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  1. General Info
  2. Effects Info
  3. Reference
Drug Interaction Details
01. General Information
Pair Name Betulinic acid, Imatinib
Phytochemical Name Betulinic acid (PubChem CID: 64971 )
Anticancer drug Name Imatinib (PubChem CID: 123596 )
Structure of
Phytochemical
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2D MOL 3D MOL
Structure of
Anticancer Drug
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2D MOL 3D MOL
02. Combinatorial Therapeutic Effect(s)
Synergistic Effect
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Enhancing Drug Efficacy
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Combination Pair ID: 213
Pair Name Betulinic acid, Imatinib
Disease Info [ICD-11: 2B33.2] Chronic myeloid leukemia Investigative
Gene Regulation Up-regulation Expression ABL1 hsa25
Up-regulation Expression BAX hsa581
Down-regulation Expression BCL2 hsa596
Up-regulation Cleavage CASP3 hsa836
Up-regulation Cleavage CASP9 hsa842
Down-regulation Expression CDK1 hsa983
Up-regulation Acetylation H3C14 hsa126961
Up-regulation Acetylation H4C14 KEGG ID N.A.
Down-regulation Expression HDAC3 hsa8841
Up-regulation Cleavage PARP1 hsa142
Down-regulation Phosphorylation RB1 hsa5925
In Vitro Model K-562R Blast phase chronic myelogenous leukemia Homo sapiens (Human) CVCL_5950
Result Our findings demonstrated that HDAC3 is an essential factor in BCR-ABL1 kinase-independent IM resistance, and that BA in combination with IM may be a novel treatment strategy for overcoming IM resistance in CML.
03. Reference
No. Title Href
1 Betulinic acid restores imatinib sensitivity in BCR-ABL1 kinase-independent, imatinib-resistant chronic myeloid leukemia by increasing HDAC3 ubiquitination and degradation. Ann N Y Acad Sci. 2020 May;1467(1):77-93. doi: 10.1111/nyas.14298. Click
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