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