Target intelligence / Profile preview

UDP-glucuronosyltransferase (UGT) family (UGT)

Target
UGT
Molecular classification
Enzyme, Transferase, Glycosyltransferase, Phase II drug-metabolizing enzyme
01

Overview

The UDP-glucuronosyltransferase (UGT) family of enzymes is a group of membrane-bound proteins primarily located in the endoplasmic reticulum that play a central role in Phase II metabolism (Source: PubMed 15507021). These enzymes catalyze the transfer of a glucuronic acid moiety from UDP-glucuronic acid to a wide range of lipophilic substrates, including both endogenous compounds and xenobiotics (Source: UniProt P22309). This process, known as glucuronidation, significantly increases the water solubility of these molecules, thereby facilitating their elimination from the body via the bile or urine (Source: StatPearls NBK554493). UGTs are essential for the detoxification of numerous drugs, such as irinotecan and acetaminophen, and for the clearance of metabolic byproducts like bilirubin and steroid hormones (Source: NIH PMC2742541). Genetic polymorphisms within the UGT family, most notably the UGT1A1*28 allele, are associated with impaired metabolism and increased risk of severe toxicity from certain medications (Source: PubMed 15958704). Furthermore, deficiencies in specific UGT enzymes can lead to hereditary hyperbilirubinemia disorders, such as Gilbert syndrome and Crigler-Najjar syndrome (Source: NIH Genetics Home Reference). Understanding the activity and genetic variability of UGT enzymes is crucial for predicting drug responses and managing potential drug-drug interactions in clinical practice.

Other names
UDP-glucuronyltransferaseUDPGTGlucuronosyltransferaseUDP-glycosyltransferase familyPhase II drug-metabolizing enzymes
02

Mechanism of action

UGT enzymes catalyze the transfer of a glucuronic acid moiety from UDP-glucuronic acid to a variety of endogenous and exogenous lipophilic substrates, making them more water-soluble for excretion (Source: PubMed 15507021).

03

Biological functions

GlucuronidationPhase II metabolismXenobiotic detoxificationBilirubin clearanceSteroid hormone metabolismBile acid homeostasisMetabolism of fat-soluble vitamins
04

Disease associations

Gilbert syndromeCrigler-Najjar syndrome type ICrigler-Najjar syndrome type IIDrug-induced toxicity (e.g., irinotecan-induced neutropenia)HyperbilirubinemiaColorectal cancer (risk and treatment response)Bladder cancer
05

Safety considerations

Severe drug toxicity (e.g., neutropenia and diarrhea with irinotecan) due to genetic polymorphisms (Source: FDA Camptosar Label)Drug-drug interactions (DDIs) resulting from the inhibition or induction of UGT activity (Source: PubMed 24563554)Hyperbilirubinemia and potential neurotoxicity (kernicterus) in cases of severe enzyme deficiency (Source: StatPearls NBK554493)
06

Interacting drugs

Irinotecan (substrate of UGT1A1)

10 more in the full profile.

07

Biomarkers

UGT1A1*28 polymorphism (TA repeat in promoter)UGT1A1*6 polymorphismSerum total and unconjugated bilirubin levelsUGT2B7*2 polymorphismUGT1A1*27 polymorphism

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