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Mitochondrial one-carbon metabolism

Molecular classification
Other (Metabolic pathway)
01

Overview

The term "mitochondrial one-carbon metabolism" refers to a critical set of interconnected metabolic pathways located within mitochondria, not a single molecule or protein, but rather an ensemble function performed by specific enzymes, cofactors, and transporters. Mitochondrial one-carbon metabolism is a compartmentalized metabolic network centered around the mitochondrial folate pathway and associated enzymes (notably SHMT2, MTHFD2, and ALDH1L2), which convert serine and glycine into one-carbon donors, NAD(P)H, and other biosynthetic precursors. This pathway provides essential one-carbon units (in the form of formate) for nucleotide synthesis, methylation processes, redox homeostasis, and the maintenance of cellular energy and biosynthetic needs. It is especially crucial in cancer, where increased demand for nucleotides and methylation heightens pathway activity, rendering mitochondrial one-carbon enzymes attractive therapeutic targets. However, the pathway is not a discrete macromolecular entity (i.e., not a classical receptor, enzyme, or transporter), and "mitochondrial one-carbon metabolism" should be more precisely represented by its constituent enzymes for drug targeting purposes.

Other names
Mitochondrial 1C metabolismMitochondrial folate cycleMitochondrial serine/glycine pathway
02

Mechanism of action

Inhibition of one-carbon pathway enzymes limits nucleotide synthesis and methyl group availability, suppressing cancer cell proliferation and inducing cell death

03

Biological functions

Nucleotide synthesis (purine, thymidylate)Amino acid metabolism (serine, glycine, methionine)Methylation reactions (via S-adenosylmethionine, SAM)Redox homeostasis, NAD(P)H productionGlutathione (GSH) biosynthesis, antioxidant protectionMitochondrial energy metabolism/respiration
04

Disease associations

Cancer (promotes tumor proliferation, survival, and metabolic adaptation)Neurodevelopmental and neurodegenerative disordersCardiovascular disease (via methylation, homocysteine pathway)Aging
05

Safety considerations

Inhibition may cause systemic toxicity, particularly in tissues with high proliferation (bone marrow, gut mucosa)Disruption of methylation, redox balance, and mitochondrial respiration could drive neuropathy, anemia, or energy deficiency syndromes
06

Interacting drugs

Antifolates (methotrexate, pemetrexed) target the folate cycle, including mitochondrial forms; not all are specific to mitochondria

1 more in the full profile.

07

Biomarkers

SHMT2 and MTHFD2 expression levels (associated with aggressive cancer)Formate and serine/glycine pool measurements (metabolic flux markers)

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