Thymidylate kinase

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Thymidylate kinase (also known as dTMP kinase, deoxythymidine monophosphate kinase, or TMPK) is an enzyme that plays a crucial role in the metabolism of nucleotides, specifically in the synthesis of thymidine triphosphate (dTTP), an essential building block for DNA replication and DNA repair mechanisms. This enzyme catalyzes the phosphorylation of thymidine monophosphate (dTMP) to thymidine diphosphate (dTDP), a key step in the dNTP synthesis pathway, using adenosine triphosphate (ATP) as the phosphate donor.

Function[edit | edit source]

Thymidylate kinase operates within the salvage pathway of nucleotide synthesis, which is critical for maintaining the dNTP pool balance necessary for DNA synthesis and repair. The enzyme's activity is tightly regulated within the cell to ensure the proper functioning of these processes. Its dysfunction or dysregulation can lead to nucleotide imbalance, which is implicated in various genetic disorders and has been associated with increased susceptibility to cancer.

Structure[edit | edit source]

Thymidylate kinase is a protein that belongs to a larger family of nucleoside monophosphate (NMP) kinases. These enzymes share a common core structure, although specific amino acid sequences and structural features confer substrate specificity. The structure of TMPK typically includes a nucleotide-binding domain and a lid domain, which undergoes conformational changes upon substrate binding, facilitating the phosphoryl transfer reaction.

Clinical Significance[edit | edit source]

Alterations in the activity or expression of thymidylate kinase have been studied in the context of cancer. Given its role in DNA synthesis, TMPK is a target for chemotherapy drugs designed to inhibit nucleotide synthesis, thereby preventing cancer cell proliferation. Additionally, mutations affecting TMPK function have been explored as potential biomarkers for cancer prognosis and treatment response.

Pharmacology[edit | edit source]

Several antiviral drugs target TMPK activity to inhibit viral DNA synthesis. For example, certain nucleoside analogs are designed to be phosphorylated by TMPK, leading to the incorporation of these analogs into viral DNA and subsequent chain termination. This mechanism underlies the action of some drugs used in the treatment of HIV/AIDS and herpesvirus infections.

See Also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD