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NPM1

gene
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Also known as B23NPM

Summary

NPM1 (nucleophosmin 1, HGNC:7910) is a protein-coding gene on chromosome 5q35.1, encoding Nucleophosmin (P06748). Involved in diverse cellular processes such as ribosome biogenesis, centrosome duplication, protein chaperoning, histone assembly, cell proliferation, and regulation of tumor suppressors p53/TP53 and ARF. In precision oncology, NPM1 EXON 11 MUTATION confers sensitivity to Tretinoin in Acute Myeloid Leukemia (CIViC Level B); 10 further curated variant–drug associations are listed below. It is a selective cancer dependency (DepMap: 81.3% of cell lines).

The protein encoded by this gene is involved in several cellular processes, including centrosome duplication, protein chaperoning, and cell proliferation. The encoded phosphoprotein shuttles between the nucleolus, nucleus, and cytoplasm, chaperoning ribosomal proteins and core histones from the nucleus to the cytoplasm. This protein is also known to sequester the tumor suppressor ARF in the nucleolus, protecting it from degradation until it is needed. Mutations in this gene are associated with acute myeloid leukemia. Dozens of pseudogenes of this gene have been identified.

Source: NCBI Gene 4869 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): dyskeratosis congenita (Strong, GenCC) — +1 more curated relationship
  • GWAS associations: 4
  • Clinical variants (ClinVar): 97 total — 8 pathogenic
  • Regional missense constraint (gnomAD): 1 of 5 regions constrained (≈6% of expected missense variation)
  • GTEx eGene: eQTL in 10 tissues, sQTL in 1 (q < 0.05)
  • Phenotypes (HPO): 99
  • Drug target: yes — 2 via a complex or family; 5 molecules with ChEMBL bioactivity
  • Approved drugs acting on a complex or family including it: 2 — Ceritinib, Crizotinib (NPM/ALK (Nucleophosmin/ALK tyrosine kinase receptor))
  • Precision-oncology evidence (CIViC): 11 curated variant–drug associations
  • Cancer driver (intOGen): activating (oncogene-like) across 1 cancer types (inferred from mutation patterns)
  • Cancer dependency (DepMap): dependent in 81.3% of screened cell lines
  • Constraint (gnomAD): pLI 1.00 (loss-of-function intolerant), LOEUF 0.31 (highly constrained)
  • Transcription factor: yes — 12 downstream targets (CollecTRI)
  • MANE Select transcript: NM_002520
  • Interaction hub: 5,060 STRING partners (top 1% of genes corpus-wide)

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:7910
Approved symbolNPM1
Namenucleophosmin 1
Location5q35.1
Locus typegene with protein product
StatusApproved
AliasesB23, NPM
Ensembl geneENSG00000181163
Ensembl biotypeprotein_coding
OMIM164040
Entrez4869

Gene structure

Transcript identifiers

Ensembl transcripts: 94 — 57 protein_coding, 21 nonsense_mediated_decay, 16 retained_intron

MANE Select: ENST00000296930

Transcript support level (Ensembl TSL; 1 = fully mRNA-supported): TSL 1: 4, TSL 2: 6, TSL 3: 1, TSL 5: 1

ENST00000296930, ENST00000351986, ENST00000393820, ENST00000517671, ENST00000518587, ENST00000519955, ENST00000521260, ENST00000521672, ENST00000521710, ENST00000523339, ENST00000523622, ENST00000524204, ENST00000676504, ENST00000676589, ENST00000676613, ENST00000676625, ENST00000677297, ENST00000677325, ENST00000677357, ENST00000677467, ENST00000677600, ENST00000677672, ENST00000677682, ENST00000677741, ENST00000677904, ENST00000677907, ENST00000678186, ENST00000678267, ENST00000678280, ENST00000678774, ENST00000679006, ENST00000679190, ENST00000679233, ENST00000867397, ENST00000867398, ENST00000923456, ENST00000923457, ENST00000923458, ENST00000923459, ENST00000923460, ENST00000923461, ENST00000923462, ENST00000923463, ENST00000923464, ENST00000923465, ENST00000923466, ENST00000923467, ENST00000923468, ENST00000923469, ENST00000923470, ENST00000923471, ENST00000923472, ENST00000923473, ENST00000923474, ENST00000923475, ENST00000923476, ENST00000923477, ENST00000923478, ENST00000923479, ENST00000923480, ENST00000923481, ENST00000923482, ENST00000923483, ENST00000964720, ENST00000992495, ENST00001024951, ENST00001024952, ENST00001024953, ENST00001024954, ENST00001024962, ENST00001073360, ENST00001073361, ENST00001073362, ENST00001073363, ENST00001073366, ENST00001073368, ENST00001073371, ENST00001073381, ENST00001073383, ENST00001073385, ENST00001073387, ENST00001073407, ENST00001073417, ENST00001073418, ENST00001073420, ENST00001073424, ENST00001073425, ENST00001104009, ENST00001104010, ENST00001104011, ENST00001104012, ENST00001128472, ENST00001128473, ENST00001136740

RefSeq mRNA: 7 — MANE Select: NM_002520 NM_001037738, NM_001355006, NM_001355007, NM_001355009, NM_001355010, NM_002520, NM_199185

CCDS: CCDS43399, CCDS4376, CCDS4377, CCDS93824

Canonical transcript exons

ENST00000296930 — 11 exons

ExonStartEnd
ENSE00001026390171405302171405403
ENSE00001026397171407700171407774
ENSE00001084445171400153171400210
ENSE00001084451171400839171400925
ENSE00001084453171392914171392978
ENSE00001084454171392710171392816
ENSE00003517265171390051171390130
ENSE00003536019171391305171391424
ENSE00003625205171391706171391799
ENSE00003906984171387849171388006
ENSE00003909747171410527171410900

Expression profiles

Bgee: expression breadth ubiquitous, 276 present calls, max score 99.78.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 326.0238 / max 6404.1810, expressed in 1828 samples.

Highest expression (Bgee): calcaneal tendon, ovary, ventricular zone, endocervix, body of uterus.

Genetic regulation across tissues (GTEx eQTL / sQTL)

NPM1 is an eGene in GTEx v10 — its expression is genetically regulated (eQTL) in 10 tissues and its splicing (sQTL) in 1 (q < 0.05). Strongest associations first; slope = normalized effect of the lead variant’s alternative allele.

11 significant tissue × QTL associations:

TissueQTLq-valueSlopeLead variant
Testiseqtl1.3e-10-0.245:171388517:C:T
Muscle Skeletaleqtl4.3e-05+0.125:171376454:G:A
Heart Atrial Appendageeqtl8.1e-04+0.125:171387019:C:T
Cells Cultured fibroblastssqtl2.1e-03+0.155:171421120:G:A
Heart Left Ventricleeqtl2.8e-03-0.475:170540723:T:C
Esophagus Musculariseqtl2.3e-02-0.215:172047170:G:A
Adipose Visceral Omentumeqtl3.0e-02-0.235:172234535:A:G
Brain Nucleus accumbens basal gangliaeqtl3.5e-02+0.285:171842760:A:G
Skin Not Sun Exposed Suprapubiceqtl3.7e-02-0.315:171462091:C:T
Nerve Tibialeqtl3.7e-02-0.265:171358546:T:C
Minor Salivary Glandeqtl4.5e-02-0.435:171538367:C:T

FANTOM5 promoters

1 alternative TSS:

Promoter IDTPM avgSamples expressed
60178326.02381828

Top tissues by expression

showing 100 of 284 tissues by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
calcaneal tendonUBERON:000370199.78gold quality
left ovaryUBERON:000211999.70gold quality
ventricular zoneUBERON:000305399.67gold quality
right ovaryUBERON:000211899.66gold quality
endocervixUBERON:000045899.64gold quality
body of uterusUBERON:000985399.63gold quality
ganglionic eminenceUBERON:000402399.62gold quality
body of pancreasUBERON:000115099.61gold quality
right uterine tubeUBERON:000130299.56gold quality
right testisUBERON:000453499.56gold quality
ectocervixUBERON:001224999.56gold quality
left testisUBERON:000453399.54gold quality
cortical plateUBERON:000534399.53gold quality
adrenal tissueUBERON:001830399.52gold quality
colonic epitheliumUBERON:000039799.51gold quality
mucosa of stomachUBERON:000119999.50gold quality
left uterine tubeUBERON:000130399.50gold quality
gall bladderUBERON:000211099.49gold quality
metanephros cortexUBERON:001053399.49gold quality
stromal cell of endometriumCL:000225599.48gold quality
muscle layer of sigmoid colonUBERON:003580599.48gold quality
body of stomachUBERON:000116199.47gold quality
popliteal arteryUBERON:000225099.47gold quality
tibial arteryUBERON:000761099.47gold quality
left lobe of thyroid glandUBERON:000112099.46gold quality
islet of LangerhansUBERON:000000699.45gold quality
rectumUBERON:000105299.44gold quality
right lungUBERON:000216799.43gold quality
adenohypophysisUBERON:000219699.43gold quality
descending thoracic aortaUBERON:000234599.42gold quality
olfactory segment of nasal mucosaUBERON:000538699.42gold quality
right lobe of thyroid glandUBERON:000111999.41gold quality
right coronary arteryUBERON:000162599.41gold quality
left coronary arteryUBERON:000162699.41gold quality
esophagogastric junction muscularis propriaUBERON:003584199.41gold quality
left adrenal glandUBERON:000123499.40gold quality
minor salivary glandUBERON:000183099.40gold quality
primordial germ cell in gonadCL:0000670 ∩ UBERON:000099199.39gold quality
esophagus mucosaUBERON:000246999.39gold quality
left adrenal gland cortexUBERON:003582599.39gold quality
right adrenal gland cortexUBERON:003582799.39gold quality
right adrenal glandUBERON:000123399.38gold quality
pancreasUBERON:000126499.37gold quality
tibial nerveUBERON:000132399.37gold quality
skin of abdomenUBERON:000141699.37gold quality
lower esophagusUBERON:001347399.37gold quality
lower esophagus muscularis layerUBERON:003583399.37gold quality
lower esophagus mucosaUBERON:003583499.37gold quality
esophagusUBERON:000104399.36gold quality
omental fat padUBERON:001041499.36gold quality
peritoneumUBERON:000235899.35gold quality
upper lobe of left lungUBERON:000895299.35gold quality
aortaUBERON:000094799.34gold quality
ascending aortaUBERON:000149699.33gold quality
thoracic aortaUBERON:000151599.33gold quality
transverse colonUBERON:000115799.32gold quality
small intestine Peyer’s patchUBERON:000345499.31gold quality
skin of legUBERON:000151199.30gold quality
C1 segment of cervical spinal cordUBERON:000646999.24gold quality
monocyteCL:000057699.16gold quality
thyroid glandUBERON:000204699.15gold quality
mucosa of transverse colonUBERON:000499199.15gold quality
granulocyteCL:000009499.14gold quality
leukocyteCL:000073899.12gold quality
saliva-secreting glandUBERON:000104499.12gold quality
cerebellar hemisphereUBERON:000224599.12gold quality
mononuclear cellCL:000084299.10gold quality
ovaryUBERON:000099299.10gold quality
stomachUBERON:000094599.06gold quality
mouth mucosaUBERON:000372999.06gold quality
right hemisphere of cerebellumUBERON:001489099.05gold quality
cerebellar cortexUBERON:000212999.04gold quality
right atrium auricular regionUBERON:000663199.03gold quality
tongue squamous epitheliumUBERON:000691999.03gold quality
pancreatic ductal cellCL:000207999.01gold quality
upper lobe of lungUBERON:000894898.95gold quality
coronary arteryUBERON:000162198.90gold quality
hair follicleUBERON:000207398.86gold quality
gastrocnemiusUBERON:000138898.84gold quality
pituitary glandUBERON:000000798.81gold quality
anterior cingulate cortexUBERON:000983598.79gold quality
testisUBERON:000047398.77gold quality
parotid glandUBERON:000183198.77gold quality
adrenal glandUBERON:000236998.77gold quality
hindlimb stylopod muscleUBERON:000425298.76gold quality
vermiform appendixUBERON:000115498.75gold quality
smooth muscle tissueUBERON:000113598.74gold quality
right frontal lobeUBERON:000281098.73gold quality
cingulate cortexUBERON:000302798.71gold quality
cervix squamous epitheliumUBERON:000692298.70gold quality
muscle of legUBERON:000138398.68gold quality
spleenUBERON:000210698.65gold quality
tonsilUBERON:000237298.62gold quality
adipose tissue of abdominal regionUBERON:000780898.62gold quality
embryoUBERON:000092298.60gold quality
small intestineUBERON:000210898.57gold quality
colonUBERON:000115598.56gold quality
apex of heartUBERON:000209898.52gold quality
adrenal cortexUBERON:000123598.51gold quality
right lobe of liverUBERON:000111498.49gold quality

Single-cell (SCXA)

Detected in 35 experiment(s), a significant marker in 16.

ExperimentMarker?Max mean expression
E-MTAB-10042yes3577.33
E-CURD-112yes3454.76
E-CURD-98yes3444.88
E-HCAD-4yes2629.11
E-MTAB-9801yes2281.16
E-HCAD-1yes2238.93
E-CURD-122yes1775.80
E-GEOD-125970yes1218.02
E-MTAB-9467yes69.98
E-MTAB-9221yes54.02
E-CURD-88yes35.89
E-CURD-46yes35.00
E-GEOD-134144yes31.27
E-HCAD-13yes28.22
E-MTAB-9067yes22.16

HPA expression

RNA tissue specificity: Low tissue specificity

showing 60 of 78 HPA tissues / cells by nTPM:

Tissue / cellAxisnTPMProtein (IHC)
Ovarytissue1213.0high
Bone marrowtissue743.5high
Lymph nodetissue725.3high
Tonsiltissue712.7high
Thymustissue636.5
Endometrium 1tissue614.4high
Breasttissue557.7high
Fallopian tubetissue499.7high
Urinary bladdertissue490.3high
Vaginatissue488.6high
Thyroid glandtissue476.8high
Pancreastissue448.8high
Appendixtissue441.4high
Cervixtissue430.0high
Smooth muscletissue407.1high
Epididymistissue398.0high
Placentatissue397.8high
Rectumtissue395.2high
Esophagustissue390.6high
Kidneytissue350.0high
Livertissue345.8high
Colontissue332.9high
Gallbladdertissue332.7high
Duodenumtissue326.2high
Prostatetissue318.2high
Stomach 1tissue315.8high
Adrenal glandtissue315.2high
Heart muscletissue315.1high
Spleentissue314.5high
Salivary glandtissue312.2high
Seminal vesicletissue299.7high
Small intestinetissue296.9high
Adipose tissuetissue296.7high
Skin 1tissue285.4high
Pituitary glandtissue271.4
Skeletal muscletissue271.1high
Testistissue265.9high
Tonguetissue263.4
Parathyroid glandtissue261.2high
Lungtissue240.5high
Choroid plexustissue179.8
Retinatissue149.1
Locus coeruleustissue148.6
Nucleus accumbenstissue131.0
Spinal cordtissue127.3
Ponstissue123.9
Putamentissue123.6
Superior colliculitissue121.8
Hippocampustissue118.7high
Midbraintissue118.0
Corpus callosumtissue117.2
Thalamustissue116.2
Medulla oblongatatissue114.6
Septumtissue112.7
Hippocampal formationtissue112.2
Substantia nigratissue109.9
Cerebellumtissue108.4high
Postcentral gyrustissue106.5
Hypothalamustissue106.1
Basal gangliatissue105.8high

Brain sub-regions (HPA Brain Atlas): detected in 192; highest nTPM — Blood vessel (501.6), Cervical spinal cord, ventral horn (221.8), Supraoptic nucleus (214.3), Medial olivary nucleus (202.6), Anterior funiculus (white matter) (198.3).

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

12 targets:

TargetRegulation
ATF5Repression
BRD4Unknown
CCND1Unknown
CDKN1AActivation
DNMT1Unknown
ELF4Unknown
FBP1Repression
HOXA9Repression
PTPN6Activation
RPL3Unknown
TAF1AActivation
USP7Unknown

Upstream regulators (CollecTRI, top): AP1, ATF5, CEBPB, CTNNB1, ELF4, GLI1, HIF1A, JUN, JUNB, MYC, RARA, STAT5A, TFAP2A, TP53, TXK, YY1

miRNA regulators (miRDB)

Targeting NPM1 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific).

showing 30 of 52 miRNAs:

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-200B-3P100.0073.312693
HSA-MIR-200C-3P100.0073.352685
HSA-MIR-429100.0073.442698
HSA-MIR-3646100.0073.565283
HSA-MIR-4682100.0068.891258
HSA-MIR-1213699.9872.815713
HSA-MIR-1229-3P99.9766.49906
HSA-MIR-548AJ-3P99.9673.385345
HSA-MIR-548X-3P99.9673.385345
HSA-MIR-548AA99.9670.643753
HSA-MIR-548AP-3P99.9670.643753
HSA-MIR-548T-3P99.9670.643753
HSA-MIR-23A-3P99.9574.243163
HSA-MIR-23B-3P99.9574.243163
HSA-MIR-23C99.9573.923192
HSA-MIR-548J-3P99.9472.614881
HSA-MIR-548AE-3P99.9372.664867
HSA-MIR-548AH-3P99.9372.544872
HSA-MIR-548AM-3P99.9372.544872
HSA-MIR-548AQ-3P99.9372.664867
HSA-MIR-205-3P99.9269.923165
HSA-MIR-568099.9169.833421
HSA-MIR-7-1-3P99.9171.534384
HSA-MIR-7-2-3P99.9171.404394
HSA-MIR-182-5P99.8774.032589
HSA-MIR-6739-5P99.8067.872806
HSA-MIR-6733-5P99.7467.942759
HSA-MIR-472999.6972.184233
HSA-MIR-58799.6470.862611
HSA-MIR-315399.5567.592337

Functional genomics

gnomAD constraint: pLI 0.996, LOEUF 0.313, missense Z 1.4 — population loss-of-function intolerance (pLI ≥ 0.9 = LoF-intolerant; lower LOEUF = more constrained). gnomAD

Regional missense constraint (gnomAD)

ENST00000296930 splits into 5 regions with different missense tolerance; 1 is missense-constrained (≈6% of the expected missense variation). Missense variants in a constrained region (low observed/expected) are more likely to be pathogenic. gnomAD

Region (GRCh38)Missense obs / expo/eConstrained
5:171,387,949–171,387,98514 / 16.20.87no
5:171,387,986–171,391,75843 / 109.60.39no
5:171,391,759–171,392,7232 / 21.40.09yes (p 2.7e-05)
5:171,392,724–171,400,85491 / 94.00.97no
5:171,400,855–171,410,56247 / 106.50.44no
DepMap (CRISPR cell-line fitness): dependent in 81.3% of screened cell lines.

Most-dependent cell lines (DepMap gene-effect, lower = stronger; ≤ −0.5 shown): KARPAS-299 (-3.065), OCI-AML3 (-2.59), DEL (-2.383), A-172 (-2.357), EW-7 (-2.353), 769-P (-2.314), TC-71 (-2.237), A549 (-2.209), NMC-G1 (-1.979), NB10 (-1.942), KYSE-450 (-1.933), LNCaP clone FGC (-1.894), YCUB-2 (-1.886), CAL-51 (-1.841), OS186 (-1.832).

Literature-anchored findings (GeneRIF, showing 40)

  • overexpressed in acute myeloid leukemia while translocations associated with this gene are absent (PMID:12031912)
  • marker of proliferation activity of human peripheral lymphocytes (PMID:12057857)
  • NPM is a crucial regulator of p53 (PMID:12080348)
  • involvement of NPM/B23 in the acute response of mammalian cells to environmental stress, such as UV rays (PMID:12374805)
  • overexpression of NPM suppressed PKR activity, enhanced protein synthesis, and inhibited apoptosis. Fanconi anemia lymphoblasts expressed low levels of NPM, which correlated with high ground-state activation of PKR and hypersensitivity to apoptotic cues (PMID:12882984)
  • These findings suggest that an NPM/MLF1 fusion is the primary molecular abnormality in t(3;5) MDS and AML with multilineage dysplasia, and that cases with NPM/MLF1 may be clinically distinct from other MDS-associated disease (PMID:14506644)
  • unique B23 conformation in hepatoma (PMID:14519847)
  • Src-kinases, particularly pp60(c-src), associate with and are activated by NPM-ALK expression in various cells, and in cell lines established from patients with large cell lymphoma (PMID:14563642)
  • Results reveal a molecular mechanism of ARF in regulating ribosome biogenesis and cell proliferation via inhibiting B23. (PMID:14636574)
  • NPM/ALK-mediated induction of Bcl-XL (PMID:14656879)
  • cleavage of B23 by granzyme b in intact vascular smooth muscle cells is dependent upon both cell type and phenotype (PMID:14730621)
  • These data suggest that nucleophosmin is an early responder to DNA damage that prevents premature activation of p53. (PMID:15082766)
  • nucleophosmin is an NF-kappaB co-activator for the induction of the human SOD2 gene (PMID:15087454)
  • BRCA1-BARD1 catalyzes the polyubiquitination of nucleolar phosphoprotein nucleophosmin/B23 (PMID:15184379)
  • identification of Ser-4 in B23 as a major physiological substrate of Polo-like kinase 1 (PMID:15190079)
  • NPM inhibits hypoxia-induced p53 phosphorylation at Ser-15 and interacts with p53 in hypoxic cells; hypoxia-driven cancer progression may require increased expression of NPM to suppress p53 activation and maintain cell survival (PMID:15310764)
  • Aloe-emodin caused increase in the amount of proform and fragment of nucleophosmin in cytoplasm may be one of the important events for aloe-emodin-induced H460 cell apoptosis pf mpm-small cell lung cancer. (PMID:15514966)
  • c-Myc-mediated expression of NPM decreases during retinoic acid-induced differentiation of HL-60 cells. (PMID:15589822)
  • a novel association of B23 and Gadd45a and implicate B23 as an important regulator in Gadd45a nuclear import. (PMID:15644315)
  • Cytoplasmic NPM is a characteristic feature of a large subgroup of patients with AML who have a normal karyotype, NPM gene mutations, and responsiveness to induction chemotherapy. (PMID:15659725)
  • CDK2-BRCA1-NPM pathway coordinately functions in cell growth and tumor progression pathways. (PMID:15665273)
  • NPM inhibits ARF’s p53-dependent activity by targeting it to nucleoli and impairing ARF-Mdm2 association. (PMID:15684379)
  • The molecular signature of cytoplasmic NPM+ AML includes up-regulation of several genes putatively involved in the maintenance of a stem-cell phenotype, suggesting that cytoplasmic NPM+ AML may derive from a multipotent hematopoietic progenitor. (PMID:15831697)
  • base sequences are given for NPM1 mutated childhood AML patients; consistent deletion/insertion features are presented (PMID:15870172)
  • polyamine depletion increased expression of the NPM gene and enhances NPM nuclear translocation and increased NPM interacts with and stabilizes p53, leading to inhibition of IEC-6 cell proliferation (PMID:15872011)
  • NPM inhibits ionizing irradiation-induced p53 transactivation, and interacts with p53 in hematopoietic cells. (PMID:15964625)
  • the NPM1 mutation is not necessarily an early event during leukemogenesis; the NPM1 mutation was a favorable factor for achieving complete remission but was associated with a high relapse rate (PMID:15994285)
  • Nucleophosmin (NPM) may be a Ran-Crm1 substrate that controls centrosome duplication. (PMID:16041368)
  • results indicate that HCV core can recruit B23 and p300 to relieve the repression effect of YY1 on B23 promoter activity (PMID:16170350)
  • Enforced expression of an NPM cytoplasmic mutant acutely attenuates p53-dependent and -independent functions of Arf tumor suppressor protein, and also affects endogenous NPM localization. (PMID:16205118)
  • These findings indicate the involvement of nucleophosmin in the regulation of pre-mRNA processing, and its activity is controlled by CDK2-mediated phosphorylation on Thr(199). (PMID:16376875)
  • FRGY2a and YB1 disassemble nucleoli by sequestering B23, which is associated with pre-ribosomes and other structurally important nucleolar components (PMID:16415342)
  • both alterations are crucial for acute myeloid leukemia NPM mutant export from nucleus to cytoplasm; NPM leukemic mutants in turn recruit the wild-type NPM from nucleoli to nucleoplasm and cytoplasm (PMID:16455950)
  • NPM1 mutations represent a common genetic abnormality in adult acute myeloid leukemia and appears to identify patients with improved response toward treatment. (PMID:16455956)
  • The sensitive RQ-PCR assays for NPM1 mutations can now monitor and quantify MRD in AML patients with normal karyotype and NPM1 gene mutations. (PMID:16541144)
  • results suggest that B23 plays an important role in the intracellular localization of the core protein and replication of Japanese encephalitis virus (PMID:16547420)
  • NPM1 mutations may be also involved in the pathogenesis of myelodysplastic syndromes. (PMID:16678898)
  • the functional integrity of the B23 core motif is required for stability, efficient nucleolar localization as well as ARF binding (PMID:16679321)
  • constitutive expression of C/EBPbeta in ALK-positive anaplastic large cell lymphoma and its relationship to NPM-ALK (PMID:16709933)
  • new exon-12 NPM mutations in acute myeloid leukemia (PMID:16720834)

Cross-species orthologs

5 orthologs

OrganismSymbolGene ID
danio_rerionpm1aENSDARG00000014329
mus_musculusNpm1ENSMUSG00000057113
rattus_norvegicusAABR07055527.1ENSRNOG00000039997
drosophila_melanogasterNlpFBGN0016685
drosophila_melanogasterNphFBGN0039735

Paralogs (2): NPM3 (ENSG00000107833), NPM2 (ENSG00000158806)

Mouse-model phenotypes

Observed phenotypes of the mouse ortholog (MGI:106184) from MGI (Alliance of Genome Resources) — knockout/mutant phenotypes, ranked by annotation count. 60 distinct phenotype terms.

Mouse phenotype (MP)Records
embryonic lethality, complete penetrance3
increased leukocyte cell number2
increased granulocyte number2
abnormal cell proliferation2
enlarged spleen2
decreased embryo size2
increased mean corpuscular volume2
increased hematopoietic stem cell number2
increased spleen weight2
abnormal common myeloid progenitor cell morphology2
embryonic lethality during organogenesis, complete penetrance2
increased monocyte cell number1
abnormal thrombopoiesis1
extramedullary hematopoiesis1
increased bone marrow cell number1
enlarged liver1
abnormal eye development1
anophthalmia1
anemia1
abnormal placenta development1
absent vitelline blood vessels1
embryonic growth arrest1
increased B cell derived lymphoma incidence1
premature death1
abnormal brain morphology1

+35 more (showing top 25).

Additional cross-species homologs

Sequence homologs in species beyond Ensembl Compara’s model organisms, by Diamond local protein alignment (% sequence identity; best hit per species). Lower-identity rows are more distant homologs. The matched accessions’ gene symbols aren’t in biobtree yet, so each row shows the UniProt accession.

OrganismUniProtIdentityMethod
Pongo abeliiQ5RC3797.8%Diamond
Rhinella marinaQ1HTZ887.0%Diamond
Aquarana catesbeianaQ1HTZ987.0%Diamond
Bos taurusQ3T16083.7%Diamond
Xenopus laevisP0522181.8%Diamond
Gallus gallusP1603966.9%Diamond
Lytechinus pictusP9175347.5%Diamond
Patiria pectiniferaQ9NLA344.0%Diamond

Genomic neighbors (locus context)

Genes flanking this one on the chromosome (NCBI/Entrez gene neighborhood). Positional context only — some neighbors share regulatory elements (bidirectional promoters, antisense/overlapping transcripts), but chromosomal adjacency is not itself a functional relationship (see Interactions for that).

SymbolTypeEntrez
SNORA70JsnoRNA109616973
FGF18protein-coding8817
MIR3912ncRNA100500831

Protein

Protein identifiers

Nucleophosmin — P06748 (reviewed: P06748)

Alternative names: Nucleolar phosphoprotein B23, Nucleolar protein NO38, Numatrin

All UniProt accessions (15): A0A0S2Z491, A0A0S2Z4G7, A0A140VJQ2, A0A7I2V2X9, A0A7I2V3G5, A0A7I2V3U2, A0A7I2V433, A0A7I2V4G8, A0A7I2V579, A0A7I2V5J8, A0A7I2V5S2, A0A7I2YQC0, E5RGW4, E5RI98, P06748

UniProt curated annotations — full annotation on UniProt →

Function. Involved in diverse cellular processes such as ribosome biogenesis, centrosome duplication, protein chaperoning, histone assembly, cell proliferation, and regulation of tumor suppressors p53/TP53 and ARF. Binds ribosome presumably to drive ribosome nuclear export. Associated with nucleolar ribonucleoprotein structures and bind single-stranded nucleic acids. Acts as a chaperonin for the core histones H3, H2B and H4. Stimulates APEX1 endonuclease activity on apurinic/apyrimidinic (AP) double-stranded DNA but inhibits APEX1 endonuclease activity on AP single-stranded RNA. May exert a control of APEX1 endonuclease activity within nucleoli devoted to repair AP on rDNA and the removal of oxidized rRNA molecules. In concert with BRCA2, regulates centrosome duplication. Regulates centriole duplication: phosphorylation by PLK2 is able to trigger centriole replication. Negatively regulates the activation of EIF2AK2/PKR and suppresses apoptosis through inhibition of EIF2AK2/PKR autophosphorylation. Antagonizes the inhibitory effect of ATF5 on cell proliferation and relieves ATF5-induced G2/M blockade. In complex with MYC enhances the transcription of MYC target genes. May act as chaperonin or cotransporter in the nucleolar localization of transcription termination factor TTF1.

Subunit / interactions. Decamer formed by two pentameric rings associated in a head-to-head fashion. Disulfide-linked dimers under certain conditions. The SWAP complex consists of NPM1, NCL, PARP1 and SWAP70. Interacts with NSUN2 and SENP3. Interacts with the methylated form of RPS10. Interacts (via N-terminal domain) with APEX1; the interaction is RNA-dependent and decreases in hydrogen peroxide-damaged cells. Interacts with isoform 1 of NEK2. Interacts with ROCK2 and BRCA2. Interacts with RPGR. Interacts with CENPW. Interacts with EIF2AK2/PKR. Interacts with CEBPA (isoform 4). Interacts with DDX31; this interaction prevents interaction between NPM1 and HDM2. Interacts with MYC; competitive with NOP53. Interacts with NOP53; the interaction is direct and competitive with MYC. Interacts with LRRC34. Interacts with RRP1B. Interacts with NPM3. Interacts with ALKBH2. Interacts with TTF1 (via C-terminal region). Interacts with NOP2. Interacts with ARID3C (via REKLES DOMAIN); the interaction mediates ARID3C nuclear shuttling. Interacts with RSMC. (Microbial infection) Interacts with hepatitis delta virus S-HDAg. (Microbial infection) Interacts with HTLV1 Rex protein (via N-terminal nuclear localization signal).

Subcellular location. Nucleus. Nucleolus. Nucleoplasm. Cytoplasm. Cytoskeleton. Microtubule organizing center. Centrosome.

Post-translational modifications. Acetylated at C-terminal lysine residues, thereby increasing affinity to histones. ADP-ribosylated. Phosphorylated at Ser-4 by PLK1 and PLK2. Phosphorylation at Ser-4 by PLK2 in S phase is required for centriole duplication and is sufficient to trigger centriole replication. Phosphorylation at Ser-4 by PLK1 takes place during mitosis. Phosphorylated by CDK2 at Ser-125 and Thr-199. Phosphorylation at Thr-199 may trigger initiation of centrosome duplication. Phosphorylated by CDK1 at Thr-199, Thr-219, Thr-234 and Thr-237 during cell mitosis. When these four sites are phosphorylated, RNA-binding activity seem to be abolished. May be phosphorylated at Ser-70 by NEK2. The Thr-199 phosphorylated form has higher affinity for ROCK2. CDK6 triggers Thr-199 phosphorylation when complexed to Kaposi’s sarcoma herpesvirus (KSHV) V-cyclin, leading to viral reactivation by reducing viral LANA levels. Sumoylated by ARF. Ubiquitinated. Ubiquitination leads to proteasomal degradation. Deubiquitinated by USP36.

Disease relevance. A chromosomal aberration involving NPM1 is found in a form of non-Hodgkin lymphoma. Translocation t(2;5)(p23;q35) with ALK. The resulting chimeric NPM1-ALK protein homodimerize and the kinase becomes constitutively activated. A chromosomal aberration involving NPM1 is found in a form of acute promyelocytic leukemia. Translocation t(5;17)(q32;q11) with RARA. A chromosomal aberration involving NPM1 is a cause of myelodysplastic syndrome (MDS). Translocation t(3;5)(q25.1;q34) with MLF1. Defects in NPM1 are associated with acute myelogenous leukemia (AML). Mutations in exon 12 affecting the C-terminus of the protein are associated with an aberrant cytoplasmic location.

Similarity. Belongs to the nucleoplasmin family.

Isoforms (3)

UniProt IDNamesCanonical?
P06748-11yes
P06748-22
P06748-33

RefSeq proteins (7): NP_001032827, NP_001341935, NP_001341936, NP_001341938, NP_001341939, NP_002511, NP_954654 (=MANE)

Domains & families (InterPro)

IDNameType
IPR004301NucleoplasminFamily
IPR024057Nucleoplasmin_core_domDomain
IPR032569NPM1_CDomain
IPR036824Nucleoplasmin_core_dom_sfHomologous_superfamily

Pfam: PF03066, PF16276

UniProt features (118 total): modified residue 36, sequence conflict 17, cross-link 17, mutagenesis site 17, strand 8, region of interest 5, compositionally biased region 5, helix 4, site 3, short sequence motif 2, splice variant 2, chain 1, turn 1

Structure

Experimental structures (PDB)

8 structures by resolution:

PDBTitleMethodResolution (Å)
7OBGCrystal structure of 14-3-3 sigma in complex with NPM1 phosphopeptideX-RAY DIFFRACTION1.8
7OBHCrystal structure of 14-3-3 sigma in complex with NPM1 phosphopeptide and stabilizer …X-RAY DIFFRACTION2
5EHDCrystal structure of human nucleophosmin-core in complex with cytochrome cX-RAY DIFFRACTION2.55
2P1BCrystal structure of human nucleophosmin-coreX-RAY DIFFRACTION2.75
8AH2Crystal structure of human 14-3-3 zeta fused to the NPM1 peptide including …X-RAY DIFFRACTION2.9
8AS5CryoEM structure of the human Nucleophosmin 1 coreELECTRON MICROSCOPY3.53
2LLHNMR structure of Npm1_c70SOLUTION NMR
2VXDThe structure of the C-terminal domain of NucleophosminSOLUTION NMR

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P06748-F173.420.38

Human Protein Atlas

Protein class: Predicted intracellular proteins, Cancer-related genes, Mutated cancer genes, Mutational cancer driver genes, Disease related genes, Human disease related genes, Essential proteins

Protein evidence: Evidence at protein level

Subcellular location (HPA, imaging): nucleoli rim; nucleoplasm

Antibody reliability (HPA): IH supported · IF enhanced

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 (3)

PositionRole
55interaction between pentamers
80interaction between pentamers
175–176breakpoint for translocation to form npm1-mlf1

Post-translational modifications (53)

TypePositions
Phosphoserine254, 4, 10, 43, 70, 125, 137, 139, 227, 242, 243, 254, 260
N6-acetyllysine257, 32, 150, 154, 212, 229, 230, 250, 257, 267, 273, 292
N-acetylmethionine1
Phosphotyrosine67
Phosphothreonine75, 95, 199, 219, 234, 237, 279
Adp-ribosylserine207
N6-succinyllysine267
Glycyl lysine isopeptide (lys-gly) (interchain with g-cter in sumo2)27, 32, 141, 150, 215, 248, 250, 257, 263, 267, 273
Glycyl lysine isopeptide (lys-gly) (interchain with g-cter in sumo1)32, 248, 257, 267
Glycyl lysine isopeptide (lys-gly) (interchain with g-cter in sumo)230, 263

Mutagenesis-validated functional residues (17)

PositionPhenotype
4abolishes phosphorylation by plk2 and impairs centriole duplication.
4mimicks phosphorylation state, inducing accumulation of centrioles.
95does not affect phosphorylation by plk2.
125does not affect phosphorylation by plk2.
199partial loss of phosphorylation. does not affect phosphorylation by plk2.
219partial loss of phosphorylation.
234partial loss of phosphorylation; when associated with a-237.
237partial loss of phosphorylation.
248partial destabilization of the structure.
250increase in the stabilization of the structure.
263increase in the stabilization of the structure and partial delocalization to the nucleoplasm. complete delocalization to the nucleoplasm …
263no change in the sumoylation level.
267increase in the stabilization of the structure and complete delocalization to the nucleoplasm. complete delocalization to the nucleoplasm …
268complete destabilization of the structure and loss of nucleolus localization; when associated with a-276.
276complete destabilization of the structure and loss of nucleolus localization; when associated with a-268.
288complete destabilization of the structure; when associated with a-290.
290partial destabilization of the structure. complete destabilization of the structure; when associated with a-288.

Function

Pathways and Gene Ontology

Reactome pathways

9 curated (TAS) of 37; 15 disease pathways. Curated-first; evidence = TAS (manually curated) vs IEA (electronic inference).

37 pathways:

IDPathwayEvidence
R-HSA-9700645ALK mutants bind TKIs ⚕curated
R-HSA-9725371Nuclear events stimulated by ALK signaling in cancer ⚕curated
R-HSA-9692914SARS-CoV-1-host interactions ⚕curated
R-HSA-9725370Signaling by ALK fusions and activated point mutants ⚕curated
R-HSA-606279Deposition of new CENPA-containing nucleosomes at the centromerecurated
R-HSA-9833482PKR-mediated signalingcurated
R-HSA-3899300SUMOylation of transcription cofactorscurated
R-HSA-8869496TFAP2A acts as a transcriptional repressor during retinoic acid induced cell differentiationcurated
R-HSA-6804115TP53 regulates transcription of additional cell cycle genes whose exact role in the p53 pathway remain uncertaincurated
R-HSA-1643685Disease ⚕—
R-HSA-5663202Diseases of signal transduction by growth factor receptors and second messengers ⚕—
R-HSA-162906HIV Infection ⚕—
R-HSA-162909Host Interactions of HIV factors ⚕—
R-HSA-5663205Infectious disease ⚕—
R-HSA-177243Interactions of Rev with host cellular proteins ⚕—
R-HSA-180746Nuclear import of Rev protein ⚕electronic
R-HSA-9679506SARS-CoV Infections ⚕—
R-HSA-9678108SARS-CoV-1 Infection ⚕—
R-HSA-9700206Signaling by ALK in cancer ⚕—
R-HSA-9824446Viral Infection Pathways ⚕—
R-HSA-1169410Antimicrobial mechanism of IFN-stimulated genes—
R-HSA-1640170Cell Cycle—
R-HSA-73886Chromosome Maintenance—
R-HSA-1280215Cytokine Signaling in Immune system—
R-HSA-74160Gene expression (Transcription)—
R-HSA-212436Generic Transcription Pathway—
R-HSA-168256Immune System—
R-HSA-913531Interferon Signaling—
R-HSA-392499Metabolism of proteins—
R-HSA-774815Nucleosome assembly—
R-HSA-597592Post-translational protein modification—
R-HSA-73857RNA Polymerase II Transcription—
R-HSA-3108232SUMO E3 ligases SUMOylate target proteins—
R-HSA-2990846SUMOylation—
R-HSA-6791312TP53 Regulates Transcription of Cell Cycle Genes—
R-HSA-3700989Transcriptional Regulation by TP53—
R-HSA-8864260Transcriptional regulation by the AP-2 (TFAP2) family of transcription factors—

MSigDB gene sets: 0 (showing top):

GO Biological Process (33): ribosomal large subunit export from nucleus (GO:0000055), ribosomal small subunit export from nucleus (GO:0000056), DNA repair (GO:0006281), nucleosome assembly (GO:0006334), chromatin remodeling (GO:0006338), protein import into nucleus (GO:0006606), intracellular protein transport (GO:0006886), nucleocytoplasmic transport (GO:0006913), centrosome cycle (GO:0007098), signal transduction (GO:0007165), canonical NF-kappaB signal transduction (GO:0007249), intracellular protein localization (GO:0008104), positive regulation of cell population proliferation (GO:0008284), negative regulation of cell population proliferation (GO:0008285), regulation of centrosome duplication (GO:0010824), negative regulation of centrosome duplication (GO:0010826), macrophage differentiation (GO:0030225), cellular response to UV (GO:0034644), ribosome assembly (GO:0042255), ribosomal large subunit biogenesis (GO:0042273), ribosomal small subunit biogenesis (GO:0042274), negative regulation of apoptotic process (GO:0043066), positive regulation of DNA-templated transcription (GO:0045893), positive regulation of transcription by RNA polymerase II (GO:0045944), regulation of centriole replication (GO:0046599), cellular senescence (GO:0090398), regulation of mRNA stability involved in cellular response to UV (GO:1902629), positive regulation of cell cycle G2/M phase transition (GO:1902751), positive regulation of protein localization to nucleolus (GO:1904751), positive regulation of cytoplasmic translation (GO:2000767), positive regulation of macromolecule metabolic process (GO:0010604), regulation of cell population proliferation (GO:0042127), ribosome biogenesis (GO:0042254)

GO Molecular Function (18): core promoter sequence-specific DNA binding (GO:0001046), chromatin binding (GO:0003682), transcription coactivator activity (GO:0003713), RNA binding (GO:0003723), protein kinase inhibitor activity (GO:0004860), rRNA binding (GO:0019843), protein kinase binding (GO:0019901), Tat protein binding (GO:0030957), histone binding (GO:0042393), protein homodimerization activity (GO:0042803), ribosomal large subunit binding (GO:0043023), ribosomal small subunit binding (GO:0043024), NF-kappaB binding (GO:0051059), molecular adaptor activity (GO:0060090), DNA-binding transcription factor binding (GO:0140297), nucleic acid binding (GO:0003676), protein binding (GO:0005515), identical protein binding (GO:0042802)

GO Cellular Component (16): granular component (GO:0001652), nucleus (GO:0005634), nucleoplasm (GO:0005654), nucleolus (GO:0005730), cytoplasm (GO:0005737), centrosome (GO:0005813), cytosol (GO:0005829), focal adhesion (GO:0005925), large ribosomal subunit (GO:0015934), small ribosomal subunit (GO:0015935), membrane (GO:0016020), nuclear speck (GO:0016607), spindle pole centrosome (GO:0031616), protein-containing complex (GO:0032991), protein-DNA complex (GO:0032993), ribonucleoprotein complex (GO:1990904)

Reactome top-level categories

16 top-level categories:

CategoryPathways
Signaling by ALK in cancer2
Interactions of Rev with host cellular proteins1
SUMO E3 ligases SUMOylate target proteins1
Nucleosome assembly1
TP53 Regulates Transcription of Cell Cycle Genes1
Transcriptional regulation by the AP-2 (TFAP2) family of transcription factors1
SARS-CoV-1 Infection1
Signaling by ALK fusions and activated point mutants1
Antimicrobial mechanism of IFN-stimulated genes1
Interferon Signaling1
Immune System1
Viral Infection Pathways1
HIV Infection1
Host Interactions of HIV factors1
RNA Polymerase II Transcription1
Post-translational protein modification1

GO top-level categories

showing 60 of 71 GO namespaces:

CategoryTerms
cellular anatomical structure5
binding4
ribosomal subunit export from nucleus2
chromatin organization2
cell population proliferation2
regulation of cell population proliferation2
centrosome duplication2
ribosome biogenesis2
RNA polymerase II-specific DNA-binding transcription factor binding2
protein binding2
ribosome binding2
nuclear lumen2
ribosomal subunit2
protein-containing complex2
DNA metabolic process1
DNA damage response1
nucleosome organization1
protein-DNA complex assembly1
intracellular protein transport1
protein localization to nucleus1
import into nucleus1
establishment of protein localization to organelle1
intracellular protein localization1
protein transport1
intracellular transport1
nuclear transport1
cell cycle process1
microtubule organizing center organization1
cell communication1
cellular process1
signaling1
regulation of cellular process1
cellular response to stimulus1
intracellular signaling cassette1
macromolecule localization1
positive regulation of cellular process1
negative regulation of cellular process1
regulation of centrosome cycle1
regulation of centrosome duplication1
negative regulation of centrosome cycle1
myeloid leukocyte differentiation1
mononuclear cell differentiation1
response to UV1
cellular response to light stimulus1
membraneless organelle assembly1
ribonucleoprotein complex biogenesis1
transcription cis-regulatory region binding1
transcription coregulator activity1
positive regulation of DNA-templated transcription1
nucleic acid binding1
protein kinase activity1
kinase inhibitor activity1
protein kinase regulator activity1
RNA binding1
kinase binding1
identical protein binding1
protein dimerization activity1
molecular_function1
transcription factor binding1
nucleolus1

Experimentally-supported GO annotations

GO terms backed by direct experimental evidence (ECO experimental codes) — 45 of 68 annotations. The rest are phylogenetic / computational / electronic (IEA).

45 experimentally-supported GO terms:

GO termNSEvidence
DNA repairBPdirect assay
canonical NF-kappaB signal transductionBPmutant phenotype
cellular response to UVBPdirect assay
cellular senescenceBPmutant phenotype
centrosome cycleBPmutant phenotype
intracellular protein localizationBPdirect assay
macrophage differentiationBPdirect assay
negative regulation of apoptotic processBPdirect assay
negative regulation of cell population proliferationBPmutant phenotype
negative regulation of centrosome duplicationBPmutant phenotype
nucleocytoplasmic transportBPdirect assay
nucleosome assemblyBPdirect assay
positive regulation of DNA-templated transcriptionBPdirect assay
positive regulation of cell cycle G2/M phase transitionBPdirect assay
positive regulation of cell population proliferationBPdirect assay
positive regulation of cytoplasmic translationBPdirect assay
positive regulation of transcription by RNA polymerase IIBPdirect assay
protein import into nucleusBPdirect assay
regulation of centriole replicationBPmutant phenotype
regulation of mRNA stability involved in cellular response to UVBPmutant phenotype
centrosomeCCdirect assay
cytoplasmCCdirect assay
focal adhesionCChigh-throughput assay
membraneCChigh-throughput assay
nucleolusCCdirect assay
nucleoplasmCCdirect assay
nucleusCCdirect assay
protein-DNA complexCCdirect assay
protein-containing complexCCdirect assay
ribonucleoprotein complexCCdirect assay
spindle pole centrosomeCCdirect assay
DNA-binding transcription factor bindingMFphysical interaction
NF-kappaB bindingMFdirect assay
RNA bindingMFdirect assay
Tat protein bindingMFdirect assay
core promoter sequence-specific DNA bindingMFdirect assay
histone bindingMFdirect assay
molecular adaptor activityMFdirect assay
protein homodimerization activityMFdirect assay
protein kinase bindingMFphysical interaction
protein kinase inhibitor activityMFdirect assay
rRNA bindingMFphysical interaction
ribosomal large subunit bindingMFdirect assay
ribosomal small subunit bindingMFdirect assay
transcription coactivator activityMFdirect assay

Protein interactions and networks

STRING

showing 15 of 5,060 interactions by confidence (×1000):

Protein AProtein BPartner UniProtScore
NPM1FLT3P36888930
NPM1ALKQ9UM73866
NPM1NUCLEOLINP19338860
NPM1ASXL1Q8IXJ9857
NPM1CEBPAP49715856
NPM1RARAP10276851
NPM1TET2Q6N021832
NPM1FBLP22087807
NPM1NUMA1Q14980799
NPM1DNMT3AQ9Y6K1791
NPM1IDH1O75874780
NPM1IDH2P48735777
NPM1RUNX1Q01196776
NPM1SURF6O75683768
NPM1CD34P28906759

IntAct

Human interaction partners of NPM1 in IntAct, one row per partner (best MIscore; records = supporting IntAct interaction records).

showing 30 of 154 partners by confidence:

PartnerInteraction typeMIscoreRecords
PINX1physical association0.8109
SENP3physical association0.7805
NPM2physical association0.74012
AURKBphosphorylation reaction0.7105
RRP1Bassociation0.7105
BOP1colocalization0.7101
MYBBP1Acolocalization0.7101
USP7physical association0.7005
MDM2physical association0.7004
TP53physical association0.6806
LARP4physical association0.6701
PELP1colocalization0.6603
CCDC124colocalization0.6506
RPS6physical association0.6501
EIF3Ephysical association0.6401
L2association0.6208
NPcolocalization0.6204
MPHOSPH10association0.6101
NCLproximity0.6101
NVLassociation0.6101
HEMGNphysical association0.6007
NIBAN1physical association0.6007
CENPAassociation0.6004
EIF2AK2physical association0.6003
TFAP2Aphysical association0.5906
KPNA3direct interaction0.5901
TERTassociation0.5805
Mphysical association0.5803
KPNA4direct interaction0.5701
COX8Aphysical association0.5603

BioGRID (2,150 interactions; top human partners by supporting records in a sample of 600 records): DNAJB4 (Affinity Capture-Western; 6 records), EIF2AK2 (Affinity Capture-Western; 5 records), NPM3 (Affinity Capture-MS; 5 records), CACYBP (Affinity Capture-MS; 4 records), CD24 (Affinity Capture-MS; 4 records), GNL3 (Affinity Capture-MS; 4 records), NPM2 (Two-hybrid; 4 records), TP53 (Affinity Capture-Western; 4 records), BRCA2 (Affinity Capture-MS; 3 records), C3orf17 (Affinity Capture-MS; 3 records), CDKN2A (Reconstituted Complex; 3 records), DDX24 (Affinity Capture-MS; 3 records), GNL2 (Affinity Capture-MS; 3 records), GTPBP4 (Affinity Capture-MS; 3 records), HIST1H1B (Affinity Capture-MS; 3 records)

SIGNOR signaling

showing 21 of 32 signaling interactions:

AEffectBMechanism
CDK1“down-regulates activity”NPM1phosphorylation
PLK1up-regulatesNPM1phosphorylation
PLK2up-regulatesNPM1phosphorylation
CDK1unknownNPM1phosphorylation
CDK2unknownNPM1phosphorylation
CyclinE/CDK2“down-regulates activity”NPM1phosphorylation
CyclinB/CDK1“down-regulates activity”NPM1phosphorylation
CDKN2A“down-regulates quantity by destabilization”NPM1binding
NPM1“down-regulates activity”HEXIM1binding
NPM1“down-regulates quantity by repression”HOXA9“transcriptional regulation”
NPM1“up-regulates activity”CENPAbinding
NPM1“down-regulates quantity by repression”FBP1“transcriptional regulation”
RNF144B“down-regulates quantity by destabilization”NPM1ubiquitination
USP36“up-regulates quantity by stabilization”NPM1deubiquitination
AKT1“down-regulates activity”NPM1phosphorylation
DUSP3“down-regulates activity”NPM1dephosphorylation
CHUK“up-regulates activity”NPM1phosphorylation
ATM“up-regulates activity”NPM1phosphorylation
CDK2“down-regulates activity”NPM1phosphorylation
NPM1“up-regulates activity”CDKN2Abinding
NPM1“up-regulates quantity”FBXW7binding

Protein complexes (CORUM) (12)

Experimentally-characterized complexes this protein is a subunit of (★ = the complex contains a known drug target).

12 complexes by size:

ComplexSubunitsMembers
★ Nop56p-associated pre-rRNA complex104LUC7L2, NCL, RPL27, RPL29, RPL39, RPL7, RPS23, RPS6, MYBBP1A, RPL21, RPL28, RPL5, RPS9, U2AF2, LYAR, RPL13, RPL23, RPL23A, RPL35A, RPL4, RPS24, HNRNPA1, EBNA1BP2, RPLP1, RPS17, U2AF1, DHX9, RPL30, SCYL2, RPL11, RPS11, NOLC1, RPL12, RPL14, RPL17, RPL19, RPL32, RPS13, RPS8, NOP58, RPL36A, RPLP2, RPS2, RPS29, SRP14, TCOF1, TUFM, ACTG2, RBM28, RPL10, RPL37A, RPS12, RPS7, TUBB1, BRIX1, DDX21, GNL3, IGF2BP1, ILF2, RPL10A, RPL15, RPLP0, EEF2, HNRNPU, NOP56, RPL26, RPL3, RPS14, RPS16, RSL1D1, ACTA2, EEF1A1, H1-3, RPL24, RPL6, RPL8, SRPK1, TOP1, FBL, HNRNPM, RPL13A, RPL31, RPL7A, RPS18, H1-10, ILF3, NPM1, RPS15A, TUBA1A, YBX1, H2BC14, PWP1, RPL18A, RPL22, RPL27A, RPS15, RPS3A, SLC25A5, NAP1L1, RPL18, RPL35, RPL36, RPL9, SNU13
★ H2AX complex, without IR exposure13H2BC26, SSB, SSRP1, SUPT16H, CALM1, H4C1, HNRNPR, HSPA5, NPM1, PABPC1, CALR, EIF3L, H2AX
H2AX complex II10CALR, H2BC14, H2BC3, H4C1, PTCD3, YBX3, H2AX, H2BC26, HSPA5, NPM1
★ TLE1 corepressor complex10HSPA4, NCL, NPM1, RAD50, TOP2B, ACTB, MYH10, NONO, PARP1, TLE1
★ H2AX complex I, IR-induced9H4C1, NPM1, PARP1, YBX3, DHX30, H2BC26, HSPA5, CALR, H2AX
★ CTCF-PARP1-HIS-KPNA-LMNA-TOP complex9TOP2A, NPM1, CTCF, H2AC18, H2AZ1, KPNA1, KPNA3, LMNA, PARP1
★ TLE1 corepressor complex8NCL, NONO, NPM1, PARP1, RAD50, TLE1, TOP2B, HSPA4
★ BRCA2-NPM1-ROCK2 complex3BRCA2, NPM1, ROCK2
ARF-Mule complex3CDKN2A, HUWE1, NPM1
B23-NPM3 complex2NPM1, NPM3
CTCF-nucleophosmin complex2CTCF, NPM1
NPM1-PA2G4 complex2NPM1, PA2G4

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 154 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
SUMOylation of transcription factors526.2×6e-04
Regulation of TP53 Activity through Acetylation520.9×6e-04
Regulation of TP53 Degradation616.1×6e-04
SARS-CoV-1 activates/modulates innate immune responses512.5×3e-03
SUMO E3 ligases SUMOylate target proteins711.5×6e-04
Influenza Infection711.3×6e-04
Negative regulation of NOTCH4 signaling510.9×4e-03
SUMOylation710.5×6e-04

GO biological processes:

GO termPartnersFoldFDR
regulation of signal transduction by p53 class mediator513.4×6e-03
rRNA processing87.9×3e-03
protein import into nucleus77.0×9e-03
regulation of protein stability87.0×4e-03
negative regulation of apoptotic process153.6×4e-03

Disease & clinical

Cancer significance

From CIViC — curated cancer-variant interpretation:

AML with mutated NPM1 is a provisional entity in the WHO classification of AML and is recommended to be tested in patients with cytogenetically normal AML (CN-AML). FLT3 mutations should be evaluated concurrently as they have prognostic consequences. NPM1 mutations are concentrated in exon 12, most frequently W288fs which results in cytoplasmic sequestration of the protein. Exon 12 NPM1 mutations in the absence of FLT3-ITD are associated with good prognostic outcomes. Mice expressing the Npm1-W288fs mutation develop myeloproliferative neoplasms but not overt leukemia, indicating it may require additional mutations to promote leukemic development.

From intOGen — cancer-driver classification: activating (oncogene-like) across 1 cancer types — HCC.

intOGen’s role is a computational inference from cohort mutation patterns and may diverge from the gene’s curated/literature role; read it alongside the evidence above.

Genetic variants

Variant evidence for NPM1: 97 ClinVar records (8 pathogenic / likely pathogenic); 3 CIViC cancer variants; 4 GWAS associations. Per-variant detail is on Sugi Variant.

ClinVar

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

ClassificationCount (floor)
Pathogenic8
Likely pathogenic0
Uncertain significance25
Likely benign13
Benign16

Top pathogenic / likely-pathogenic (8)

Showing all 8 pathogenic / likely-pathogenic ClinVar records, ranked by ClinVar review status (expert panel → multiple submitters → single submitter), then by number of submitting labs.

Variant IDHGVSClassificationReviewSubmitters
13998NM_002520.7(NPM1):c.860_863dup (p.Trp288fs)Pathogeniccriteria provided, multiple submitters, no conflicts5
632551NM_002520.7(NPM1):c.869_875delinsCCCTGGCTAGG (p.Trp290fs)Pathogeniccriteria provided, single submitter1
14001NM_002520.7(NPM1):c.863_864insCCTG (p.Trp288fs)Pathogenicno assertion criteria provided2
13999NM_002520.7(NPM1):c.863_864insCATG (p.Trp288fs)Pathogenicno assertion criteria provided1
14000NM_002520.7(NPM1):c.863_864insCGTG (p.Trp288fs)Pathogenicno assertion criteria provided1
810668NM_002520.7(NPM1):c.864_873delinsTTTAAGGATTCGTC (p.Trp288fs)Pathogenicno assertion criteria provided1
1701937NM_002520.7(NPM1):c.885A>G (p.Ter295=)Pathogenicno assertion criteria provided1
1701958NM_002520.7(NPM1):c.875del (p.Lys292fs)Pathogenicno assertion criteria provided1

Per-variant reference — Sugi Variant

Explore NPM1’s pathogenic and likely-pathogenic variants individually — each with its ClinVar classification and conditions, applied ACMG criteria (ClinGen expert panel, where curated), the calibrated in-silico predictors (AlphaMissense, REVEL, SaProt, conservation), gnomAD frequency, and the predictor-disagreement QC signal — on Sugi Variant.

AlphaMissense

1,138 missense substitutions predicted likely pathogenic (of 1,966 scored), across 238 residues. Top 20 hotspot residues, ranked by the number of likely-pathogenic substitutions (of those reachable by a single-nucleotide change), then by mean score:

ResidueLikely-pathogenic substitutionsMean am_pathogenicityMax am_pathogenicity
M25190.8850.999
H11580.9950.999
F26880.9951.000
H4080.9930.998
F9280.9921.000
F1980.9861.000
F3180.9790.998
D5580.9680.999
F27680.9570.999
H5880.9490.997
S11280.9340.999
N27480.8900.997
N21080.8830.975
D380.8450.976
N3880.8200.988
W28870.9971.000
W29070.9950.999
E9370.9900.999
C2170.9890.998
Q4170.9851.000

HPA cancer prognostics

RNA cancer specificity: Low cancer specificity

Human Protein Atlas survival analysis — favorable = higher expression predicts better survival.

6 prognostic cancer types:

CancerPrognosticp-value
Kidney Renal Clear Cell Carcinoma (TCGA)favorable1.58e-06
Liver Hepatocellular Carcinoma (TCGA)unfavorable2.17e-06
Liver Hepatocellular Carcinoma (validation)unfavorable3.24e-05
Pancreatic Adenocarcinoma (TCGA)unfavorable0.000129
Head and Neck Squamous Cell Carcinoma (TCGA)unfavorable0.000674
Lung Adenocarcinoma (TCGA)unfavorable0.000711

Disease associations

OMIM: gene MIM:164040 | disease phenotypes: MIM:601626

GenCC curated gene-disease

1 curated gene-disease records:

DiseaseClassificationInheritanceRecords
dyskeratosis congenitaStrongAutosomal dominant3

ClinGen Gene-Disease Validity

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

1 validity classifications:

DiseaseClassificationInheritance
bone marrow failure syndromeLimitedAD

Genomics England panels (PanelApp)

Clinical diagnostic gene panels including this gene (4 panels, 2 green/diagnostic-grade). Confidence: green = diagnostic, amber = moderate.

4 panels:

PanelRating
DDG2Pgreen
Paediatric disordersgreen
Cytopenia - NOT Fanconi anaemiaamber
Cytopenias and congenital anaemiasamber

Mondo (3): acute myeloid leukemia (MONDO:0018874), acute myeloid leukemia with multilineage dysplasia (MONDO:0019456), dyskeratosis congenita (MONDO:0015780)

Orphanet (2): Acute myeloid leukemia (Orphanet:519), Acute myeloid leukaemia with myelodysplasia-related features (Orphanet:86845)

HPO phenotypes

showing 60 of 99 phenotypes (HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000008Abnormal morphology of female internal genitalia
HP:0000035Abnormal testis morphology
HP:0000164Abnormality of the dentition
HP:0000212Gingival overgrowth
HP:0000225Gingival bleeding
HP:0000327Hypoplasia of the maxilla
HP:0000365Hearing impairment
HP:0000421Epistaxis
HP:0000498Blepharitis
HP:0000499Abnormal eyelash morphology
HP:0000518Cataract
HP:0000534Abnormal eyebrow morphology
HP:0000600Abnormality of the pharynx
HP:0000668Hypodontia
HP:0000670Carious teeth
HP:0000679Taurodontia
HP:0000704Periodontitis
HP:0000790Hematuria
HP:0000819Diabetes mellitus
HP:0000939Osteoporosis
HP:0000967Petechiae
HP:0000975Hyperhidrosis
HP:0000978Bruising susceptibility
HP:0000979Purpura
HP:0000982Palmoplantar keratoderma
HP:0001034Hypermelanotic macule
HP:0001053Hypopigmented skin patches
HP:0001231Abnormal fingernail morphology
HP:0001263Global developmental delay
HP:0001324Muscle weakness
HP:0001394Cirrhosis
HP:0001399Hepatic failure
HP:0001442Typified by somatic mosaicism
HP:0001511Intrauterine growth retardation
HP:0001596Alopecia
HP:0001744Splenomegaly
HP:0001824Weight loss
HP:0001873Thrombocytopenia
HP:0001874Abnormality of neutrophils
HP:0001875Decreased total neutrophil count
HP:0001876Pancytopenia
HP:0001882Decreased total leukocyte count
HP:0001892Abnormal bleeding
HP:0001903Anemia
HP:0001928Abnormality of coagulation
HP:0001945Fever
HP:0001974Increased total leukocyte count
HP:0002024Malabsorption
HP:0002027Abdominal pain
HP:0002039Anorexia
HP:0002205Recurrent respiratory infections
HP:0002216Premature graying of hair
HP:0002240Hepatomegaly
HP:0002321Vertigo
HP:0002514Cerebral calcification
HP:0002575Tracheoesophageal fistula
HP:0002650Scoliosis
HP:0002653Bone pain
HP:0002664Neoplasm

GWAS associations

4 associations:

StudyTraitp-value
GCST010702_141Subcortical volume (MOSTest)9e-14
GCST010703_28Brain morphology (MOSTest)4e-11
GCST012334_7Multisite chronic pain3e-8
GCST008163_10Height3e-7

EFO canonical traits (from GWAS)

2 canonical traits:

EFO IDTrait name
EFO:0004346neuroimaging measurement
EFO:0010100multisite chronic pain

MeSH disease descriptors

2 disease descriptors:

DescriptorNameTree numbers
D019871Dyskeratosis CongenitaC15.378.190.223.500.750; C16.131.831.150; C16.320.322.108; C16.320.850.235; C17.800.804.150; C17.800.827.235
D015470Leukemia, Myeloid, AcuteC04.557.337.539.275; C15.378.508.539.275

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (4): CHEMBL2111387 (CHIMERIC PROTEIN), CHEMBL4296165 (PROTEIN-PROTEIN INTERACTION), CHEMBL4748220 (PROTEIN-PROTEIN INTERACTION), CHEMBL5178 (SINGLE PROTEIN)

Drugs acting on a complex or family that includes this protein

Curated ChEMBL mechanism-of-action drugs whose target is a protein complex or family of ≤10 members that includes NPM1 — the drug acts on the assembly or class, not necessarily on this subunit alone.

2 drugs via a complex or family:

DrugTarget (ChEMBL)MembersMax phase
CERITINIBNPM/ALK (Nucleophosmin/ALK tyrosine kinase receptor)24
CRIZOTINIBNPM/ALK (Nucleophosmin/ALK tyrosine kinase receptor)24

Molecules with ChEMBL bioactivity

Phase ≥1, by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 39,316 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

5 molecules by phase:

MoleculeNamePhasePatents
CHEMBL288441BOSUTINIB412,869
CHEMBL2403108CERITINIB49,002
CHEMBL601719CRIZOTINIB415,133
CHEMBL1232461MOLIBRESIB21,601
CHEMBL3545360ASP-30261711

Clinical evidence (CIViC)

Drug × variant × indication, from 12 curated evidence items; also 17 prognostic, 10 diagnostic, 1 functional. CIViC evidence level: A (validated) → B (clinical) → C (case study) → D (preclinical) → E (inferential).

11 predictive associations by evidence level:

VariantTherapyIndicationEffectLevelCIViC
NPM1 EXON 11 MUTATIONTretinoinAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID137 +1
NPM1 EXON 11 MUTATIONZiftomenibAcute Myeloid Leukemia With Mutated NPM1Sensitivity/ResponseCIViC BEID13285
NPM1 EXON 11 MUTATIONRevumenibAcute Myeloid Leukemia With Mutated NPM1Sensitivity/ResponseCIViC BEID13286
NPM1 EXON 11 MUTATIONDaunorubicinAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID147
NPM1 EXON 11 MUTATIONValproic AcidAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID148
NPM1 MUTATIONRevumenibAcute Myeloid LeukemiaSensitivity/ResponseCIViC BEID12743
NPM1 EXON 11 MUTATIONNSC348884 + TretinoinAcute Myeloid LeukemiaSensitivity/ResponseCIViC DEID149
NPM1 W288FSNSC348884Acute Myeloid LeukemiaSensitivity/ResponseCIViC DEID152
NPM1 EXON 11 MUTATIONAnti-CD123 + Anti-CD33Acute Myeloid LeukemiaSensitivity/ResponseCIViC EEID150
NPM1 EXON 11 MUTATIONAnti-CD33Acute Myeloid LeukemiaSensitivity/ResponseCIViC EEID151
NPM1 W288FSDaunorubicin + Cytarabine + EtoposideAcute Myeloid LeukemiaSensitivity/ResponseCIViC EEID153

CIViC column: a representative evidence item (EID); +N = additional CIViC items supporting the same association.

Clinical-actionability assertions (CIViC AMP/ASCO/CAP)

Curated AMP/ASCO/CAP tier assertions — the clinical-actionability classification (Tier I highest) for this gene’s variants, distilling the CIViC evidence above into a tiered call.

1 CIViC assertions:

Molecular profileDiseaseTherapyTypeAMP tierSignificance
NPM1 MUTATIONAcute Myeloid Leukemia With Mutated NPM1DiagnosticTier I - Level APositive

CIViC curated variants (3)

Named clinical variants curated in CIViC for this gene (the catalogue beneath the predictive evidence above):

MUTATION, EXON 11 MUTATION (exon variant), W288FS (frameshift elongation).

PharmGKB: 1 entry (CPIC guideline: no)

Binding affinities (BindingDB)

43 measured of 51 human assays (55 total across all organisms); most potent 43 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
5-bromo-4-N-(2-dimethylphosphoryl-4-methylphenyl)-2-N-[2-methoxy-5-methyl-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]phenyl]pyrimidine-2,4-diamineIC500.77 nMUS-20230322822: ARYL PHOSPHOROUS OXIDE COMPOUNDS AND USE THEREOF
CHEMBL1822521IC503.8 nM
CHEMBL1822520IC505 nM
CERITINIBIC505 nMUS-10053458: Pyrimidine-2,4-diamine derivative and anticancer pharmaceutical composition comprising same as effective ingredient
CHEMBL4762861IC505 nM
CHEMBL1822527IC507 nM
CHEMBL4762256IC508 nM
CHEMBL1822523IC508.8 nM
CHEMBL1822519IC509 nM
CHEMBL1822522IC509 nM
CHEMBL1822524IC509 nM
ASP-3026IC5010 nM
CHEMBL1822525IC5010 nM
CHEMBL1822526IC5015 nM
3-methyl-6-N-[5-methyl-4-(1-methylpiperidin-4-yl)-2-propan-2-yloxyphenyl]-4-N-(2-propan-2-ylsulfonylphenyl)-2H-pyrazolo[3,4-d]pyrimidine-4,6-diamineIC5020 nMUS-8592432: Compounds and compositions as protein kinase inhibitors
5-N-[5-methyl-4-(1-methylpiperidin-4-yl)-2-propan-2-yloxyphenyl]-7-N-(2-propan-2-ylsulfonylphenyl)-2H-triazolo[4,5-d]pyrimidine-5,7-diamineIC5048 nMUS-8592432: Compounds and compositions as protein kinase inhibitors
CHEMBL4739938IC50186 nM
CHEMBL4795530IC50212 nM
CHEMBL3734798IC50261 nM
5-benzo[1,3]dioxol-5-yl-2-oxo-1,2-dihydro-pyridine-3-carboxylic acid {4-[2-(4-methyl-piperazin-1-yl)-ethyl]-phenyl}-amideIC50400 nM
5-benzo[1,3]dioxol-5-yl-2-oxo-1,2-dihydro-pyridine-3-carboxylic acid [4-(4-methyl-piperazin-1-ylmethyl)-phenyl]-amideKI500 nM
CHEMBL3115504IC50650 nM
5-benzo[1,3]dioxol-5-yl-2-oxo-1,2-dihydro-pyridine-3-carboxylic acid [4-(4-methyl-piperazin-1-yl)-phenyl]-amideIC50700 nM
3-(4-Amino-7-cyclopentyl-7H-pyrrolo[2,3-d]pyrimidin-5-yl)-phenolIC50870 nM
CHEMBL4749543IC501080 nM
5-benzo[1,3]dioxol-5-yl-2-oxo-1,2-dihydro-pyridine-3-carboxylic acid {4-[3-(4-methyl-piperazin-1-yl)-propyl]-phenyl}-amideKI1100 nM
CHEMBL4634073IC501200 nM
CHEMBL4858720IC501300 nM
CHEMBL5653589KD1440 nM
CHEMBL4791252IC501910 nM
CHEMBL4762929IC501930 nM
CHEMBL3589689EC502500 nM
CHEMBL4747015IC503170 nM
CHEMBL4798141IC503300 nM
CHEMBL4755518IC503450 nM
CHEMBL4780490IC503880 nM
CHEMBL4756013IC503930 nM
CHEMBL4779222IC504600 nM
CHEMBL4640601IC508300 nM
CHEMBL4854822IC508500 nM
CHEMBL593574EC509700 nM
CHEMBL3115497IC5010000 nM
CHEMBL3115496IC5069000 nM

ChEMBL bioactivities

82 potent at pChembl≥5 of 87 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
8.91IC501.24nMCHEMBL6162078
8.70IC502nMCRIZOTINIB
8.52IC503nMCHEMBL4762256
8.22IC506nMCHEMBL4762256
8.17IC506.8nMASP-3026
8.15IC507nMCHEMBL4762861
8.08Kd8.259nMCHEMBL3752910
8.08ED508.259nMCHEMBL3752910
8.00IC5010nMMOLIBRESIB
7.89IC5013nMCHEMBL4798141
7.70IC5020nMCHEMBL3651854
7.58IC5026nMCERITINIB
7.58IC5026nMCHEMBL3651854
7.52IC5030nMCHEMBL2158531
7.52IC5030nMCHEMBL3651854
7.48IC5033nMCHEMBL4791252
7.42IC5038nMCHEMBL4762861
7.40IC5040nMCHEMBL2158527
7.33IC5047nMCHEMBL3651885
7.33IC5047nMCHEMBL4779222
7.30IC5050nMCHEMBL1822527
7.29IC5051nMCRIZOTINIB
7.22IC5060nMCHEMBL2158525
7.22IC5060nMCHEMBL1822525
7.19IC5064nMCHEMBL3734798
7.16IC5070nMCHEMBL2158519
7.16IC5070nMCHEMBL2158518
7.16IC5070nMCHEMBL2158529
7.16IC5070nMCHEMBL2158526
7.16IC5070nMCHEMBL1822523
7.10IC5080nMCHEMBL2158516
7.10IC5080nMCHEMBL2158530
7.10IC5080nMCHEMBL1822521
7.10IC5080nMCHEMBL1822526
7.07IC5085nMCHEMBL1822522
7.00IC50100nMCHEMBL1934334
7.00IC50100nMCHEMBL2158511
7.00IC50100nMCHEMBL2158528
7.00IC50100nMCHEMBL1822519
7.00IC50100nMCHEMBL1822520
6.93EC50116.5nMCHEMBL4875115
6.82IC50150nMCHEMBL2158515
6.82IC50150nMCHEMBL2158586
6.82IC50150nMBOSUTINIB
6.82IC50150nMCHEMBL4755518
6.82IC50151nMCHEMBL3734798
6.70IC50200nMCHEMBL2158587
6.70IC50200nMCHEMBL2158521
6.70IC50200nMBOSUTINIB
6.70IC50200nMCHEMBL1822524

PubChem BioAssay actives

81 with measured affinity, of 285 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
5-bromo-4-N-(2-dimethylphosphoryl-4-methylphenyl)-2-N-[2-methoxy-5-methyl-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]phenyl]pyrimidine-2,4-diamine2242670: Inhibition of N-terminal GST-fused human NPM1-ALK (1 to 680 residues) extracted from baculovirus expression system using Srctide as substrate incubated for 1 to 5 hrs in presence of ATP/Mg by Mobility shift assayic500.0012uM
Crizotinib2161822: Inhibition of human N-terminal GST-fused NPM1-ALK (1 to 680 residues) expressed in baculovirus expression system using Srctide as substrate measured after 1 hr by off-chip mobility shift assay relative to controlic500.0020uM
2-N-[5-methyl-4-(1-methylpiperidin-4-yl)-2-propan-2-yloxyphenyl]-4-N-(2-propan-2-ylsulfonylphenyl)-7H-pyrrolo[2,3-d]pyrimidine-2,4-diamine1711502: Inhibition of NMP-ALK (unknown origin) expressed in human KARPAS-299 cells assessed as reduction in cell growthic500.0030uM
2-N-[2-methoxy-4-[4-(4-methylpiperazin-1-yl)piperidin-1-yl]phenyl]-4-N-(2-propan-2-ylsulfonylphenyl)-1,3,5-triazine-2,4-diamine2161822: Inhibition of human N-terminal GST-fused NPM1-ALK (1 to 680 residues) expressed in baculovirus expression system using Srctide as substrate measured after 1 hr by off-chip mobility shift assay relative to controlic500.0068uM
3-methyl-6-N-(5-methyl-4-piperidin-4-yl-2-propan-2-yloxyphenyl)-4-N-(2-propan-2-ylsulfonylphenyl)-2H-pyrazolo[3,4-d]pyrimidine-4,6-diamine1711502: Inhibition of NMP-ALK (unknown origin) expressed in human KARPAS-299 cells assessed as reduction in cell growthic500.0070uM
4-methyl-3-[(1-methyl-6-pyridin-3-ylpyrazolo[3,4-d]pyrimidin-4-yl)amino]-N-[3-(trifluoromethyl)phenyl]benzamide2148885: Binding affinity to human NPM1 incubated for 45 mins by Kinobead based pull down assaykd0.0083uM
2-[(4S)-6-(4-chlorophenyl)-8-methoxy-1-methyl-4H-[1,2,4]triazolo[4,3-a][1,4]benzodiazepin-4-yl]-N-ethylacetamide2179037: Inhibition of NPM1 (unknown origin) incubated for 1 hr by colloidal coomassie staining based LC-MS/MS analysisic500.0100uM
6-N-[5-methyl-4-(1-methylpiperidin-4-yl)-2-propan-2-yloxyphenyl]-4-N-(2-propan-2-ylsulfonylphenyl)-1H-pyrazolo[5,4-d]pyrimidine-4,6-diamine1711446: Inhibition of NMP-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 2 to 3 days by Bright-Glo luciferase assayic500.0130uM
3-methyl-6-N-[5-methyl-4-(1-methylpiperidin-4-yl)-2-propan-2-yloxyphenyl]-4-N-(2-propan-2-ylsulfonylphenyl)-2H-pyrazolo[3,4-d]pyrimidine-4,6-diamine1711446: Inhibition of NMP-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 2 to 3 days by Bright-Glo luciferase assayic500.0200uM
Ceritinib1711446: Inhibition of NMP-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 2 to 3 days by Bright-Glo luciferase assayic500.0260uM
(2S)-3-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]propane-1,2-diol694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0300uM
6-N-(5-methyl-4-piperidin-4-yl-2-propan-2-yloxyphenyl)-4-N-(2-propan-2-ylsulfonylphenyl)-1H-pyrazolo[5,4-d]pyrimidine-4,6-diamine1711446: Inhibition of NMP-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 2 to 3 days by Bright-Glo luciferase assayic500.0330uM
N-[2-[2-(2-methoxy-4-piperidin-4-ylanilino)pyrrolo[2,1-f][1,2,4]triazin-7-yl]phenyl]-N-methylmethanesulfonamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0400uM
2-N-(5-methyl-4-piperidin-4-yl-2-propan-2-yloxyphenyl)-4-N-(2-propan-2-ylsulfonylphenyl)-7H-pyrrolo[2,3-d]pyrimidine-2,4-diamine1711446: Inhibition of NMP-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 2 to 3 days by Bright-Glo luciferase assayic500.0470uM
5-N-[5-methyl-4-(1-methylpiperidin-4-yl)-2-propan-2-yloxyphenyl]-7-N-(2-propan-2-ylsulfonylphenyl)-2H-triazolo[4,5-d]pyrimidine-5,7-diamine1711446: Inhibition of NMP-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 2 to 3 days by Bright-Glo luciferase assayic500.0470uM
N-[2-[2-[2-methoxy-4-(4-morpholin-4-ylpiperidin-1-yl)anilino]pyrrolo[2,1-f][1,2,4]triazin-7-yl]phenyl]-N-methylmethanesulfonamide617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.0500uM
N-[2-[2-[4-[4-[(2S)-2-hydroxypropyl]piperazin-1-yl]-2-methoxyanilino]pyrrolo[2,1-f][1,2,4]triazin-7-yl]phenyl]-N-methylmethanesulfonamide617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.0600uM
N-[2-[2-[4-[1-(2-hydroxyethyl)piperidin-4-yl]-2-methoxyanilino]pyrrolo[2,1-f][1,2,4]triazin-7-yl]phenyl]-N-methylmethanesulfonamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0600uM
3-[(1R)-1-(2,6-dichloro-3-fluorophenyl)ethoxy]-5-(1-piperidin-4-ylpyrazol-3-yl)pyridin-2-amine1711502: Inhibition of NMP-ALK (unknown origin) expressed in human KARPAS-299 cells assessed as reduction in cell growthic500.0640uM
N-[2-methoxy-4-[4-(4-methylpiperazin-1-yl)piperazin-1-yl]phenyl]-7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-amine617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.0700uM
N-[2-[2-[4-[1-[(2R)-2-hydroxypropyl]piperidin-4-yl]-2-methoxyanilino]pyrrolo[2,1-f][1,2,4]triazin-7-yl]phenyl]-N-methylmethanesulfonamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0700uM
N-[2-methoxy-4-(1-methylpiperidin-4-yl)phenyl]-7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-amine694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0700uM
2-[4-[3-methoxy-4-[[5-methyl-7-[2-[methyl(methylsulfonyl)amino]phenyl]pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]acetamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0700uM
2-[4-[4-[[5-chloro-7-[2-[methyl(methylsulfonyl)amino]phenyl]pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]-3-methoxyphenyl]piperidin-1-yl]acetamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0700uM
(2R)-1-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperazin-1-yl]propan-2-ol617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.0800uM
N-[2-[2-[4-[4-[(2R)-2-hydroxypropyl]piperazin-1-yl]-2-methoxyanilino]pyrrolo[2,1-f][1,2,4]triazin-7-yl]phenyl]-N-methylmethanesulfonamide617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.0800uM
1-fluoro-3-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]propan-2-ol694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0800uM
2-[4-[3-methoxy-4-[[7-[2-[methyl(methylsulfonyl)amino]phenyl]pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]acetamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.0800uM
N-[2-methoxy-4-(4-morpholin-4-ylpiperazin-1-yl)phenyl]-7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-amine617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.0850uM
N-[2-methoxy-4-(4-methylpiperazin-1-yl)phenyl]-7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-amine617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.1000uM
(2S)-1-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperazin-1-yl]propan-2-ol617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.1000uM
(2R)-1-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]propan-2-ol694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.1000uM
2-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]-N-methylacetamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.1000uM
2-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]acetamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.1000uM
8-[4-[2-[[2-(2,6-dioxopiperidin-3-yl)-1,3-dioxoisoindol-4-yl]amino]acetyl]piperazin-1-yl]-9-ethyl-6,6-dimethyl-11-oxo-5H-benzo[b]carbazole-3-carbonitrile1847263: Protac activity at CRBN/NPM-ALK in human KARPAS-299 cells assessed as induction of NPM-ALK fusion protein degradation incubated for 48 hrs by Western blot analysisec500.1165uM
6-N-[5-methyl-4-(1-methylpiperidin-4-yl)-2-propan-2-yloxyphenyl]-4-N-(2-propan-2-ylsulfonylphenyl)-2H-pyrazolo[3,4-d]pyrimidine-3,4,6-triamine1711446: Inhibition of NMP-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 2 to 3 days by Bright-Glo luciferase assayic500.1500uM
Bosutinib271009: Inhibition of NPM/ALK L256T mutant kinase activity in BaF3 cells by radioenzymatic assayic500.1500uM
2-amino-1-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]-2-methylpropan-1-one694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.1500uM
2-[4-[3-methoxy-4-[[7-(3-methoxy-4-pyridinyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]acetamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.1500uM
azetidin-2-yl-[4-[3-methoxy-4-[[7-(2-methoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]phenyl]piperidin-1-yl]methanone694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.2000uM
N-[2-[2-[2-methoxy-4-(4-methylpiperazin-1-yl)anilino]pyrrolo[2,1-f][1,2,4]triazin-7-yl]phenyl]-N-methylmethanesulfonamide617856: Inhibition of NPM/ALK phosphorylation in human KARPAS299 cells by ELISAic500.2000uM
N-[2-[2-[5-fluoro-4-[4-[(2S)-2-hydroxypropyl]piperazin-1-yl]-2-methoxyanilino]pyrrolo[2,1-f][1,2,4]triazin-7-yl]phenyl]-N-methylmethanesulfonamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.2000uM
2-[4-[4-[[7-(2-cyanophenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]-3-methoxyphenyl]piperidin-1-yl]acetamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.2500uM
6-methyl-2-N-(5-methyl-4-piperidin-4-yl-2-propan-2-yloxyphenyl)-4-N-(2-propan-2-ylsulfonylphenyl)-7H-pyrrolo[2,3-d]pyrimidine-2,4-diamine1711502: Inhibition of NMP-ALK (unknown origin) expressed in human KARPAS-299 cells assessed as reduction in cell growthic500.3280uM
4,7-bis[4-(4-methylpiperazin-1-yl)phenyl]pyrazino[1,2-a]benzimidazole1070241: Inhibition of NPM/ALK (unknown origin) transfected in mouse BAF3 cells assessed as cell growth inhibition after 72 hrs by [3H]-thymidine incorporation assayic500.3400uM
3-[4-amino-7-[3-(hydroxymethyl)cyclobutyl]pyrrolo[2,3-d]pyrimidin-5-yl]phenol1774882: Inhibition of NPM-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 48 hrs by cell proliferation assayic500.3700uM
2-[4-[4-[[7-(2,4-dimethoxyphenyl)pyrrolo[2,1-f][1,2,4]triazin-2-yl]amino]-3-methoxyphenyl]piperidin-1-yl]acetamide694696: Inhibition of human NPM-ALK phosphorylation using 4-MeUP substrate by cell based assayic500.5000uM
7-(4-methoxyphenyl)-4-[(E)-2-phenylethenyl]pyrazino[1,2-a]benzimidazole1070241: Inhibition of NPM/ALK (unknown origin) transfected in mouse BAF3 cells assessed as cell growth inhibition after 72 hrs by [3H]-thymidine incorporation assayic500.8400uM
3-(4-amino-7-cyclopentylpyrrolo[2,3-d]pyrimidin-5-yl)phenol1774882: Inhibition of NPM-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 48 hrs by cell proliferation assayic500.8700uM
2-N-[5-methyl-4-(1-methylpiperidin-4-yl)-2-propan-2-yloxyphenyl]-4-N-(2-propan-2-ylsulfonylphenyl)quinazoline-2,4-diamine1711446: Inhibition of NMP-ALK (unknown origin) expressed in mouse BaF3 cells assessed as reduction in cell proliferation incubated for 2 to 3 days by Bright-Glo luciferase assayic501.0820uM

CTD chemical–gene interactions

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

ChemicalActions (top 5)PubMed papers
bisphenol Aaffects expression, affects localization, decreases expression4
sodium arsenitedecreases expression, increases abundance, increases expression, affects binding, increases reaction4
Arsenic Trioxideincreases expression, affects response to substance, decreases reaction, increases response to substance3
Arsenicaffects methylation, increases expression, decreases expression, increases abundance3
Tretinoinaffects binding, increases reaction, decreases expression3
bisphenol Saffects localization, increases expression2
Cisplatinincreases expression, decreases response to substance2
Estradioldecreases phosphorylation, increases expression2
Quercetindecreases expression, decreases phosphorylation2
Valproic Aciddecreases expression2
aristolochic acid Idecreases expression1
UF010 compoundincreases acetylation1
FR900359affects phosphorylation1
bisphenol Fincreases expression1
dicrotophosdecreases expression1
deoxynivalenolincreases expression1
geranioldecreases expression1
sodium arsenatedecreases expression1
titanium dioxideincreases phosphorylation1
pyrogallol 1,3-dimethyl etheraffects cotreatment, affects localization, increases expression, decreases expression1
hexamethylene bisacetamidedecreases expression1
methylparabendecreases expression, increases expression1
afimoxifenedecreases expression1
tetrabromobisphenol Aaffects localization1
manganese chlorideincreases expression, increases abundance1
cerous chlorideaffects localization, decreases expression1
lanthanum chlorideaffects localization, decreases expression1
coumarinincreases phosphorylation1
triphenyltinincreases expression1
cupric oxideincreases phosphorylation1

ChEMBL screening assays

113 unique, capped per target: 108 binding, 5 functional

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1005525BindingInhibition of NPM-ALK in human Karpas299 cells at 50 nMIdentification of NVP-TAE684, a potent, selective, and efficacious inhibitor of NPM-ALK. — *Proc Natl Acad Sci U S A*
CHEMBL861020FunctionalAntiproliferative activity against SUDHL1 expressing NPM-ALK by MTT assayIdentification of ellagic acid as potent inhibitor of protein kinase CK2: a successful example of a virtual screening application. — *J Med Chem*

Cellosaurus cell lines

30 cell lines: 30 cancer cell line

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

CellosaurusNameCategorySex
CVCL_0538SU-DHL-1Cancer cell lineMale
CVCL_1170DELCancer cell lineMale
CVCL_1176DMS 273Cancer cell lineFemale
CVCL_1324Karpas-299Cancer cell lineMale
CVCL_1711SRCancer cell lineMale
CVCL_1844OCI-AML-3Cancer cell lineMale
CVCL_2093Ki-JKCancer cell lineMale
CVCL_2098L-82Cancer cell lineFemale
CVCL_2209SUP-M2Cancer cell lineFemale
CVCL_5227OCI-AML3/HaABCG2 clone 6.2Cancer cell lineMale

Clinical trials (associated diseases)

Via MONDO — disease-level, not drug-specific.

showing 60 of 319 trials:

NCTPhaseStatusTitle
NCT00199147Phase 4UNKNOWNEfficacy of G-CSF-Priming in Elderly AML Patients
NCT00304447Phase 4COMPLETEDStudy Evaluating the Effect of Corticosteroids on Mylotarg® Infusion-Related Adverse Events in Patients With Leukemia
NCT00464217Phase 4COMPLETEDTreatment of the Acute Myeloblastic Leukaemia in Patients Over 65 Years
NCT00487448Phase 4COMPLETEDSMD_FLAG-IDA_98: FLAG-IDA in Induction Treatment of High Risk Myelodysplastic Syndromes or Secondary Acute Myeloblastic Leukemia
NCT00488709Phase 4COMPLETEDFludarabine, Cytarabine, Topotecan in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia
NCT00686543Phase 4COMPLETEDOral Posaconazole in High Risk Patients With Gastrointestinal Dysfunction (Study P05115)
NCT01041040Phase 4COMPLETEDLAM07: Study to Analyze the Efficacy of a Risk Adapted Treatment Strategy, Including Gemtuzumab Ozogamicin (GO) During Consolidation, for Patients With Acute Myeloid Leukemia (AML)
NCT01198054Phase 4TERMINATEDLENA-LMA-5:Lenalidomide in Acute Myeloid Leukemia (AML)
NCT01200355Phase 4COMPLETEDPosaconazole Versus Micafungin for Prophylaxis Against Invasive Fungal Infections During Neutropenia in Patients Undergoing Chemotherapy for Acute Myelogenous Leukemia, Acute Lymphocytic Leukemia or Myelodysplastic Syndrome
NCT01347996Phase 4COMPLETEDMaintenance Therapy With Ceplene® (Histamine) and IL-2 on Immune Response and MRD in Acute Myeloid Leukemia
NCT01587430Phase 4UNKNOWN3 Anthracyclines, 2 Types of Consolidation With Different ARA-C Doses and Maintenance in Adult Acute Myeloid Leukemia
NCT01819792Phase 4COMPLETEDRespiratory Viral Infections During Acute Myeloid Leukemia (AML)Chemotherapy Related Aplasia
NCT02024308Phase 4UNKNOWNAML1-ETO Acute Myeloid Leukemia With Fludarabine and Cytarabine Chemotherapy
NCT02027064Phase 4UNKNOWNInterferon for the Intervention of Molecular Relapse in t (8; 21) AML After Allo-HSCT
NCT02277847Phase 4UNKNOWNIdarubicin at Different Dosages as Induction Therapy for Newly Diagnosed Acute Myeloid Leukaemia
NCT02386800Phase 4ACTIVE_NOT_RECRUITINGCINC424A2X01B Rollover Protocol
NCT02926586Phase 4COMPLETEDFludarabine and Cytarabine Versus High-dose Cytarabine for CBF-AML
NCT02933333Phase 4UNKNOWNG-CSF Alone or Combination With GM-CSF on Prevention and Treatment of Infection in Children With Malignant Tumor
NCT03026842Phase 4UNKNOWNDecitabine Versus Conventional Chemotherapy for Maintenance Therapy of Acute Myeloid Leukemia With t(8;21)
NCT03150134Phase 4UNKNOWNEarly Tapering of Immunosuppressive Agents to Immunomodulation to Improve Survival of AML Patients
NCT05144243Phase 4ACTIVE_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
NCT06370000Phase 4RECRUITINGOral Azacitidine in Transplant-Eligible Patients With Acute Myeloid Leukemia (AML) Suffering From Health-Inequality
NCT06571825Phase 4RECRUITINGRIC Allo-HSCT vs. Venetoclax-Based Consolidation in Elderly AML Patients After First CR
NCT07016165Phase 4RECRUITINGCiprofloxacin vs Ceftazidime for Empirical Treatment of High-Risk Neutropenic Fever in Children With Hematologic Malignancies
NCT07044687Phase 4RECRUITINGStudy 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
NCT07486713Phase 4RECRUITINGOlutasidenib DDI Study in Patients With IDH1 Mutation Positive Malignancies
NCT07561892Phase 4RECRUITINGStudy of the Effectiveness and Safety of Daunorubicin /Idarubicin ± Silibinin in Treating Newly Diagnosed AML (Non-M3).
NCT07773909Phase 4COMPLETEDVenetoclax With Hypomethylating Agents in Newly Diagnosed AML Unfit for Intensive Chemotherapy
NCT00000589Phase 3COMPLETEDTrial to Reduce Alloimmunization to Platelets (TRAP)
NCT00044486Phase 3COMPLETEDProphylaxis Trial of Posaconazole Versus Standard Azole Therapy for Neutropenic Patients (Study P01899)
NCT00093990Phase 3COMPLETEDTipifarnib Versus Best Supportive Care in the Treatment of Newly Diagnosed Acute Myeloid Leukemia (AML)
NCT00125606Phase 3TERMINATEDPhase 3 Trial for AML Patients in CR2 Comparing 8Gy TBI /Fludarabine to Conditioning With TBI 12Gy/Cyclophosphamide
NCT00136084Phase 3COMPLETEDTreatment of Patients With Newly Diagnosed Acute Myeloid Leukemia or Myelodysplasia
NCT00146120Phase 3COMPLETEDRisk-Adapted Therapy of Acute Myeloid Leukemia of Adults (18-60 Years) According to the Cytogenetic Result
NCT00150878Phase 3TERMINATEDStandard vs. Reduced-Intensity Conditioning in Patients With Acute Myeloid Leukemia in First Remission
NCT00151255Phase 3COMPLETEDAll-Trans Retinoic Acid in Combination With Standard Induction and Consolidation Therapy in Older Patients With Newly Diagnosed Acute Myeloid Leukemia
NCT00152139Phase 3COMPLETEDStem Cell Transplantation for Patients With Hematologic Malignancies
NCT00152594Phase 3TERMINATEDVoriconazole or Placebo in the Prophylaxis of Lung Infiltrates in Patients Undergoing Induction Chemotherapy for Acute Myelogenous Leukemia
NCT00186966Phase 3COMPLETEDTreatment of Children and Adolescents With Refractory or Relapsed Acute Myeloid Leukemia
NCT00226512Phase 3WITHDRAWNTo 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
NCT00260832Phase 3COMPLETEDTrial of Decitabine in Patients With Acute Myeloid Leukemia
NCT00266136Phase 3COMPLETEDBiology and Treatment Strategy of AML in Its Subgroups: Multicenter Randomized Trial by the German Acute Myeloid Leukemia Cooperative Group (AMLCG)
NCT00317642Phase 3COMPLETEDA Study of Clofarabine and Cytarabine for Older Patients With Relapsed or Refractory Acute Myelogenous Leukemia (AML)(CLASSIC I)
NCT00322101Phase 3COMPLETEDLow-Dose or High-Dose Conditioning Followed by Peripheral Blood Stem Cell Transplant in Treating Patients With Myelodysplastic Syndrome or Acute Myelogenous Leukemia
NCT00363025Phase 3TERMINATEDA Randomized Study of Post-Remission Therapy in Elderly Patients With Acute Myelogenous Leukemia.
NCT00406393Phase 3COMPLETEDSirolimus/Tacrolimus Versus Tacrolimus/Methotrexate for Preventing Graft-Versus-Host Disease (GVHD) (BMT CTN 0402)
NCT00412360Phase 3COMPLETEDSingle vs Double Umbilical Cord Blood Transplants in Children With High Risk Leukemia and Myelodysplasia (BMT CTN 0501)
NCT00428558Phase 3COMPLETEDTimed-Sequential Induction in CBF-AML
NCT00469144Phase 3COMPLETEDIV Busulfan With Allo-BMT: Study for Patients With Acute Myelogenous Leukemia and Myelodysplastic Syndrome
NCT00474006Phase 3COMPLETEDHigh Dose Daunorubicin Vs. Standard Dose Daunorubicin in Induction Treatment of AML
NCT00476541Phase 3COMPLETEDNOPHO-AML 2004 Study for Children With Acute Myeloid Leukemia
NCT00480064Phase 3COMPLETEDLomustine and Intermediate Dose Cytarabine in Older Patients With AML
NCT00495287Phase 3COMPLETEDA Remission Induction Therapy and Risk-oriented Postremission Strategy for Adult Acute Myelogenous Leukemia (AML)
NCT00513305Phase 3TERMINATEDCytarabine in Combination With Arsenic Trioxide vs. Cytarabine Alone in Elderly Patients With Acute Myeloid Leukemia
NCT00568633Phase 3TERMINATEDAllogeneic HCT Using Nonmyeloablative Host Conditioning With TLI & ATG vs SOC in AML
NCT00589082Phase 3COMPLETEDDaunoXome + Ara-C vs Daunorubicin + Ara-C in Elderly AML
NCT00590837Phase 3COMPLETEDAdding Lomustine to Chemotherapy in Older Patients With Acute Myelogenous Leukemia (AML), and Allogeneic Transplantation for Patients From 60 to 65 Years Old
NCT00606723Phase 3COMPLETEDAllogenic Stem Cell Transplantation for Children, Adolescents and Young Adults With Relapsed or Refractory AML
NCT00656448Phase 3COMPLETEDA Randomized Trial of Procrit vs. No Procrit in AML and High Risk MDS
NCT00678275Phase 3COMPLETEDChronic Graft-versus-host Disease (cGvHD) Prophylaxis With or Without ATG Prior to Stem Cell Transplantation (SCT) From HLA-identical Siblings in Patients With Acute Leukemia

Predicted chemistry — Sugi Predict

The predicted patent-compound landscape for NPM1 across ~30M SureChEMBL compounds — explore on Sugi Predict.