Target intelligence / Profile preview

DNA polymerase subunit gamma-1 (POLG) (POLG)

Target
POLG
Molecular classification
Enzyme (UniProt: P54098), DNA polymerase (UniProt: P54098), Transferase (UniProt: P54098)
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Overview

Human mitochondrial DNA polymerase gamma (POLG) is the primary enzyme responsible for the replication and repair of mitochondrial DNA (mtDNA) (UniProt: P54098). It is a heterotrimeric complex consisting of a catalytic subunit (POLG1) and a dimeric accessory subunit (POLG2) (PubMed: 28235861). POLG possesses DNA polymerase activity, 3'-5' exonuclease activity for proofreading, and 5'-deoxyribose phosphate lyase activity for base excision repair (NCBI Gene: 5428). Mutations in the POLG gene are a major cause of mitochondrial diseases, ranging from early-onset Alpers-Huttenlocher syndrome to adult-onset progressive external ophthalmoplegia (PubMed: 30243044). In pharmacology, POLG is a critical off-target for nucleoside reverse transcriptase inhibitors (NRTIs) used in HIV treatment; inhibition of POLG by these drugs leads to mtDNA depletion and clinical toxicities such as lactic acidosis and lipodystrophy (PubMed: 11518513). Understanding POLG function is essential for assessing the safety profile of antiviral drugs and for diagnosing a wide spectrum of mitochondrial genetic disorders.

Other names
POLG1Mitochondrial DNA polymerasePolymerase (DNA) gammaPEOA1POLG
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Mechanism of action

Inhibition of mitochondrial DNA polymerase activity leading to depletion of mitochondrial DNA and mitochondrial dysfunction (PubMed: 11518513).

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Biological functions

Mitochondrial DNA replication (UniProt: P54098)Mitochondrial DNA repair (UniProt: P54098)Proofreading (UniProt: P54098)Maintenance of mitochondrial genome (UniProt: P54098)Other
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Disease associations

Neurodegenerative diseaseMitochondrial DNA depletion syndrome (PubMed: 30243044)Alpers-Huttenlocher syndrome (PubMed: 30243044)Progressive external ophthalmoplegia (PubMed: 30243044)Other
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Safety considerations

Mitochondrial toxicity (PubMed: 11518513)Lactic acidosis (PubMed: 11518513)Hepatotoxicity (PubMed: 11518513)Peripheral neuropathy (PubMed: 11518513)Myopathy (PubMed: 11518513)
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Interacting drugs

Zidovudine

6 more in the full profile.

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Biomarkers

mtDNA copy number (PubMed: 11518513)POLG gene mutations (PubMed: 30243044)Serum lactate levels (PubMed: 11518513)Serum alanine levels (PubMed: 30243044)

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