Target intelligence / Profile preview

Succinate dehydrogenase and related flavoprotein dehydrogenases (SDH)

Target
SDH
Molecular classification
Enzyme, Oxidoreductase, Flavoprotein, Mitochondrial protein complex
01

Overview

Succinate dehydrogenase (SDH) and related flavoprotein dehydrogenases constitute a group of enzymes that utilize flavin adenine dinucleotide (FAD) to catalyze critical redox reactions within the mitochondria. The primary member, SDH (Complex II), is a four-subunit complex that bridges the citric acid cycle and the electron transport chain by oxidizing succinate to fumarate and reducing ubiquinone (UniProt: P31040). Related enzymes in this class, such as electron transfer flavoprotein-ubiquinone oxidoreductase (ETFDH), are essential for fatty acid and amino acid metabolism (NCBI Gene: 2108). Mutations in these enzymes are associated with severe metabolic disorders, such as glutaric acidemia type II, and various hereditary cancer syndromes like paraganglioma, often driven by the accumulation of succinate which acts as an oncometabolite (PubMed: 28611100). While these enzymes are well-established targets for agricultural fungicides (SDHIs), they are increasingly investigated in human medicine as therapeutic targets for metabolic diseases and specific oncology subtypes (PubChem: Succinate Dehydrogenase Inhibitors). Pharmacological modulation of these targets typically aims to disrupt mitochondrial respiration or metabolic flux to treat hyperproliferative or metabolic conditions.

Other names
Complex IISuccinate-ubiquinone oxidoreductaseSQRSuccinate:ubiquinone reductaseFlavoprotein dehydrogenase familySuccinate dehydrogenase complex
02

Mechanism of action

Inhibition of the succinate-ubiquinone oxidoreductase activity, preventing the transfer of electrons from succinate to the mitochondrial respiratory chain and disrupting the tricarboxylic acid cycle.

03

Biological functions

Citric acid cycleElectron transport chainOxidative phosphorylationFatty acid oxidationAmino acid metabolism
04

Disease associations

CancerParagangliomaPheochromocytomaGastrointestinal stromal tumorLeigh syndromeGlutaric acidemia type IIMitochondrial encephalomyopathy
05

Safety considerations

Mitochondrial toxicityLactic acidosisPotential for secondary tumorigenesis due to pseudohypoxiaNeurological impairmentReactive oxygen species (ROS) generation
06

Interacting drugs

Malonate

7 more in the full profile.

07

Biomarkers

Succinate accumulationSDHB protein loss (IHC)SDH gene mutationsSuccinate-to-fumarate ratioHIF-1 alpha stabilization

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