1996
DOI: 10.1016/s0092-8674(00)81275-1
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Structure and Mechanism of Inosine Monophosphate Dehydrogenase in Complex with the Immunosuppressant Mycophenolic Acid

Abstract: The structure of inosine-5'-monophosphate dehydrogenase (IMPDH) in complex with IMP and mycophenolic acid (MPA) has been determined by X-ray diffraction. IMPDH plays a central role in B and T lymphocyte replication. MPA is a potent IMPDH inhibitor and the active metabolite of an immunosuppressive drug recently approved for the treatment of allograft rejection. IMPDH comprises two domains: a core domain, which is an alpha/beta barrel and contains the active site, and a flanking domain. The complex, in combinati… Show more

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Cited by 402 publications
(459 citation statements)
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“…A Pfam functional domain search identified similarities of both the ASAP1 BAR and FIP3 coiled-coil domains with IMP dehydrogenase (IMPDH)/GMP reductase domain. IMPDH forms a homotetramer through its core domain (Sintchak et al, 1996). Because both ASAP1 and FIP3 form homodimers (Eathiraj et al, 2006;Nie et al, 2006;Shiba et al, 2006), they might function as heterotetramer.…”
Section: Discussionmentioning
confidence: 99%
“…A Pfam functional domain search identified similarities of both the ASAP1 BAR and FIP3 coiled-coil domains with IMP dehydrogenase (IMPDH)/GMP reductase domain. IMPDH forms a homotetramer through its core domain (Sintchak et al, 1996). Because both ASAP1 and FIP3 form homodimers (Eathiraj et al, 2006;Nie et al, 2006;Shiba et al, 2006), they might function as heterotetramer.…”
Section: Discussionmentioning
confidence: 99%
“…The molecular mechanisms underlying the antiproliferative e ect of MM on lymphocytes have been partially characterized . MPA speci®cally inhibits inosine monophosphate dehydrogenase (Sintchak et al, 1996), thus inhibiting de novo GTP formation and depleting cells of guanosine and deoxyguanosine nucleotides required for lymphocyte proliferation. The GTP depleting e ect is less pronounced in other cell types, such as EC, that have a salvage pathway for purine synthesis .…”
Section: Discussionmentioning
confidence: 99%
“…MPA is a potent uncompetitive and reversible inhibitor of inosine-5'-monophosphate dehydrogenase (IMPDH) (Sintchak et al, 1996), and thus interferes with the biosynthesis of guanosine and deoxyguanosine nucleotides. Since proliferating B and T lymphocytes are more dependent on this de novo pathway for purine biosynthesis rather than on the salvage pathway, MPA more e ectively inhibits lymphocyte proliferation than proliferation of other cell types (Allison et al, 1977).…”
Section: Introductionmentioning
confidence: 99%
“…Potent MPA-inhibition of the ratelimiting enzyme, inosine monophosphate dehydrogenase (IMPDH) [7], is highly selective toward type II IMPDH isozyme over type I because of its specific role in de-novo synthesis of guanosine monophosphate in activated mononuclear cell proliferation. Selective inhibition of type II IMPDH by MPA prevents proliferation of activated T-and B-lymphocytes and allows the agent to exert a potent immunosuppressant effect, as well as it induces apoptosis of activated T-lymphocytes [8].…”
mentioning
confidence: 99%