Target intelligence / Profile preview

Serine hydroxymethyltransferase 2 (SHMT2)

Target
SHMT2
Molecular classification
Enzyme, Mitochondrial enzyme, Pyridoxal phosphate (PLP)-dependent enzyme
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Overview

Serine hydroxymethyltransferase 2 (SHMT2) is a mitochondrial, pyridoxal phosphate-dependent enzyme essential for the reversible conversion of serine to glycine, simultaneously transferring a one-carbon group to tetrahydrofolate to generate 5,10-methylenetetrahydrofolate. SHMT2 underpins mitochondrial one-carbon metabolism, critical for nucleotide (purine and thymidylate) biosynthesis, redox control, and cellular proliferation. Overexpression of SHMT2 is observed in numerous cancers, contributing to tumor cell growth and survival, and is associated with poor prognosis in cancer patients. SHMT2 is therefore pursued as a drug target in cancer chemotherapy, especially with antifolate drugs that inhibit its enzymatic activity. This enzyme transitions between dimeric and tetrameric states in mitochondria and is tightly regulated both transcriptionally and post-translationally, with functional roles extending to metabolic signaling and inflammation.

Other names
Mitochondrial serine hydroxymethyltransferaseGlycine hydroxymethyltransferase, mitochondrial
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Mechanism of action

Competitive inhibition of one-carbon transfer activity (antifolates); Blockade of serine to glycine conversion, disrupting nucleotide biosynthesis

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Biological functions

One-carbon metabolismAmino acid metabolismNucleotide metabolismPurine and thymidylate biosynthesisRedox balance maintenanceCellular energy homeostasis
04

Disease associations

CancerTumor progressionMetabolic reprogramming in cancerPotential biomarker in oncology
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Safety considerations

Risk of off-target interference with normal cellular metabolism due to SHMT2 ubiquityMitochondrial toxicity and impact on normal rapidly proliferating tissues if globally inhibited
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Interacting drugs

Lometrexol

4 more in the full profile.

07

Biomarkers

High SHMT2 expression is associated with poor prognosis in several cancers (e.g., clear cell renal cell carcinoma, hepatocellular carcinoma, breast cancer, non-small-cell lung cancer)Potential predictive marker for antifolate drug response

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