Target intelligence / Profile preview

Prolyl 4-hydroxylase subunit alpha-2 (P4HA2)

Target
P4HA2
Molecular classification
Enzyme, Oxidoreductase
01

Overview

Prolyl 4-hydroxylase subunit alpha-2 (P4HA2) is an essential enzyme involved in collagen biosynthesis, catalyzing the hydroxylation of proline residues in -X–Pro–Gly– motifs— a modification required for proper collagen triple-helix formation and extracellular matrix assembly[1][3]. The enzyme is a tetramer composed of two identical alpha and two beta subunits, with P4HA2 forming a major part of the catalytic site[3]. P4HA2 is transcriptionally regulated and participates in the post-translational maturation of collagens and related proteins[1][3]. Aberrant expression of P4HA2 drives tumor progression, invasion, metastasis, and poor outcomes, predominantly by enhancing collagen deposition, modulating extracellular matrix structure, and promoting oncogenic pathways like glycolysis and epithelial–mesenchymal transition[1][2]. It is recognized as an emerging therapeutic target and biomarker in oncology and fibrotic diseases, though targeting it presents therapeutic challenges due to its central physiological role in collagen metabolism[1][2][3].

Other names
Prolyl 4-hydroxylase, alpha polypeptide IICollagen prolyl 4-hydroxylase subunit alpha-2C-P4Halpha(II)4-PH alpha-2Procollagen-proline,2-oxoglutarate-4-dioxygenase subunit alpha-2Collagen prolyl 4-hydroxylase alpha(II)Procollagen-proline, 2-oxoglutarate 4-dioxygenase (proline 4-hydroxylase), alpha polypeptide IIP4H alpha 2
02

Mechanism of action

Inhibition of collagen prolyl 4-hydroxylase activity impairs collagen maturation and deposition[2]. It suppresses tumor cell proliferation, invasion, migration, and induces apoptosis via modulation of the extracellular matrix and glycolysis pathway[2].

03

Biological functions

Collagen biosynthesis and maturationPost-translational modification (formation of 4-hydroxyproline)Extracellular matrix assemblyRegulation of cell invasion/migrationOncogenic signaling (hypoxia and glycolysis activation)
04

Disease associations

Cancer (promotes tumor progression, invasion, metastasis in multiple solid tumors including papillary thyroid cancer, breast cancer, hepatocellular carcinoma, prostate cancer, melanoma, and glioma)Fibrosis-related diseasesOcular diseases (e.g., high myopia)Vascular diseases (e.g., temporal arteritis, vascular remodeling)
05

Safety considerations

Targeting P4HA2 may disrupt normal collagen biosynthesis, affecting connective tissue, wound healing, and potentially leading to organ fibrosis or tissue weaknessInterference with extracellular matrix homeostasisPotential effects on normal tissue homeostasis and adverse events related to connective tissue dysfunction
06

Interacting drugs

Prolyl 4-hydroxylase inhibitors (e.g., small-molecule inhibitors used experimentally, not widely approved drugs; P4H inhibitors as a class)

1 more in the full profile.

07

Biomarkers

Elevated P4HA2 expression as a biomarker for aggressive disease and poor prognosis in multiple cancers (papillary thyroid carcinoma, breast cancer, hepatocellular carcinoma, others)[1][2]Biomarker for metastatic potential and poor clinical outcome[1][2]

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