IDH2

Isocitrate Dehydrogenase 2

Score: 0.691 Price: $0.69 High Druggability Status: active Wiki: IDH2
๐Ÿง  Neurodegeneration
HYPOTHESES
2
PAPERS
31
KG EDGES
166
DEBATES
0

3D Protein Structure

🧬 IDH2 โ€” PDB 5I95 Click to expand

Experimental structure from RCSB PDB | Powered by Mol*

Druggability & Clinical Context

Druggability
High
Score: 0.90
Clinical Stage
Approved
Target Class
Enzyme
Safety
0.60
Druggability Analysis
Drug Development0.60
Structural Tractability0.85
Target Class0.85
Safety Profile0.60
Key Metrics
PDB Structures:
12
Known Drugs:
2
Approved:
0
In Clinical Trials:
0
Drug Pipeline (2 compounds)
Therapeutic Areas:
Acute myeloid leukemia (AML) Neurodegenerative diseases (Parkinson's, Alzheimer's) Mitochondrial dysfunction disorders Oxidative stress-related neuroinflammation Gliomas and brain tumors Metabolic neuroprotection
Druggability Rationale: IDH2 is highly druggable (score: 0.90) due to its well-defined active site suitable for small molecule inhibition, strong structural characterization with 12 PDB structures at 1.54 ร… resolution, and clinical validation via two FDA-approved drugs (Enasidenib, Ivosidenib) targeting mutant IDH2 in AML. The enzyme's role as a metabolic checkpoint with a conserved catalytic pocket makes it amenable to selective inhibitor design.
Mechanism: Small molecule inhibitor of mutant IDH2 enzyme activity
Drug Pipeline (2 compounds)
Known Drugs:
Enasidenib (Approved) โ€” Acute myeloid leukemia
Ivosidenib (Approved) โ€” Acute myeloid leukemia
Structural Data:
PDB (12) โœ“AlphaFold โœ“Cryo-EM โ€”
3BLV3BLW3BLX4JA85H3E+7 more
UniProt: A0A1P8A7C0
Binding Pocket Analysis:

IDH2 features a conserved isocitrate/substrate binding pocket at the active site with a characteristic metal coordination site (typically Mg2+) that stabilizes substrate binding; small molecule inhibitors exploit mutations in this pocket (R140Q, R172K) that are prevalent in hematologic malignancies, achieving selectivity through mutation-specific binding geometries revealed across the 12 available crystal structures.

🧬 3D Protein Structure

🧬 IDH2 — PDB 5I95 Click to expand interactive 3D viewer

Experimental structure from RCSB PDB | Powered by Mol* | Rotate: click+drag | Zoom: scroll

Selectivity & Safety Considerations

Selectivity between IDH2 and the cytosolic isoform IDH1 is critical to avoid off-target metabolic disruption; existing approved drugs achieve this through mitochondrial-targeting and mutant-selective binding modes. Cross-reactivity with other TCA cycle dehydrogenases (IDH1, SDH) requires careful structural optimization to minimize systemic metabolic toxicity.

3D Protein Structure

PDB: Open in RCSB AlphaFold model

Interactive 3D viewer powered by RCSB PDB / Mol*. Use mouse to rotate, scroll to zoom.

Clinical Trials (8)

Relevant trials from ClinicalTrials.gov

Active
1
Completed
7
Total Enrollment
860
By Phase
NA: 5 ยท PHASE1: 1 ยท PHASE2: 1 ยท Unknown: 1
Anger Control Training for Youth With Tourette Syndrome Completed
NA NCT00486551 n=26
Tourette Syndrome, Chronic Tic Disorder, Oppositional Defiant Disorder
Interventions: Anger control training
Sponsor: Yale University | Started: 2001-08
Adaptive vs. Continuous Subthalamic Nucleus Deep Brain Stimulation in Parkinson's Disease Recruiting
NA NCT06909045 n=130
Deep Brain Stimulation, Parkinson Disease
Interventions: Adaptive DBS, Continue DBS
Sponsor: Academisch Medisch Centrum - Universiteit van Amsterdam (AMC | Started: 2026-01-27
Expiratory Muscle Training in Patients With Parkinson's Disease Completed
PHASE1 NCT00843739 n=90
Parkinson's Disease
Interventions: EMST - Active Treatment, sham EMST
Sponsor: University of Florida | Started: 2004-01
Study of the Follow-up of Stroke Treated With Anticoagulants Completed
Unknown NCT03292575 n=441
Stroke
Interventions: Anticoagulants
Sponsor: Centre Hospitalier Universitaire Dijon | Started: 2016-01
Early Detection and Prevention of Mild Cognitive Impairment Due to Cerebrovascular Disease Completed
NA NCT01924312 n=80
Cerebrovascular Disease, Mild Cognitive Impairment
Interventions: Heart Health Intervention
Sponsor: Gregory Jicha, 323-5550 | Started: 2013-05
Effects of Modern Board Games on Well Being in Older Adults Completed
NA NCT06306365 n=35
Executive Functions
Interventions: Modern board game-based learning
Sponsor: European University Miguel de Cervantes | Started: 2024-02-07
Treatment of Alzheimer's and Dementia With the Metabolism, Infections, Nutrition, Drug Elimination (MIND) Protocol Completed
NA NCT02260167 n=25
Alzheimer's Disease, Dementia
Interventions: A mix of natural treatments and medicati
Sponsor: Practitioners Alliance Network | Started: 2014-09
A Phase 2 Study to Evaluate Safety of Long-term AL001 Dosing in Frontotemporal Dementia (FTD) Patients (INFRONT-2) Completed
PHASE2 NCT03987295 n=33
Frontotemporal Dementia
Interventions: AL001
Sponsor: Alector Inc. | Started: 2019-09-27

Linked Hypotheses (1)

Grid Cell-Specific Metabolic Reprogramming via IDH2 Enhancement0.376

Linked Experiments (0)

No linked experiments

Scoring Dimensions

Portfolio 0.71 (25%) Druggability 0.90 (20%) Evidence 0.57 (20%) Safety 0.60 (15%) Competitive 0.40 (10%) Connectivity 0.90 (10%) 0.691 composite

Knowledge Graph (20)

activates (1)

IDH2 โ†’ GAIN

associated with (2)

IDH2 โ†’ neurodegeneration
IDH2 โ†’ IDH1

implicated in (6)

IDH2 โ†’ glioma
IDH2 โ†’ brain tumor
IDH2 โ†’ secondary glioblastoma
IDH2 โ†’ cancer
IDH2 โ†’ carcinoma
...and 1 more

inhibits (1)

IDH2 โ†’ IDH1

regulates (5)

IDH2 โ†’ Grid Cell-Specific Metabolic Reprogramming via IDH
IDH2 โ†’ Tau Propagation
IDH2 โ†’ NRF2
IDH2 โ†’ TKT
IDH2 โ†’ TIGAR

therapeutic target (5)

IDH2 โ†’ TKT
IDH2 โ†’ TIGAR
IDH2 โ†’ SCN5A
IDH2 โ†’ LMNA
IDH2 โ†’ PPARG

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