Target intelligence / Profile preview

Serine hydroxymethyltransferase, mitochondrial (SHMT2)

Target
SHMT2
Molecular classification
Enzyme, Transferase, Pyridoxal phosphate-dependent enzyme, One-carbon metabolism enzyme
01

Overview

Human serine hydroxymethyltransferase 2 (SHMT2) is a critical mitochondrial enzyme that catalyzes the reversible conversion of serine and tetrahydrofolate into glycine and 5,10-methylenetetrahydrofolate [1, 3]. This reaction serves as a primary source of one-carbon units essential for the de novo biosynthesis of purines and thymidylate, which are necessary for DNA replication and repair [11, 12]. Beyond its role in nucleotide synthesis, SHMT2 is vital for maintaining cellular redox balance by supporting the production of NADPH and glutathione, thereby protecting cells from oxidative stress, particularly under hypoxic conditions [1, 15]. SHMT2 is frequently overexpressed in a variety of malignancies, including hepatocellular carcinoma, breast cancer, and gliomas, where its upregulation is strongly associated with rapid cell proliferation, tumor aggressiveness, and poor clinical prognosis [3, 9, 13]. Due to its central role in metabolic reprogramming, SHMT2 has emerged as a significant therapeutic target in oncology [1, 15]. Current drug development efforts focus on small-molecule inhibitors like SHIN1 and SHIN2, as well as multi-targeted antifolates, which aim to disrupt cancer cell metabolism and induce apoptosis by depleting essential biosynthetic precursors [6, 15, 16].

Other names
Mitochondrial serine hydroxymethyltransferaseGlycine hydroxymethyltransferaseSHMTmSHMT
02

Mechanism of action

Inhibition of SHMT2 enzyme activity, typically by binding to the folate-binding pocket or active site, which disrupts the conversion of serine to glycine and the generation of one-carbon units required for nucleotide synthesis and redox homeostasis [1, 4, 6, 15].

03

Biological functions

One-carbon metabolismSerine-to-glycine conversionFolate metabolismMitochondrial translationRedox balance regulationNucleotide biosynthesisNADPH and glutathione production
04

Disease associations

CancerHepatocellular carcinomaBreast cancerNon-small-cell lung cancerGliomaB-cell lymphomaNeurodevelopmental disorderMetabolic disorder
05

Safety considerations

Potential systemic toxicity from disruption of essential one-carbon metabolism in normal tissues [14, 15]Impact on mitochondrial oxidative phosphorylation and energy metabolism [16]Potential metabolic compensation by SHMT1 or exogenous glycine uptake [15]Challenges in mitochondrial drug delivery [14]
06

Interacting drugs

SHIN1

8 more in the full profile.

07

Biomarkers

SHMT2 mRNA expression levelsSHMT2 protein expression levelsGlycine/Serine ratioIntracellular glycine uptakeNADPH/NADP+ ratioReactive oxygen species (ROS) levels

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