Protein / target

Dihydrofolate reductase

DHFRP00374Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
8
Approved medicines
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

MRNA regulatory element binding translation repressor activity

Primary system

Nervous system

Strongest disease association

Inherited cancer-predisposing syndrome

Genetic evidence · score 0.92

Therapeutic maturity

Clinically validated target

8 approved medicines against this target

Druggability

Small molecule

Open Targets tractability · Approved Drug

Clinical development

8 approved · 1 in clinical development

30 linked trials

Derived from structured UniProt, Open Targets and literature data on this page.

Protein profile

UniProt 2026_02

Canonical identity and biological annotation from UniProt.

Function

Catalyzes the reduction of 7,8-dihydrofolate (DHF) to 5,6,7,8-tetrahydrofolate in a NADPH-dependent manner (PubMed:12096917, PubMed:15039552, PubMed:17569517, PubMed:19196009, PubMed:19478082, PubMed:21876184, PubMed:9719595). Key enzyme in folate metabolism. Contributes to the nuclear and mitochondrial de novo thymidylate biosynthesis pathway (PubMed:21876188, PubMed:22235121). Catalyzes an essential reaction for de novo glycine and purine synthesis, and for DNA precursor synthesis. Binds its own mRNA and that of DHFR2

Subcellular location

MitochondrionCytoplasmNucleus
Domains and Gene Ontology detail (24)

Domains & features

DHFR

Gene Ontology

  • Ccytosol
  • Cmitochondrion
  • Cnucleus
  • Creplication fork
  • Fdihydrofolate reductase activity
  • Ffolic acid binding
  • FmRNA binding
  • FmRNA regulatory element binding translation repressor activity
  • FNADP binding
  • FNADPH binding
  • Fsequence-specific mRNA binding
  • P'de novo' pyrimidine nucleobase biosynthetic process

187 aa · 21 kDa · 2 isoforms

Biological roles

Reactome v97

What this protein does, drawn together from its UniProt function, Gene Ontology terms and Reactome pathways.

Metabolic enzyme activityGOTranscriptional regulationReactome
View supporting evidence

Metabolic enzyme activity

  • ·dihydrofolate metabolic process
  • ·folic acid metabolic process
  • ·one-carbon metabolic process
  • ·tetrahydrofolate metabolic process

Transcriptional regulation

  • ·G1/S-Specific Transcription
View underlying pathways (3)

Concepts derived from UniProt GO Reactome — each badge above shows which sources supported that role.

Interaction neighbourhood

STRING v12.0

Proteins with the strongest functional or physical association. Node size and line weight reflect STRING confidence; hover or select a partner to inspect one association.

TYMSFPGSSHMT1SHMT2MTHFD1GARTATICSPRQDPRMTRDHFR

10 strongest partners — larger node and heavier line mean higher confidence

Functional and physical associations from STRING v12.0. Only associations with this protein are drawn — partner-to-partner links are not part of this evidence.

Drugs targeting this protein

2

Whether each drug engages this protein directly or through a complex, and how many other targets are recorded for it. Direct binders with few recorded targets are listed first.

pemetrexed
Narrow target profileApprovedInhibitor

Dihydrofolate reductase inhibitor

Appears in clinical studies involving malignant pleural mesothelioma, mesothelioma, non-small cell lung carcinoma, neoplasm

Direct interaction with this protein · 1 of 3 recorded protein targets — narrow recorded profile

Methotrexate
Narrow target profileApprovedInhibitor

Dihydrofolate reductase inhibitor

Appears in clinical studies involving breast cancer, leptomeningeal metastasis, non-Hodgkin lymphoma, rheumatoid arthritis

Direct interaction with this protein · Only this protein recorded as a target

ChEMBL mechanism, action type and target identity. Open Targets clinical status and indications.

Translational evidence

Open Targets 26

Why this target matters therapeutically — disease associations, drugs in development, tractability and safety, from Open Targets.

Strongest genetic associations

Human genetic evidence — the most direct causal link between this target and a disease.

Inherited cancer-predisposing syndrome0.92

Genetic · overall 0.56

constitutional megaloblastic anemia with severe neurologic disease0.85

Genetic literature · overall 0.79

Highest-confidence therapeutic associations

Diseases where a drug acting on this target has already reached clinical development.

rheumatoid arthritis0.99

Clinical · overall 0.62

non-small cell lung carcinoma0.99

Clinical · overall 0.62

psoriasis0.98

Clinical · overall 0.60

juvenile idiopathic arthritis0.96

Clinical · overall 0.58

mesothelioma0.96

Clinical · overall 0.58

Highest overall evidence

Remaining associations by Open Targets' aggregated evidence score.

acute lymphoblastic leukemia0.61

Clinical

breast cancer0.59

Clinical

malignant pleural mesothelioma0.56

Clinical

Show all associations
constitutional megaloblastic anemia with severe neurologic disease0.79
rheumatoid arthritis0.62
non-small cell lung carcinoma0.62
acute lymphoblastic leukemia0.61
psoriasis0.60
breast cancer0.59
mesothelioma0.58
juvenile idiopathic arthritis0.58
malignant pleural mesothelioma0.56
Inherited cancer-predisposing syndrome0.56

Open Targets ranks 647 associations for this target and we store the top 10 by aggregated score. The long tail is largely literature co-mention and RNA-expression evidence, not evidence that this target drives those diseases.

Known drugs · 9 total

PEMETREXED MONOHYDRATEApproval

mesothelioma · non-small cell lung carcinoma

METHOTREXATE SODIUMApproval

lung cancer · fungal infectious disease · breast cancer

METHOTREXATEApproval

breast cancer · leptomeningeal metastasis · non-Hodgkin lymphoma

PEMETREXED DIPOTASSIUMApproval

lung large cell carcinoma

PRALATREXATEApproval

T-cell non-Hodgkin lymphoma · peripheral T-cell lymphoma, not otherwise specified · mature T-cell and NK-cell non-Hodgkin lymphoma

PEMETREXEDApproval

malignant pleural mesothelioma · mesothelioma · non-small cell lung carcinoma

PEMETREXED TROMETHAMINEApproval

lung large cell carcinoma · adenocarcinoma · mesothelioma

PEMETREXED DISODIUMApproval

non-small cell lung carcinoma · non-small cell lung carcinoma · malignant pleural mesothelioma

PIRITREXIMPhase 2

urinary bladder carcinoma · urothelial carcinoma

Tractability

SM · Approved DrugSM · Structure with LigandSM · High-Quality LigandSM · High-Quality PocketSM · Druggable FamilyPR · Database UbiquitinationPR · Half-life DataPR · Small Molecule Binder

Safety liabilities

side effectsdrug toxicitymucositis

Clinical trials

30

Trials of drugs that target this protein — reached indirectly through those drugs, so a trial listed here studies the drug, not the protein.

Show remaining trials (24)

ACTIVE_NOT_RECRUITING · via Methotrexate · NCT03020030

ClinicalTrials.gov via the drug-target graph.

Forefront confidence

Synthesis

Our own weighting of the evidence behind each disease association. Human genetics and clinical evidence count for most; literature co-mention counts for little, because two entities sharing an abstract is not evidence that one drives the other.

Inherited cancer-predisposing syndromeWell supported
0.92
agreement 0.801.00
Genetic100%

Open Targets aggregate 0.56 · 1 independent evidence family

rheumatoid arthritisWell supported
0.76
agreement 0.610.92
Clinical92%Literature8%

Open Targets aggregate 0.62 · 2 independent evidence families

non-small cell lung carcinomaWell supported
0.76
agreement 0.600.91
Clinical91%Literature9%

Open Targets aggregate 0.62 · 2 independent evidence families

constitutional megaloblastic anemia with severe neurologic diseaseWell supported
0.75
agreement 0.610.89
Genetic99%Literature1%Genetic literaturedup

Open Targets aggregate 0.79 · 2 independent evidence families · 1 not counted as duplicate

acute lymphoblastic leukemiaWell supported
0.75
agreement 0.600.91
Clinical85%Literature15%

Open Targets aggregate 0.61 · 2 independent evidence families

This ranking differs from Open Targets' own: re-weighting moves genetically-evidenced diseases above more heavily co-mentioned ones. The evidence agreement range shows how closely the independent evidence families agree — it is not a statistical confidence interval, and nothing here is fitted to outcome data. Derived from Open Targets evidence types under Forefront weighting; the underlying per-type scores are shown above so the calculation can be checked.

What's happening now

32

Recent activity around this target, drawn from one canonical event stream. Every item is reached through 2 drugs that target this protein, so each event is news about that drug rather than about the protein directly.

  1. Withdrawn from market2024-10-09

    Market withdrawal: Pemetrexed Sandoz (EMA)

    ema · market · ema · via pemetrexed

  2. New publication2024-08-22
    Phase III KEYNOTE-789 Study of Pemetrexed and Platinum With or Without Pembrolizumab for Tyrosine Kinase Inhibitor‒Resistant, <i>EGFR</i>-Mutant, Metastatic Nonsquamous Non-Small Cell Lung Cancer.

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024 · 162 citations · Europe PMC · via pemetrexed

  3. Withdrawn from market2023-10-12

    Market withdrawal: Ciambra (EMA)

    ema · market · ema · via pemetrexed

  4. Safety communication2023-08-30

    Drug Safety Update: Methotrexate: advise patients to take precautions in the sun to avoid photosensitivity reactions

    mhra · safety · mhra · via Methotrexate

  5. New publication2023-02-21
    Pembrolizumab Plus Pemetrexed and Platinum in Nonsquamous Non-Small-Cell Lung Cancer: 5-Year Outcomes From the Phase 3 KEYNOTE-189 Study.

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023 · 505 citations · Europe PMC · via pemetrexed

  6. New publication2020-12-14
    Atezolizumab Plus Chemotherapy for First-Line Treatment of Nonsquamous NSCLC: Results From the Randomized Phase 3 IMpower132 Trial.

    Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2021 · 352 citations · Europe PMC · via pemetrexed

  7. New publication2020-03-04
    Targeting immunometabolism as an anti-inflammatory strategy.

    Cell research · 2020 · 400 citations · Europe PMC · via Methotrexate

  8. New publication2017-05-04
    Efficacy and safety of adalimumab every other week versus methotrexate once weekly in children and adolescents with severe chronic plaque psoriasis: a randomised, double-blind, phase 3 trial.

    Lancet (London, England) · 2017 · 92 citations · Europe PMC · via Methotrexate

  9. New publication2017-04-01
    Adalimumab plus Methotrexate for Uveitis in Juvenile Idiopathic Arthritis.

    The New England journal of medicine · 2017 · 283 citations · Europe PMC · via Methotrexate

  10. Regulatory approval2017-03-29

    Approval: Jylamvo (EMA)

    ema · regulatory · ema · via Methotrexate

  11. New publication2016-12-06
    Osimertinib or Platinum-Pemetrexed in EGFR T790M-Positive Lung Cancer.

    The New England journal of medicine · 2017 · 2,677 citations · Europe PMC · via pemetrexed

  12. Regulatory approval2016-08-18

    Approval: Nordimet (EMA)

    ema · regulatory · ema · via Methotrexate

Objective event titles are shown unmodified; the event kind and significance line are derived from structured fields. Forefront AttentionEvent stream aggregating Europe PMC Regulatory filings ClinicalTrials.gov.