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MS
rate-limiting unreviewed

Bilirubin UDP-glucuronosyltransferase (UGT1A1)

1 reactions · 1 pathways

Cofactors used

Clinical / pharmacological. Gilbert syndrome (mild), Crigler-Najjar types I and II

What it does, reaction by reaction

1 reactions

Heme Degradation (Bilirubin Pathway) Amino Acid & Nitrogen Metabolism · Reticuloendothelial system, liver ER, gut

step 4 Irreversible/directional rate-limiting

Bilirubin + 2 UDP-glucuronic acid → bilirubin mono- and predominantly diglucuronide + 2 UDP

Converts Bilirubin UDP-glucuronate into Bilirubin diglucuronide UDP

Notes

Endoplasmic-reticulum bilirubin UDP-glucuronosyltransferase (UGT1A1) conjugates the two propionic-acid side chains using UDP-glucuronic acid. This is the rate-limiting enzymatic step of hepatic bilirubin clearance and produces water-soluble conjugated bilirubin; bilirubin diglucuronide is then actively secreted into bile by the ATP-dependent canalicular transporter MRP2 (ABCC2).

Showing all 1 reactions.

What accelerates and inhibits it

Regulation is pathway-specific, so each context is listed separately

0 entries

No regulation recorded for this enzyme in the source documents.

Recent literature

Europe PMC · fetched just now · sorted by publication date

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    <b>Gut bacterial</b> <i><b>O</b></i><b>-demethylation modulates systemic exposure to oral etoposide</b>.

    Tripathi A, Kyawt TE, Shin J, Won KJ, Armstrong AT, Ilktach G, Sullivan P, Weilbaker HA, Ko Y, Lee S, Lee W, … · 2026-02-13

    open access unreviewed
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    Early postoperative carbohydrate antigen 19-9 normalization drives prognosis after pancreatic ductal adenocarcinoma resection.

    Elemosho A, Chatzipanagiotou OP, Angez M, Baldo A, Mevawalla A, Alizai Q, Pawlik TM. · 2026-05-21

    unreviewed

External claims. These come from an index outside this database and are not checked against it. Treat them as leads.