Target intelligence / Profile preview

Carbonic anhydrase 2, 4, 12, 14 (CA2, CA4, CA12, CA14)

Target
CA2, CA4, CA12, CA14
Molecular classification
Enzyme, Metalloenzyme, Alpha carbonic anhydrase
01

Overview

Carbonic anhydrases are a large family of zinc-dependent metalloenzymes that catalyze the reversible hydration of carbon dioxide to bicarbonate and a proton, a critical reaction in pH regulation and respiratory gas exchange. These enzymes are distributed in nearly all tissues and have multiple human isoforms, each with distinct tissue localization and physiological roles. Carbonic anhydrase II is a highly active, cytosolic enzyme found in red blood cells and many tissues; carbonic anhydrase IV is membrane-bound and important in the kidney and eye; carbonic anhydrase XII is a transmembrane enzyme involved in fluid balance and cancer; carbonic anhydrase XIV has been implicated in brain and kidney function. Selective inhibition of these enzymes has important therapeutic applications in ophthalmology, neurology, oncology, and nephrology

Other names
CA2CAIICA4CAIVCA12CAXIICA14CAXIVEC 4.2.1.1
02

Mechanism of action

Inhibition of the enzyme’s active site (Zn²⁺-dependent hydration/dehydration of CO₂) by sulfonamide or related groups, reducing the catalytic conversion of CO₂ to bicarbonate and protons

03

Biological functions

Catalysis of reversible hydration of carbon dioxide into bicarbonate and protonsRegulation of acid-base balanceRegulation of respiration by influencing CO₂/bicarbonate equilibriumParticipates in ion transport and pH regulation in various tissues
04

Disease associations

Glaucoma (targeted by inhibitors to reduce intraocular pressure)Epilepsy (role in acid-base homeostasis of the CNS)Altitude sickness (regulation of acid-base balance)Cancer (isoforms such as CA XII are associated with tumor progression, especially in hypoxic conditions)Renal tubular acidosisOther disorders involving acid-base disturbance
05

Safety considerations

Electrolyte imbalance and metabolic acidosis (due to impaired bicarbonate handling)Nephrolithiasis (kidney stones)CNS side effects (with non-selective inhibitors)Off-target effects due to broad expression of CA isoforms in many tissues
06

Interacting drugs

Acetazolamide

5 more in the full profile.

07

Biomarkers

Overexpression of CA XII in certain cancers is being explored as a biomarker for tumor hypoxia and prognosisCarbonic anhydrase activity/isoform expression patterns in various tissues for disease diagnosis or monitoring

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