4-Hydroxybutyrate dehydrogenase

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4-Hydroxybutyrate dehydrogenase (4-HBDH) is an enzyme that catalyzes the oxidation of gamma-hydroxybutyrate (GHB) to succinic semialdehyde (SSA) in the presence of NAD+ (nicotinamide adenine dinucleotide). This reaction is a critical step in the metabolic pathway that processes GHB, a compound that can be both a naturally occurring neurotransmitter and a drug of abuse. The enzyme plays a significant role in the metabolism of GHB, facilitating its conversion into succinate, which can then enter the citric acid cycle for energy production.

Function[edit | edit source]

4-Hydroxybutyrate dehydrogenase is involved in the GABAergic system, where GHB is metabolized into SSA by 4-HBDH, and then SSA is further converted into gamma-aminobutyric acid (GABA) by succinic semialdehyde dehydrogenase. This pathway is essential for the regulation of GABA, an inhibitory neurotransmitter in the central nervous system (CNS). The activity of 4-HBDH, therefore, has implications for neurological functions and disorders, including epilepsy, narcolepsy, and potentially in the therapeutic mechanisms of GHB in treating these conditions.

Structure[edit | edit source]

4-Hydroxybutyrate dehydrogenase is a protein that is encoded by the gene GHBDH in humans. The enzyme's structure has been studied to understand its function and interaction with substrates and inhibitors. Knowledge of its structure aids in the development of therapeutic agents targeting GHB-related disorders.

Clinical Significance[edit | edit source]

The enzyme's role in metabolizing GHB has clinical implications, especially considering the use of GHB in medical settings as well as its abuse potential. Understanding the enzyme's function can help in developing treatments for GHB overdose and addiction. Moreover, since GHB is a naturally occurring substance in the human body, insights into the regulation of 4-HBDH activity could contribute to understanding and treating metabolic and neurological disorders.

Research[edit | edit source]

Research on 4-Hydroxybutyrate dehydrogenase focuses on its biochemical properties, regulatory mechanisms, and potential as a therapeutic target. Studies have explored inhibitors of the enzyme as a means to modulate GHB levels in the body, offering potential avenues for treating related disorders.

See Also[edit | edit source]

References[edit | edit source]

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Contributors: Prab R. Tumpati, MD