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