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1.
Plant Physiol ; 186(3): 1473-1486, 2021 07 06.
Article in English | MEDLINE | ID: mdl-33826743

ABSTRACT

Betalains are the nitrogenous pigments that replace anthocyanins in the plant order Caryophyllales. Here, we describe unconventional decarboxylated betalains in quinoa (Chenopodium quinoa) grains. Decarboxylated betalains are derived from a previously unconsidered activity of the 4,5-DOPA-extradiol-dioxygenase enzyme (DODA), which has been identified as the key enzymatic step in the established biosynthetic pathway of betalains. Here, dopamine is fully characterized as an alternative substrate of the DODA enzyme able to yield an intermediate and structural unit of plant pigments: 6-decarboxy-betalamic acid, which is proposed and described. To characterize this activity, quinoa grains of different colors were analyzed in depth by chromatography, time-of-flight mass spectrometry, and reactions were performed in enzymatic assays and bioreactors. The enzymatic-chemical scheme proposed leads to an uncharacterized family of 6-decarboxylated betalains produced by a hitherto unknown enzymatic activity. All intermediate compounds as well as the final products of the dopamine-based biosynthetic pathway of pigments have been unambiguously determined and the reactions have been characterized from the enzymatic and functional perspectives. Results evidence a palette of molecules in quinoa grains of physiological relevance and which explain minor betalains described in plants of the Caryophyllales order. An entire family of betalains is anticipated.


Subject(s)
Betalains/biosynthesis , Biosynthetic Pathways/genetics , Chenopodium quinoa/genetics , Chenopodium quinoa/metabolism , Decarboxylation/physiology , Dopamine/metabolism , Pigments, Biological/metabolism , Crops, Agricultural/genetics , Crops, Agricultural/metabolism , Decarboxylation/genetics , Dopamine/genetics , Genetic Variation , Genotype , Pigments, Biological/genetics
2.
Anaesthesist ; 69(6): 421-431, 2020 06.
Article in German | MEDLINE | ID: mdl-32303783

ABSTRACT

Severe pulmonary impairment can occur after traumatic brain injury or stroke. The resulting brain-lung interactions represent key points for the treatment and the subsequent outcome of the patient. Established treatment approaches, such as permissive hypercapnia and prone positioning, present the intensive care physician with divergent treatment goals in these patients with partially increased intracranial pressure. This case report series shows the instrument-based and noninstrument-based options for the treatment of acute respiratory distress syndrome (ARDS) in the simultaneous presence of intracranial pathologies. This includes equipment based therapies using extracorporeal CO2 elimination, special positioning maneuvers in specially designed hospital beds and positional maneuvers, such as prone positioning. With enhanced neuromonitoring it is possible to optimally adapt treatment measures focused on the lungs early and before secondary damage to the brain.


Subject(s)
Brain Injuries/complications , Brain Injuries/therapy , Extracorporeal Circulation/methods , Respiratory Distress Syndrome/complications , Respiratory Distress Syndrome/therapy , Adult , Brain Edema , Critical Care , Decarboxylation/physiology , Extracorporeal Circulation/instrumentation , Extracorporeal Membrane Oxygenation , Glasgow Coma Scale , Humans , Lung , Male , Middle Aged , Patient Positioning , Prone Position/physiology , Respiratory Distress Syndrome/physiopathology
3.
Appl Microbiol Biotechnol ; 102(19): 8359-8372, 2018 Oct.
Article in English | MEDLINE | ID: mdl-30062480

ABSTRACT

Carboligations catalyzed by aldolases or thiamine diphosphate (ThDP)-dependent enzymes are well-known in biocatalysis to deliver enantioselective chain elongation reactions. A pyruvate-dependent aldolase (2-oxo-3-deoxy-6-phosphogluconate aldolase [EDA]) introduces a chiral center when reacting with the electrophile, glyoxylic acid, delivering the (S)-enantiomer of (4S)-4-hydroxy-2-oxoglutarate [(S)-HOG]. The ThDP-dependent enzyme MenD (2-succinyl-5-enol-pyruvyl-6-hydroxy-3-cyclohexene-1-carboxylate synthase (SEPHCHC synthase)) enables access to highly functionalized substances by forming intermolecular C-C bonds with Michael acceptor compounds by a Stetter-like 1,4- or a benzoin-condensation 1,2-addition of activated succinyl semialdehyde (ThDP adduct formed by decarboxylation of 2-oxoglutarate). MenD-catalyzed reactions are characterized by high chemo- and regioselectivity. Here, we report (S)-HOG, in situ formed by EDA, to serve as new donor substrate for MenD in 1,4-addition reactions with 2,3-trans-CHD (2,3-trans-dihydroxy-cyclohexadiene carboxylate) and acrylic acid. Likewise, (S)-HOG serves as donor in 1,2-additions with aromatic (benzaldehyde) and aliphatic (hexanal) aldehydes. This enzyme cascade of two subsequent C-C bond formations (EDA aldolase and a ThDP-dependent carboligase, MenD) generates two new stereocenters.


Subject(s)
Cyclohexanecarboxylic Acids/metabolism , Keto Acids/metabolism , Thiamine Pyrophosphate/metabolism , Biocatalysis , Cyclohexenes/metabolism , Decarboxylation/physiology , Substrate Specificity
4.
Biochemistry ; 57(22): 3167-3175, 2018 06 05.
Article in English | MEDLINE | ID: mdl-29283551

ABSTRACT

γ-Resorcylate decarboxylase (γ-RSD) has evolved to catalyze the reversible decarboxylation of 2,6-dihydroxybenzoate to resorcinol in a nonoxidative fashion. This enzyme is of significant interest because of its potential for the production of γ-resorcylate and other benzoic acid derivatives under environmentally sustainable conditions. Kinetic constants for the decarboxylation of 2,6-dihydroxybenzoate catalyzed by γ-RSD from Polaromonas sp. JS666 are reported, and the enzyme is shown to be active with 2,3-dihydroxybenzoate, 2,4,6-trihydroxybenzoate, and 2,6-dihydroxy-4-methylbenzoate. The three-dimensional structure of γ-RSD with the inhibitor 2-nitroresorcinol (2-NR) bound in the active site is reported. 2-NR is directly ligated to a Mn2+ bound in the active site, and the nitro substituent of the inhibitor is tilted significantly from the plane of the phenyl ring. The inhibitor exhibits a binding mode different from that of the substrate bound in the previously determined structure of γ-RSD from Rhizobium sp. MTP-10005. On the basis of the crystal structure of the enzyme from Polaromonas sp. JS666, complementary density functional calculations were performed to investigate the reaction mechanism. In the proposed reaction mechanism, γ-RSD binds 2,6-dihydroxybenzoate by direct coordination of the active site manganese ion to the carboxylate anion of the substrate and one of the adjacent phenolic oxygens. The enzyme subsequently catalyzes the transfer of a proton to C1 of γ-resorcylate prior to the actual decarboxylation step. The reaction mechanism proposed previously, based on the structure of γ-RSD from Rhizobium sp. MTP-10005, is shown to be associated with high energies and thus less likely to be correct.


Subject(s)
Carboxy-Lyases/chemistry , Binding Sites , Carboxy-Lyases/physiology , Catalysis , Crystallography, X-Ray , Decarboxylation/physiology , Hydroxybenzoates/metabolism , Kinetics , Protein Structural Elements/physiology , Resorcinols/chemistry , Substrate Specificity
5.
Crit Care ; 19: 381, 2015 Oct 30.
Article in English | MEDLINE | ID: mdl-26518584

ABSTRACT

INTRODUCTION: Acute respiratory distress syndrome (ARDS) with concomitant impairment of oxygenation and decarboxylation represents a complex problem in patients with increased intracranial pressure (ICP). Permissive hypercapnia is not an option to obtain and maintain lung-protective ventilation in the presence of elevated ICP. Pumpless extracorporeal lung assist (pECLA) devices (iLA Membrane Ventilator; Novalung, Heilbronn, Germany) can improve decarboxylation without aggravation associated with invasive ventilation. In this pilot series, we analyzed the safety and efficacy of pECLA in patients with ARDS and elevated ICP after severe traumatic brain injury (TBI). METHODS: The medical records of ten patients (eight male, two female) with severe ARDS and severe TBI concurrently managed with external ventricular drainage in the neurointensive care unit (NICU) were retrospectively analyzed. The effect of pECLA on enabling lung-protective ventilation was evaluated using the difference between plateau pressure and positive end-expiratory pressure, defined as driving pressure (ΔP), during the 3 days preceding the implant of pECLA devices until 3 days afterward. The ICP threshold was set at 20 mmHg. To evaluate effects on ICP, the volume of daily cerebrospinal fluid (CSF) drainage needed to maintain the set ICP threshold was compared pre- and postimplant. RESULTS: The ΔP values after pECLA implantation decreased from a mean 17.1 ± 0.7 cm/H2O to 11.9±0.5 cm/H2O (p = 0.011). In spite of this improved lung-protective ventilation, carbon dioxide pressure decreased from 46.6 ± 3.9 mmHg to 39.7 ± 3.5 mmHg (p = 0.005). The volume of daily CSF drainage needed to maintain ICP at 20 mmHg decreased significantly from 141.5 ± 103.5 ml to 62.2 ± 68.1 ml (p = 0.037). CONCLUSIONS: For selected patients with concomitant severe TBI and ARDS, the application of pECLA is safe and effective. pECLA devices improve decarboxylation, thus enabling lung-protective ventilation. At the same time, potentially detrimental hypercapnia that may increase ICP is avoided. Larger prospective trials are warranted to further elucidate application of pECLA devices in NICU patients.


Subject(s)
Brain Injuries/therapy , Decarboxylation/physiology , Extracorporeal Circulation/methods , Intracranial Pressure/physiology , Positive-Pressure Respiration/methods , Respiratory Distress Syndrome/therapy , Adolescent , Adult , Brain Injuries/complications , Extracorporeal Circulation/instrumentation , Extracorporeal Membrane Oxygenation/methods , Female , Humans , Intracranial Hypertension/complications , Male , Middle Aged , Prospective Studies , Respiratory Distress Syndrome/physiopathology , Retrospective Studies , Ventilators, Mechanical/statistics & numerical data
6.
Braz J Microbiol ; 46(3): 753-7, 2015.
Article in English | MEDLINE | ID: mdl-26413057

ABSTRACT

Quinolones and fluoroquinolones are widely used to treat uropathogenic Escherichia coli infections. Bacterial resistance to these antimicrobials primarily involves mutations in gyrA and parC genes. To date, no studies have examined the potential relationship between biochemical characteristics and quinolone resistance in uropathogenic E. coli strains. The present work analyzed the quinolone sensitivity and biochemical activities of fifty-eight lactose-negative uropathogenic E. coli strains. A high percentage of the isolates (48.3%) was found to be resistant to at least one of the tested quinolones, and DNA sequencing revealed quinolone resistant determining region gyrA and parC mutations in the multi-resistant isolates. Statistical analyses suggested that the lack of ornithine decarboxylase (ODC) activity is correlated with quinolone resistance. Despite the low number of isolates examined, this is the first study correlating these characteristics in lactose-negative E. coli isolates.


Subject(s)
Drug Resistance, Multiple, Bacterial/genetics , Escherichia coli Infections/drug therapy , Fluoroquinolones/therapeutic use , Lactose/metabolism , Nalidixic Acid/therapeutic use , Ornithine Decarboxylase/genetics , Urinary Tract Infections/drug therapy , Uropathogenic Escherichia coli/genetics , Anti-Bacterial Agents/therapeutic use , Brazil , DNA Gyrase/genetics , DNA Topoisomerase IV/genetics , Decarboxylation/genetics , Decarboxylation/physiology , Escherichia coli Infections/microbiology , Humans , Microbial Sensitivity Tests , Ornithine/metabolism , Urinary Tract Infections/microbiology , Uropathogenic Escherichia coli/drug effects , Uropathogenic Escherichia coli/enzymology , Uropathogenic Escherichia coli/isolation & purification
7.
Braz. j. microbiol ; 46(3): 753-757, July-Sept. 2015. tab, ilus
Article in English | LILACS | ID: lil-755797

ABSTRACT

Quinolones and fluoroquinolones are widely used to treat uropathogenic Escherichia coli infections. Bacterial resistance to these antimicrobials primarily involves mutations in gyrA and parC genes. To date, no studies have examined the potential relationship between biochemical characteristics and quinolone resistance in uropathogenic E. coli strains. The present work analyzed the quinolone sensitivity and biochemical activities of fifty-eight lactose-negative uropathogenic E. coli strains. A high percentage of the isolates (48.3%) was found to be resistant to at least one of the tested quinolones, and DNA sequencing revealed quinolone resistant determining region gyrA and parC mutations in the multi-resistant isolates. Statistical analyses suggested that the lack of ornithine decarboxylase (ODC) activity is correlated with quinolone resistance. Despite the low number of isolates examined, this is the first study correlating these characteristics in lactose-negative E. coli isolates.

.


Subject(s)
Humans , Drug Resistance, Multiple, Bacterial/genetics , Escherichia coli Infections/drug therapy , Fluoroquinolones/therapeutic use , Lactose/metabolism , Nalidixic Acid/therapeutic use , Ornithine Decarboxylase/genetics , Urinary Tract Infections/drug therapy , Uropathogenic Escherichia coli/genetics , Anti-Bacterial Agents/therapeutic use , Brazil , DNA Gyrase/genetics , DNA Topoisomerase IV/genetics , Decarboxylation/genetics , Decarboxylation/physiology , Escherichia coli Infections/microbiology , Microbial Sensitivity Tests , Ornithine/metabolism , Urinary Tract Infections/microbiology , Uropathogenic Escherichia coli/drug effects , Uropathogenic Escherichia coli/enzymology , Uropathogenic Escherichia coli/isolation & purification
8.
Plant Physiol ; 167(1): 44-59, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25378692

ABSTRACT

Mitochondrial NAD-malic enzyme (ME) and/or cytosolic/plastidic NADP-ME combined with the cytosolic/plastidic pyruvate orthophosphate dikinase (PPDK) catalyze two key steps during light-period malate decarboxylation that underpin secondary CO(2) fixation in some Crassulacean acid metabolism (CAM) species. We report the generation and phenotypic characterization of transgenic RNA interference lines of the obligate CAM species Kalanchoë fedtschenkoi with reduced activities of NAD-ME or PPDK. Transgenic line rNAD-ME1 had 8%, and rPPDK1 had 5% of the wild-type level of activity, and showed dramatic changes in the light/dark cycle of CAM CO(2) fixation. In well-watered conditions, these lines fixed all of their CO(2) in the light; they thus performed C(3) photosynthesis. The alternative malate decarboxylase, NADP-ME, did not appear to compensate for the reduction in NAD-ME, suggesting that NAD-ME was the key decarboxylase for CAM. The activity of other CAM enzymes was reduced as a consequence of knocking out either NAD-ME or PPDK activity, particularly phosphoenolpyruvate carboxylase (PPC) and PPDK in rNAD-ME1. Furthermore, the circadian clock-controlled phosphorylation of PPC in the dark was reduced in both lines, especially in rNAD-ME1. This had the consequence that circadian rhythms of PPC phosphorylation, PPC kinase transcript levels and activity, and the classic circadian rhythm of CAM CO(2) fixation were lost, or dampened toward arrhythmia, under constant light and temperature conditions. Surprisingly, oscillations in the transcript abundance of core circadian clock genes also became arrhythmic in the rNAD-ME1 line, suggesting that perturbing CAM in K. fedtschenkoi feeds back to perturb the central circadian clock.


Subject(s)
Decarboxylation/genetics , Decarboxylation/physiology , Kalanchoe/metabolism , Circadian Rhythm/genetics , Circadian Rhythm/physiology , Dehydration/metabolism , Gene Knockout Techniques , Kalanchoe/genetics , Kalanchoe/growth & development , Kalanchoe/physiology , Malate Dehydrogenase/genetics , Malate Dehydrogenase/metabolism , Malates/metabolism , Phosphorylation/genetics , Phosphorylation/physiology , Photosynthesis/genetics , Photosynthesis/physiology , Plants, Genetically Modified , Pyruvate, Orthophosphate Dikinase/genetics , Pyruvate, Orthophosphate Dikinase/metabolism , Starch/metabolism
9.
Biochem J ; 458(2): 301-11, 2014 Mar 01.
Article in English | MEDLINE | ID: mdl-24328825

ABSTRACT

The phosphotransfer mechanism of PYKs (pyruvate kinases) has been studied in detail, but the mechanism of the intrinsic decarboxylase reaction catalysed by PYKs is still unknown. 1H NMR was used in the present study to follow OAA (oxaloacetate) decarboxylation by trypanosomatid and human PYKs confirming that the decarboxylase activity is conserved across distantly related species. Crystal structures of TbPYK (Trypanosoma brucei PYK) complexed with the product of the decarboxylase reaction (pyruvate), and a series of substrate analogues (D-malate, 2-oxoglutarate and oxalate) show that the OAA analogues bind to the kinase active site with similar binding modes, confirming that both decarboxylase and kinase activities share a common site for substrate binding and catalysis. Decarboxylation of OAA as monitored by NMR for TbPYK has a relatively low turnover with values of 0.86 s-1 and 1.47 s-1 in the absence and presence of F26BP (fructose 2,6-bisphosphate) respectively. Human M1PYK (M1 isoform of PYK) has a measured turnover value of 0.50 s-1. The X-ray structures explain why the decarboxylation activity is specific for OAA and is not general for α-oxo acid analogues. Conservation of the decarboxylase reaction across divergent species is a consequence of piggybacking on the conserved kinase mechanism which requires a stabilized enol intermediate.


Subject(s)
Pyruvate Kinase/chemistry , Pyruvate Kinase/metabolism , Binding Sites/physiology , Catalysis , Conserved Sequence , Crystallography, X-Ray , Decarboxylation/physiology , Enzyme Activation/physiology , Humans , Protein Stability , Protein Structure, Secondary , Protein Structure, Tertiary , Trypanosoma brucei brucei/enzymology
10.
Drug Metab Dispos ; 41(12): 2215-24, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24097902

ABSTRACT

A phase I study was conducted to assess the metabolism and excretion of [(14)C]dabrafenib (GSK2118436; N-{3-[5-(2-amino-4-pyrimidinyl)-2-(1,1-dimethylethyl)-1,3-thiazol-4-yl]-2-fluorophenyl}-2,6-difluorobenzene sulfonamide, methanesulfonate salt), a BRAF inhibitor, in four patients with BRAF V600 mutation-positive tumors after a single oral dose of 95 mg (80 µCi). Assessments included the following: 1) plasma concentrations of dabrafenib and metabolites using validated ultra-high-performance liquid chromatography--tandem mass spectrometry methods, 2) plasma and blood radioactivity, 3) urinary and fecal radioactivity, and 4) metabolite profiling. Results showed the mean total recovery of radioactivity was 93.8%, with the majority recovered in feces (71.1% of administered dose). Urinary excretion accounted for 22.7% of the dose, with no detection of parent drug in urine. Dabrafenib is metabolized primarily via oxidation of the t-butyl group to form hydroxy-dabrafenib. Hydroxy-dabrafenib undergoes further oxidation to carboxy-dabrafenib, which subsequently converts to desmethyl-dabrafenib via a pH-dependent decarboxylation. The half-lives for carboxy- and desmethyl-dabrafenib were longer than for parent and hydroxy-dabrafenib (18-20 vs. 5-6 hours). Based on area under the plasma concentration-time curve, dabrafenib, hydroxy-, carboxy-, and desmethyl-dabrafenib accounted for 11%, 8%, 54%, and 3% of the plasma radioactivity, respectively. These results demonstrate that the major route of elimination of dabrafenib is via oxidative metabolism (48% of the dose) and biliary excretion. Based on our understanding of the decarboxylation of carboxy-dabrafenib, a low pH-driven, nonenzymatic mechanism involving participation of the aryl nitrogen is proposed to allow prediction of metabolic oxidation and decarboxylation of drugs containing an aryl nitrogen positioned α to an alkyl (ethyl or t-butyl) side chain.


Subject(s)
Carbon/metabolism , Decarboxylation/physiology , Imidazoles/metabolism , Neoplasms/metabolism , Nitrogen/metabolism , Oximes/metabolism , Administration, Oral , Adult , Feces/chemistry , Female , Half-Life , Humans , Male , Middle Aged , Oxidation-Reduction , Young Adult
11.
J Inherit Metab Dis ; 34(6): 1213-24, 2011 Dec.
Article in English | MEDLINE | ID: mdl-21541720

ABSTRACT

Dopa decarboxylase (DDC or AADC) is a pyridoxal 5'-phosphate (PLP)-dependent enzyme that catalyzes the decarboxylation of L-aromatic amino acids into the corresponding aromatic amines. AADC deficiency is an inborn error of neurotransmitters biosynthesis with an autosomal recessive inheritance. About 30 pathogenic mutations have been identified, but the enzymatic phenotypes causing AADC deficiency are unknown, and the therapeutic management is challenging. Here, we report biochemical and bioinformatic analyses of the human wild-type DDC and the pathogenic variants G102S, F309L, S147R and A275T whose mutations concern amino acid residues at or near the active site. We found that the mutations cause, even if to different extents, a decreased PLP binding affinity (in the range 1.4-170-fold), an altered state of the bound coenzyme and of its microenvironment, and a reduced catalytic efficiency (in the range 17-930-fold). Moreover, as compared to wild-type, the external aldimines formed by the variants with L-aromatic amino acids exhibit different spectroscopic features, do not protect against limited proteolysis, and lead to the formation, in addition to aromatic amines, of cyclic-substrate adducts. This suggests that these external Schiff bases are not properly oriented and anchored, i.e., in a conformation not completely productive for decarboxylation. The external aldimines that the variants form with D-Dopa also appear not to be correctly located at their active site, as suggested by the rate constants of PLP-L-Dopa adduct production higher than that of the wild-type. The possible therapeutic implications of the data are discussed in the light of the molecular defects of the pathogenic variants.


Subject(s)
Amino Acid Metabolism, Inborn Errors/genetics , Decarboxylation/physiology , Dopa Decarboxylase/genetics , Models, Molecular , Mutagenesis, Site-Directed , Point Mutation , Amino Acid Metabolism, Inborn Errors/enzymology , Amino Acid Metabolism, Inborn Errors/pathology , Aromatic-L-Amino-Acid Decarboxylases/deficiency , Aromatic-L-Amino-Acid Decarboxylases/genetics , Dopa Decarboxylase/chemistry , Dopa Decarboxylase/isolation & purification , Humans , Kinetics , Molecular Structure , Mutagenesis, Site-Directed/methods , Point Mutation/genetics , Protein Binding , Protein Conformation , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/isolation & purification
12.
J Biol Chem ; 284(7): 4536-44, 2009 Feb 13.
Article in English | MEDLINE | ID: mdl-19091740

ABSTRACT

Malic enzyme (ME) is a family of enzymes that catalyze a reversible oxidative decarboxylation of l-malate to pyruvate with simultaneous reduction of NAD(P)(+) to NAD(P)H. According to the cofactor specificity, the mammalian enzyme can be categorized into three isoforms. The cytosolic (c) and mitochondrial (m) NADP(+)-dependent MEs utilize NADP(+) as the cofactor. The mitochondrial NAD(P)(+)-dependent ME can use either NAD(+) or NADP(+) as the cofactor. In addition, the m-NAD(P)-ME isoform can be inhibited by ATP and allosterically activated by fumarate. In this study, we delineated the determinants for cofactor specificity and isoform-specific inhibition among the ME isoforms. Our data strongly suggest that residue 362 is the decisive factor determining cofactor preference. All the mutants containing Q362K (Q362K, K346S/Q362K, Y347K/Q362K, and K346S/Y347K/Q362K) have a larger k(cat,NADP) value compared with the k(cat,NAD) value, indicating that the enzyme has changed to use NADP(+) as the preferred cofactor. Furthermore, we suggest that Lys-346 in m-NAD(P)-ME is crucial for the isoform-specific ATP inhibition. The enzymes containing the K346S mutation (K346S, K346S/Y347K, K346S/Q362K, and K346S/Y347K/Q362K) are much less inhibited by ATP and have a larger K(i,ATP) value. Kinetic analysis also suggests that residue 347 functions in cofactor specificity. Here we demonstrate that the human K346S/Y347K/Q362K m-NAD(P)-ME has completely shifted its cofactor preference to become an NADP(+)-specific ME. In the triple mutant, Lys-362, Lys-347, and Ser-346 work together and function synergistically to increase the binding affinity for NADP(+).


Subject(s)
Malate Dehydrogenase/metabolism , Mitochondrial Proteins/metabolism , NADP/metabolism , NAD/metabolism , Amino Acid Substitution , Animals , Decarboxylation/physiology , Humans , Isoenzymes/genetics , Isoenzymes/metabolism , Malate Dehydrogenase/genetics , Mitochondrial Proteins/genetics , Mutation, Missense , NAD/genetics , NADP/genetics , Oxidation-Reduction , Protein Binding/physiology , Protein Structure, Quaternary/physiology
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