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Aspartate carbamoyltransferase domain of Carbamoyl-phosphate synthetase 2, Aspartate transcarbamylase, and Dihydroorotase (CAD) (CAD)

Target
CAD
Molecular classification
Enzyme, Transferase, Multifunctional enzyme
01

Overview

The CAD protein is a massive multifunctional enzyme in eukaryotes that initiates the de novo biosynthesis of pyrimidine nucleotides (UniProt: P27708). It contains three enzymatic activities: carbamoyl-phosphate synthetase II, aspartate transcarbamylase (ATCase), and dihydroorotase. The aspartate carbamoyltransferase domain specifically catalyzes the second step of this pathway, which is the condensation of L-aspartate and carbamoyl phosphate to produce N-carbamoyl-L-aspartate (PubMed: 28614298). This process is essential for the production of UMP, which serves as a precursor for all other pyrimidines required for DNA and RNA synthesis. Because of its central role in cell proliferation, CAD is frequently upregulated in various cancers to support rapid tumor growth (PubMed: 31434695). The ATCase domain is a well-characterized drug target, most notably inhibited by N-(phosphonacetyl)-L-aspartate (PALA), a transition-state analog that mimics the reaction intermediate (PubChem: CID 439531). Although PALA demonstrated potent enzymatic inhibition, its clinical utility has been limited by systemic toxicities and the ability of cells to utilize the pyrimidine salvage pathway (PubMed: 11437351).

Other names
Aspartate transcarbamylaseATCaseAspartate carbamoyltransferaseMultifunctional protein CADCarbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase
02

Mechanism of action

Competitive inhibition of the aspartate carbamoyltransferase domain by transition-state analogs like PALA, which mimics the reaction intermediate to block the conversion of carbamoyl phosphate and aspartate to N-carbamoyl-L-aspartate (PubMed: 11437351).

03

Biological functions

De novo pyrimidine biosynthetic process (UniProt: P27708)Nucleotide metabolic processCell proliferationDNA replication
04

Disease associations

Cancer (PubMed: 31434695)CAD deficiency (Early infantile epileptic encephalopathy 50) (PubMed: 25533962)
05

Safety considerations

Gastrointestinal toxicity (PubMed: 11437351)MyelosuppressionStomatitisTherapeutic challenge of pyrimidine salvage pathway bypass
06

Interacting drugs

PALA (N-(phosphonacetyl)-L-aspartate)
07

Biomarkers

CAD protein expression (PubMed: 31434695)CAD gene amplificationIntracellular UTP/CTP levelsSerum uridine levels

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