Target intelligence / Profile preview

Lactate dehydrogenase A (LDHA) (LDHA)

Target
LDHA
Molecular classification
Enzyme, Lactate dehydrogenase family
01

Overview

Lactate dehydrogenase A (LDHA) is an enzyme encoded by the LDHA gene in humans and is a subunit of the lactate dehydrogenase (LDH) enzyme, which exists as a tetramer of either LDHA (M) or LDHB (H) subunits, or a mix of both. The enzyme catalyzes the interconversion of pyruvate and lactate with concomitant conversion of NADH to NAD⁺, a critical step in anaerobic glycolysis. LDHA is highly expressed in skeletal muscle and many tumors, where it supports energy production in oxygen-limited conditions. Elevated LDHA is associated with cancer progression and poor prognosis, making it a potential therapeutic target. Mutations in the LDHA gene can cause lactate dehydrogenase-A deficiency, leading to exercise intolerance, muscle pain, and rhabdomyolysis. Several inhibitors of LDHA have been identified, primarily for experimental and potential therapeutic use in cancer.

Other names
L-lactate dehydrogenase A chainLDH-ALDH muscle subunitLDH-MLDH1LDHA_HUMANLDHM
02

Mechanism of action

Inhibition of LDHA enzymatic activity disrupts anaerobic glycolysis, reducing ATP production in cancer cells and increasing reactive oxygen species (ROS), leading to cancer cell death or reduced proliferation Competitive inhibition at the active site (e.g., oxamate)

03

Biological functions

Cellular respirationAnaerobic glycolysisEnergy metabolismConversion of pyruvate to lactate (and vice versa)Provision of energy during high-intensity, oxygen-limited activity
04

Disease associations

Cancer (elevated LDHA levels and activity are associated with tumor growth, progression, and poor prognosis)Lactate dehydrogenase-A deficiency (glycogen storage disease XI, a rare metabolic disorder causing exertional myoglobinuria and muscle breakdown)Rhabdomyolysis, myoglobinuria (as a consequence of LDHA deficiency)
05

Safety considerations

LDHA inhibition may interfere with normal muscle energy metabolism, especially during anaerobic conditionsPotential for muscle-related adverse effects in individuals with subclinical or undiagnosed LDHA deficiencyNon-specificity of systemic LDHA inhibition (LDHA is widely expressed)
06

Interacting drugs

Oxamate (competitive inhibitor)

3 more in the full profile.

07

Biomarkers

LDHA expression and activity in tumors (prognostic marker in certain cancers)Lactate dehydrogenase (LDH) isoenzyme levels in blood (general marker of tissue damage; not specific to LDHA)

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