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Protein / target

Prolyl hydroxylase EGLN3

Encoded byEGLN3Q9H6Z9Homo sapiensSwiss-Prot
Clinically validated
Therapeutic maturity
4
Approved medicines
Open Targets target-level
View by indication →
30
Clinical trials
Small-molecule tractable
Druggability
Approved Drug

Protein at a glance

Biological role

Hypoxia-inducible factor-proline dioxygenase

Strongest disease association

Eye Diseases

Via encoding gene EGLN3 · Genetic evidence · score 0.50

Therapeutic position

Established drug target

Small molecules

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 overview

Prolyl hydroxylase that mediates hydroxylation of proline residues in target proteins, such as PKM, TELO2, ATF4, GPX4 and HIF1A.

View complete UniProt function annotation

Prolyl hydroxylase that mediates hydroxylation of proline residues in target proteins, such as PKM, TELO2, ATF4, GPX4 and HIF1A (PubMed:19584355, PubMed:20978507, PubMed:21483450, PubMed:21575608, PubMed:21620138, PubMed:22797300, PubMed:40281343). Target proteins are preferentially recognized via a LXXLAP motif. Cellular oxygen sensor that catalyzes, under normoxic conditions, the post-translational formation of 4-hydroxyproline in hypoxia-inducible factor (HIF) alpha proteins (PubMed:11595184, PubMed:12181324). Hydroxylates a specific proline found in each of the oxygen-dependent degradation (ODD) domains (N-terminal, NODD, and C-terminal, CODD) of HIF1A (PubMed:11595184, PubMed:12181324). Also hydroxylates HIF2A (PubMed:11595184, PubMed:12181324). Has a preference for the CODD site for both HIF1A and HIF2A (PubMed:11595184, PubMed:12181324). Hydroxylation on the NODD site by EGLN3 appears to require prior hydroxylation on the CODD site (PubMed:11595184, PubMed:12181324). Hydroxylated HIFs are then targeted for proteasomal degradation via the von Hippel-Lindau ubiquitination complex (PubMed:11595184, PubMed:12181324). Under hypoxic conditions, the hydroxylation reaction is attenuated allowing HIFs to escape degradation resulting in their translocation to the nucleus, heterodimerization with HIF1B, and increased expression of hypoxy-inducible genes (PubMed:11595184, PubMed:12181324). Acts as an inhibitor of ferroptosis by mediating hydroxylation of GPX4, thereby preventing GPX4 degradation via chaperone-mediated autophagy (PubMed:40281343). GPX4 hydroxylation is promoted by PSAT1, which provides 2-oxoglutarate substrate to EGLN3 (PubMed:40281343). ELGN3 is the most important isozyme in limiting physiological activation of HIFs (particularly HIF2A) in hypoxia. Also hydroxylates PKM in hypoxia, limiting glycolysis (PubMed:21483450, PubMed:21620138). Under normoxia, hydroxylates and regulates the stability of ADRB2 (PubMed:19584355). Regulator of cardiomyocyte and neuronal apoptosis. In cardiomyocytes, inhibits the anti-apoptotic effect of BCL2 by disrupting the BAX-BCL2 complex (PubMed:20849813). In neurons, has a NGF-induced proapoptotic effect, probably through regulating CASP3 activity (PubMed:16098468). Also essential for hypoxic regulation of neutrophilic inflammation (PubMed:21317538). Plays a crucial role in DNA damage response (DDR) by hydroxylating TELO2, promoting its interaction with ATR which is required for activation of the ATR/CHK1/p53 pathway (PubMed:22797300). Also mediates hydroxylation of ATF4, leading to decreased protein stability of ATF4 (Probable)

Subcellular location

NucleusCytoplasm
Domains and Gene Ontology detail (17)

Domains & features

Fe2OG dioxygenase

Gene Ontology

  • Ccytoplasm
  • Ccytosol
  • Cnucleoplasm
  • Cnucleus
  • F2-oxoglutarate-dependent dioxygenase activity
  • Fferrous iron binding
  • Fhypoxia-inducible factor-proline dioxygenase activity
  • FL-ascorbic acid binding
  • Fpeptidyl-proline 4-dioxygenase activity
  • Papoptotic process
  • Pcellular response to hypoxia
  • PDNA damage response

239 aa · 27 kDa

Biological roles

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

Apoptosis & cell deathGO
View supporting evidence

Apoptosis & cell death

  • ·apoptotic process
  • ·regulation of neuron apoptotic process

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

Approved medicines with mapped indications

2 medicines · 3 areas

Approved therapies targeting this protein, grouped by what they are approved to treat — the disease-first view of the medicines below. Relationships come from the canonical approved-indication graph (ChEMBL phase-4), the same source as the drug cards.

Anemia2 medicines
Kidney Failure, Chronic1 medicine
Renal Insufficiency, Chronic1 medicine

4 medicines meet Open Targets' target-level approved-medicine definition; the 2 shown here are those on this page with a canonical approved disease indication in the graph. Approved indications from ChEMBL (phase-4), via the canonical drug→disease graph.

Drugs targeting this protein

2

How approved and investigational drugs engage this protein — mechanism and action type, direct vs complex targeting, and how broadly each acts across other targets. A drug-first view (the section above groups the approved ones disease-first); direct binders with few recorded targets are listed first.

vadadustat
Narrow target profileApprovedInhibitor

Egl nine homolog 3 inhibitor

Indicated for Anemia, Renal Insufficiency, Chronic

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

roxadustat
ApprovedInhibitor

Hypoxia-inducible factor prolyl hydroxylase inhibitor

Indicated for Anemia, Kidney Failure, Chronic

Acts on a complex — shared with EGLN2, P4HTM, EGLN1 · 1 of 4 recorded protein targets

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

Translational evidence

Open Targets 26

Why this target matters therapeutically, strongest evidence first. Disease associations are gene-level (via the gene that encodes this protein) and open into the full confidence synthesis; the development universe, tractability and safety annotations are target-level, from Open Targets.

Strongest disease associations · via encoding gene EGLN3

Gene-level evidence surfaced through the gene EGLN3that encodes this protein — not a direct protein–disease relationship. Ranked by Forefront's causal-directness weighting, so genetically- and clinically-evidenced diseases lead over ones that merely share the literature.

Anemia
0.73Moderately supported

Clinical evidence dominant · Open Targets 0.59

Kidney Failure, Chronic
0.69Moderately supported

Clinical evidence dominant · Open Targets 0.56

Glaucoma, Open-Angle
0.57Moderately supported

Genetic evidence dominant · Open Targets 0.30

Eye Diseases
0.50Moderately supported

Genetic evidence dominant · Open Targets 0.31

Neurodegenerative Diseases
0.18Preliminary

Pathway evidence dominant · Open Targets 0.28 · no direct causal or clinical evidence

View evidence synthesis (5)
AnemiaModerately supported
0.73
agreement 0.580.89
Clinical98%Literature2%

Open Targets aggregate 0.59 · 2 independent evidence families

Kidney Failure, ChronicModerately supported
0.69
agreement 0.540.85
Clinical99%Literature1%

Open Targets aggregate 0.56 · 2 independent evidence families

Glaucoma, Open-AngleModerately supported
0.57
agreement 0.450.69
Genetic72%Animal model28%

Open Targets aggregate 0.30 · 2 independent evidence families

Eye DiseasesModerately supported
0.50
agreement 0.380.62
Genetic100%

Open Targets aggregate 0.31 · 1 independent evidence family

Neurodegenerative DiseasesPreliminary
0.18
agreement 0.010.36
Pathway98%Literature2%

Open Targets aggregate 0.28 · 2 independent evidence families · no direct causal or clinical evidence

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 per-type scores above show the calculation.

Show all associations
Anemia0.59
Kidney Failure, Chronic0.56
Eye Diseases0.31
Glaucoma, Open-Angle0.30
Neurodegenerative Diseases0.28

Drug development

4 compounds recorded · 4 approved

Open Targets' development universe — every compound recorded against the target at any stage, not all approved medicines. Distinct from the 2 drugs that target this protein in Forefront's canonical graph (2 with a mapped approved indication, shown above): these count different sets and are not a subset relation.

View all recorded compounds (4)
MOLIDUSTATApproval
DAPRODUSTATApproval
ROXADUSTATApproval
VADADUSTATApproval

Open Targets known-drugs universe. Drug name and highest clinical stage only — the disease relationship is NOT read from this slice (it carries trial-context noise); approved indications come from the canonical graph above.

Tractability

Small moleculesStrong

Approved Drug and High-Quality Ligand support this modality.

Protein degradersEmerging

Feasibility evidence (uniprot ubiquitination and database ubiquitination) — no clinical-stage drug of this modality recorded.

View underlying tractability evidence (6)
SM · Approved DrugSM · High-Quality LigandSM · Druggable FamilyPR · UniProt UbiquitinationPR · Database UbiquitinationPR · Small Molecule Binder

Raw Open Targets tractability assessment buckets, by modality.

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. Ranked by active status, then clinical phase and recency, and spread across the targeting drugs.

View all trials (26)

ClinicalTrials.gov via the drug-target graph.

What's happening now

2

Recent therapeutic activity around this target — regulatory actions, clinical trials and safety signals for 2 drugs that target this protein, plus publications where such a drug is a genuine subject. Every item is reached indirectly through the drug, not the protein itself; incidental mentions (a paper that merely measures a drug) and press items are excluded.

  1. Regulatory approval2023-04-24

    Approval: Vafseo (EMA)

    ema · regulatory · ema · via vadadustat

  2. Regulatory approval2021-08-18

    Approval: Evrenzo (EMA)

    ema · regulatory · ema · via roxadustat

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.