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Mitochondrial complex I and mitochondrial complex II (Complex I (for NADH:ubiquinone oxidoreductase), Complex II (for succinate dehydrogenase))

Target
Complex I (for NADH:ubiquinone oxidoreductase), Complex II (for succinate dehydrogenase)
Molecular classification
Enzyme (oxidoreductase), Electron transport chain complex, Integral multiprotein membrane complex
01

Overview

Mitochondrial complex I (NADH:ubiquinone oxidoreductase) is the first and largest enzyme of the mitochondrial electron transport chain, catalyzing electron transfer from NADH to ubiquinone coupled to translocation of protons across the mitochondrial inner membrane, thereby supporting ATP synthesis and cellular energy metabolism. Malfunction of complex I is linked to a wide spectrum of human diseases, including neurodegeneration and mitochondrial myopathies. Mitochondrial complex II (succinate dehydrogenase) is the only enzyme that participates in both the tricarboxylic acid (TCA) cycle and the electron transport chain. It catalyzes the oxidation of succinate to fumarate and transfers electrons to ubiquinone without translocating protons, making it unique among respiratory complexes. Deficiencies or mutations in complex II are linked to certain cancers and metabolic diseases. Note: For structured data representation, these two complexes should be stored and handled as separate and specific targets rather than a single entity.

Other names
Complex I: NADH:ubiquinone oxidoreductaseComplex I: NADH dehydrogenaseComplex I: Type I NADH dehydrogenaseComplex II: Succinate dehydrogenaseComplex II: succinate:ubiquinone oxidoreductase
02

Mechanism of action

Inhibition of electron transfer from NADH to ubiquinone (Complex I inhibitors); Decreased ATP production; increased ROS production (especially for some inhibitors); Inhibition of succinate oxidation/electron entry into the chain (Complex II inhibitors).

03

Biological functions

Electron transfer in the mitochondrial respiratory chainATP synthesis through oxidative phosphorylationRedox reactions: Complex I oxidizes NADH and reduces ubiquinone; Complex II oxidizes succinate and reduces ubiquinoneMaintenance of proton gradient and mitochondrial membrane potential (Complex I)Reactive oxygen species (ROS) production and regulationApoptosis and cell death regulation (Complex I)
04

Disease associations

Neurodegenerative disease (e.g., Parkinson's disease — Complex I)Mitochondrial disease (both complexes)Cancer (notably Complex II mutations as tumor suppressor)Cardiovascular disease (e.g., ischemia-reperfusion injury)Metabolic disorders
05

Safety considerations

Broad inhibition can cause lactic acidosis, neurological damage, or multi-organ dysfunctionROS-mediated damage (notably with Complex I inhibition)Non-selectivity of inhibitors may affect essential cellular metabolism
06

Interacting drugs

Metformin (Complex I)

7 more in the full profile.

07

Biomarkers

Decreased/enhanced complex I or II enzyme activity in mitochondrial disease diagnosisAccumulation of lactate, succinate (for Complex II), or other TCA cycle intermediates in serum/biopsy as disease markers

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