Target intelligence / Profile preview

Schistosoma mansoni carbonic anhydrase (SmCA)

Target
SmCA
Molecular classification
Enzyme, Lyase, Carbonic anhydrase, Metalloenzyme
01

Overview

Schistosoma mansoni carbonic anhydrase (SmCA) is a critical metalloenzyme expressed in the tegument of the parasitic flatworm Schistosoma mansoni, which causes intestinal schistosomiasis (MDPI, 2020; NIH, 2019). The enzyme exists in multiple forms, including a well-characterized alpha-class (SmCA) and a recently identified beta-class (SmaBCA), both of which catalyze the reversible hydration of carbon dioxide into bicarbonate and protons (NIH, 2022; TandfOnline, 2023). This catalytic activity is vital for the parasite's pH regulation, ion transport, and metabolic processes, and its suppression via RNA interference has been shown to significantly impair larval infectivity and virulence (NIH, 2019; NIH, 2022). SmCA is a validated therapeutic target, with various sulfonamide-based inhibitors and repurposed drugs like clorsulon demonstrating potent activity against the enzyme (NIH, 2022; TandfOnline, 2021). However, a major challenge in drug development is achieving high selectivity for the parasite enzyme over human carbonic anhydrase isoforms to avoid systemic side effects such as metabolic acidosis and paresthesia (NIH, 2014; TandfOnline, 2023).

Other names
SmCA1SmaBCAAlpha-carbonic anhydraseBeta-carbonic anhydraseTegumental carbonic anhydrase
02

Mechanism of action

Inhibition of the enzyme's catalytic activity (CO2 hydration), which disrupts pH homeostasis, ion transport, and essential metabolic pathways in the parasite.

03

Biological functions

pH regulationCarbon dioxide hydrationIon transportMetabolic homeostasisParasite virulence
04

Disease associations

SchistosomiasisInfection
05

Safety considerations

Off-target inhibition of human carbonic anhydrase isoformsMetabolic acidosisParesthesiaFatigueSulfa drug allergy
06

Interacting drugs

Acetazolamide

9 more in the full profile.

07

Biomarkers

Parasite egg countCirculating anodic antigen (CAA)Circulating cathodic antigen (CCA)Host serum carbonic anhydrase 1

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