Pyrimidine De Novo Synthesis (through to UMP, then 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
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1
Glutamine + bicarbonate → carbamoyl phosphate
CPS-II domain of carbamoyl-phosphate synthetase II (CPS-II) 6.3.5.5 ST-0224 Irreversible rate-limiting ATP H2O Pi Bicarbonate/CO2› 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.
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2
Carbamoyl phosphate → carbamoyl aspartate
› 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.
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3
Carbamoyl aspartate → dihydroorotate
› Notes
Dihydroorotase catalyzes intramolecular cyclization/dehydration: carbamoyl aspartate ⇌ L-dihydroorotate + H2O. This zinc-dependent enzyme is the third CAD activity.
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4
Dihydroorotate → orotate
Out 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.
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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.
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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.
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7
UMP → UDP
› Notes
UMP/CMP kinase catalyzes UMP + ATP → UDP + ADP. Mg2+ is required; this is the first phosphorylation needed to build the UTP pool.
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8
UDP → 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.
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9
UTP → 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.
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10
UDP → dUDP (route to dUMP)
› 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.
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11
dUDP → dUTP → dUMP
↪ dUTP → dUMP
› 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.
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12
dCMP → dUMP (alternative route)
› Notes
dCMP deaminase catalyzes dCMP + H2O → dUMP + NH3. This allosterically regulated reaction provides another major dUMP source and contributes to balanced dCTP/dTTP pools.
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13
dUMP → 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.
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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)
PRPP and ATP; growth-associated phosphorylation can activate CAD
UTP (feedback inhibition)
Mitogen/MAPK signaling can activate CAD by phosphorylation; PKA-mediated phosphorylation is inhibitory in many systems.
DHODH
Dihydroorotate availability and an oxidized mitochondrial CoQ pool
Leflunomide/teriflunomide, brequinar
No principal direct hormonal control; respiration and proliferative state influence flux.
CTP synthetase
UTP and glutamine availability; polymerization into cytoophidia can modulate activity
CTP (feedback inhibition); glutamine limitation
Expression increases in proliferating cells; no canonical acute endocrine regulator.
Thymidylate synthase
dUMP and 5,10-methylene-THF availability
dTMP/dTTP feedback at the pathway level; 5-fluoro-dUMP forms a stable inhibitory ternary complex
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 · fetched just now · sorted by publication date
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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
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
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
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
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
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
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
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
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
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.