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Carbamoyl phosphate synthetase (CPS (CPSase); specific isoforms include CPS I and CPS II)

Target
CPS (CPSase); specific isoforms include CPS I and CPS II
Molecular classification
Enzyme, Ligase (specifically, carbon-nitrogen ligase with glutamine as amido-N-donor, EC 6.3.5.5; and with ammonia as amido-N-donor, EC 6.3.4.16), Class I amidotransferase family (for the small subunit)
01

Overview

Carbamoyl phosphate synthetase is a large, multifunctional enzyme that catalyzes the ATP-dependent synthesis of carbamoyl phosphate from bicarbonate and ammonia or glutamine.[1][2][7] There are two major isoforms in mammals: Carbamoyl phosphate synthetase I (CPS I) is located in mitochondria and is essential for the urea cycle, catalyzing the first committed step in the detoxification of ammonia by converting it to carbamoyl phosphate, with N-acetylglutamate as an essential allosteric activator.[2] Carbamoyl phosphate synthetase II (CPS II) is cytosolic and participates in de novo pyrimidine biosynthesis using glutamine as the nitrogen source. The enzyme is a heterodimer in bacteria (small and large subunits), where the small subunit hydrolyzes glutamine, providing ammonia, and the large subunit catalyzes sequential phosphorylation steps to form carbamoyl phosphate. The structure includes channeling tunnels to efficiently transfer unstable intermediates between active sites.[1][3][5][7] Hereditary deficiency of CPS I results in a rare but severe urea cycle disorder characterized by hyperammonemia.[2]

Other names
Carbamoyl phosphate synthaseCPSaseCarbamoyl phosphate synthetase I (CPS I)Carbamoyl phosphate synthetase II (CPS II)
02

Mechanism of action

Allosteric activation by N-acetylglutamate (for CPS I)[2]. Drugs target upstream or pathway modulation, not the enzyme directly.

03

Biological functions

Urea cycle (nitrogen disposal)Pyrimidine biosynthesisArginine biosynthesis
04

Disease associations

Urea cycle disorders (e.g., carbamoyl phosphate synthetase I deficiency)HyperammonemiaOther (disruption can affect nitrogen metabolism and cumulative toxicity)
05

Safety considerations

Loss-of-function leads to severe hyperammonemia, neurological damageEnzyme is not a typical pharmacological inhibition target due to severe adverse metabolic effects
06

Interacting drugs

Carglumic acid (used as a cofactor substitute in CPS I deficiency) [inferred]

1 more in the full profile.

07

Biomarkers

Ammonia levels (for detection of urea cycle disorders)Carbamoyl phosphate concentrations (in research diagnostics)

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