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Hydroxyacid oxidase 2 is a peroxisomal enzyme that catalyzes the oxidation of medium and long-chain 2-hydroxyacids such as 2-hydroxyhexadecanoate and 2-hydroxyoctanoate into their corresponding 2-oxoacids, using O₂ as the physiological electron acceptor, and thereby produces H₂O₂. It plays a key role in the alpha-oxidation pathway of fatty acids. Loss or downregulation of HAO2 has been implicated in tumorigenicity of hepatocellular carcinoma, suggesting a tumor suppressive function. Alternative splicing results in multiple transcript variants and the enzyme is not active on glycolate or small chain substrates.
Not established—no drugs currently known to target HAO2 enzyme activity.
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