Target intelligence / Profile preview

Ketohexokinase (None)

Target
None
Molecular classification
Enzyme, Kinase, Hexokinase
01

Overview

Ketohexokinase (KHK), also known as fructokinase, is an enzyme that catalyzes the phosphorylation of fructose to produce fructose-1-phosphate. This reaction is the first and key step in the specialized pathway for dietary fructose metabolism, known as fructolysis. There are two main isoforms of KHK produced by alternative splicing: KHK-C (high affinity) and KHK-A (low affinity). KHK initiates intracellular catabolism of dietary carbohydrate by converting fructose into fructose‐1‐phosphate. Deficiency leads to essential hereditary fructosuria. Altered expression is implicated in diseases associated with high-fructose diets such as diabetes, gout, and cancer.

Other names
Fructokinase
02

Mechanism of action

Ketohexokinase inhibitors (hypothetical) would reduce the rate of fructose phosphorylation, decreasing downstream metabolites and potentially mitigating metabolic effects of high fructose diets.

03

Biological functions

Fructose metabolismCarbohydrate catabolismFructolysisPhosphorylation
04

Disease associations

Essential hereditary fructosuriaDiabetes mellitus type IIHypertensionGoutCancerLiver diseaseSteatosisHepatocellular carcinoma
05

Safety considerations

Potential for disrupting normal glucose metabolism if KHK inhibition is too broad or potent.Unknown long-term effects of chronic KHK inhibition.
06

Biomarkers

Fructose levels in urine (for fructosuria)KHK expression levels in liver tissue (for liver disease)KHK-A variant expression in cancer cells (for metastasis)

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