Target intelligence / Profile preview

Aldehyde dehydrogenase family 1 member L2 (ALDH1L2)

Target
ALDH1L2
Molecular classification
Enzyme, Aldehyde dehydrogenase family, Mitochondrial enzyme
01

Overview

Aldehyde dehydrogenase family 1 member L2 (ALDH1L2) is a mitochondrial enzyme that catalyzes the NADP⁺-dependent oxidation of 10-formyltetrahydrofolate to tetrahydrofolate and CO₂, thus participating in mitochondrial one-carbon metabolism[1][3]. ALDH1L2 plays a crucial role in regulating the mitochondrial pool of one-carbon units, supporting metabolic pathways such as fatty acid β-oxidation and influencing the distribution of one-carbon groups between mitochondria and cytosol[5]. Unlike its cytosolic homolog (ALDH1L1), ALDH1L2 is retained in various tumor types and has been implicated in cancer cell proliferation, tumor-associated macrophage polarization, and chemoresistance—especially in hepatocellular carcinoma, where its high expression is associated with poor prognosis and reduced cancer sensitivity to drugs like sorafenib[2]. Inhibition or knockdown of ALDH1L2 enhances chemosensitivity and modulates tumor immune microenvironment, highlighting its potential as both a therapeutic target and biomarker in oncology[2][4].

Other names
Mitochondrial 10-formyltetrahydrofolate dehydrogenasemtFDHMitochondrial 10-FTHFDHFLJ38508Probable 10-formyltetrahydrofolate dehydrogenase ALDH1L2
02

Mechanism of action

Enzyme inhibition: Drugs that inhibit ALDH1L2 sensitize cancer cells to chemotherapy (e.g., sorafenib, 5-fluorouracil)

03

Biological functions

One-carbon metabolism (folate pathway)Oxidation of 10-formyltetrahydrofolate to tetrahydrofolate and CO₂Regulation of CoA-dependent metabolic pathways, including fatty acid β-oxidationRegulation of mitochondrial and cytosolic distribution of one-carbon unitsRegulation of cell proliferation and survival (notably in cancer contexts)
04

Disease associations

Cancer (notably hepatocellular carcinoma and possibly as a marker in other tumor types)Chemotherapy resistance (modulates sensitivity to sorafenib and 5-fluorouracil)
05

Safety considerations

Targeting ALDH1L2 could impact mitochondrial metabolism and one-carbon balance, potentially affecting normal tissue and metabolic homeostasisEffects on immune cell polarization (notably tumor-associated macrophages)
06

Interacting drugs

Sorafenib

1 more in the full profile.

07

Biomarkers

Prognostic biomarker for hepatocellular carcinoma outcome (high expression linked to worse prognosis)Predictive biomarker for sorafenib and 5-fluorouracil response

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