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Mycolic acid synthesis machinery

Molecular classification
Enzyme, Transporter, Metabolic pathway
01

Overview

The mycolic acid synthesis machinery is a specialized multi-enzyme system responsible for producing the unique, long-chain fatty acids that constitute the primary structural and protective component of the mycobacterial cell envelope [PubMed: 15769487]. This machinery is organized into two distinct systems: Fatty Acid Synthase I (FAS-I), which synthesizes short-chain fatty acids, and Fatty Acid Synthase II (FAS-II), which extends these into the long meromycolate chains required for cell wall integrity [UniProt: P9WGR1]. Key enzymes within this pathway, most notably the enoyl-ACP reductase InhA, are the primary targets for frontline antitubercular agents like isoniazid and ethionamide [PubMed: 25611365]. Beyond synthesis, the machinery includes the polyketide synthase Pks13 for final condensation and the MmpL3 transporter for moving mycolic acid precursors across the plasma membrane [PubMed: 22267511, PubMed: 23934154]. Because mycolic acids are essential for the survival, virulence, and intrinsic antibiotic resistance of Mycobacterium tuberculosis, this pathway is a cornerstone of modern tuberculosis therapy. Disruption of this machinery leads to the loss of acid-fastness, increased susceptibility to other drugs, and rapid bacterial lysis.

Other names
Mycolic acid biosynthetic pathwayFAS-II systemMycobacterial cell wall synthesis machineryFatty acid synthase II complex
02

Mechanism of action

Inhibition of various stages of mycolic acid production, including fatty acid elongation by the FAS-II complex (specifically InhA and KasA), final assembly by Pks13, and transmembrane transport of trehalose monomycolate by MmpL3.

03

Biological functions

Cell wall biosynthesisLipid metabolismBacterial virulenceBacterial survival
04

Disease associations

InfectionTuberculosisLeprosyNontuberculous mycobacterial infections
05

Safety considerations

HepatotoxicityPeripheral neuropathyOptic neuritisDevelopment of multi-drug resistance (MDR-TB)Drug-drug interactions via cytochrome P450 induction/inhibition
06

Interacting drugs

Isoniazid

7 more in the full profile.

07

Biomarkers

inhA promoter mutationskatG mutationsmmpL3 gene sequencingSputum culture conversion

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