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Bacterial cytosine deaminase (bCD) is an enzyme primarily found in bacteria and fungi, such as Escherichia coli, that catalyzes the hydrolytic deamination of cytosine to uracil (UniProt: P0A6B4). Because mammalian cells lack this enzyme, it is extensively utilized in Gene-Directed Enzyme Prodrug Therapy (GDEPT) for cancer treatment (PubMed: 25650541). In this approach, the bCD gene is delivered to tumor cells, where it converts the non-toxic prodrug 5-fluorocytosine (5-FC) into the potent cytotoxic agent 5-fluorouracil (5-FU) (PubMed: 11033172). This localized production of 5-FU allows for high therapeutic concentrations within the tumor while minimizing systemic toxicity. The treatment's effectiveness is often enhanced by the bystander effect, where 5-FU diffuses to neighboring untransduced cells, expanding the zone of cell death (PubMed: 15611114). Beyond oncology, the enzyme is a target for antifungal agents like 5-FC, which selectively inhibits fungal growth by exploiting the presence of CD in pathogens but not in the human host (PubMed: 12165235). However, challenges remain, including the potential immunogenicity of the bacterial protein and the unintended conversion of prodrugs by commensal gut microbiota.
The enzyme catalyzes the hydrolytic deamination of the prodrug 5-fluorocytosine (5-FC) into 5-fluorouracil (5-FU). 5-FU is subsequently converted by host cellular enzymes into metabolites that inhibit thymidylate synthase and incorporate into RNA and DNA, leading to cell cycle arrest and apoptosis.
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