Molecular Classification
Metabolic Pathway, Enzymatic Pathway
Other Names
Cholesterol Degradation Pathway (Mtb), Sterol Metabolism in Mtb
Disease Roles
TuberculosisChronic InfectionGranuloma Formation

Cholesterol Catabolism Pathway in Mycobacterium tuberculosis Overview

The cholesterol catabolism pathway in Mycobacterium tuberculosis (Mtb) is a crucial metabolic process that enables the bacterium to utilize host-derived cholesterol as a carbon and energy source during infection. This pathway is essential for Mtb’s survival, persistence, and virulence within the host, particularly inside macrophages. The pathway involves cholesterol uptake, side chain degradation, ring cleavage, and integration of catabolic products into central metabolic pathways. Key proteins involved include mce4 (cholesterol transporter), CYP125/CYP142/CYP124 (cytochrome P450s for side-chain oxidation), and KstR/KstR2 (transcriptional regulators). Targeting this pathway represents a potential therapeutic strategy for tuberculosis.

Mechanism of Action

Inhibition of cholesterol uptake, side chain oxidation, or ring cleavage, leading to disruption of bacterial energy production and survival.

Biological Functions

Carbon Source Utilization
Energy Production
Bacterial Survival
Intracellular Growth
Persistence
Virulence

Disease Associations

Tuberculosis
Chronic Infection
Granuloma Formation

Safety Considerations

  • Potential for off-target effects on host cholesterol metabolism
  • Development of drug resistance

Interacting Drugs

Cytochrome P450 inhibitors (e.g., CYP125 inhibitors)
Mce4 inhibitors