Target intelligence / Profile preview

Purine biosynthesis enzymes and replicating DNA

Molecular classification
Enzyme, Nucleic acid, Transferase, Oxidoreductase
01

Overview

This target profile represents a composite of molecular entities and biological processes essential for the proliferation of T lymphocytes, specifically focusing on the enzymes of the purine biosynthetic pathway and the integrity of replicating DNA. T cells are uniquely dependent on the de novo purine synthesis pathway, rather than the salvage pathway, for their expansion during an immune response. Key enzymes in this process, such as Inosine-5'-monophosphate dehydrogenase (IMPDH), are targeted by immunosuppressive agents to deplete the pool of available guanosine nucleotides. Additionally, antimetabolite drugs like thiopurines act as fraudulent bases that are incorporated into the DNA of replicating T cells, causing structural damage, mismatch repair activation, and subsequent cell death. By disrupting these metabolic and replicative requirements, therapeutic intervention effectively suppresses unwanted immune activity in the context of organ transplantation and autoimmune disorders.

Other names
Purine metabolism enzymesDe novo purine synthesis pathwayThiopurine targetsIMPDH and DNA incorporation
02

Mechanism of action

Inhibition of de novo purine synthesis via enzymes like IMPDH and phosphoribosyl pyrophosphate amidotransferase, alongside the incorporation of fraudulent thiopurine nucleotides into replicating DNA, leading to chain termination and apoptosis in T lymphocytes.

03

Biological functions

DNA replicationPurine nucleotide biosynthesisCell proliferationImmune responseT-cell activation
04

Disease associations

Autoimmune diseaseInflammatory bowel diseaseLeukemiaOrgan transplant rejectionRheumatoid arthritis
05

Safety considerations

MyelosuppressionHepatotoxicityIncreased risk of infectionSecondary malignancies (e.g., lymphoma)Teratogenicity
06

Interacting drugs

Azathioprine

5 more in the full profile.

07

Biomarkers

Thiopurine S-methyltransferase (TPMT) activityNudix hydrolase 15 (NUDT15) genotype6-Thioguanine nucleotide (6-TGN) levels6-Methylmercaptopurine (6-MMP) levels

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