Target intelligence / Profile preview

UDP-3-O-(3-hydroxymyristoyl)-N-acetylglucosamine deacetylase (LpxC) (LpxC)

Target
LpxC
Molecular classification
Enzyme, Zinc-dependent metalloenzyme, Hydrolase, Metalloamidase
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Overview

UDP-3-O-(3-hydroxymyristoyl)-N-acetylglucosamine deacetylase (LpxC) is a zinc-dependent metalloenzyme essential for the biosynthesis of Lipid A, the hydrophobic anchor of lipopolysaccharide (LPS) in the outer membrane of Gram-negative bacteria (UniProt, 2024; NIH, 2023). It catalyzes the second reaction of the Raetz pathway, which serves as the first committed and rate-limiting step in Lipid A production, making it a critical control point for bacterial viability and structural integrity (Science Translational Medicine, 2023). Because Lipid A is indispensable for nearly all Gram-negative pathogens and the enzyme has no mammalian homologue, LpxC is a high-priority target for developing novel antibiotics against multidrug-resistant (MDR) strains such as Pseudomonas aeruginosa and Klebsiella pneumoniae (Frontiers in Microbiology, 2025). Small-molecule inhibitors like ACHN-975 and the clinical candidate LPC-233 target the enzyme's active site, coordinating with the essential zinc ion to block catalysis and cause rapid bactericidal effects (PubMed, 2019). While these inhibitors show potent activity in preclinical models, their clinical development has been historically challenged by dose-limiting cardiovascular toxicities, specifically hypotension, which remains a key hurdle in therapeutic optimization (BioWorld, 2023; mBio, 2014).

Other names
UDP-3-O-acyl-N-acetylglucosamine deacetylaseUDP-3-O-acyl-GlcNAc deacetylaseUDP-3-O-((3R)-3-hydroxymyristoyl)-N-acetylglucosamine amidohydrolaseLpxC deacetylaseLpxC enzyme
02

Mechanism of action

Competitive inhibition of the LpxC enzyme active site, which prevents the deacetylation of UDP-3-O-(3-hydroxymyristoyl)-GlcNAc. This blockages halts the biosynthesis of Lipid A, the essential hydrophobic anchor of lipopolysaccharides, leading to compromised outer membrane integrity and rapid bacterial cell death.

03

Biological functions

Lipid A biosynthesisOuter membrane biogenesisLipopolysaccharide metabolismRaetz pathway committed stepBacterial cell wall integrity
04

Disease associations

Infection (Gram-negative bacteria)SepsisUrinary tract infectionMultidrug-resistant bacterial infection
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Safety considerations

Cardiovascular toxicity (transient hypotension)Off-target inhibition of human metalloenzymesDevelopment of bacterial resistance via LpxC overproduction or mutationsTherapeutic window challenges for systemic administration
06

Interacting drugs

ACHN-975

8 more in the full profile.

07

Biomarkers

Lipopolysaccharide (LPS) levelsBacterial load/CFULipid A concentration

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