Target intelligence / Profile preview

Malate dehydrogenase, mitochondrial (MDH2)

Target
MDH2
Molecular classification
Enzyme, Oxidoreductase, Mitochondrial protein
01

Overview

Malate dehydrogenase, mitochondrial (MDH2) is a homodimeric, NAD-dependent oxidoreductase that catalyzes the reversible interconversion of malate and oxaloacetate in the mitochondrial matrix, a key reaction in the citric acid cycle and malate-aspartate shuttle. It plays a central role in cellular energy production, redox balance, and metabolite exchange across mitochondrial membranes. The protein has distinct NAD-binding and substrate-binding domains, with structural features enabling tight regulation and allosteric modulation. MDH2 is implicated in cancer and metabolic disorders, and is being investigated as a target for anticancer drug development, though any therapeutic inhibition must address concerns related to mitochondrial toxicity and metabolic homeostasis.

Other names
Malate dehydrogenase 2MDH2Malate dehydrogenase, mitochondrialDEE51EIEE51M-MDHMDHMGC:3559MOR1malate dehydrogenase, mitochondrialmalate dehydrogenase 2, NAD (mitochondrial)testicular tissue protein Li 120
02

Mechanism of action

Inhibition of MDH2 by small molecules reduces mitochondrial respiration and tumor cell proliferation. Modulation of HIF-1α levels via altered metabolic flux.

03

Biological functions

Citric acid (TCA) cycle (energy metabolism)Malate-aspartate shuttle (metabolic coordination between mitochondria and cytosol)Glyoxylate cycleExchange of reducing equivalents between cellular compartments
04

Disease associations

Cancer (MDH2 is a potential anticancer target; inhibition reduces proliferation and HIF-1α accumulation)Neurometabolic diseases (mutations in MDH2 have been associated with early-onset epileptic encephalopathy)Metabolic disorders
05

Safety considerations

Therapeutic targeting may impact core mitochondrial metabolism, leading to concerns with systemic toxicity such as compromised energy production, especially in tissues that rely heavily on oxidative phosphorylation
06

Interacting drugs

LW6 (HIF-1α inhibitor)

2 more in the full profile.

07

Biomarkers

MDH2 expression/activity can be used as a biomarker for certain cancers and metabolic conditions where the TCA cycle and mitochondrial respiration are altered

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