Target intelligence / Profile preview

Carbonic anhydrase 5B, mitochondrial (CA5B)

Target
CA5B
Molecular classification
Enzyme, Carbonic anhydrase family, Zinc metalloenzyme
01

Overview

Carbonic anhydrase 5B, mitochondrial (CA5B), is a mitochondrial enzyme that catalyzes the reversible conversion of carbon dioxide to bicarbonate, using a zinc ion as a cofactor[1][2][3][5][9]. CA5B is distributed across a wide range of tissues including brain, liver, kidney, muscle, and pancreas, and plays roles in intermediary metabolism and maintenance of acid-base balance[1][2]. It is a member of the carbonic anhydrase family, which comprises zinc metalloenzymes involved in various physiological processes. Inhibition can disrupt key metabolic pathways and has been linked to altered mitochondrial function, with clinical interest in certain metabolic disorders[1][3]. Multiple drugs, including some thiazide diuretics and anticonvulsants, have inhibitory activity against CA5B[3].

Other names
CA-VBCarbonic anhydrase VBCarbonate dehydratase VBCAH5B
02

Mechanism of action

Inhibition of mitochondrial carbonic anhydrase activity (block reversible conversion of CO₂ to bicarbonate, impacting intermediary metabolism and acid-base balance)[3][5]

03

Biological functions

Reversible hydration of carbon dioxide to bicarbonate/HCO₃⁻Intermediate metabolismBicarbonate ion transportAcid-base balance
04

Disease associations

HyperammonaemiaOther potential metabolic disorders
05

Safety considerations

Broad tissue distribution suggests possible off-target/metabolic effects if inhibited systemically[1]Potential impact on mitochondrial metabolism and acid-base regulation; inhibition may affect energy metabolism in multiple organs[1]
06

Interacting drugs

Zonisamide (inhibitor)

3 more in the full profile.

07

Biomarkers

None specifically established as biomarkers for patient selection or efficacy monitoring; potential in metabolic disorders[1][3]

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