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Dihydropyrimidine dehydrogenase (DPD) is a key enzyme involved in the catabolism of pyrimidines, specifically uracil and thymine. It catalyzes the initial and rate-limiting step in their breakdown, converting uracil to 5,6-dihydrouracil and thymine to 5,6-dihydrothymine. Over 80% of administered fluoropyrimidine drugs (such as 5-fluorouracil [5-FU] and its prodrug capecitabine) are metabolized by DPD into inactive metabolites. Deficient DPD activity leads to severe side effects when treated with fluoropyrimidines.
Metabolizes fluoropyrimidine drugs (such as 5-fluorouracil [5-FU] and its prodrug capecitabine) into inactive metabolites.
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