Target intelligence / Profile preview

Malate dehydrogenase 1 (MDH1)

Target
MDH1
Molecular classification
Enzyme, Oxidoreductase
01

Overview

Malate dehydrogenase 1 (MDH1) is the cytoplasmic isoform of malate dehydrogenase, a key enzyme in cellular metabolism. MDH1 catalyzes the reversible oxidation of malate to oxaloacetate using NAD+ as a cofactor, making it essential for the malate–aspartate shuttle that transfers reducing equivalents between cytosol and mitochondria. It plays roles beyond metabolism, including regulation of the p53 pathway under metabolic stress and modulation via post-translational modifications such as acetylation and methylation. Enhanced MDH1 activity supports NADPH generation and adipogenic differentiation; its dysregulation has been implicated in cancer and metabolic diseases. MDH1 shares a conserved structure among species, usually functioning as a homodimer featuring a Rossmann fold typical of NAD(P)-binding dehydrogenases. While not currently the target of approved therapies, it is under investigation as a potential anticancer target due to its central metabolic role and regulatory functions[1][2][3].

Other names
Malate dehydrogenase, cytoplasmicMDH1MDHAKARAromatic alpha-keto acid reductaseCytosolic malate dehydrogenaseDEE88EIEE88HEL-S-32MDH-sMGC:1375MOR2diiodophenylpyruvate reductaseepididymis secretory protein Li 32soluble malate dehydrogenase
02

Mechanism of action

Small-molecule inhibitors (planned or in research) act by blocking the catalytic activity of MDH1, potentially altering redox balance and metabolic flux in cancer cells[2].

03

Biological functions

Cellular energy metabolismMalate–aspartate shuttleNAD/NADH coenzyme utilizationRegulation of cell-cycle arrest and apoptosis (via p53)Adipogenic differentiationRedox balance
04

Disease associations

CancerNeurodevelopmental disease (DEE88 and EIEE88 refer to epileptic encephalopathies)Metabolic disordersPotential link to oxidative stress-related conditions
05

Safety considerations

Potential challenges include selectivity (distinguishing cytosolic MDH1 from mitochondrial MDH2 to avoid wide metabolic disruption)possible cytotoxicity or metabolic side effects due to the centrality in energy metabolism[2].
06

Interacting drugs

No approved drugs directly targeting MDH1 are currently clinically available, but small molecule inhibitors are in preclinical or research stages, particularly as potential anticancer agents[2].
07

Biomarkers

Altered MDH1 expression/activity may serve as a biomarker in metabolic cancers or oxidative stress status, but no approved clinical biomarkers are established at this time.

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