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ATP synthase from Mycobacterium tuberculosis (F₁F₀-ATP synthase (sometimes abbreviated as ATP synthase; more specifically, "F₁F₀-ATP synthase" is used in literature to denote the enzyme complex[8][9]))

Target
F₁F₀-ATP synthase (sometimes abbreviated as ATP synthase; more specifically, "F₁F₀-ATP synthase" is used in literature to denote the enzyme complex[8][9])
Molecular classification
Enzyme, Rotary ATPase, Transmembrane protein complex, Electron transport chain component (Oxidative phosphorylation)
01

Overview

ATP synthase from Mycobacterium tuberculosis is a large multi-subunit enzyme complex, essential for bacterial energy production by converting the proton-motive force across the membrane into adenosine triphosphate (ATP) via rotary catalysis[8]. It is composed of F₁ (soluble catalytic) and F₀ (membrane-embedded proton channel) components, with unique structural elements in mycobacteria—including extended alpha subunit C-termini, mycobacterial-specific loops in γ and ε subunits, and unique peripheral stalk interactions—that distinguish it from mitochondrial homologs and are exploited for drug design[1][6][8][9]. The enzyme is required for growth and survival both in active (aerobic) and latent (hypoxic) states of M. tuberculosis, making it a validated therapeutic target, as evidenced by the clinical use of the ATP synthase inhibitor bedaquiline, which binds to the c-ring and blocks its rotary mechanism, depleting cellular ATP and leading to cell death[3][5][8][10]. Novel inhibitors under investigation exploit the distinctive mycobacterial architecture to achieve selectivity and overcome current drug resistance, though mitochondrial toxicity is a key safety concern for clinical translation[5][9].

Other names
F₁F₀-ATP synthaseF-ATPaseATP synthase complexMycobacterial ATP synthase
02

Mechanism of action

Inhibition of proton translocation and ATP synthesis by binding to the c-ring (rotor) of ATP synthase, stalling enzyme rotation and energy production (as seen with BDQ)[10] Allosteric inhibition at unique mycobacterial structural features, e.g. "hook and catch" and "fail-safe" domains[1][9] Targeting subunit-specific sites (a, c, ε, γ, δ subunits)[5][6] RNA-guided knockdown (research tools)[7]

03

Biological functions

ATP synthesis (energy production)Proton translocationCellular bioenergeticsSupports both aerobic growth and hypoxic dormancy in Mycobacterium tuberculosis[8]
04

Disease associations

Infection (tuberculosis)Multidrug-resistant infection (by therapeutic targeting)[3][10]Other (central to pathogen viability and persistence)
05

Safety considerations

Off-target inhibition of human mitochondrial ATP synthase, contributing to toxicity and higher risk of death with bedaquiline therapy[9]Potential for resistance development (mutations in ATP synthase can confer drug resistance)[9]Mitochondrial safety window challenges[5]
06

Interacting drugs

Bedaquiline (BDQ)[3][5][10]

3 more in the full profile.

07

Biomarkers

ATP levels for efficacy monitoringExpression or repression of the atpB gene (encodes an essential subunit, biomarker in CRISPRi knockdown models)[7]Mycobacterium-specific ATP synthase subunit sequences (potential for species specificity in diagnostics)

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