Target intelligence / Profile preview

Uridine monophosphate synthetase (UMPS) (UMPS)

Target
UMPS
Molecular classification
Enzyme, Transferase, Lyase, Bifunctional enzyme
01

Overview

Uridine monophosphate synthetase (UMPS) is a critical bifunctional human enzyme that plays a central role in the de novo pyrimidine biosynthetic pathway. It consists of two distinct catalytic domains: orotate phosphoribosyltransferase and orotidine-5'-phosphate decarboxylase, which sequentially transform orotic acid into uridine monophosphate (UMP), a precursor for all other pyrimidine nucleotides essential for DNA and RNA synthesis. Beyond its fundamental role in cellular metabolism, UMPS is a key pharmacological target due to its involvement in the metabolic activation of several fluoropyrimidine-based chemotherapeutic agents, such as 5-fluorouracil, which it converts into its active nucleotide form. Clinical interest in UMPS also stems from its link to hereditary orotic aciduria, a rare metabolic disorder where enzyme deficiency leads to megaloblastic anemia and growth impairment. Consequently, monitoring UMPS activity and expression is significant for diagnosing metabolic errors and predicting patient responses to specific anticancer treatments [16, 18].

Other names
Uridine 5'-monophosphate synthaseUMP synthaseOrotate phosphoribosyltransferase and orotidine-5'-decarboxylaseOPRTase/OMPdecaseOPRT/ODC
02

Mechanism of action

UMPS is a bifunctional enzyme that catalyzes the final two steps of de novo pyrimidine biosynthesis: the conversion of orotate and phosphoribosyl pyrophosphate (PRPP) into orotidine 5'-monophosphate (OMP) by its orotate phosphoribosyltransferase domain, followed by the decarboxylation of OMP to uridine 5'-monophosphate (UMP) by its orotidine-5'-phosphate decarboxylase domain. It also serves as a critical activating enzyme for the prodrug 5-fluorouracil (5-FU), converting it into 5-fluorouridine monophosphate (FUMP) [18].

03

Biological functions

De novo pyrimidine biosynthesisUridine monophosphate (UMP) synthesisOrotidine 5'-monophosphate (OMP) decarboxylationOrotate phosphoribosylationNucleotide metabolism
04

Disease associations

Hereditary orotic aciduriaCancer (chemotherapy response/resistance)Megaloblastic anemiaDevelopmental delay
05

Safety considerations

Genetic UMPS deficiency causes hereditary orotic aciduria, leading to physical and mental retardation and treatment-refractory anemia.Variations in UMPS activity can significantly impact the toxicity and efficacy of 5-fluorouracil-based chemotherapies [18].Inhibition of UMPS can lead to pyrimidine starvation and cell cycle arrest.
06

Interacting drugs

5-Fluorouracil

4 more in the full profile.

07

Biomarkers

Urinary orotic acid levelsErythrocyte UMPS activitySerum orotidine levelsUMPS gene expression (predictive of 5-FU sensitivity)

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