Drug Information
Drug (ID: DG01641) and It's Reported Resistant Information
| Name |
Enasidenib
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| Synonyms |
Enasidenib; 1446502-11-9; AG-221; AG-221 (Enasidenib); CC-90007 Free Base; IDHIFA; UNII-3T1SS4E7AG; AG 221; 2-Methyl-1-(4-(6-(trifluoromethyl)pyridin-2-yl)-6-(2-(trifluoromethyl)pyridin-4-ylamino)-1,3,5-triazin-2-ylamino)propan-2-ol; CC-90007; 3T1SS4E7AG; 2-methyl-1-((4-(6-(trifluoromethyl)pyridin-2-yl)-6-((2-(trifluoromethyl)pyridin-4-yl)amino)-1,3,5-triazin-2-yl)amino)propan-2-ol; 2-Methyl-1-[(4-[6-(Trifluoromethyl)pyridin-2-Yl]-6-{[2-(Trifluoromethyl)pyridin-4-Yl]amino}-1,3,5-Triazin-2-Yl)amino]propan-2-Ol; 2-methyl-1-[[4-[6-(trifluoromethyl)pyridin-2-yl]-6-[[2-(trifluoromethyl)pyridin-4-yl]amino]-1,3,5-triazin-2-yl]amino]propan-2-ol; 2-Propanol, 2-methyl-1-[[4-[6-(trifluoromethyl)-2-pyridinyl]-6-[[2-(trifluoromethyl)-4-pyridinyl]amino]-1,3,5-triazin-2-yl]amino]-; 2-Propanol, 2-methyl-1-((4-(6-(trifluoromethyl)-2-pyridinyl)-6-((2-(trifluoromethyl)-4-pyridinyl)amino)-1,3,5-triazin-2-yl)amino)-; Enasidenib [INN]; enasidenibum; AG221; 2-methyl-1-({4-[6-(trifluoromethyl)pyridin-2-yl]-6-{[2-(trifluoromethyl)pyridin-4-yl]amino}-1,3,5-triazin-2-yl}amino)propan-2-ol; AG-221(Enasidenib); AG-221; Enasidenib; Enasidenib; AG-221; Enasidenib (USAN/INN); Enasidenib [USAN:INN]; GTPL8960; CHEMBL3989908; SCHEMBL15102202; EX-A654; CHEBI:145374; HMS3873D03; AMY38698; BCP16041; BDBM50503251; MFCD29472245; NSC788120; s8205; AKOS026750439; ZINC222731806; CCG-269476; CS-5017; DB13874; NSC-788120; SB19193; NCGC00479249-03; NCGC00479249-05; AC-31318; AS-75164; HY-18690; FT-0700204; D10901; A857662; J-690181; Q27077182; B0084-470859; AG-221; AG 221; AG221; CC-90007; CC 90007; CC90007; 69Q
Click to Show/Hide
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| Indication |
In total 1 Indication(s)
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| Structure |
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| Target | Serine/threonine-protein kinase B-raf (BRAF) | BRAF_HUMAN | [1] | ||
| Click to Show/Hide the Molecular Information and External Link(s) of This Drug | |||||
| Formula |
6
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| IsoSMILES |
CC(C)(CNC1=NC(=NC(=N1)C2=NC(=CC=C2)C(F)(F)F)NC3=CC(=NC=C3)C(F)(F)F)O
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| InChI |
InChI=1S/C19H17F6N7O/c1-17(2,33)9-27-15-30-14(11-4-3-5-12(29-11)18(20,21)22)31-16(32-15)28-10-6-7-26-13(8-10)19(23,24)25/h3-8,33H,9H2,1-2H3,(H2,26,27,28,30,31,32)
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| InChIKey |
DYLUUSLLRIQKOE-UHFFFAOYSA-N
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| PubChem CID | |||||
| ChEBI ID | |||||
| TTD Drug ID | |||||
| VARIDT ID | |||||
| DrugBank ID | |||||
Type(s) of Resistant Mechanism of This Drug due to Structure Alteration
Drug Resistance Data Categorized by Their Corresponding Diseases
ICD-02: Benign/in-situ/malignant neoplasm
| Drug Sensitivity Data Categorized by Their Corresponding Mechanisms | |||||||||||||
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| Key Molecule: Isocitrate dehydrogenase NADP 2 (IDH2) | [1] | ||||||||||||
| Sensitive Disease | FGFR-tacc positive glioblastoma [ICD-11: 2A00.01] | ||||||||||||
| Molecule Alteration | Missense mutation | p.R172K (c.515G>A) |
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| Wild Type Structure | Method: X-ray diffraction | Resolution: 1.93 Å | |||||||||||
| Mutant Type Structure | Method: X-ray diffraction | Resolution: 2.10 Å | |||||||||||
| Download The Information of Sequence | Download The Structure File | ||||||||||||
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| Experimental Note | Identified from the Human Clinical Data | ||||||||||||
| In Vitro Model | U87MG cells | Brain | Homo sapiens (Human) | CVCL_GP63 | |||||||||
| TF-1 cells | Bone marrow | Homo sapiens (Human) | CVCL_0559 | ||||||||||
| TF-1a cells | Bone marrow | Homo sapiens (Human) | CVCL_3608 | ||||||||||
| IDH2 cells | Ovary | Homo sapiens (Human) | CVCL_D3DY | ||||||||||
| In Vivo Model | NSG mouse PDX model | Mus musculus | |||||||||||
| Mechanism Description | Somatic gain-of-function mutations in isocitrate dehydrogenases (IDH) 1 and 2 are found in multiple hematologic and solid tumors, leading to accumulation of the oncometabolite (R)-2-hydroxyglutarate (2HG). 2HG competitively inhibits alpha-ketoglutarate-dependent dioxygenases, including histone demethylases and methylcytosine dioxygenases of the TET family, causing epigenetic dysregulation and a block in cellular differentiation. | ||||||||||||
| Key Molecule: Isocitrate dehydrogenase NADP 2 (IDH2) | [1] | ||||||||||||
| Sensitive Disease | FGFR-tacc positive glioblastoma [ICD-11: 2A00.01] | ||||||||||||
| Molecule Alteration | Missense mutation | p.R140Q (c.419G>A) |
|||||||||||
| Wild Type Structure | Method: X-ray diffraction | Resolution: 2.10 Å | |||||||||||
| Mutant Type Structure | Method: X-ray diffraction | Resolution: 1.54 Å | |||||||||||
| Download The Information of Sequence | Download The Structure File | ||||||||||||
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200
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210
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360
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370
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380
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G
410
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L
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A
A
G
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C
I
I
420
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H
H
G
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N
N
V
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L
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N
E
E
430
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H
H
F
F
L
L
N
N
T
T
T
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D
D
F
F
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D
D
440
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T
T
I
I
K
K
S
S
N
N
L
L
D
D
R
R
A
A
L
L
450
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G
G
R
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E
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H
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|||||||||||||
| Experimental Note | Identified from the Human Clinical Data | ||||||||||||
| In Vitro Model | U87MG cells | Brain | Homo sapiens (Human) | CVCL_GP63 | |||||||||
| TF-1 cells | Bone marrow | Homo sapiens (Human) | CVCL_0559 | ||||||||||
| TF-1a cells | Bone marrow | Homo sapiens (Human) | CVCL_3608 | ||||||||||
| IDH2 cells | Ovary | Homo sapiens (Human) | CVCL_D3DY | ||||||||||
| In Vivo Model | NSG mouse PDX model | Mus musculus | |||||||||||
| Mechanism Description | Somatic gain-of-function mutations in isocitrate dehydrogenases (IDH) 1 and 2 are found in multiple hematologic and solid tumors, leading to accumulation of the oncometabolite (R)-2-hydroxyglutarate (2HG). 2HG competitively inhibits alpha-ketoglutarate-dependent dioxygenases, including histone demethylases and methylcytosine dioxygenases of the TET family, causing epigenetic dysregulation and a block in cellular differentiation. | ||||||||||||
| Drug Sensitivity Data Categorized by Their Corresponding Mechanisms | |||||||||||||
|
|
|||||||||||||
| Key Molecule: Isocitrate dehydrogenase NADP 2 (IDH2) | [2] | ||||||||||||
| Sensitive Disease | Acute myeloid leukemia [ICD-11: 2A60.0] | ||||||||||||
| Molecule Alteration | Missense mutation | p.R172K (c.515G>A) |
|||||||||||
| Wild Type Structure | Method: X-ray diffraction | Resolution: 1.93 Å | |||||||||||
| Mutant Type Structure | Method: X-ray diffraction | Resolution: 2.10 Å | |||||||||||
| Download The Information of Sequence | Download The Structure File | ||||||||||||
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A
-
K
-
P
50
|
-
V
-
V
-
E
-
M
-
D
-
G
-
D
-
E
-
M
-
T
60
|
-
R
-
I
-
I
-
W
-
Q
-
F
-
I
-
K
-
E
-
K
70
|
-
L
-
I
-
L
-
P
-
H
-
V
-
D
-
I
-
Q
-
L
80
|
-
K
-
Y
-
F
-
D
-
L
-
G
-
L
-
P
-
N
-
R
90
|
-
D
-
Q
-
T
-
D
-
D
-
Q
-
V
-
T
-
I
-
D
100
|
-
S
-
A
-
L
-
A
-
T
-
Q
-
K
-
Y
-
S
-
V
110
|
-
A
-
V
-
K
-
C
-
A
-
T
-
I
-
T
-
P
-
D
120
|
-
E
-
A
-
R
-
V
-
E
-
E
-
F
-
K
-
L
-
K
130
|
-
K
-
M
-
W
-
K
-
S
-
P
-
N
-
G
-
T
-
I
140
|
-
R
-
N
-
I
-
L
-
G
-
G
-
T
-
V
-
F
-
R
150
|
-
E
-
P
-
I
-
I
-
C
-
K
-
N
-
I
-
P
-
R
160
|
-
L
-
V
-
P
-
G
-
W
T
T
K
K
P
P
I
I
T
T
170
|
I
I
G
G
S
K
H
H
A
A
H
H
G
G
D
D
Q
Q
Y
Y
180
|
K
K
-
A
-
T
-
D
-
F
-
V
-
A
-
D
-
R
-
A
190
|
-
G
-
T
-
F
-
K
-
M
-
V
-
F
-
T
-
P
-
K
200
|
-
D
-
G
-
S
-
G
-
V
-
K
-
E
-
W
-
E
-
V
210
|
-
Y
-
N
-
F
-
P
-
A
-
G
-
G
-
V
-
G
-
M
220
|
-
G
-
M
-
Y
-
N
-
T
-
D
-
E
-
S
-
I
-
S
230
|
-
G
-
F
-
A
-
H
-
S
-
C
-
F
-
Q
-
Y
-
A
240
|
-
I
-
Q
-
K
-
K
-
W
-
P
-
L
-
Y
-
M
-
S
250
|
-
T
-
K
-
N
-
T
-
I
-
L
-
K
-
A
-
Y
-
D
260
|
-
G
-
R
-
F
-
K
-
D
-
I
-
F
-
Q
-
E
-
I
270
|
-
F
-
D
-
K
-
H
-
Y
-
K
-
T
-
D
-
F
-
D
280
|
-
K
-
N
-
K
-
I
-
W
-
Y
-
E
-
H
-
R
-
L
290
|
-
I
-
D
-
D
-
M
-
V
-
A
-
Q
-
V
-
L
-
K
300
|
-
S
-
S
-
G
-
G
-
F
-
V
-
W
-
A
-
C
-
K
310
|
-
N
-
Y
-
D
-
G
-
D
-
V
-
Q
-
S
-
D
-
I
320
|
-
L
-
A
-
Q
-
G
-
F
-
G
-
S
-
L
-
G
-
L
330
|
-
M
-
T
-
S
-
V
-
L
-
V
-
C
-
P
-
D
-
G
340
|
-
K
-
T
-
I
-
E
-
A
-
E
-
A
-
A
-
H
-
G
350
|
-
T
-
V
-
T
-
R
-
H
-
Y
-
R
-
E
-
H
-
Q
360
|
-
K
-
G
-
R
-
P
-
T
-
S
-
T
-
N
-
P
-
I
370
|
-
A
-
S
-
I
-
F
-
A
-
W
-
T
-
R
-
G
-
L
380
|
-
E
-
H
-
R
-
G
-
K
-
L
-
D
-
G
-
N
-
Q
390
|
-
D
-
L
-
I
-
R
-
F
-
A
-
Q
-
M
-
L
-
E
400
|
-
K
-
V
-
C
-
V
-
E
-
T
-
V
-
E
-
S
-
G
410
|
-
A
-
M
-
T
-
K
-
D
-
L
-
A
-
G
-
C
-
I
420
|
-
H
-
G
-
L
-
S
-
N
-
V
-
K
-
L
-
N
-
E
430
|
-
H
-
F
-
L
-
N
-
T
-
T
-
D
-
F
-
L
-
D
440
|
-
T
-
I
-
K
-
S
-
N
-
L
-
D
-
R
-
A
-
L
450
|
-
G
-
R
-
Q
-
S
-
L
-
E
-
H
-
H
-
H
-
H
460
|
-
H
-
H
-
H
-
H
|
|||||||||||||
| Experimental Note | Identified from the Human Clinical Data | ||||||||||||
| In Vitro Model | U87MG cells | Brain | Homo sapiens (Human) | CVCL_GP63 | |||||||||
| TF-1 cells | Bone marrow | Homo sapiens (Human) | CVCL_0559 | ||||||||||
| In Vivo Model | Acute myeloid leukemia xenograft mouse model | Mus musculus | |||||||||||
| Experiment for Drug Resistance |
IC50 assay | ||||||||||||
| Key Molecule: Isocitrate dehydrogenase NADP 2 (IDH2) | [2] | ||||||||||||
| Sensitive Disease | Acute myeloid leukemia [ICD-11: 2A60.0] | ||||||||||||
| Molecule Alteration | Missense mutation | p.R140Q (c.419G>A) |
|||||||||||
| Wild Type Structure | Method: X-ray diffraction | Resolution: 2.10 Å | |||||||||||
| Mutant Type Structure | Method: X-ray diffraction | Resolution: 1.54 Å | |||||||||||
| Download The Information of Sequence | Download The Structure File | ||||||||||||
-
-
M
40
|
A
A
D
D
K
K
R
R
I
I
K
K
V
V
A
A
K
K
P
P
50
|
V
V
V
V
E
E
M
M
D
D
G
G
D
D
E
E
M
M
T
T
60
|
R
R
I
I
I
I
W
W
Q
Q
F
F
I
I
K
K
E
E
K
K
70
|
L
L
I
I
L
L
P
P
H
H
V
V
D
D
I
I
Q
Q
L
L
80
|
K
K
Y
Y
F
F
D
D
L
L
G
G
L
L
P
P
N
N
R
R
90
|
D
D
Q
Q
T
T
D
D
D
D
Q
Q
V
V
T
T
I
I
D
D
100
|
S
S
A
A
L
L
A
A
T
T
Q
Q
K
K
Y
Y
S
S
V
V
110
|
A
A
V
V
K
K
C
C
A
A
T
T
I
I
T
T
P
P
D
D
120
|
E
E
A
A
R
R
V
V
E
E
E
E
F
F
K
K
L
L
K
K
130
|
K
K
M
M
W
W
K
K
S
S
P
P
N
N
G
G
T
T
I
I
140
|
R
Q
N
N
I
I
L
L
G
G
G
G
T
T
V
V
F
F
R
R
150
|
E
E
P
P
I
I
I
I
C
C
K
K
N
N
I
I
P
P
R
R
160
|
L
L
V
V
P
P
G
G
W
W
T
T
K
K
P
P
I
I
T
T
170
|
I
I
G
G
K
R
H
H
A
A
H
H
G
G
D
D
Q
Q
Y
Y
180
|
K
K
A
A
T
T
D
D
F
F
V
V
A
A
D
D
R
R
A
A
190
|
G
G
T
T
F
F
K
K
M
M
V
V
F
F
T
T
P
P
K
K
200
|
D
D
G
G
S
S
G
G
V
V
K
K
E
E
W
W
E
E
V
V
210
|
Y
Y
N
N
F
F
P
P
A
A
G
G
G
G
V
V
G
G
M
M
220
|
G
G
M
M
Y
Y
N
N
T
T
D
D
E
E
S
S
I
I
S
S
230
|
G
G
F
F
A
A
H
H
S
S
C
C
F
F
Q
Q
Y
Y
A
A
240
|
I
I
Q
Q
K
K
K
K
W
W
P
P
L
L
Y
Y
M
M
S
S
250
|
T
T
K
K
N
N
T
T
I
I
L
L
K
K
A
A
Y
Y
D
D
260
|
G
G
R
R
F
F
K
K
D
D
I
I
F
F
Q
Q
E
E
I
I
270
|
F
F
D
D
K
K
H
H
Y
Y
K
K
T
T
D
D
F
F
D
D
280
|
K
K
N
N
K
K
I
I
W
W
Y
Y
E
E
H
H
R
R
L
L
290
|
I
I
D
D
D
D
M
M
V
V
A
A
Q
Q
V
V
L
L
K
K
300
|
S
S
S
S
G
G
G
G
F
F
V
V
W
W
A
A
C
C
K
K
310
|
N
N
Y
Y
D
D
G
G
D
D
V
V
Q
Q
S
S
D
D
I
I
320
|
L
L
A
A
Q
Q
G
G
F
F
G
G
S
S
L
L
G
G
L
L
330
|
M
M
T
T
S
S
V
V
L
L
V
V
C
C
P
P
D
D
G
G
340
|
K
K
T
T
I
I
E
E
A
A
E
E
A
A
A
A
H
H
G
G
350
|
T
T
V
V
T
T
R
R
H
H
Y
Y
R
R
E
E
H
H
Q
Q
360
|
K
K
G
G
R
R
P
P
T
T
S
S
T
T
N
N
P
P
I
I
370
|
A
A
S
S
I
I
F
F
A
A
W
W
T
T
R
R
G
G
L
L
380
|
E
E
H
H
R
R
G
G
K
K
L
L
D
D
G
G
N
N
Q
Q
390
|
D
D
L
L
I
I
R
R
F
F
A
A
Q
Q
M
M
L
L
E
E
400
|
K
K
V
V
C
C
V
V
E
E
T
T
V
V
E
E
S
S
G
G
410
|
A
A
M
M
T
T
K
K
D
D
L
L
A
A
G
G
C
C
I
I
420
|
H
H
G
G
L
L
S
S
N
N
V
V
K
K
L
L
N
N
E
E
430
|
H
H
F
F
L
L
N
N
T
T
T
T
D
D
F
F
L
L
D
D
440
|
T
T
I
I
K
K
S
S
N
N
L
L
D
D
R
R
A
A
L
L
450
|
G
G
R
R
Q
Q
S
L
L
E
E
H
H
H
H
H
H
H
H
H
460
|
H
H
H
H
H
H
H
-
|
|||||||||||||
| Experimental Note | Identified from the Human Clinical Data | ||||||||||||
| In Vitro Model | U87MG cells | Brain | Homo sapiens (Human) | CVCL_GP63 | |||||||||
| TF-1 cells | Bone marrow | Homo sapiens (Human) | CVCL_0559 | ||||||||||
| In Vivo Model | Acute myeloid leukemia xenograft mouse model | Mus musculus | |||||||||||
| Experiment for Drug Resistance |
IC50 assay | ||||||||||||
| Drug Sensitivity Data Categorized by Their Corresponding Mechanisms | |||||||||||||
|
|
|||||||||||||
| Key Molecule: Isocitrate dehydrogenase NADP 2 (IDH2) | [3] | ||||||||||||
| Sensitive Disease | Hematologic Cancer [ICD-11: MG24.Y] | ||||||||||||
| Molecule Alteration | Missense mutation | p.R172K (c.515G>A) |
|||||||||||
| Wild Type Structure | Method: X-ray diffraction | Resolution: 1.93 Å | |||||||||||
| Mutant Type Structure | Method: X-ray diffraction | Resolution: 2.10 Å | |||||||||||
| Download The Information of Sequence | Download The Structure File | ||||||||||||
-
40
|
-
A
-
D
-
K
-
R
-
I
-
K
-
V
-
A
-
K
-
P
50
|
-
V
-
V
-
E
-
M
-
D
-
G
-
D
-
E
-
M
-
T
60
|
-
R
-
I
-
I
-
W
-
Q
-
F
-
I
-
K
-
E
-
K
70
|
-
L
-
I
-
L
-
P
-
H
-
V
-
D
-
I
-
Q
-
L
80
|
-
K
-
Y
-
F
-
D
-
L
-
G
-
L
-
P
-
N
-
R
90
|
-
D
-
Q
-
T
-
D
-
D
-
Q
-
V
-
T
-
I
-
D
100
|
-
S
-
A
-
L
-
A
-
T
-
Q
-
K
-
Y
-
S
-
V
110
|
-
A
-
V
-
K
-
C
-
A
-
T
-
I
-
T
-
P
-
D
120
|
-
E
-
A
-
R
-
V
-
E
-
E
-
F
-
K
-
L
-
K
130
|
-
K
-
M
-
W
-
K
-
S
-
P
-
N
-
G
-
T
-
I
140
|
-
R
-
N
-
I
-
L
-
G
-
G
-
T
-
V
-
F
-
R
150
|
-
E
-
P
-
I
-
I
-
C
-
K
-
N
-
I
-
P
-
R
160
|
-
L
-
V
-
P
-
G
-
W
T
T
K
K
P
P
I
I
T
T
170
|
I
I
G
G
S
K
H
H
A
A
H
H
G
G
D
D
Q
Q
Y
Y
180
|
K
K
-
A
-
T
-
D
-
F
-
V
-
A
-
D
-
R
-
A
190
|
-
G
-
T
-
F
-
K
-
M
-
V
-
F
-
T
-
P
-
K
200
|
-
D
-
G
-
S
-
G
-
V
-
K
-
E
-
W
-
E
-
V
210
|
-
Y
-
N
-
F
-
P
-
A
-
G
-
G
-
V
-
G
-
M
220
|
-
G
-
M
-
Y
-
N
-
T
-
D
-
E
-
S
-
I
-
S
230
|
-
G
-
F
-
A
-
H
-
S
-
C
-
F
-
Q
-
Y
-
A
240
|
-
I
-
Q
-
K
-
K
-
W
-
P
-
L
-
Y
-
M
-
S
250
|
-
T
-
K
-
N
-
T
-
I
-
L
-
K
-
A
-
Y
-
D
260
|
-
G
-
R
-
F
-
K
-
D
-
I
-
F
-
Q
-
E
-
I
270
|
-
F
-
D
-
K
-
H
-
Y
-
K
-
T
-
D
-
F
-
D
280
|
-
K
-
N
-
K
-
I
-
W
-
Y
-
E
-
H
-
R
-
L
290
|
-
I
-
D
-
D
-
M
-
V
-
A
-
Q
-
V
-
L
-
K
300
|
-
S
-
S
-
G
-
G
-
F
-
V
-
W
-
A
-
C
-
K
310
|
-
N
-
Y
-
D
-
G
-
D
-
V
-
Q
-
S
-
D
-
I
320
|
-
L
-
A
-
Q
-
G
-
F
-
G
-
S
-
L
-
G
-
L
330
|
-
M
-
T
-
S
-
V
-
L
-
V
-
C
-
P
-
D
-
G
340
|
-
K
-
T
-
I
-
E
-
A
-
E
-
A
-
A
-
H
-
G
350
|
-
T
-
V
-
T
-
R
-
H
-
Y
-
R
-
E
-
H
-
Q
360
|
-
K
-
G
-
R
-
P
-
T
-
S
-
T
-
N
-
P
-
I
370
|
-
A
-
S
-
I
-
F
-
A
-
W
-
T
-
R
-
G
-
L
380
|
-
E
-
H
-
R
-
G
-
K
-
L
-
D
-
G
-
N
-
Q
390
|
-
D
-
L
-
I
-
R
-
F
-
A
-
Q
-
M
-
L
-
E
400
|
-
K
-
V
-
C
-
V
-
E
-
T
-
V
-
E
-
S
-
G
410
|
-
A
-
M
-
T
-
K
-
D
-
L
-
A
-
G
-
C
-
I
420
|
-
H
-
G
-
L
-
S
-
N
-
V
-
K
-
L
-
N
-
E
430
|
-
H
-
F
-
L
-
N
-
T
-
T
-
D
-
F
-
L
-
D
440
|
-
T
-
I
-
K
-
S
-
N
-
L
-
D
-
R
-
A
-
L
450
|
-
G
-
R
-
Q
-
S
-
L
-
E
-
H
-
H
-
H
-
H
460
|
-
H
-
H
-
H
-
H
|
|||||||||||||
| Experimental Note | Identified from the Human Clinical Data | ||||||||||||
| Drug Sensitivity Data Categorized by Their Corresponding Mechanisms | |||||||||||||
|
|
|||||||||||||
| Key Molecule: Isocitrate dehydrogenase NADP 2 (IDH2) | [1] | ||||||||||||
| Sensitive Disease | Colorectal cancer [ICD-11: 2B91.1] | ||||||||||||
| Molecule Alteration | Missense mutation | p.R172K (c.515G>A) |
|||||||||||
| Wild Type Structure | Method: X-ray diffraction | Resolution: 1.93 Å | |||||||||||
| Mutant Type Structure | Method: X-ray diffraction | Resolution: 2.10 Å | |||||||||||
| Download The Information of Sequence | Download The Structure File | ||||||||||||
-
40
|
-
A
-
D
-
K
-
R
-
I
-
K
-
V
-
A
-
K
-
P
50
|
-
V
-
V
-
E
-
M
-
D
-
G
-
D
-
E
-
M
-
T
60
|
-
R
-
I
-
I
-
W
-
Q
-
F
-
I
-
K
-
E
-
K
70
|
-
L
-
I
-
L
-
P
-
H
-
V
-
D
-
I
-
Q
-
L
80
|
-
K
-
Y
-
F
-
D
-
L
-
G
-
L
-
P
-
N
-
R
90
|
-
D
-
Q
-
T
-
D
-
D
-
Q
-
V
-
T
-
I
-
D
100
|
-
S
-
A
-
L
-
A
-
T
-
Q
-
K
-
Y
-
S
-
V
110
|
-
A
-
V
-
K
-
C
-
A
-
T
-
I
-
T
-
P
-
D
120
|
-
E
-
A
-
R
-
V
-
E
-
E
-
F
-
K
-
L
-
K
130
|
-
K
-
M
-
W
-
K
-
S
-
P
-
N
-
G
-
T
-
I
140
|
-
R
-
N
-
I
-
L
-
G
-
G
-
T
-
V
-
F
-
R
150
|
-
E
-
P
-
I
-
I
-
C
-
K
-
N
-
I
-
P
-
R
160
|
-
L
-
V
-
P
-
G
-
W
T
T
K
K
P
P
I
I
T
T
170
|
I
I
G
G
S
K
H
H
A
A
H
H
G
G
D
D
Q
Q
Y
Y
180
|
K
K
-
A
-
T
-
D
-
F
-
V
-
A
-
D
-
R
-
A
190
|
-
G
-
T
-
F
-
K
-
M
-
V
-
F
-
T
-
P
-
K
200
|
-
D
-
G
-
S
-
G
-
V
-
K
-
E
-
W
-
E
-
V
210
|
-
Y
-
N
-
F
-
P
-
A
-
G
-
G
-
V
-
G
-
M
220
|
-
G
-
M
-
Y
-
N
-
T
-
D
-
E
-
S
-
I
-
S
230
|
-
G
-
F
-
A
-
H
-
S
-
C
-
F
-
Q
-
Y
-
A
240
|
-
I
-
Q
-
K
-
K
-
W
-
P
-
L
-
Y
-
M
-
S
250
|
-
T
-
K
-
N
-
T
-
I
-
L
-
K
-
A
-
Y
-
D
260
|
-
G
-
R
-
F
-
K
-
D
-
I
-
F
-
Q
-
E
-
I
270
|
-
F
-
D
-
K
-
H
-
Y
-
K
-
T
-
D
-
F
-
D
280
|
-
K
-
N
-
K
-
I
-
W
-
Y
-
E
-
H
-
R
-
L
290
|
-
I
-
D
-
D
-
M
-
V
-
A
-
Q
-
V
-
L
-
K
300
|
-
S
-
S
-
G
-
G
-
F
-
V
-
W
-
A
-
C
-
K
310
|
-
N
-
Y
-
D
-
G
-
D
-
V
-
Q
-
S
-
D
-
I
320
|
-
L
-
A
-
Q
-
G
-
F
-
G
-
S
-
L
-
G
-
L
330
|
-
M
-
T
-
S
-
V
-
L
-
V
-
C
-
P
-
D
-
G
340
|
-
K
-
T
-
I
-
E
-
A
-
E
-
A
-
A
-
H
-
G
350
|
-
T
-
V
-
T
-
R
-
H
-
Y
-
R
-
E
-
H
-
Q
360
|
-
K
-
G
-
R
-
P
-
T
-
S
-
T
-
N
-
P
-
I
370
|
-
A
-
S
-
I
-
F
-
A
-
W
-
T
-
R
-
G
-
L
380
|
-
E
-
H
-
R
-
G
-
K
-
L
-
D
-
G
-
N
-
Q
390
|
-
D
-
L
-
I
-
R
-
F
-
A
-
Q
-
M
-
L
-
E
400
|
-
K
-
V
-
C
-
V
-
E
-
T
-
V
-
E
-
S
-
G
410
|
-
A
-
M
-
T
-
K
-
D
-
L
-
A
-
G
-
C
-
I
420
|
-
H
-
G
-
L
-
S
-
N
-
V
-
K
-
L
-
N
-
E
430
|
-
H
-
F
-
L
-
N
-
T
-
T
-
D
-
F
-
L
-
D
440
|
-
T
-
I
-
K
-
S
-
N
-
L
-
D
-
R
-
A
-
L
450
|
-
G
-
R
-
Q
-
S
-
L
-
E
-
H
-
H
-
H
-
H
460
|
-
H
-
H
-
H
-
H
|
|||||||||||||
| Experimental Note | Identified from the Human Clinical Data | ||||||||||||
| In Vitro Model | U87MG cells | Brain | Homo sapiens (Human) | CVCL_GP63 | |||||||||
| TF-1 cells | Bone marrow | Homo sapiens (Human) | CVCL_0559 | ||||||||||
| TF-1a cells | Bone marrow | Homo sapiens (Human) | CVCL_3608 | ||||||||||
| IDH2 cells | Ovary | Homo sapiens (Human) | CVCL_D3DY | ||||||||||
| In Vivo Model | NSG mouse PDX model | Mus musculus | |||||||||||
| Mechanism Description | Somatic gain-of-function mutations in isocitrate dehydrogenases (IDH) 1 and 2 are found in multiple hematologic and solid tumors, leading to accumulation of the oncometabolite (R)-2-hydroxyglutarate (2HG). 2HG competitively inhibits alpha-ketoglutarate-dependent dioxygenases, including histone demethylases and methylcytosine dioxygenases of the TET family, causing epigenetic dysregulation and a block in cellular differentiation. | ||||||||||||
References
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