Ketohexokinase

KHK

Ketohexokinase (KHK), a member of the ribokinase superfamily of kinases, catalyzes the conversion of fructose to fructose-1-phosphate in an ATP- and K+- dependent manner. This reaction is the rate-limiting first step in the fructose metabolic pathway. The Ketohexokinase gene gives rise to two isoforms, KHK-A and KHK-C, through alternative splicing. KHK-C, mainly expressed in the liver and small intestine, is responsible for the majority of fructose metabolism in these tissues, playing a key role in normal fructose-induced lipogenesis and other metabolic processes. In contrast, KHK-A, ubiquitously expressed in most tissues, has a relatively low enzymatic activity for fructose phosphorylation under physiological conditions. Dysregulation of Ketohexokinase activity, especially over-activation in the context of high fructose intake, is closely associated with a variety of metabolic disorders, including obesity, diabetes, non-alcoholic fatty liver disease (NAFLD), and non-alcoholic steatohepatitis (NASH) [1][2][3].

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