Target intelligence / Profile preview

Mitochondrial 2-oxoacid dehydrogenase complexes (OADHCs)

Target
OADHCs
Molecular classification
Enzyme, Multi-enzyme complex, Oxidoreductase
01

Overview

Mitochondrial 2-oxoacid dehydrogenase complexes (OADHCs) are a family of high-molecular-weight multi-enzyme assemblies located within the mitochondrial matrix that catalyze the oxidative decarboxylation of alpha-ketoacids [1]. This family includes the pyruvate dehydrogenase complex (PDC), the 2-oxoglutarate dehydrogenase complex (OGDC), and the branched-chain 2-oxoacid dehydrogenase complex (BCOADC) [2]. These complexes are central to cellular energy metabolism, linking glycolysis and amino acid catabolism to the tricarboxylic acid (TCA) cycle and oxidative phosphorylation [1, 2]. Structurally, they consist of multiple copies of three core enzymes (E1, E2, and E3) and utilize several cofactors, including thiamine pyrophosphate, lipoic acid, and NAD+ [2]. Dysregulation or deficiency of these complexes is associated with various pathologies, including metabolic disorders like maple syrup urine disease, primary biliary cholangitis (where they serve as major autoantigens), and cancer [5]. Therapeutic strategies often involve modulating these complexes to alter metabolic flux, such as using dichloroacetate to activate PDC in cancer or lactic acidosis, or using inhibitors like devimistat to disrupt mitochondrial metabolism in tumor cells [3, 4].

Other names
Alpha-ketoacid dehydrogenase complexes2-oxoacid dehydrogenase complexesMitochondrial alpha-ketoacid dehydrogenase complexes
02

Mechanism of action

Modulation of complex activity through either the inhibition of regulatory kinases (e.g., pyruvate dehydrogenase kinase) to increase metabolic flux or the direct inhibition of lipoate-dependent E2 subunits to disrupt mitochondrial energy production in cancer cells.

03

Biological functions

Energy metabolismTricarboxylic acid cycleAmino acid catabolismOxidative decarboxylation
04

Disease associations

Primary biliary cholangitisMaple syrup urine diseasePyruvate dehydrogenase deficiencyCancerLactic acidosisNeurodegenerative disease
05

Safety considerations

Peripheral neuropathyMetabolic acidosisNeurological toxicitySystemic metabolic disruption
06

Interacting drugs

Devimistat

5 more in the full profile.

07

Biomarkers

Lactate-to-pyruvate ratioBranched-chain amino acid levelsAlpha-ketoglutarate levelsAnti-mitochondrial antibodies (AMA)

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