRAP)
NCT00044486PHASE3COMPLETEDProphylaxis Trial of Posaconazole Versus Standard Azole Therapy for Neutropenic Patients (Study P01899)
NCT00093990PHASE3COMPLETEDTipifarnib Versus Best Supportive Care in the Treatment of Newly Diagnosed Acute Myeloid Leukemia (AML)
NCT00125606PHASE3TERMINATEDPhase 3 Trial for AML Patients in CR2 Comparing 8Gy TBI /Fludarabine to Conditioning With TBI 12Gy/Cyclophosphamide
NCT00136084PHASE3COMPLETEDTreatment of Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplasia
NCT00146120PHASE3COMPLETEDRisk-Adapted Therapy of Acute Myeloid Leukemia of Adults (18-60 Years) According to the Cytogenetic Result
NCT00150878PHASE3TERMINATEDStandard vs. Reduced-Intensity Conditioning in Patients With Acute Myeloid Leukemia in First Remission
NCT00151255PHASE3COMPLETEDAll-Trans Retinoic Acid in Combination With Standard Induction and Consolidation Therapy in Older Patients With Newly Diagnosed Acute Myeloid Leukemia
NCT00152139PHASE3COMPLETEDStem Cell Transplantation for Patients With Hematologic Malignancies
NCT00152594PHASE3TERMINATEDVoriconazole or Placebo in the Prophylaxis of Lung Infiltrates in Patients Undergoing Induction Chemotherapy for Acute Myelogenous Leukemia
NCT00186966PHASE3COMPLETEDTreatment of Children and Adolescents With Refractory or Relapsed Acute Myeloid Leukemia
NCT00226512PHASE3WITHDRAWNTo Determine the Role of Adding Campath-1H or ATG Given In-vivo in Addition to Fludarabine and Low Dose Busulfex on Outcome in Patients Treated With Reduced Intensity Conditioning
NCT00260832PHASE3COMPLETEDTrial of Decitabine in Patients With Acute Myeloid Leukemia