Target intelligence / Profile preview

UDP-glucuronosyltransferase 2B4 (UGT2B4)

Target
UGT2B4
Molecular classification
Enzyme, Phase II drug-metabolizing enzyme, UDP-glucuronosyltransferase superfamily
01

Overview

UDP-glucuronosyltransferase 2B4 (UGT2B4) is a membrane-bound phase II drug-metabolizing enzyme predominantly found in the liver and to a lesser extent in other tissues. It catalyzes the glucuronidation (a form of conjugation) of bile acids (notably hyodeoxycholic acid), catechol-estrogens, steroids, bilirubin, and a wide variety of xenobiotics and drugs. This glucuronidation process generally enhances the solubility of these molecules, facilitating their elimination from the body. UGT2B4 activity and expression are regulated by several nuclear receptors (including FXR and PPARα). Genetic variability in UGT2B4 can impact individual responses to medications and susceptibility to toxicity, and altered UGT2B4 function may have relevance in diseases such as hormone-dependent cancers and liver disorders[1][2][3][4][5].

Other names
UDP-glucuronosyltransferase 2B4UGT2B4UGT2B11UDPGT 2B4HLUG25Hyodeoxycholic acid-specific UDPGTUDPGTh-1UDPGT2B4UDPGTH1UDP glucuronosyltransferase 2 family, polypeptide B4UDP-glucuronyltransferase, family 2, beta-4hyodeoxycholic acid-specific UDPGT
02

Mechanism of action

Facilitates the conjugation of glucuronic acid to substrates possessing suitable functional groups (e.g., hydroxyl, carboxylic acid, amine, thiol), increasing solubility and promoting renal or biliary excretion[1][2][3]

03

Biological functions

Detoxification and conjugation of bile acids and steroidsGlucuronidation of catechol-estrogensConjugation and enhanced excretion of endogenous (e.g., steroid hormones, bilirubin, bile acids) and exogenous compounds (e.g., drugs, xenobiotics)
04

Disease associations

Cancer (notably breast and prostate, due to glucuronidation of steroid hormones)Drug toxicity/Pharmacogenomics (variability in drug metabolism and toxicity)Liver disease and hyperbilirubinemia (role in conjugation and excretion of bilirubin and bile acids)
05

Safety considerations

Inter-individual genetic variability in UGT2B4 can affect drug metabolism and toxicity[3]Drugs inhibiting UGT enzymes may potentiate drug or substrate toxicityUnderactivity or deficiency may contribute to accumulation of toxic metabolites, possibly exacerbating disorders of bile acid or steroid metabolism
06

Interacting drugs

Midazolam (notably its 1'- and 4-hydroxymetabolites)[4]

2 more in the full profile.

07

Biomarkers

UGT2B4 genetic variants (pharmacogenomic marker for drug response variability and toxicity risk)[3]Potential use in biomarker panels for susceptibility to hormone-driven cancers or liver disease

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