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Krebs cycle (citric acid cycle; tricarboxylic acid cycle) (TCA cycle (also: CAC))

Target
TCA cycle (also: CAC)
Molecular classification
Other — metabolic pathway (multi-enzyme mitochondrial pathway)
01

Overview

The Krebs (citric acid, TCA) cycle is an eight‑step mitochondrial pathway that oxidizes acetyl‑CoA to CO2, producing reducing equivalents (NADH, FADH2) and GTP/ATP that feed the electron transport chain for ATP synthesis; it is localized mainly in the mitochondrial matrix, with succinate dehydrogenase in the inner membrane. It is a central amphibolic hub supplying intermediates (e.g., citrate, α‑ketoglutarate, succinate, fumarate, malate, oxaloacetate) for biosynthetic and catabolic processes, and its intermediates are replenished (anaplerosis) or removed (cataplerosis) to match cellular demands. Dysregulation and enzyme mutations (e.g., IDH, SDH, FH) are implicated in cancer and other diseases, making specific TCA enzymes drug targets, even though “Krebs cycle activity” itself is a pathway‑level concept rather than a single therapeutic target.

Other names
Citric acid cycleTricarboxylic acid cycleTCA cycleCACKrebs cycle
02

Mechanism of action

Inhibition of mutant IDH to reduce oncometabolite 2‑hydroxyglutarate and restore cellular metabolism/epigenetic regulation in cancers

03

Biological functions

Energy production via oxidation of acetyl‑CoA to CO2 and generation of NADH, FADH2, and GTP/ATPAmphibolic hub providing precursors for biosynthesis (anaplerosis/cataplerosis)Integration point for carbohydrate, lipid, and amino acid catabolism
04

Disease associations

Cancer (e.g., oncogenic mutations in TCA enzymes; metabolic reprogramming)Neurodegenerative/mitochondrial diseases (e.g., Leigh syndrome linked to TCA enzyme defects)Metabolic disorders and insulin resistance contexts involving mitochondrial/TCA dysfunction
05

Safety considerations

Therapeutic targeting of central energy metabolism risks on‑target effects in normal tissues with high mitochondrial demand; pathway-wide interventions may affect systemic bioenergetics and redox balance
06

Interacting drugs

IDH inhibitors targeting mutant isocitrate dehydrogenase in cancers (e.g., AML, glioma) — representative class; specific agents are developed against mutant IDH1/IDH2
07

Biomarkers

IDH1/IDH2 mutation status (prognostic/predictive in AML and glioma)2‑hydroxyglutarate (2‑HG) levels as a pharmacodynamic/metabolic biomarker in IDH‑mutant tumors

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