MSEPIRVLVT GAAGQIAYSL LYSIGNGSVF GKDQPIILVL LDITPMMGVL DGVLMELQDC ALPLLKDVIA TDKEDVAFKD LDVAILVGSM PRREGMERKD LLKANVKIFK SQGAALDKYA KKSVKVIVVG NPANTNCLTA SKSAPSIPKE NFSCLTRLDH NRAKAQIALK LGVTANDVKN VIIWGNHSST QYPDVNHAKV KLQGKEVGVY EALKDDSWLK GEFVTTVQQR GAAVIKARKL SSAMSAAKAI CDHVRDIWFG TPEGEFVSMG VISDGNSYGV PDDLLYSFPV VIKNKTWKFV EGLPINDFSR EKMDLTAKEL TEEKESAFEF LSSALEHHHH HH.
MDH1 is composed of two main domains: an N-terminal NAD binding domain and a C-terminal substrate binding domain. It functions as a homodimer, meaning it forms a complex with another identical MDH1 molecule . The primary function of MDH1 is to catalyze the reversible oxidation of malate to oxaloacetate, utilizing the NAD/NADH cofactor system. This reaction is a key step in the citric acid cycle (also known as the Krebs cycle), which is essential for energy production in cells .
MDH1 is involved in several metabolic processes, including glycolysis and the urea cycle. It also plays a pivotal role in the malate-aspartate shuttle, which facilitates the transfer of reducing equivalents across the mitochondrial membrane, thereby linking the metabolic activities of the cytosol and mitochondria .
MDH1 expression is amplified in various cancers, such as lung squamous cell carcinoma, diffuse B cell lymphoma, bladder cancer, and pancreatic cancer. Higher expression levels of MDH1 are often negatively correlated with patient survival, making it a potential biomarker for cancer prognosis . Additionally, MDH1 supports increased rates of cancer glycolysis by serving as both a carbon and NAD supplier, in lieu of and in addition to lactate dehydrogenase (LDH) .
The activity of MDH1 is regulated through various post-translational modifications. For instance, acetylation of MDH1 activates its enzymatic activity and enhances intracellular levels of NADPH, promoting adipogenic differentiation . Conversely, methylation on arginine 248 (R248) negatively regulates MDH1 by disrupting its dimerization, thereby repressing mitochondrial respiration and inhibiting glutamine utilization .