Target intelligence / Profile preview

Inosine-5′-monophosphate dehydrogenase 1 and 2 (IMPDH1, IMPDH2)

Target
IMPDH1, IMPDH2
Molecular classification
Enzyme, Oxidoreductase
01

Overview

IMPDH1 and IMPDH2 are closely related, NAD⁺-dependent oxidoreductase enzymes essential for de novo guanine nucleotide synthesis by converting inosine monophosphate (IMP) to xanthosine monophosphate (XMP)[4][1]. While both catalyze the same reaction, they have distinct tissue distributions and regulatory mechanisms: **IMPDH1** is especially prominent in the retina (where it is crucial for photoreceptor cGMP signaling and mutations cause inherited retinal degeneration), while **IMPDH2** is abundant in proliferating cells and the central nervous system, with mutations linked to neurodevelopmental disorders[3][6][7][8]. Both are important therapeutic targets—**IMPDH inhibitors** such as mycophenolic acid and ribavirin have immunosuppressive and antiviral actions by depleting guanine nucleotides, making these enzymes relevant in transplant medicine, oncology, and infectious disease[5][9]. Structural differences, especially in regulatory responses and filament assembly, contribute to tissue-specific regulation[1][2].

Other names
IMP dehydrogenase 1IMP dehydrogenase 2IMPDHIIMPDHII
02

Mechanism of action

Competitive inhibition of the active site, blocking IMP oxidation to XMP and depleting intracellular guanine nucleotides\nSuppression of downstream DNA/RNA synthesis, leading to antiproliferative, immunosuppressive, or antiviral effects

03

Biological functions

Purine biosynthesisRegulation of guanine nucleotide homeostasisCell proliferationRegulation of cell growthSignal transductionTranscription regulation (moonlighting function)
04

Disease associations

CancerRetinal degeneration/Retinitis pigmentosa (mainly IMPDH1)Neurodevelopmental disorders (mainly IMPDH2)Immunological diseasesOther (e.g., inflammation, potentially infection)
05

Safety considerations

Bone marrow suppression (risk with inhibitors)Immunosuppression/infection risk (due to lymphocyte proliferation inhibition)Ocular toxicity/retinal degeneration with IMPDH1 mutationsPossible off-target toxicity with non-selective inhibitors
06

Interacting drugs

Mycophenolic acid (MPA)

4 more in the full profile.

07

Biomarkers

IMPDH activity or protein levels (linked to prognosis in some cancers and drug responses)Specific IMPDH1/2 mutations (as in retinitis pigmentosa or neurodevelopmental disease)

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