UDP-glucuronosyltransferase 1A3 is an enzyme that catalyzes glucuronidation, the process of attaching glucuronic acid to small lipophilic molecules—including hormones, bilirubin, steroids, and a wide variety of drugs—thus increasing their water solubility and promoting excretion via urine or bile. This is a critical pathway in phase II drug metabolism and detoxification of both endogenous and exogenous compounds. UGT1A3 is primarily expressed in the liver and is one of several related enzymes encoded by the UGT1A gene locus, each with distinct substrate specificities due to differences in the first exon. Mutations and expression differences in UGT1A3 can influence drug efficacy, pharmacokinetics, and the risk of adverse drug reactions
Other names
UGT1A3UDPGTUDP-glucuronosyltransferase 1-3UGT-1CUGT1-03UGT1.3UGT1CUGT1A3SUDPGT 1-3UDP glucuronosyltransferase family 1 member A3
02
Mechanism of action
Phase II conjugation: Drugs binding to and being conjugated by UGT1A3 are rendered more water-soluble, promoting their excretion via urine or bile.
Inactivation or detoxification: Some drugs are inactivated or rendered less toxic through glucuronidation by UGT1A3
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Biological functions
Glucuronidation (attachment of glucuronic acid to small lipophilic molecules)Metabolism of steroids, hormones, bilirubin, xenobiotics, and drugsDetoxification and elimination of endogenous and exogenous toxinsDetoxification of bile acidsRegulation of lipid and vitamin D metabolism
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Disease associations
Cancer (altered drug metabolism and risk)Hyperbilirubinemia, transient familial neonatalBilirubin, serum level regulationPharmacogenetic variation affecting drug responseOther (important in diseases involving impaired detoxification or clearance of hormones and drugs)
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Safety considerations
Drug-drug interactions: Co-administration of multiple UGT1A3 substrates/inhibitors can cause increased toxicity or reduced efficacy due to competition for enzyme activityGenetic polymorphisms: Variants in UGT1A3 may result in poor or ultra-rapid drug metabolism, leading to increased side effects or sub-therapeutic drug levelsAltered metabolism in hepatic impairment: Since UGT1A3 is liver-expressed, liver dysfunction can reduce glucuronidation capacity, increasing risk of drug toxicity
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Interacting drugs
Ezetimibe
7 more in the full profile.
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Biomarkers
UGT1A3 genotype or transcript/protein levels can be used as pharmacogenomic biomarkers for drug metabolism phenotyping and predicting individual variation in drug response and toxicityBlood/serum levels of UGT1A3 substrates, e.g., bilirubin, estrogen conjugates—for efficacy monitoring in drug trials or precision dosing
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