Target intelligence / Profile preview

UDP-glucuronosyltransferase 2A2 (UGT2A2)

Target
UGT2A2
Molecular classification
Enzyme, Transferase, Phase II drug-metabolizing enzyme
01

Overview

UDP-glucuronosyltransferase 2A2 (UGT2A2) is a membrane-bound enzyme expressed predominantly in the human nasal mucosa, where it catalyzes the transfer of glucuronic acid from UDP-glucuronic acid to both endogenous and exogenous lipophilic compounds including steroids, drugs, odorants, and toxicants. This conjugation, known as glucuronidation, increases the water solubility of these molecules, facilitating their excretion in urine or bile and generally inactivating them. UGT2A2 shares close sequence similarity and exon structure with UGT2A1 but exhibits some unique substrate specificities, such as enhanced glucuronidation of ethinylestradiol. UGT2A2 is implicated in local detoxification processes in the olfactory neuroepithelium and has been suggested as a molecular factor underlying smell impairment seen in some viral infections (e.g., COVID-19). Variability in UGT2A2 function (e.g., due to genetic polymorphisms) may influence response to drugs or environmental toxins predominantly affecting the nasal mucosa.

Other names
UDP glucuronosyltransferase family 2 member A2UDP-glucuronosyltransferase 2A2UDPGT 2A2UDP glucuronosyltransferase 2 family, polypeptide A2
02

Mechanism of action

Increases water solubility of substrates by conjugating glucuronic acid, thus facilitating excretion and usually inactivation (Phase II metabolism)

03

Biological functions

Glucuronidation (conjugation of glucuronic acid to various substrates)Metabolism and detoxification of xenobiotics (foreign chemicals)Metabolism of endogenous compounds (e.g., steroid hormones, bile acids)Signal termination in olfactory epithelium (inactivation of odorant molecules)
04

Disease associations

Susceptibility to "loss of smell" (anosmia), particularly in the context of SARS-CoV-2 infection/COVID-19Altered drug metabolism/pharmacogenomics (e.g., Crigler-Najjar syndrome, Kernicterus in connection with related UGT genes)Other (potential involvement in detoxification-related diseases)
05

Safety considerations

Genetic polymorphisms may alter glucuronidation capacity, resulting in variability in drug response or toxicityExtrahepatic localization and narrow tissue distribution (mainly in nasal mucosa) raise questions about systemic pharmacokinetic impact
06

Interacting drugs

Ethinylestradiol (increased glucuronidation by UGT2A2 compared to some other UGTs)

1 more in the full profile.

07

Biomarkers

Polymorphisms in UGT2A2 have been associated with loss of smell and taste in SARS-CoV-2 infection, suggesting a potential biomarker for susceptibility to these symptoms

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