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MS
PW-027 Nucleotide Metabolism Anabolic unreviewed

Pyrimidine De Novo Synthesis (through to UMP, then CTP/dTMP)

Glutamine + CO2 + aspartate; then PRPP UMP -> UTP, CTP, dTMP
Compartment
Cytosol (one mitochondrial step)
Main tissue
All cells; esp. liver
Rate-limiting
CPS-II domain of carbamoyl-phosphate synthetase II (CPS-II)
Steps
14

Reaction steps

In source order, 14 total

showing 1–14
  1. 1

    Glutamine + bicarbonate → carbamoyl phosphate

    Notes

    The CPS-II domain of carbamoyl-phosphate synthetase II (CPS-II) catalyzes glutamine + HCO3− + 2 ATP + H2O → carbamoyl phosphate + glutamate + 2 ADP + Pi. One ATP activates bicarbonate and a second phosphorylates carbamate; ammonia generated in the glutaminase domain is channeled internally. This cytosolic reaction is the committed, rate-limiting, and effectively irreversible step of mammalian pyrimidine de novo synthesis; it must not be confused with mitochondrial CPS-I of the urea cycle.

  2. 2

    Carbamoyl phosphate → carbamoyl aspartate

    Aspartate transcarbamylase (ATCase) 2.1.3.2 ST-0225 Irreversible/directional Pi
    Notes

    Aspartate transcarbamylase (ATCase) catalyzes carbamoyl phosphate + aspartate → carbamoyl aspartate + Pi. In mammals this activity is the second domain of CAD and does not consume ATP directly.

  3. 3

    Carbamoyl aspartate → dihydroorotate

    Dihydroorotase 3.5.2.3 ST-0226 Irreversible/directional H2O
    Notes

    Dihydroorotase catalyzes intramolecular cyclization/dehydration: carbamoyl aspartate ⇌ L-dihydroorotate + H2O. This zinc-dependent enzyme is the third CAD activity.

  4. 4

    Dihydroorotate → orotate

    Notes

    DHODH catalyzes L-dihydroorotate + ubiquinone (CoQ) → orotate + ubiquinol (CoQH2). Flavin mononucleotide (FMN) is the redox cofactor; mitochondrial electron transport regenerates oxidized CoQ. This is the only mitochondrial-associated step of the pathway.

  5. 5

    Orotate → orotidine 5′-monophosphate (OMP)

    Notes

    Orotate phosphoribosyltransferase (OPRT), the first activity of bifunctional UMP synthase, catalyzes orotate + PRPP → OMP + PPi. Mg2+ is required, and PPi hydrolysis makes the step effectively irreversible.

  6. 6

    OMP → UMP

    Notes

    OMP decarboxylase, the second UMP synthase activity, catalyzes OMP → UMP + CO2. This is one of the most proficient known enzymatic decarboxylations and commits the incorporated ribose nucleotide to the uracil nucleotide pool.

  7. 7

    UMP → UDP

    UMP/CMP kinase ST-0230 Irreversible/directional ATP
    In UMP
    Out UDP
    Notes

    UMP/CMP kinase catalyzes UMP + ATP → UDP + ADP. Mg2+ is required; this is the first phosphorylation needed to build the UTP pool.

  8. 8

    UDP → UTP

    In UDP
    Out UTP
    Notes

    Nucleoside diphosphate kinase (NDPK/NME) catalyzes UDP + ATP (or another NTP) ⇌ UTP + ADP (or the corresponding NDP). A phosphohistidine enzyme intermediate mediates phosphoryl transfer; the reaction is near equilibrium.

  9. 9

    UTP → CTP

    CTP synthetase 6.3.4.2 ST-0232 Irreversible/directional ATP UTP H2O Pi
    In UTP
    Out CTP
    Notes

    CTP synthetase catalyzes UTP + glutamine + ATP + H2O → CTP + glutamate + ADP + Pi. ATP activates UTP, and ammonia produced by the glutaminase domain is transferred to the synthase domain; this is the committed and regulatory step of CTP formation.

  10. 10

    UDP → dUDP (route to dUMP)

    Ribonucleotide reductase (RNR) 1.17.4.1 ST-0233 Irreversible/directional
    In UDP
    Out dUDP
    Notes

    Ribonucleotide reductase (RNR) catalyzes UDP + reducing equivalents → dUDP + oxidized electron-transfer proteins. In humans the reducing equivalents are supplied principally by NADPH through thioredoxin reductase and thioredoxin (or through glutaredoxin/glutathione); RNR is covered mechanistically in the deoxyribonucleotide section.

  11. 11

    dUDP → dUTP → dUMP

    ↪ dUTP → dUMP

    In dUDP
    Out dUTP
    Notes

    NDPK can phosphorylate dUDP + ATP ⇌ dUTP + ADP, and dUTPase then catalyzes dUTP + H2O → dUMP + PPi. dUTPase is essential because it both supplies dUMP and keeps dUTP low enough to prevent uracil incorporation into DNA.

  12. 12

    dCMP → dUMP (alternative route)

    dCMP deaminase 3.5.4.12 ST-0235 Irreversible/directional H2O
    In dCMP
    Out dUMP
    Notes

    dCMP deaminase catalyzes dCMP + H2O → dUMP + NH3. This allosterically regulated reaction provides another major dUMP source and contributes to balanced dCTP/dTTP pools.

  13. 13

    dUMP → dTMP

    In dUMP
    Out dTMP
    Notes

    Thymidylate synthase (TYMS) catalyzes dUMP + 5,10-methylene-THF → dTMP + dihydrofolate (DHF). 5,10-Methylene-THF donates both the one-carbon unit and the reducing equivalents for conversion of C5 of uracil to the methyl group of thymine. This reaction is effectively irreversible and is the committed step in de novo thymidylate synthesis.

  14. 14

    DHF → THF; THF → 5,10-methylene-THF

    ↪ THF; THF → 5,10-methylene-THF

    Notes

    Dihydrofolate reductase (DHFR) regenerates THF: DHF + NADPH + H+ → THF + NADP+. Serine hydroxymethyltransferase then catalyzes THF + serine ⇌ 5,10-methylene-THF + glycine, using pyridoxal phosphate; this restores the one-carbon donor required by thymidylate synthase.

Showing all 14 steps.

Regulation

What speeds each enzyme up and what slows it down

CPS-II (CAD)

Accelerated by

PRPP and ATP; growth-associated phosphorylation can activate CAD

Inhibited by

UTP (feedback inhibition)

Hormonal

Mitogen/MAPK signaling can activate CAD by phosphorylation; PKA-mediated phosphorylation is inhibitory in many systems.

DHODH

Accelerated by

Dihydroorotate availability and an oxidized mitochondrial CoQ pool

Inhibited by

Leflunomide/teriflunomide, brequinar

Hormonal

No principal direct hormonal control; respiration and proliferative state influence flux.

CTP synthetase

Accelerated by

UTP and glutamine availability; polymerization into cytoophidia can modulate activity

Inhibited by

CTP (feedback inhibition); glutamine limitation

Hormonal

Expression increases in proliferating cells; no canonical acute endocrine regulator.

Thymidylate synthase

Accelerated by

dUMP and 5,10-methylene-THF availability

Inhibited by

dTMP/dTTP feedback at the pathway level; 5-fluoro-dUMP forms a stable inhibitory ternary complex

Hormonal

Cell-cycle-dependent expression is increased in S phase through E2F-associated proliferation programs, rather than direct endocrine allostery.

Overview

Pyrimidine de novo synthesis first constructs the six-membered pyrimidine ring and then attaches it to PRPP, in contrast to purine synthesis, which builds the ring directly on ribose. The pathway supplies UMP, the precursor of UTP, CTP, and—after ribonucleotide reduction and folate-dependent methylation—dTMP. It is essential in proliferating tissues, for RNA synthesis, for DNA precursor production, and for synthesis of UDP-sugars and activated lipid intermediates.

Cellular location

Most reactions are cytosolic and are organized in mammalian cells by the multifunctional CAD polypeptide (carbamoyl-phosphate synthetase II, aspartate transcarbamylase, and dihydroorotase). Dihydroorotate dehydrogenase (DHODH) is anchored to the outer surface of the inner mitochondrial membrane, with its catalytic domain facing the intermembrane space and using the ubiquinone pool as electron acceptor. UMP synthase, nucleotide kinases, CTP synthetase, and thymidylate synthase are cytosolic/nuclear; flux is high in liver, intestinal mucosa, bone marrow, activated lymphocytes, fetal tissues, and neoplasms.

Net energetics

Synthesis of UMP from glutamine, bicarbonate, aspartate, and ribose 5-phosphate requires two ATP → ADP reactions in CPS-II plus one ATP → AMP equivalent to form PRPP: four high-energy phosphate equivalents. Phosphorylation of UMP to UTP consumes two further ATP → ADP equivalents, so UTP costs six high-energy phosphate equivalents from ribose 5-phosphate; conversion of UTP to CTP consumes one more ATP → ADP and one glutamine, yielding a cost of seven equivalents for CTP. Formation of dTMP requires reduction of a ribonucleotide precursor (normally one NADPH-equivalent through the RNR system), one 5,10-methylene-THF molecule converted to DHF, and one NADPH to regenerate THF through DHFR; the detailed cost depends on the dUMP-producing route.

Clinical significance

The pathway supplies pyrimidines for nucleic acids and activated UDP/CTP derivatives used in glycogen, glycoprotein, phospholipid, and sialic acid metabolism. Hereditary UMP synthase deficiency causes orotic aciduria with megaloblastic anemia, growth/developmental impairment, and marked urinary orotate; it is treated with uridine, which bypasses the block and replenishes UMP. DHODH inhibition by teriflunomide suppresses activated lymphocyte proliferation and is used in multiple sclerosis. 5-fluorouracil is converted to 5-fluoro-dUMP, which inhibits thymidylate synthase, while antifolates inhibit DHFR and thereby deplete reduced folate needed for dTMP synthesis.

Recent literature

Live Europe PMC search

Europe PMC · from cache · sorted by publication date

  1. 1
    Myricetin Inhibits <i>Toxoplasma gondii</i> Growth, Alters Intracerebral Cyst Morphology, and Demonstrates Therapeutic Efficacy In Vivo.

    Ge CC, He HX, Pei MY, Tang SQ, He W, Bian MM, Pan M, Huang SY. · 2026-05-15

    open access unreviewed
  2. 2
    Proteomic Profiling Reveals How Physiological Media Reshape Cancer Cell Proteomes and Signaling Networks.

    Zenge C, Pham BQ, Nam KH, Apfelbaum E, An H, Ordureau A. · 2026-04-15

    open access unreviewed
  3. 3
    Roles of RRM2 and RRM2B in pyrimidine stress responses and differentiation of acute myeloid leukemia cells.

    Brcic A, Lalic H, Smoljo T, Bardač K, Dembitz V, Penker R, Rodriguez Blanco G, Bedalov A, Visnjic D. · 2026-04-24

    open access unreviewed
  4. 4
    IMP metabolic mechanisms and IMPDH targeting strategies in tumor metabolic reprogramming and therapy (Review).

    Zhu H, Wang H, Li X, Zhang W, Wang Y, Tan Q, Ying D, Shi Z, Song J. · 2026-02-06

    open access unreviewed
  5. 5
    Synthetic lethality between RB-loss and E2F3 inhibition in small cell cancers targeted by pyrimidine synthesis blockade.

    Abt ER, Wang L, Varuzhanyan G, Freeland J, He T, Peña-Garcia GM, Ruegg L, McLaughlin J, Cheng D, Balanis NG, … · 2026-03-20

    open access unreviewed
  6. 6
    Genomic factors contributing to the resilience of Salmonella enterica on ready-to-eat muskmelon.

    Esteban-Cuesta I, Führer L, Porwollik S, Chu W, Fiddaman SR, Sah I, McClelland M, Guldimann C. · 2025-10-08

    cited 1× open access unreviewed
  7. 7
    Vitamin deficiencies and Alzheimer's disease: evidence and implications for supplementation.

    Miteva MT, Laurenti D, Mattioli R, Di Risola D, Mariano A, Mosca L. · 2026-02-13

    open access unreviewed
  8. 8
    Characterizing the tuberculosis and type 2 diabetes mellitus comorbidity in a South African cohort using untargeted GCxGC-TOFMS metabolomics.

    Reinecke K, Kleynhans L, Ronacher K, Ronacher K, Loots DT. · 2026-01-19

    cited 1× open access unreviewed
  9. 9
    Role of common host genome variants in Childhood Acute Lymphoblastic Leukemia.

    Mikkelsen T, Helenius M, Ampatzidou M, Attarbaschi A, Andres-Jensen L, Borkhardt A, Conde Cuevas N, Escherich… · 2025-12-08

    open access unreviewed
  10. 10
    Uridine 5'-monophosphate (UMP) synthesis connects nucleotide metabolism to programmed cell death in C. elegans.

    Jiang HS, Han HF, Chen CY, Hsu KL, Kan HT, Lin WY, Wu MH, Tsai SY, Wu JC, Wu YC. · 2025-09-03

    open access unreviewed

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