Target intelligence / Profile preview

Carbonic anhydrase 14 (CA XIV) (CA XIV)

Target
CA XIV
Molecular classification
Enzyme, Lyase, Carbonic anhydrase, Alpha-carbonic anhydrase, Transmembrane protein
01

Overview

Carbonic anhydrase 14 (CA XIV) is a transmembrane zinc metalloenzyme that plays a critical role in the reversible hydration of carbon dioxide to form bicarbonate and protons [1, 5]. It is uniquely characterized as a type I membrane protein with its catalytic domain positioned extracellularly, enabling the regulation of extracellular pH in specialized tissues such as the brain, retina, and kidneys [1, 3, 6]. In the central nervous system, CA XIV is localized on neurons and glial cells, where it buffers pH changes during synaptic transmission and modulates neuronal excitability, making it a relevant target for managing epilepsy [1, 8]. In the eyes, it is essential for normal retinal light responses and regulates aqueous humor production, which is significant for glaucoma management [6, 17]. In renal physiology, CA XIV facilitates bicarbonate reabsorption and urinary acidification in the proximal tubules [2, 13]. Clinically, CA XIV is inhibited by non-selective sulfonamides such as acetazolamide, which are used to treat conditions ranging from glaucoma and high-altitude sickness to certain seizure disorders [14, 15, 18]. However, the development of drugs targeting CA XIV is often hindered by a lack of isoform selectivity, which can lead to systemic side effects like metabolic acidosis and electrolyte imbalances [17, 18]. Researchers also investigate CA XIV as a potential biomarker for tumor hypoxia and other metabolic dysregulations [12, 13, 23].

Other names
Carbonic anhydrase XIVCA14Carbonate dehydratase 14CA-XIVCAXiV
02

Mechanism of action

Inhibition of carbonic anhydrase enzymatic activity by reversible binding to the catalytic zinc ion, preventing the hydration of carbon dioxide.

03

Biological functions

Carbon dioxide hydrationpH regulationBicarbonate reabsorptionRenal acidificationRetinal light response bufferingIon transport
04

Disease associations

GlaucomaEpilepsyEdemaCancerIdiopathic intracranial hypertensionRetinal diseaseSleep apnea
05

Safety considerations

Metabolic acidosisHypokalemiaLack of isoform selectivityParesthesiaKidney stones (nephrolithiasis)
06

Interacting drugs

Acetazolamide

7 more in the full profile.

07

Biomarkers

Carbonic anhydrase 14 expressionHypoxia markerCancer prognosis marker

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