Preferred Label : Dimethyl Fumarate;
NCIt synonyms : Fumaric Acid, Dimethyl Ester; (E)-2-Butenedioic Acid, Dimethyl Ester; Dimethyl (E)-Butenedioate; DMF;
NCIt definition : An orally bioavailable methyl ester of fumaric acid and activator of nuclear factor
erythroid 2 [NF-E2]-related factor 2 (Nrf2, Nfe2l2), with potential neuroprotective,
immunomodulating and radiosensitizing activities. Although the exact mechanism of
action through which dimethyl fumarate exerts its neuroprotective and immunomodulatory
effects have yet to be fully understood, upon oral administration, dimethyl fumarate
is converted into its active metabolite monomethyl fumarate (MMF) and MMF binds to
Nrf2. Subsequently, Nrf2 translocates to the nucleus and binds to the antioxidant
response element (ARE). This induces the expression of a number of cytoprotective
genes, including NAD(P)H quinone oxidoreductase 1 (NQO1), sulfiredoxin 1 (Srxn1),
heme oxygenase-1 (HO1, HMOX1), superoxide dismutase 1 (SOD1), gamma-glutamylcysteine
synthetase (gamma-GCS), thioredoxin reductase-1 (TXNRD1), glutathione S-transferase
(GST), glutamate-cysteine ligase catalytic subunit (Gclc) and glutamate-cysteine ligase
regulatory subunit (Gclm); this also increases the synthesis of the antioxidant glutathione
(GSH). The intraneuronal synthesis of GSH may protect neuronal cells from damage due
to oxidative stress. Dimethyl fumarate also appears to inhibit the nuclear factor-kappa
B (NF-kB)-mediated pathway, modulates the production of certain cytokines and induces
apoptosis in certain T-cell subsets. Its radiosensitizing activity is due to this
agent's ability to bind to and sequester intracellular GSH, thereby depleting intracellular
GSH and preventing its anti-oxidative effects. This enhances the cytotoxicity of ionizing
radiation in hypoxic cancer cells. Nrf2, a leucine zipper transcription factor, plays
a key role in redox homeostasis and cytoprotection against oxidative stress.;
UNII : FO2303MNI2;
InChIKey : LDCRTTXIJACKKU-ONEGZZNKSA-N;
CAS number : 624-49-7;
Drug name : Tecfidera;
Molecule name : BG-00012;
Chemical formula : C6H8O4;
Codes from synonyms : 08981;
Origin ID : C63670;
UMLS CUI : C0058218;
Automatic exact mappings (from CISMeF team)
CISMeF manual mappings
Currated CISMeF NLP mapping
See also inter- (CISMeF)
Semantic type(s)
UMLS correspondences (same concept)
Validated automatic mappings to BTNT
concept_is_in_subset
has_target