Target intelligence / Profile preview

Sarcosine dehydrogenase, mitochondrial (SARDH)

Target
SARDH
Molecular classification
Enzyme (specifically, oxidoreductase, EC 1.5.8.3), Flavoprotein (uses FAD as a cofactor), Mitochondrial matrix protein
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Overview

Sarcosine dehydrogenase, mitochondrial (SARDH), is a flavoprotein oxidoreductase enzyme found in the mitochondrial matrix, encoded by the human SARDH gene. It catalyzes the oxidative demethylation of sarcosine (N-methylglycine) to glycine, producing formaldehyde and coupling to the electron-transferring flavoprotein for redox chain participation. The enzyme plays a central role in sarcosine and choline metabolism and contributes to cellular one-carbon metabolism via tetrahydrofolate-dependent processes. Mutations in SARDH cause sarcosinemia, a rare autosomal recessive metabolic disorder. Elevated sarcosine and SARDH dysfunction are under investigation for roles in prostate cancer. While SARDH presents as a plausible metabolic enzyme target, there are currently no clinical drugs that act on it directly

Other names
SARDHDMGDHL1SarDHSDHBPR-2SARSARDSarcosine dehydrogenaseMonomethylglycine dehydrogenaseSarcosine N-demethylase
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Mechanism of action

For methoxyacetic acid, competitive inhibition of sarcosine dehydrogenase by occupying the enzyme’s active site and preventing sarcosine binding. For theoretical cancer therapy, hypothetical inhibition could alter sarcosine metabolism and affect metastatic potential.

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Biological functions

Sarcosine metabolism: catalyzes the N-demethylation of sarcosine to glycineOne-carbon metabolism: generates 5,10-methylenetetrahydrofolate (when tetrahydrofolate is present)Choline degradation pathwayRespiratory chain linkage via electron-transferring flavoprotein
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Disease associations

Sarcosinemia: autosomal recessive metabolic disorder (loss-of-function mutations of SARDH)Prostate cancer: implicated as part of sarcosine metabolism pathway relevant to cancer cell invasion and migration; sarcosine considered as a biomarker and possible mechanistic mediator. Role as a bona fide therapeutic target in cancer requires further clarification due to conflicting biomarker data
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Safety considerations

Metabolic consequences: genetic loss-of-function produces metabolic imbalance, notably accumulation of sarcosine (hyperornithinemia, sarcosinemia)Therapeutic targeting risk/unknowns: manipulating sarcosine dehydrogenase activity may affect one-carbon metabolism and downstream methylation reactions; specific safety risks are not well characterized
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Interacting drugs

methoxyacetic acid
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Biomarkers

Sarcosine levels (urinary and blood): can aid in identifying sarcosinemia and, contingently, prostate cancer aggressiveness (though clinical utility is debated)SARDH mutation analysis in genetic testing for sarcosinemia

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