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NADH dehydrogenase [ubiquinone] iron-sulfur protein 7 (NDUFS7) (NDUFS7)

Target
NDUFS7
Molecular classification
Enzyme, Oxidoreductase, Mitochondrial protein, Iron-sulfur protein
01

Overview

NADH dehydrogenase [ubiquinone] iron-sulfur protein 7 (NDUFS7), also known as the PSST subunit, is a core nuclear-encoded subunit of mitochondrial complex I (NADH:ubiquinone oxidoreductase) [10, 18]. It is a key component of the "Q-module" located at the interface of the enzyme's peripheral and membrane arms, where it forms the ubiquinone-binding pocket alongside the NDUFS2 subunit [1, 13]. NDUFS7 contains a highly conserved 4Fe-4S cluster, designated N2, which serves as the immediate electron donor to ubiquinone, making it essential for the first step of the electron transport chain and ATP synthesis [12, 18]. Mutations in the NDUFS7 gene are a well-established cause of Leigh syndrome and other forms of mitochondrial complex I deficiency, characterized by severe neurological impairment and metabolic acidosis [7, 20, 23]. Beyond its role in bioenergetics, NDUFS7 is a critical mediator of cellular oxygen sensing, particularly in the carotid body and pulmonary vasculature, where it facilitates the hypoxic pulmonary vasoconstriction response [2, 4, 9]. In oncology, NDUFS7 has emerged as a therapeutic target for cancers with high oxidative phosphorylation dependency, such as pancreatic cancer and acute myeloid leukemia [6, 13, 15]. Drugs targeting this subunit, including classic inhibitors like rotenone and novel antagonists like DX2-201, act by blocking the ubiquinone-binding site, thereby disrupting mitochondrial function and inducing apoptosis in susceptible cells [13, 14].

Other names
PSST subunitCI-20kDNADH-ubiquinone oxidoreductase 20 kDa subunitComplex I-20kDMY017NADH:ubiquinone oxidoreductase core subunit S7
02

Mechanism of action

Inhibition of the ubiquinone-binding site of mitochondrial complex I, preventing electron transfer from iron-sulfur cluster N2 to ubiquinone and disrupting the proton gradient [12, 13, 14].

03

Biological functions

Electron transport chain [10, 12]ATP synthesis [1, 12]Reactive oxygen species generation [1, 25]Oxygen sensing [2, 4, 9]Hypoxic pulmonary vasoconstriction [2, 4, 8]Proton translocation [12, 18]
04

Disease associations

Leigh syndrome [7, 18, 20]Mitochondrial complex I deficiency [10, 18, 22]Pancreatic cancer [13, 14]Acute myeloid leukemia [6]Pulmonary hypertension [2, 4]Leber hereditary optic neuropathy [10, 18]Parkinson's disease [18]
05

Safety considerations

Lactic acidosis [7, 22]Mitochondrial toxicity [1, 16]Neurotoxicity [18, 22]Optic neuropathy [10, 18]Cardiomyopathy [22]
06

Interacting drugs

Rotenone [12, 14]

7 more in the full profile.

07

Biomarkers

NDUFS7 V91M mutation (drug resistance) [14]GNAS mutation (sensitivity to OXPHOS inhibition) [13]Elevated blood/CSF lactate levels [7, 22]Reduced mitochondrial complex I activity [1, 20]Lactate/pyruvate ratio [7]

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