Target intelligence / Profile preview

NADH:ubiquinone oxidoreductase (Complex I) (Complex I)

Target
Complex I
Molecular classification
Enzyme, Oxidoreductase, Mitochondrial complex, Iron-sulfur protein
01

Overview

NADH:ubiquinone oxidoreductase, commonly known as Mitochondrial Complex I, is the largest and first enzyme of the mitochondrial respiratory chain [2, 10]. It plays a critical role in cellular energy production by coupling the transfer of electrons from NADH to ubiquinone with the translocation of protons across the inner mitochondrial membrane, thereby contributing to the proton motive force for ATP synthesis [15, 18]. The complex contains several essential iron-sulfur (Fe-S) clusters (e.g., N1a, N1b, N2, N3, N4, N5, N6a, N6b) that facilitate electron relay through core subunits such as NDUFS1, NDUFS7, and NDUFV1 [5, 16]. Dysfunctions in Complex I or its Fe-S subunits are linked to various pathologies, including primary mitochondrial disorders like Leigh syndrome and neurodegenerative diseases like Parkinson's disease [10, 11]. Therapeutically, Complex I is targeted by drugs like metformin for metabolic regulation and is being explored as a target for cancer therapy to exploit metabolic vulnerabilities [2, 13].

Other names
NADH dehydrogenaseNADH-coenzyme Q oxidoreductaseMitochondrial respiratory chain complex IType I NADH dehydrogenaseNDUFS1NDUFS2NDUFS7NDUFS8NDUFV1NDUFV2
02

Mechanism of action

Inhibition of NADH oxidation and electron transfer to ubiquinone, leading to modulation of the NAD+/NADH ratio, reduction in ATP synthesis, and activation of AMPK signaling [2, 10, 15].

03

Biological functions

Oxidative phosphorylationElectron transport chainATP productionReactive oxygen species (ROS) generationProton pumpingOxygen sensing
04

Disease associations

Mitochondrial diseaseLeigh syndromeLeber hereditary optic neuropathyParkinson's diseaseCancerType 2 diabetesHeart failure
05

Safety considerations

Lactic acidosisNeurotoxicityMitochondrial toxicityCardiotoxicityOxidative stress
06

Interacting drugs

Metformin

8 more in the full profile.

07

Biomarkers

Lactate/pyruvate ratioGDF15 (Growth differentiation factor 15)FGF21 (Fibroblast growth factor 21)NAD+/NADH ratioOxygen consumption rate (OCR)

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