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Function
Dihydropyrimidine Dehydrogenase (DPD) is the first enzyme in pyrimidine degradation pathway. It catalyzes the reduction of 5,6-double bond to obtain dihydropyrimidine.
Reduction of Uracil to form 5,6-dihydro uracil. This reaction is catalyzed by eukaryotic DPD. Other pyrimidines can take the place of uracil in this reaction and will be metabolized in the same way.
Disease
5-fluorouracil (5-FU) is a drug used to treat a variety of cancers as it has wide anti-tumor activity & works well alongside other chemotherapy drugs. In the human liver 80-85% of 5-FU is catabolized into inactive, and potentially toxic, metabolites by DPD. Only 1-3% of the original dose proceeds through anabolic pathways to create active cytotoxic complexes. The active complexes inhibit DNA synthesis and the processing and function of RNA processing thus producing a deleterious effect on both healthy and cancerous cells.
DPD decreases effectivity of drug thus requires a very high dosages, leading to major side effects. Luckily, inhibitors are in development and some are in clinical trials.
Relevance
Structural highlights
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