Aminocarboxymuconate-semialdehyde decarboxylase (ACMSD) is a zinc-dependent metalloenzyme that catalyzes a key step in the kynurenine pathway of tryptophan metabolism, converting 2-amino-3-carboxymuconate-6-semialdehyde to 2-aminomuconate-6-semialdehyde, with the byproduct CO2. This reaction directs tryptophan catabolism away from producing the neurotoxic metabolite quinolinic acid and toward the synthesis of nicotinamide adenine dinucleotide (NAD+), an essential molecule for cellular metabolism. Variants and dysregulation of ACMSD are implicated in neurodegenerative disorders such as Parkinson’s disease, mitochondrial diseases, and may act as a biomarker in nonverbal autism. The enzyme’s central metabolic role makes it a potential target for the treatment of metabolic, inflammatory, and neurodegenerative diseases.
Inhibitors of ACMSD may increase quinolinic acid formation, which is neurotoxic.
Activation or stabilization could promote increased NAD+ formation, potentially neuroprotective and anti-inflammatory.
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Biological functions
Regulation of de novo NAD+/NADH biosynthesisTryptophan metabolism via the kynurenine pathwayLimiting quinolinic acid accumulation (neurotoxin modulation)Possible roles in oxaloacetic acid tautomerization
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Disease associations
Neurodegenerative diseases (e.g., Parkinson’s disease)Mitochondrial diseasesPotential marker in nonverbal autismPossible involvement in treatment-resistant depressionInflammation and fibrosis (via modulation of NAD+ synthesis)
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Safety considerations
Inhibition may elevate neurotoxic quinolinic acid, increasing risk for neurodegeneration.Overactivation could disrupt tryptophan/niacin balance.Therapeutic modulation may impact immune and metabolic functions.
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Interacting drugs
No specific approved drugs listed; however, ACMSD modulation is a focus of therapeutic development for metabolic dysfunction, inflammation, and neurodegeneration.
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Biomarkers
Quinolinic acid (for ACMSD inhibition and neurotoxicity)NAD+ levels (for overall enzyme activity)Possible marker in nonverbal autism and in Parkinson’s disease genetics
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