Target intelligence / Profile preview

Nudix hydrolase 5 (NUDT5)

Target
NUDT5
Molecular classification
Enzyme, Hydrolase, NUDIX (nucleoside diphosphate linked moiety X) hydrolase family
01

Overview

Nudix hydrolase 5 (NUDT5) is an enzyme in the Nudix hydrolase family, primarily acting as an ADP-sugar pyrophosphatase that hydrolyzes ADP-ribose and related ADP-sugar molecules to generate nuclear ATP, which is essential for rapid chromatin remodeling, hormone-induced gene regulation, and cell proliferation. NUDT5 also maintains the integrity of the nucleotide pool by sanitizing oxidized nucleotides (such as 8-oxo-dGDP), although its physiological role in oxidative nucleotide sanitation is less prominent compared to its major function in ADP-ribose metabolism. NUDT5 has emerged as a potential therapeutic target, particularly in hormone-driven cancers such as breast cancer, where inhibition suppresses hormone-dependent gene regulation and cell proliferation by disrupting nuclear ATP synthesis. Recent genetic studies highlight its role in modulating thiopurine response in leukemia, proposing it as a pharmacogenetic determinant in chemotherapy. The protein is characterized structurally by typical Nudix motifs essential for its catalytic activity, engaging Mg2+ ions and key residues to hydrolyze substrates. NUDT5’s multifaceted involvement in nuclear energy metabolism, transcriptional regulation, and drug response underscore its clinical and biological significance, while making it a complex target for both biomarker and drug development.

Other names
ADP-sugar pyrophosphataseNUDIX5HSPC115Nudix motif 5hNUDT5hYSAH1YSA1H8-oxo-dGDP phosphatasenuclear ATP-synthesis protein NUDIX5nucleoside diphosphate-linked moiety X motif 5
02

Mechanism of action

Inhibition of nuclear ATP synthesis via blockade of ADP-ribose hydrolysis (e.g., chromatin remodeling inhibition by compounds like TH5427 in cancer cells); Modulation of thiopurine response through alteration of purine metabolism and nucleotide pool.

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Biological functions

Nuclear ATP synthesisHydrolysis of ADP-ribose and ADP-sugarsMetabolism of modified nucleoside diphosphatesRegulation of hormone-induced transcriptionMaintenance of nucleotide pool integrity (oxidized nucleotide sanitation)Purine homeostasis
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Disease associations

Cancer (notably hormone-dependent cancers, e.g., breast cancer)Chemotherapeutic drug response modulation (e.g., thiopurine metabolism in leukemia)Other (possible, but less characterized)
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Safety considerations

Potential impact on nucleotide pool balance with systemic inhibitionUnknown effects on cell proliferation and DNA repair with chronic inhibitionRisk of off-target toxicities in therapies targeting NUDT5, particularly considering its role in hormone-dependent cellular proliferation and purine homeostasis
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Interacting drugs

Thiopurines (e.g., 6-mercaptopurine, 6-thioguanine)

2 more in the full profile.

07

Biomarkers

NUDT5 genetic variants (implicated as pharmacogenetic markers for thiopurine therapy response and toxicity in leukemia)NUDT5 expression levels (potential biomarker in hormone-driven breast cancer)No widely accepted clinical biomarkers as of 2025

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