Succinate dehydrogenase (or Electron Transport Chain Complex II) has been the subject of a focused but significant renaissance. This complex, which has been the least studied of the mitochondrial respiratory complexes has seen renewed interest due to the discovery of its role in human disease. Under this heightened scrutiny, the succinate dehydrogenase complex has proven to be a fascinating machine, whose regulation and assembly requires additional factors that are beginning to be discovered. Mutations in these factors and in the structural subunits of the complex itself cause a variety of human diseases. The mechanisms underlying the pathogenesis of SDH mutations is beginning to be understood.
Mitochondrial Respiratory ChainThe generation of ATP in mitochondria is coupled to the oxidation of NADH and FADH 2 and reduction of oxygen to water within the respiratory chain. Energy from the oxidative respiratory chain is converted into a proton gradient across the mitochondrial inner membrane (IM) that drives ATP synthesis. The respiratory chain consists of four multisubunit protein complexes embedded within the IM in addition to mobile electron carriers, coenzyme Q (ubiquinone) and cytochrome c. Electrons from the oxidation of NADH are routed through Complex I to coenzyme Q, whereas electrons from the oxidation of carbon fuel substrates in the citric acid cycle that reduce FAD are funneled to ubiquinone through Complex II (succinate dehydrogenase). A third entry point to the electron transfer chain is the mammalian flavoprotein-ubiquinone oxidoreductase (ETF-QO) that directs electrons from the oxidation of fatty acids and some amino acids to the respiratory chain via reduction of ubiquinone. Reduced ubiquinol is oxidized by Complex III and subsequently electrons are transferred via cytochrome c to Complex IV where molecular oxygen is reduced to water. Proton pumping by Complexes I, III and IV generates the electrochemical gradient that is then utilized to drive ATP synthesis by Complex V (ATP synthase).The electron transfer pathway in the oxidation of NADH by Complex I involves initial reduction of a FMN cofactor and subsequent transfer through 7 FeS clusters to the ubiquinone