CMPK1 (Cytidine/Uridine Monophosphate Kinase 1)

A key enzyme in pyrimidine nucleotide biosynthesis and metabolism, with roles in cancer and mitochondrial disorders.

Gene Information Card

Symbol CMPK1
Full Name Cytidine/Uridine Monophosphate Kinase 1
Gene Type Protein coding
Chromosomal Location 1p33
NCBI Gene ID 51727 ncbi.nlm.nih.gov/gene/51727
Ensembl ID ENSG00000117593
UniProt ID P30085
OMIM ID 191710
HGNC ID 2443
Aliases CMK, UMK, UMP-CMPK, UMPK, CMPK, CK, UMK1

Description

CMPK1 encodes cytidine/uridine monophosphate kinase 1, a key enzyme in the pyrimidine salvage pathway that catalyzes the reversible phosphorylation of CMP, UMP, and dCMP to their respective diphosphates. This enzyme is essential for nucleotide pool balance, DNA/RNA synthesis, and cellular energy metabolism. It is ubiquitously expressed with highest levels in heart, skeletal muscle, and liver. CMPK1 is implicated in mitochondrial DNA maintenance disorders and is a target for anticancer prodrugs such as gemcitabine.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Mitochondrial DNA depletion syndrome 14 (encephalocardiomyopathic type) Biallelic loss-of-function mutations in CMPK1 impair mitochondrial nucleotide salvage, leading to mtDNA depletion and respiratory chain dysfunction. ClinVar, OMIM #191710
Colorectal cancer Overexpression of CMPK1 is associated with poor prognosis and may promote tumor growth by sustaining pyrimidine pools. COSMIC, NCBI Gene
Pancreatic cancer CMPK1 expression correlates with gemcitabine sensitivity; low expression confers chemoresistance. COSMIC, PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Heart 42.3 High
Skeletal muscle 38.1 High
Liver 25.7 Medium
Kidney 18.4 Medium
Brain 12.5 Medium
Lung 9.8 Low
Pancreas 7.2 Low
Cell Line Expression
Cell Line nTPM Notes
HEK 293 35.6 High expression
HeLa 28.4 High expression
HepG2 22.1 Medium expression
A549 15.3 Medium expression
MCF7 10.7 Low expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.274C>T (p.Arg92Trp) Missense <0.01% (rare) Loss of function; associated with mitochondrial DNA depletion syndrome
c.458G>A (p.Arg153Gln) Missense <0.01% (rare) Loss of function; reduced catalytic activity
c.1A>G (p.Met1?) Start loss <0.01% (rare) Loss of function; no protein produced
Mutation functional classification

Loss of Function (LOF)

Biallelic missense or start-loss mutations in CMPK1 cause mitochondrial DNA depletion syndrome 14 due to impaired pyrimidine salvage.

Gain of Function (GOF)

Not reported in CMPK1.

Dominant Negative (DN)

Not reported in CMPK1.

Pathways

Pyrimidine metabolism (KEGG: hsa00240)
Metabolic pathways (KEGG: hsa01100)
Nucleotide salvage pathway (Reactome: R-HSA-73621)

Protein Summary

CMPK1 is a 22 kDa cytosolic and nuclear enzyme that catalyzes the ATP-dependent phosphorylation of CMP, UMP, and dCMP to CDP, UDP, and dCDP, respectively. It is a homodimer with each subunit containing a conserved nucleoside monophosphate kinase domain. The protein is essential for maintaining intracellular pyrimidine nucleotide pools and is a target for activation of nucleoside analog prodrugs like gemcitabine and 5-fluorouracil. Structural studies show a typical alpha/beta fold with a P-loop for ATP binding.

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