UDP glucuronic acid is an essential metabolite required for the synthesis of extracellular matrix components (such as glycosaminoglycans involving hyaluronan, chondroitin sulfate, and heparan sulfate). A further important role is its role in the esterification of lipophilic endogenous (e.g. steroids) or xenobiotic compounds, thus forming excretable products.
The enzyme UDP-glucose dehydrogenase (UGDH) produces in a NAD + dependent reaction UDP glucuronic acid from UDP-glucose, which then serves as substrate for UDP-glucuronyltransferases, resulting in the multiple metabolites described above.
The enzyme is expressed in many gastrointestinal tissues with highest levels observed in the liver; and expression of the enzyme is regulated by several proinflammatory cytokines, growth factors such as transforming growth factor beta or IL-beta, by androgens and xenobiotics like eugenol and rifampicin.
UGDH is a potential therapeutic target for the treatment of cancer as inhibition of hyaluronan synthesis has been shown to reduce tumor angiogenesis and thereby restrict in vivo growth of human prostate tumors. Furthermore UGDH also plays an important role in the control of sex steroid inactivation via glucuronidation in breast cancer cells.
We previously determined structures of UGDH in complex with NADH and UDP-glucose (substrate-bound structure) and in complex with NAD + and UDP-glucuronic acid (product-bound structure). The enzyme utilizes a multi-step mechanism that consumes 2 equivalents of NAD + per UDP-glucuronic acid produced, but the reaction mechanism has never been well characterized. The first part of the reaction is similar to an alcohol dehydrogenase reaction whereby a hydroxyl group is converted to an aldehyde. The second part is equivalent to an aldehyde dehydrogenase reaction, which proceeds via a covalent intermediate. In the last step an activated water molecule hydrolyzes the intermediate, releasing UDP-glucuronic acid.
In this structure we have captured a covalent thio-hemiacetal intermediate formed between Cys276 and the aldehyde produced by the first NAD +-dependent step. This tetrahedral intermediate will subsequently be reduced by a second NAD + to a planar thioester before hydrolysis occurs. Major questions still remaining include identifying the rate limiting step as well as functional assignment of some catalytic residues. A better understanding of the UGDH mechanism will aid in designing structure-based inhibitors.