Target intelligence / Profile preview

Mycobacterial NADH dehydrogenase-2 (NDH-2) (NDH-2)

Target
NDH-2
Molecular classification
Enzyme, Oxidoreductase, Respiratory chain protein
01

Overview

Mycobacterial NADH dehydrogenase-2 (NDH-2) is a vital respiratory enzyme in Mycobacterium tuberculosis that serves as a primary entry point for electrons into the electron transport chain [1, 2]. It catalyzes the oxidation of NADH to NAD+ and the concomitant reduction of menaquinone, a process essential for maintaining cellular redox homeostasis and driving oxidative phosphorylation [2, 6]. Unlike the multi-subunit Type I NADH dehydrogenase (NDH-1), NDH-2 is a single-subunit, non-electrogenic enzyme that does not pump protons across the membrane [1, 3]. Because NDH-2 is absent in humans, it is considered a high-priority target for the development of new tuberculosis treatments with reduced host toxicity [1, 5]. Inhibitors of NDH-2, such as phenothiazines and various experimental small molecules like quinolinyl pyrimidines, disrupt the bacterial energy supply and redox balance, leading to growth inhibition and cell death [1, 8]. Recent structural studies have further elucidated its dimeric nature and binding sites, facilitating the design of more potent and selective antimycobacterial agents [3, 9].

Other names
Type II NADH dehydrogenaseNADH:menaquinone oxidoreductase (non-electrogenic)ndhndhA
02

Mechanism of action

Inhibition of NADH oxidation and electron transfer to menaquinone, leading to disruption of the respiratory chain and ATP synthesis.

03

Biological functions

Cellular respirationRedox homeostasisElectron transport
04

Disease associations

Infection
05

Safety considerations

Potential for resistance via ndh mutationsOff-target effects of phenothiazine-based inhibitors (e.g., QTc prolongation, CNS effects)Requirement for dual inhibition with NDH-1 in certain metabolic states
06

Interacting drugs

Thioridazine

6 more in the full profile.

07

Biomarkers

Sputum culture conversionMycobacterial loadTime to Positivity (TTP)

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