Dihydroorotate dehydrogenase (DHOD) is a pyrimidine biosynthetic enzyme which is usually directly linked to the mitochondrial respiratory chain. Antimalarial naphthoquinones such as atovaquone (566c80) inhibit malarial DHOD by inhibiting electron transport. Since atovaquone also has therapeutic activity against Pneumocystis carinii, the P. carinii DHOD may also be an important drug target. Organisms were obtained from immunosuppressed rats, incubated for 24 h in a short-term in vitro culture system, and then lysed. P. carinii lysates catalyzed the generation of orotate from dihydroorotate at a rate of 852 pmol/mg of protein per min. Control preparations made from uninfected mice showed much less total enzymatic activity and enzyme specific activity. As expected, P. carinii DHOD activity was susceptible to respiratory inhibitors such as cyanide, antimycin A, and salicylhydroxamic acid (SHAM). Susceptibility to SHAM suggests the presence of an alternative oxidase. In contrast, neither pentamidine nor 5-hydroxy-6-demethylprimaquine (5H6DP), a quinone metabolite of primaquine, inhibited the enzyme. Atovaquone inhibited DHOD by 76.3% at 100 M and 36.5% at 10 M. A similar degree of inhibition was found when the organisms were preincubated with the drug. Atovaquone inhibited P. carinii growth in vitro at a somewhat lower concentration (between 0.3 and 3 M). In contrast, Plasmodium falciparum growth and enzyme activity are susceptible to nanomolar concentrations of atovaquone. Thus, while it is possible that atovaquone acts by inhibiting the P. carinii electron transport chain, the possibility of another drug target cannot be excluded.Dihydroorotate dehydrogenase (DHOD) is a key enzyme in de novo pyrimidine biosynthesis, catalyzing the conversion of dihydroorotate to orotate (5,12,22). DHOD is a particularly important enzyme, because it is the target of several useful chemotherapeutic agents such as the antitumor agent brequinar sodium (6) and the antimalarial agents atovaquone and menoctone (13,17). Several orotate analogs have antimalarial activities (20,25). Since atovaquone is also an effective treatment for Pneumocystis carinii pneumonia (2), it is possible that the P. carinii DHOD might be an important chemotherapeutic target. But little is currently known about the P. carinii DHOD.In all eukaryotic cells that have been studied except trypanosomatids (23), DHOD is bound to mitochondria. Isolated enzymes donate electrons directly to oxygen and to various artificial electron acceptors, although they usually prefer coenzyme Q (ubiquinone) (22). In intact organisms, carefully broken cells, and isolated mitochondria, most DHODs donate electrons directly to the mitochondrial respiratory chain.In a previous study we have examined the effects of various drugs on the mitochondrion-bound DHOD of Plasmodium falciparum (18). We then looked at the effects of these and other drugs on the P. carinii DHOD, which are described here.
MATERIALS AND METHODSDrugs. Atovaquone (566c80) was a gift from the Burroughs Wellcome Co., Researc...