Target intelligence / Profile preview

Pyridoxine 5′-phosphate oxidase (PNPO)

Target
PNPO
Molecular classification
Enzyme, Oxidoreductase (specifically, a flavin mononucleotide-dependent oxidase)
01

Overview

Pyridoxine 5′-phosphate oxidase is a homodimeric FMN-dependent oxidoreductase that completes the biosynthesis of pyridoxal 5′-phosphate, the active vitamin B6 cofactor essential for amino acid metabolism, neurotransmitter synthesis, and cellular function. Its activity is highest in the liver and is tightly regulated by substrate availability and allosteric inhibition by its product, PLP. Mutations in the PNPO gene can result in a deficiency syndrome, primarily causing early-onset, treatment-responsive epileptic seizures. Recent research implicates PNPO as a potential therapeutic target in some cancers, where its expression affects cell cycle, apoptosis, and invasiveness. If more structured biochemical, clinical, or pharmacological details are needed, the PNPO gene is well characterized in public databases, and its role as a drug target in diseases like epilepsy and cancer is an active area of research.

Other names
Pyridoxamine-phosphate oxidasePyridoxine/pyridoxamine 5′-phosphate oxidasePyridoxal 5′-phosphate synthasePNP/PMP oxidaseHEL-S-302PDXPO
02

Mechanism of action

Drugs may act by regulating the enzymatic activity (e.g., by inhibiting regulatory pathways such as TGF-β for cancer). PLP acts as an allosteric inhibitor of PNPO. Vitamin B6 analogues and supplements provide PLP directly (in deficiency disorders).

03

Biological functions

Vitamin B6 metabolism (biosynthesis of PLP)Catalysis of oxidation-reduction reactionsRegulation of cell cycle, proliferation, and apoptosis (shown in cancer contexts)Neurotransmitter metabolism (via cofactor PLP)
04

Disease associations

Cancer (overexpression and regulation studies in epithelial ovarian cancer)Seizure disorders (PNPO deficiency with pyridoxal phosphate-responsive seizures)Neurodevelopmental disorders (due to PLP deficiency)
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Safety considerations

PLP deficiency: risk of seizures and neurological impairment in genetic PNPO deficiencyAltered B6 metabolism in cancer could have complex effects on cell growth and therapy responseOff-target effects if developing inhibitors—potential for broad metabolic disruption due to central role in B6 metabolism
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Interacting drugs

SB-431542 (TGF-β type I receptor kinase inhibitor indirectly regulates PNPO expression)

1 more in the full profile.

07

Biomarkers

PNPO gene mutations (for pyridoxal phosphate-responsive seizure diagnosis)PNPO protein levels (potential marker in ovarian cancer progression)

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