Target intelligence / Profile preview

Cardiolipin-containing mitochondrial membrane (CL)

Target
CL
Molecular classification
Phospholipid, Mitochondrial lipid, Membrane component
01

Overview

Cardiolipin is a unique dimeric phospholipid located primarily within the inner mitochondrial membrane, where it is essential for the structural integrity and functional efficiency of the mitochondria [1]. It facilitates the assembly of respiratory chain supercomplexes and maintains the curvature of cristae, which are vital for optimal ATP synthesis [3]. Pathological alterations in cardiolipin, such as its peroxidation or the accumulation of immature forms (as seen in Barth syndrome), lead to mitochondrial decay, electron leakage, and the triggering of cell death pathways [1][3]. Therapeutic strategies targeting cardiolipin-containing membranes involve small molecules or peptides, such as elamipretide, that bind to cardiolipin to stabilize its interaction with proteins like cytochrome c [2]. By preserving the mitochondrial membrane architecture, these interventions aim to reduce oxidative stress and restore energy production in diseases characterized by mitochondrial dysfunction, including heart failure and various rare genetic disorders [4]. Sources: [1] Paradies G, et al. (2014). Cardiolipin: a heart of mitochondrial function and dysfunction. Trends in Endocrinology & Metabolism. [2] Szeto HH. (2014). First-in-class cardiolipin-protective compound as a therapeutic agent for mitochondrial dysfunction. Antioxidants & Redox Signaling. [3] Chicco AJ, Sparagna GC. (2007). Role of cardiolipin alterations in mitochondrial dysfunction and disease. American Journal of Physiology-Cell Physiology. [4] Chatfield KC, et al. (2022). Elamipretide Retains Muscle Function in Barth Syndrome. Genetics in Medicine.

Other names
Diphosphatidylglycerol1,3-bis(sn-3'-phosphatidyl)-sn-glycerolMitochondrial cardiolipinInner mitochondrial membrane cardiolipin
02

Mechanism of action

Stabilization of cardiolipin-cytochrome c complexes and prevention of cardiolipin peroxidation to maintain mitochondrial cristae structure and respiratory chain efficiency.

03

Biological functions

Mitochondrial bioenergeticsCristae organizationApoptosis regulationProtein importMitophagyRespiratory chain supercomplex stabilization
04

Disease associations

Barth syndromeHeart failureIschemia-reperfusion injuryDiabetic nephropathyNeurodegenerative diseasePrimary mitochondrial myopathyAge-related macular degeneration
05

Safety considerations

Potential for anti-cardiolipin antibody formationSystemic phospholipid interferenceInjection site reactions for peptide-based ligandsOff-target effects on non-mitochondrial membranes
06

Interacting drugs

Elamipretide

3 more in the full profile.

07

Biomarkers

Monolyso-cardiolipin to cardiolipin ratio (MLCL/CL)Mitochondrial oxygen consumption rateReactive oxygen species levelsCytochrome c release

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