Target intelligence / Profile preview

Physiological vitamin- and iron-dependent pathways

Molecular classification
Enzyme, Oxidoreductase, Dioxygenase
01

Overview

Physiological vitamin- and iron-dependent pathways refer to a broad class of biochemical processes mediated by enzymes that require iron (Fe2+) and vitamins (most notably Vitamin C/ascorbate) as essential cofactors. The most prominent members of this group are the 2-oxoglutarate-dependent dioxygenases (2-OGDDs), which include prolyl hydroxylases involved in collagen synthesis and the regulation of hypoxia-inducible factors (HIF). These pathways are critical for maintaining the structural integrity of connective tissues, sensing cellular oxygen levels, and regulating epigenetic modifications such as DNA and histone demethylation. Vitamin C is typically required to maintain the iron cofactor in its active ferrous state, preventing enzyme inactivation during the catalytic cycle. Dysregulation of these pathways is linked to conditions like scurvy, anemia, and various cancers. Therapeutic interventions often involve supplementing cofactors to restore enzyme function or using small-molecule inhibitors to modulate specific signaling outcomes, such as stimulating erythropoiesis in chronic kidney disease.

Other names
2-oxoglutarate-dependent dioxygenase pathwaysIron- and ascorbate-dependent enzymatic pathwaysFe(II)/2-oxoglutarate-dependent oxygenase pathwaysAscorbate-dependent hydroxylase pathways
02

Mechanism of action

Modulation of enzyme activity through cofactor supplementation (iron, vitamin C), chelation of iron to inhibit activity, or competitive inhibition of 2-oxoglutarate binding sites to regulate downstream signaling (e.g., HIF stabilization).

03

Biological functions

Collagen synthesisHypoxia signalingEpigenetic regulationCarnitine biosynthesisDNA demethylationHistone demethylation
04

Disease associations

AnemiaScurvyCancerFibrosisCardiovascular disease
05

Safety considerations

Iron overload (hemosiderosis)PolycythemiaThrombotic eventsGastrointestinal distressOxidative stress
06

Interacting drugs

Roxadustat

5 more in the full profile.

07

Biomarkers

Hemoglobin levelsHIF-1alpha protein levelsSerum erythropoietin (EPO)Serum ferritinPlasma ascorbate (Vitamin C) concentration

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