Target intelligence / Profile preview

Cytidine/uridine monophosphate kinase 2 (CMPK2)

Target
CMPK2
Molecular classification
Enzyme, Kinase, Mitochondrial protein
01

Overview

Cytidine/uridine monophosphate kinase 2 (CMPK2) is a mitochondrial enzyme involved in the salvage pathway of pyrimidine nucleotide synthesis, catalyzing the phosphorylation of dUMP, dCMP, CMP, and UMP, as well as several pyrimidine nucleoside analogs, using ATP as a phosphate donor. Unlike the ubiquitously expressed cytosolic UCK1, CMPK2 has a more restricted expression pattern and mediates key roles in cellular dNTP synthesis, immune response modulation, and suppression of viral replication, in part through participation in interferon-stimulated pathways. Overexpression of CMPK2 is associated with certain cancers and neuroinflammatory states, and its kinase activity is critical for activating several anticancer and antiviral nucleoside analog prodrugs. CMPK2 also enables the production of oxidized mitochondrial DNA fragments, which can activate the NLRP3 inflammasome and contribute to inflammatory processes.

Other names
UMP-CMP kinase 2, mitochondrialUMP/CMP kinase 2UMP-CMPK2TYKiNucleoside-diphosphate kinaseCytidylate kinase 2Thymidine monophosphate kinase 2TMPK2IBGC10NDKNucleoside-diphosphate kinase, mitochondrialUMPKUMPK2
02

Mechanism of action

Phosphorylation (activation) of nucleoside analog prodrugs, converting them to active triphosphate forms - Inhibition (or depletion) of pyrimidine salvage pathway, reducing dNTP synthesis required for DNA/RNA synthesis in rapidly dividing cells (e.g., cancer) - Suppression of viral replication via metabolic restriction or direct interference with viral polymerase activity (in cooperation with viperin and ddhCTP)

03

Biological functions

Pyrimidine nucleotide salvageSynthesis of deoxyribonucleotide triphosphates (dNTPs)Regulation of mitochondrial DNA synthesisImmune response (including antiviral and immunomodulatory activities)Activation of nucleoside analog prodrugsRegulation of NLRP3 inflammasome activityMonocytic cell differentiation
04

Disease associations

CancerViral infection (e.g., flaviviruses, coronaviruses)Basal ganglia calcification (idiopathic, type 10, autosomal recessive)NeuroinflammationBrain injury after ischemic stroke
05

Safety considerations

Potential effects on normal dNTP pools and mitochondrial functionImpaired immune responses or increased susceptibility to viral infection if overinhibitedRole in neuroinflammation and brain injury—overactivation could be deleterious
06

Interacting drugs

1-(3-C-ethynyl-β-D-ribopentofuranosyl)cytosine (ECyd)

7 more in the full profile.

07

Biomarkers

Overexpression in tumor tissues (especially in early lung cancer, several solid tumors)Indicator of mitochondrial DNA synthesis/oxidative mtDNA release (NLRP3 activation)

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