Target intelligence / Profile preview

Klebsiella aerogenes urease (KAU) (KAU)

Target
KAU
Molecular classification
Enzyme, Hydrolase, Nickel-dependent metalloenzyme
01

Overview

Klebsiella aerogenes urease is a nickel-dependent metalloenzyme that plays a critical role in bacterial pathogenesis by catalyzing the hydrolysis of urea into ammonia and carbon dioxide (Hausinger, R. P., 1993, "The biological aspects of nickel"). This enzymatic activity leads to a rapid increase in local pH, which serves as a key virulence factor by neutralizing acidic environments and promoting the formation of magnesium ammonium phosphate (struvite) stones (Griffith, D. P., et al., 1976, "Urease-producing bacteria, urea, and staghorn calculi"). The enzyme is structured as a heterotrimer composed of alpha (UreC), beta (UreB), and gamma (UreA) subunits, with a binuclear nickel center essential for its catalytic function (UniProt P18314, P18315, P18316). Clinically, this enzyme is a significant therapeutic target in the management of chronic urinary tract infections and the prevention of infection-induced urolithiasis (NCBI, "Klebsiella aerogenes"). Pharmacological intervention typically involves the use of urease inhibitors like acetohydroxamic acid, which competitively bind to the nickel active site to prevent urea breakdown (PubChem CID 1974). While effective in reducing stone recurrence and urinary ammonia levels, the clinical utility of these inhibitors is often constrained by safety concerns, including potential teratogenicity and hematological toxicity.

Other names
Urea amidohydrolaseEnterobacter aerogenes ureaseUrease
02

Mechanism of action

Competitive inhibition of the urease enzyme by binding to the nickel-containing active site, thereby preventing urea hydrolysis and subsequent ammonia production.

03

Biological functions

Urea hydrolysisNitrogen metabolismpH regulationAmmonia production
04

Disease associations

InfectionUrinary tract infectionUrolithiasisStruvite kidney stones
05

Safety considerations

Teratogenicity (Category X)Hemolytic anemiaGastrointestinal distressDevelopment of bacterial resistancePhlebitis
06

Interacting drugs

Acetohydroxamic acid

3 more in the full profile.

07

Biomarkers

Urinary pH elevationUrinary ammonia concentrationPresence of struvite crystals

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