Target intelligence / Profile preview

Aspartate transcarbamylase domain of CAD (ATC)

Target
ATC
Molecular classification
Enzyme, Transferase, Aspartate carbamoyltransferase
01

Overview

The aspartate transcarbamylase (ATC) domain is one of three enzymatic components of the multifunctional CAD protein, which catalyzes the first three steps of de novo pyrimidine biosynthesis in eukaryotes [1]. Specifically, the ATC domain facilitates the condensation of carbamoyl phosphate and L-aspartate to form N-carbamoyl-L-aspartate [1]. Because pyrimidines are essential for DNA and RNA synthesis, this domain is a critical regulator of cell proliferation and is frequently upregulated in various cancers to meet the high demand for nucleotides [2]. Historically, the ATC domain has been targeted by the transition-state analog PALA (N-phosphonacetyl-L-aspartate), which showed potent inhibitory activity in preclinical models [2]. However, clinical utility has been limited by toxicity and the emergence of resistance mechanisms such as CAD gene amplification [2]. Beyond oncology, mutations in the CAD gene leading to ATC dysfunction are associated with rare congenital disorders of glycosylation and early-onset epileptic encephalopathy, which can sometimes be managed with uridine supplementation [3]. [1] UniProt (P27708); [2] PubMed (PMID: 8162570); [3] PubMed (PMID: 25533961).

Other names
Aspartate carbamoyltransferaseATCaseCAD proteinCarbamoyl-phosphate synthetase 2, aspartate transcarbamylase, and dihydroorotase
02

Mechanism of action

Competitive inhibition of the aspartate transcarbamylase activity as a transition-state analog

03

Biological functions

De novo pyrimidine biosynthetic processNucleotide metabolismCell proliferationUmp biosynthetic process
04

Disease associations

CancerCAD deficiencyCongenital disorder of glycosylation type IyEarly-onset epileptic encephalopathy
05

Safety considerations

MyelosuppressionGastrointestinal toxicityNeurotoxicityPotential for drug resistance through gene amplification
06

Interacting drugs

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

Biomarkers

Orotic acid levelsUridine levelsCarbamoyl aspartate concentration

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