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		<id>https://wiki.sarg.dev/index.php?title=Mevalonate_pathway&amp;diff=373758</id>
		<title>Mevalonate pathway</title>
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		<summary type="html">&lt;p&gt;166.181.82.90: /* Alternative pathway */ Repair confusing punctuation&lt;/p&gt;
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&lt;div&gt;{{Short description|Series of interconnected biochemical reactions}}&lt;br /&gt;
[[Image:Wiki pathway hi def tiff.tif|class=skin-invert-image|thumb|500px|Mevalonate pathway diagram showing the conversion of acetyl-CoA into isopentenyl pyrophosphate, the essential building block of all isoprenoids. The eukaryotic variant is shown in black. Archaeal variants are shown in red and blue.]]&lt;br /&gt;
&lt;br /&gt;
The &#039;&#039;&#039;mevalonate pathway&#039;&#039;&#039;, also known as the &#039;&#039;&#039;isoprenoid pathway&#039;&#039;&#039; or &#039;&#039;&#039;[[HMG-CoA reductase]] pathway&#039;&#039;&#039; is an essential [[metabolic pathway]] present in [[eukaryotes]], [[archaea]], and some [[bacteria]].&amp;lt;ref name=&amp;quot;GENERAL&amp;quot;/&amp;gt; The pathway produces two five-carbon building blocks called [[isopentenyl pyrophosphate]] (IPP) and [[dimethylallyl pyrophosphate]] (DMAPP), which are used to make [[isoprenoids]], a diverse class of over 30,000 biomolecules such as [[cholesterol]], [[vitamin K]], [[coenzyme Q10]], and all [[steroid hormones]].&amp;lt;ref name=&amp;quot;ISOPRENOIDS&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
The mevalonate pathway begins with [[acetyl-CoA]] and ends with the production of IPP and DMAPP.&amp;lt;ref name=&amp;quot;REVIEW&amp;quot;/&amp;gt; It is best known as the target of [[statin]]s, a class of cholesterol lowering drugs. Statins inhibit [[HMG-CoA reductase]] within the mevalonate pathway.&lt;br /&gt;
&lt;br /&gt;
==Upper mevalonate pathway==&lt;br /&gt;
The mevalonate pathway of eukaryotes, archaea, and eubacteria all begin the same way. The sole carbon feed stock of the pathway is acetyl-CoA. The first step condenses two [[acetyl-CoA]] molecules to yield [[acetoacetyl-CoA]]. This is followed by a second condensation to form [[HMG-CoA]] (3-hydroxy-3- methyl-glutaryl-CoA). Reduction of HMG-CoA yields (R)-[[mevalonate]]. These first 3 enzymatic steps are called the upper mevalonate pathway.&amp;lt;ref name=&amp;quot;MIZIORKO&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Lower mevalonate pathway==&lt;br /&gt;
The lower mevalonate pathway which converts (R)-[[mevalonate]] into IPP and DMAPP has 3 variants. In [[eukaryotes]], mevalonate is phosphorylated twice in the 5-OH position, then [[decarboxylated]] to yield IPP.&amp;lt;ref name=&amp;quot;MIZIORKO&amp;quot;/&amp;gt; In some [[archaea]] such as &#039;&#039;[[Haloferax volcanii]]&#039;&#039;, mevalonate is phosphorylated once in the 5-OH position, decarboxylated to yield isopentenyl phosphate (IP), and finally phosphorylated again to yield IPP (Archaeal Mevalonate Pathway I).&amp;lt;ref name=&amp;quot;HALOFERAX&amp;quot;/&amp;gt; A third mevalonate pathway variant found in &#039;&#039;[[Thermoplasma acidophilum]]&#039;&#039;, phosphorylates mevalonate at the 3-OH position followed by phosphorylation at the 5-OH position. The resulting metabolite, mevalonate-3,5-bisphosphate, is decarboxylated to IP, and finally phosphorylated to yield IPP (Archaeal Mevalonate Pathway II).&amp;lt;ref name=&amp;quot;THERMOPLASMA1&amp;quot;/&amp;gt;&amp;lt;ref name=&amp;quot;THERMOPLASMA2&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Regulation and feedback==&lt;br /&gt;
Several key [[enzymes]] can be activated through [[DNA transcription]]al regulation on activation of [[SREBP]] (sterol regulatory element-binding protein-1 and -2). This intracellular sensor detects low [[cholesterol]] levels and stimulates endogenous production by the HMG-CoA reductase pathway, as well as increasing [[lipoprotein]] uptake by up-regulating the [[LDL receptor|LDL-receptor]]. Regulation of this pathway is also achieved by controlling the rate of translation of the mRNA, degradation of reductase and phosphorylation.&amp;lt;ref name=&amp;quot;GENERAL&amp;quot;/&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Pharmacology==&lt;br /&gt;
A number of [[medication|drugs]] target the &#039;&#039;mevalonate pathway&#039;&#039;:&lt;br /&gt;
* [[Statin]]s (used to [[hypercholesterolemia|decrease cholesterol levels]]);&lt;br /&gt;
* [[Bisphosphonate]]s (used to treat various bone-degenerative diseases such as [[osteoporosis]]&amp;lt;ref&amp;gt;{{Cite journal |last=Lewiecki |first=E. Michael |date=May 2010 |title=Bisphosphonates for the treatment of osteoporosis: insights for clinicians |journal=Therapeutic Advances in Chronic Disease |volume=1 |issue=3 |pages=115–128 |doi=10.1177/2040622310374783 |issn=2040-6223 |pmc=3513863 |pmid=23251734}}&amp;lt;/ref&amp;gt;)&lt;br /&gt;
&lt;br /&gt;
==Diseases==&lt;br /&gt;
A number of [[diseases]] affect the &#039;&#039;mevalonate pathway&#039;&#039;:&lt;br /&gt;
* [[Mevalonate kinase deficiency|Mevalonate Kinase Deficiency]] &lt;br /&gt;
** Mevalonic Aciduria&lt;br /&gt;
** Hyperimmunoglobulinemia D Syndrome (HIDS).&lt;br /&gt;
&lt;br /&gt;
==Alternative pathway ==&lt;br /&gt;
[[Plants]], most [[bacteria]], and some [[protozoa]] such as [[malaria]] parasites have the ability to produce [[isoprenoids]] using an alternative pathway called the [[Non-mevalonate pathway|methylerythritol phosphate (MEP)]] or [[non-mevalonate pathway]].&amp;lt;ref name=&amp;quot;MEP&amp;quot;/&amp;gt; The output of both the mevalonate pathway and the MEP pathway are the same, IPP and DMAPP; however, the enzymatic reactions to convert acetyl-CoA into IPP are entirely different. Interaction between the two metabolic pathways can be studied by using &amp;lt;sup&amp;gt;13&amp;lt;/sup&amp;gt;C-glucose [[isotopomers]].&amp;lt;ref name=&amp;quot;13C&amp;quot;&amp;gt;{{cite journal |vauthors=Orsi E, Beekwilder J, Peek S, Eggink G, Kengen SW, Weusthuis RA | title=Metabolic flux ratio analysis by parallel 13C labeling of isoprenoid biosynthesis in &#039;&#039;Rhodobacter sphaeroides&#039;&#039; | journal=Metabolic Engineering | year= 2020 | volume=57 | pages=228–238 | pmid= 31843486 | doi=10.1016/j.ymben.2019.12.004| doi-access=free }}&amp;lt;/ref&amp;gt; In higher plants, the MEP pathway operates in [[plastids]] while the mevalonate pathway operates in the [[cytosol]].&amp;lt;ref name=&amp;quot;MEP&amp;quot;/&amp;gt; Examples of bacteria that contain the MEP pathway include &#039;&#039;[[Escherichia coli]]&#039;&#039; and pathogens such as &#039;&#039;[[Mycobacterium tuberculosis]]&#039;&#039;.&lt;br /&gt;
&lt;br /&gt;
==Enzymatic reactions==&lt;br /&gt;
&lt;br /&gt;
{| class=&amp;quot;wikitable&amp;quot; &lt;br /&gt;
|-align=&amp;quot;center&amp;quot;&lt;br /&gt;
| &#039;&#039;&#039;Enzyme&#039;&#039;&#039; || &#039;&#039;&#039;Reaction&#039;&#039;&#039; || &#039;&#039;&#039;Description&#039;&#039;&#039; &lt;br /&gt;
 |- &lt;br /&gt;
 | [[Acetoacetyl-CoA thiolase]]  || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[File:Aact1.jpg|class=skin-invert-image|center|400px]]  ||  [[Acetyl-CoA]] ([[citric acid cycle]]) undergoes condensation with another acetyl-CoA molecule to form [[acetoacetyl-CoA]]&lt;br /&gt;
 |- &lt;br /&gt;
 |  [[HMG-CoA synthase]]  || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[Image:HMG-CoA synthase.svg|class=skin-invert-image|center|400px]] || Acetoacetyl-CoA condenses with another Acetyl-CoA molecule to form [[3-hydroxy-3-methylglutaryl-CoA|3-&#039;&#039;&#039;h&#039;&#039;&#039;ydroxy-3-&#039;&#039;&#039;m&#039;&#039;&#039;ethyl&#039;&#039;&#039;g&#039;&#039;&#039;lutaryl-CoA]] (HMG-CoA).&lt;br /&gt;
 |- &lt;br /&gt;
 | [[HMG-CoA reductase]] || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[Image:HMG-CoA reductase reaction.svg|class=skin-invert-image|center|400px]] || HMG-CoA is reduced to [[mevalonate]] by [[NADPH]]. This is the rate limiting step in cholesterol synthesis, which is why this enzyme is a good target for pharmaceuticals ([[statin]]s). &lt;br /&gt;
 |- &lt;br /&gt;
 | [[Mevalonate kinase|mevalonate-5-kinase]]  || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[Image:Mevalonate kinase reaction.svg|class=skin-invert-image|center|400px]] || Mevalonate is phosphorylated at the 5-OH position to yield [[mevalonate-5-phosphate]] (also called &#039;&#039;phosphomevalonic acid&#039;&#039;). &lt;br /&gt;
|- &lt;br /&gt;
 | [[mevalonate-3-kinase]]  || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[Image:M3kwiki3.jpg|class=skin-invert-image|center|400px]] || Mevalonate is phosphorylated at the 3-OH position to yield [[mevalonate-3-phosphate]]. 1 ATP is consumed.&lt;br /&gt;
|- &lt;br /&gt;
 | [[mevalonate-3-phosphate-5-kinase]]  || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[File:M35bpK.jpg|class=skin-invert-image|center|400px]] || Mevalonate-3-phosphate is phosphorylated at the 5-OH position to yield [[mevalonate-5-phosphate]] (also called &#039;&#039;phosphomevalonic acid&#039;&#039;). 1 ATP is consumed.&lt;br /&gt;
 |- &lt;br /&gt;
 | [[phosphomevalonate kinase]] || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[Image:Phosphomevalonate kinase reaction.svg|class=skin-invert-image|center|400px]] || mevalonate-5-phosphate is phosphorylated to yield [[mevalonate-5-pyrophosphate]]. 1 ATP is consumed.  &lt;br /&gt;
 |- &lt;br /&gt;
 | [[mevalonate-5-pyrophosphate decarboxylase]] || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[Image:Mdd2.jpg|class=skin-invert-image|center|400px]] || Mevalonate-5-pyrophosphate is decarboxylated to yield [[isopentenyl pyrophosphate]] (IPP). 1 ATP is consumed. &lt;br /&gt;
 |- &lt;br /&gt;
 | [[isopentenyl pyrophosphate isomerase]]   || style=&amp;quot;background: light-dark(white,black)&amp;quot;| [[Image:IPP isomerase reaction.svg|class=skin-invert-image|center|400px]] || [[isopentenyl pyrophosphate]] is [[isomerized]] to [[dimethylallyl pyrophosphate]].&lt;br /&gt;
|}&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
{{reflist|2| refs =&amp;lt;ref name=&amp;quot;GENERAL&amp;quot;&amp;gt;&lt;br /&gt;
Buhaescu I, Izzedine H (2007) Mevalonate pathway: areview of clinical and therapeutical implications. ClinBiochem 40:575–584.&lt;br /&gt;
&amp;lt;/ref&amp;gt;&lt;br /&gt;
&amp;lt;ref name=&amp;quot;ISOPRENOIDS&amp;quot;&amp;gt;&lt;br /&gt;
Holstein, S. A., and Hohl, R. J. (2004) Isoprenoids: Remarkable Diversity of Form and Function. Lipids 39, 293−309&lt;br /&gt;
&amp;lt;/ref&amp;gt;&lt;br /&gt;
&amp;lt;ref name=&amp;quot;REVIEW&amp;quot;&amp;gt;&lt;br /&gt;
Goldstein, J. L., and Brown, S. B. (1990) Regulation of the mevalonate pathway. Nature 343, 425−430&lt;br /&gt;
&amp;lt;/ref&amp;gt;&lt;br /&gt;
&amp;lt;ref name=&amp;quot;MIZIORKO&amp;quot;&amp;gt;&lt;br /&gt;
Miziorko H (2011) Enzymes of the mevalonate pathway of isoprenoid biosynthesis. Arch Biochem Biophys 505:131-143.&lt;br /&gt;
&amp;lt;/ref&amp;gt;&lt;br /&gt;
&amp;lt;ref name=&amp;quot;HALOFERAX&amp;quot;&amp;gt;&lt;br /&gt;
Dellas, N., Thomas, S. T., Manning, G., and Noel, J. P. (2013) Discovery of a metabolic alternative to the classical mevalonate pathway. eLife 2, e00672&lt;br /&gt;
&amp;lt;/ref&amp;gt;&lt;br /&gt;
&amp;lt;ref name=&amp;quot;THERMOPLASMA1&amp;quot;&amp;gt;&lt;br /&gt;
Vinokur JM, Korman TP, Cao Z, Bowie JU (2014) Evidence of a novel mevalonate pathway in archaea. Biochemistry 53:4161–4168.&lt;br /&gt;
&amp;lt;/ref&amp;gt;&lt;br /&gt;
&amp;lt;ref name=&amp;quot;THERMOPLASMA2&amp;quot;&amp;gt;&lt;br /&gt;
Azami Y, Hattori A, Nishimura H, Kawaide H, YoshimuraT, Hemmi H (2014) (R)-mevalonate-3-phosphate is an intermediate of the mevalonate pathway in Thermoplasma acidophilum. J Biol Chem 289:15957–15967.&lt;br /&gt;
&amp;lt;/ref&amp;gt;&lt;br /&gt;
&amp;lt;ref name=&amp;quot;MEP&amp;quot;&amp;gt;Banerjee A, Sharkey TD. (2014) Methylerythritol 4-phosphate (MEP) pathway metabolic regulation. Nat Prod Rep 31:10431055&amp;lt;/ref&amp;gt;&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
==External links==&lt;br /&gt;
* [http://www.rpi.edu/dept/bcbp/molbiochem/MBWeb/mb2/part1/cholesterol.htm Rensselaer Polytechnic Institute] page on cholesterol synthesis (including regulation)&lt;br /&gt;
&lt;br /&gt;
{{Mevalonate pathway}}&lt;br /&gt;
{{MetabolismMap}}&lt;br /&gt;
&lt;br /&gt;
[[Category:Metabolic pathways]]&lt;/div&gt;</summary>
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