Target intelligence / Profile preview

Enoyl-CoA hydratase, mitochondrial (ECHS1) (ECHS1)

Target
ECHS1
Molecular classification
Enzyme, Hydratase, Lyase
01

Overview

Enoyl-CoA hydratase, mitochondrial (ECHS1), also known as methacrylyl-CoA hydratase, is a critical mitochondrial matrix enzyme involved in the second step of fatty acid beta-oxidation and the catabolism of branched-chain amino acids, particularly valine [1, 2, 4]. It catalyzes the hydration of various short- and medium-chain enoyl-CoA thioesters, such as the conversion of methacrylyl-CoA to 3-hydroxyisobutyryl-CoA [1, 3]. Genetic mutations leading to ECHS1 deficiency result in a severe metabolic disorder characterized by Leigh-like syndrome, neurodegeneration, and the accumulation of toxic, reactive intermediates like methacrylyl-CoA [3, 4, 22]. These intermediates are highly electrophilic and can form covalent adducts with protein sulfhydryl groups, leading to protein cysteine S-2-carboxypropylation and the disruption of the mitochondrial respiratory chain [4, 29]. Beyond its role in rare genetic diseases, ECHS1 is increasingly recognized as a potential therapeutic target in oncology, where its expression is often dysregulated to support metabolic reprogramming and oncogenic mTOR signaling [7, 15, 23]. Preclinical studies have explored small-molecule inhibitors and gene replacement therapies to modulate its activity in cancer and metabolic disorders [15, 24].

Other names
Methacrylyl-CoA hydrataseShort-chain enoyl-CoA hydrataseSCEHEnoyl-CoA hydratase 1mECHmECH1Crotonase
02

Mechanism of action

Hydration of trans-2-enoyl-CoA species to 3-hydroxyacyl-CoA

03

Biological functions

Valine catabolismFatty acid beta-oxidationIsoleucine catabolismLeucine catabolismmTOR signaling regulationApoptosis regulation
04

Disease associations

ECHS1 deficiencyLeigh-like syndromeCancerHepatocellular carcinomaBreast cancerColorectal cancerGastric cancerRenal cell carcinomaLiver cirrhosis
05

Safety considerations

Accumulation of toxic reactive intermediatesNeurotoxicityMetabolic acidosisMitochondrial dysfunctionProtein cysteine S-2-carboxypropylation
06

Interacting drugs

PP2

3 more in the full profile.

07

Biomarkers

Methacrylyl-CoA3-hydroxyisobutyryl-CoAN-acetyl-S-(2-carboxypropyl)cysteineLactic acidC4-acylcarnitineC6-acylcarnitine

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