Target intelligence / Profile preview

Carbamoyl-phosphate synthetase 2, Aspartate transcarbamoylase, and Dihydroorotase (CAD)

Target
CAD
Molecular classification
Enzyme, Multifunctional biosynthetic enzyme
01

Overview

The pyrimidine biosynthesis pathway consists of a series of enzymatic reactions that synthesize the core pyrimidine nucleotides (UMP, UDP, UTP, and CTP) from basic biochemical precursors[1][2][3]. In mammals, the first three speed-limiting steps are catalyzed by the multifunctional enzyme CAD, which includes domains for glutamine amidotransferase, carbamoyl phosphate synthetase II, aspartate transcarbamoylase, and dihydroorotase[2]. Subsequent steps involve dihydroorotate dehydrogenase and uridine monophosphate synthase[2][3]. Pyrimidine nucleotide synthesis is essential for DNA and RNA formation, cell membrane phospholipid synthesis, cell growth, and many metabolic functions. Pharmacological inhibitors of this pathway are clinically used to treat autoimmune diseases and are under investigation for cancer therapy[1][2]. The term "Pyrimidine biosynthesis pathway enzyme" describes *several distinct enzymes* (e.g., CAD, dihydroorotate dehydrogenase, UMPS), and is *not a standardized target name*; for further structured information, an exact enzyme such as "Carbamoyl-phosphate synthetase 2" or "CAD" should be specified[2][3].

Other names
CADpyrimidine biosynthetic enzymeCPSII (for carbamoyl phosphate synthetase II)
02

Mechanism of action

Inhibition of pyrimidine nucleotide synthesis, leading to reduced DNA/RNA synthesis, anti-proliferative and immunosuppressive effects

03

Biological functions

Nucleotide biosynthesisCell growth and repairSynaptic function (via membrane phospholipid synthesis)Energy metabolismCarbohydrate metabolism (in plants via UDP-Glc)
04

Disease associations

CancerAutoimmune diseases (rheumatoid arthritis, psoriatic arthritis, multiple sclerosis)Anemia/dyserythropoiesis (via membrane synthesis deficits)Other proliferative diseases
05

Safety considerations

Risk of bone marrow suppression (since DNA/RNA synthesis is ubiquitous)Potential hepatotoxicity and gastrointestinal disturbances (for drugs like leflunomide)Immunosuppression (infection risk)
06

Interacting drugs

Leflunomide

1 more in the full profile.

07

Biomarkers

UMP levels (end product of the pathway)CTP/UDP levels (downstream products)

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