UBIAD1 encodes a prenyltransferase enzyme that plays critical roles in vitamin K2 and coenzyme Q10 (CoQ10) biosynthesis. The protein mediates conversion of phylloquinone to menaquinone-4 (MK-4), a vitamin K2 isoform essential for endothelial cell development 1. UBIAD1 functions as a Golgi membrane-localized enzyme catalyzing CoQ10 biosynthesis, which provides antioxidant protection in cardiovascular tissues 2. Beyond its enzymatic functions, UBIAD1 regulates cholesterol metabolism by controlling the ER-associated degradation of HMGCR, the rate-limiting enzyme in cholesterol synthesis 3. The protein normally translocates from ER to Golgi in response to geranylgeranyl pyrophosphate levels, but disease-associated mutations impair this trafficking 3. UBIAD1 deficiency leads to mitochondrial dysfunction and abnormal cholesterol accumulation 4. Clinically, heterozygous UBIAD1 mutations cause Schnyder corneal dystrophy, characterized by corneal cholesterol deposits and progressive opacity 56. The protein also influences cancer biology, where UBIAD1 expression correlates with survival outcomes in melanoma by protecting cells from lipid peroxidation-mediated death 27. UBIAD1 additionally affects hepatic lipid metabolism in a sex-specific manner 8.