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Transition metal ions, such as iron, copper, zinc, and manganese, along with the enzymes that depend on them (metalloenzymes), are essential components of nearly half of all known protein structures [2, 9]. These metals function as critical catalytic centers, structural stabilizers like zinc fingers, and redox-active sites for processes such as oxygen transport and electron transfer [4, 6]. Dysregulation of transition metal homeostasis, or metal dyshomeostasis, is implicated in a wide range of diseases, including genetic disorders of metal metabolism (e.g., Wilson's disease), neurodegenerative diseases like Alzheimer's, and various forms of cancer [1, 3]. Therapeutic strategies targeting these systems include the use of chelating agents to remove excess or toxic metals and small-molecule inhibitors that coordinate with metal ions in the active sites of enzymes [2, 8]. For instance, ACE inhibitors and HDAC inhibitors exert their effects by binding to zinc ions within their respective target enzymes [1, 2]. However, the widespread biological requirement for these metals presents a significant challenge in drug development, as achieving high selectivity is necessary to prevent the depletion of essential metals and avoid systemic toxicity [6, 7]. Consequently, monitoring metal levels and enzyme activity through biomarkers like serum ferritin or ceruloplasmin serves as a vital component of managing therapies that affect transition metal pathways [12, 13].
Chelation of free metal ions, coordination to catalytic active site metal ions for enzyme inhibition, ionophoric redistribution of metals, and inhibition of metal transport proteins.
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