Dihydrorotate dehydrogenase (DHOD) (EC 1.3.99.11) catalyzes the fourth step and only redox reaction in the de novo pyrimidine biosynthesis, the stereospecific oxidation of (S)-DHO to orotate accompanied by the reduction of the prosthetic flavin (FMN) group (Fig. 1 ▶). A phylogenetic analysis of available DHOD sequences revealed that DHOD from different organisms can be assigned to two different major classes: class 1 and class 2 (Bjornberg et al. 1997). Class 1 DHODs originating mainly from gram-positive bacteria can furthermore be divided into subclasses 1A, 1B, and a new type 1S identified in Sulfolobus solfataricus (Sorensen and Dandanell 2002). The DHODs belonging to the different classes differ also in their location in the cell. The class 1A and 1B DHODs are found in the cytosol, whereas those from class 2 are membrane associated. Another distinct difference between the two classes of enzymes is their natural electron acceptor used to reoxidize the flavin group. Figure 1. The reaction catalyzed by class 2 DHODs and chemical structure of the DHOD inhibitors atovaquone, brequinar, and A771726. This figure is produced by ISIS draw 2.4 (MDL Information Systems, Inc.). Lactococcus lactis contains two genes encoding for DHODs representing subclass 1A and 1B, DHODA and DHODB, respectively. They differ in their structural organization and use of electron acceptor. The DHODA enzyme is a homodimer comprising two PyrDA subunits with an (αβ)8 barrel fold and the prosthetic FMN group located at the C-terminal ends of the β-strands at the top of the barrel (Rowland et al. 1997); it uses fumarate as its natural electron acceptor (Andersen et al. 1996). The DHODB is a heterotetramer composed of a central homodimer of PyrDB subunits resembling the DHODA structure and two PyrK subunits (Rowland et al. 2000). It is the presence of the PyrK subunits, which contain an FAD group and a [2Fe-2S] cluster, that enables the class 1B enzymes to use NAD+ as the natural electron acceptor (Nielsen et al. 1996). Class 1S DHOD can use Q0 and molecular oxygen as electron acceptors, together with the unphysiological substrates ferricyanide and DCIP used in in vitro measurements (Sorensen and Dandanell 2002). The membrane-associated class 2 DHODs found in gram-negative bacteria and in eukaryotes are monomeric enzymes that have the respiratory quinones as their physiological electron acceptors (Fig. 1 ▶; Bjornberg et al. 1999). A major structural difference between the class 1 and class 2 DHODs is their extended N terminus. The structure determinations for the DHODC and DHODH, truncated to be of the same length as DHODC, showed that the N terminus in the class 2 enzymes comprises a separate domain with two α-helices located on the top of the catalytic (αβ)8 barrel close to the FMN group (Liu et al. 2000; Norager et al. 2002). All eukaryotic enzymes from class 2 are located in the mitochondrial membrane attached by transmembrane α -helices, whereas the gram-negative bacterial enzymes are associated with the cytosolic side of the outer membrane. The extension of the N terminus in class 2 DHODs is thought to serve as a targeting signal guiding the enzyme to its location in the inner mitochondrial membrane (Rawls et al. 2000; Loffler et al. 2002) A basic residue in the active site mediates the stereospecific oxidation of (S)-DHO. It is a cysteine in the class 1 enzymes (Bjornberg et al. 1997) and a serine residue in the class 2 DHODs (Bjornberg et al. 1999). The basic residue is located in a loop in close contact to DHO bound on top of the FMN group. This position facilitates abstraction of a proton from the C5 atom of DHO in the enzymatic reaction, where a double bond between C5 and C6 is formed due to the transfer of a hydride ion from C6 to the N5 atom of FMN (Fig. 1 ▶). The second half reaction uses the respiratory quinones as electron acceptors. Their proposed binding site (Liu et al. 2000) is the N-terminal domain, where they are able to mediate the electron transfer to the FMNH2 group bound in the (αβ)8 barrel, as shown in Figure 1 ▶. The inhibition of DHODs causes a lowering of the intracellular pools of uracil, cytosine, and thymine nucleotides in cells, which makes DHODs attractive drug targets (Fairbanks et al. 1995). Most organisms are able to use a salvage pathway for pyrimidine nucleotide biosynthesis. It allows the pyrimidine bases or nucleosides formed from degradation of nucleotides and nucleic acids to be reused by salvage reactions. Some of the genes encoding for the enzymes in the pyrimidine salvage pathway were not identified in the genomes of two organisms affecting human health, the bacterium Helicobacter pylori causing stomach ulcers and stomach cancer and the malaria-causing parasite Plasmodium. They therefore depend exclusively on de novo synthesis of pyrimidine nucleotides, which explains why DHODs from these organisms are very attractive drug targets. Rapidly dividing human cells, like activated lymphocytes (Cutolo et al. 2003) and cancer cells (Shawver et al. 1997) require also a functional de novo nucleotide pathway to meet their requirement for nucleotides because recycling using salvage pathways of the already existing nucleotide pool through salvage pathways is not sufficient (Fairbanks et al. 1995). The immunomodulating drug leflunomide (Arava) has been approved for the treatment of rheumatoid arthritis (Goldenberg 1999). It has been shown that this drug inhibits DHODH and thereby inhibits the pyrimidine de novo biosynthetic pathway (Davis et al. 1996). The structure of DHODH is known in complex with A771726, the active metabolite of the prodrug leflunomide (DHODH-lefl) and brequinar (DHODH-breq) (Liu et al. 2000). From the analysis of the two structures of DHODH, it was concluded that the inhibitors could bind to the same site as the second natural substrate, the respiratory quinone. This feature was also deduced from enzyme kinetics studies of most of the class 2 enzyme inhibitors reported so far (Bader et al. 1998; Knecht et al. 2000). Considerable efforts have been put into structure activity analysis for DHODs from different organisms, among them rat and mouse (Knecht et al. 2000). An interesting feature of class 2 DHODs is the relatively small number of conserved residues located in their extended N termini. This explains why the N-terminal domains in the known structures of the class 2 DHODs display significant variations in the length and orientation of the helices that form this domain (Norager et al. 2002). The comparison of the sequences from DHODH, DHODC, and DHODR in Figure 2 ▶ reveals that, among the residues corresponding to the first 40 residues of DHODC, there are only six conserved. It is likely that this variation is the origin of the different behavior of inhibitors even for very closely related DHODs like the rat and human (Knecht and Loffler 1998). Thus, it seems possible to design inhibitors that are specific for a given organism, as demonstrated by structure-activity studies made on class 2 DHODs (Copeland et al. 2000). Figure 2. Structural alignment of DHODR, DHODH, and DHODC sequences. The structural elements correspond to the DHODR structures. α-Helixes in the central barrel are named α1–α8 and β-sheets in the barrel are named β1–β8. ... The work presented here addresses the differences between the class 2 DHODs. We have determined the crystal structures of the DHOD from rat, truncated like DHODH to be of the same length as DHODC, in complex with brequinar (DHODR-breq) and atovaquone (DHODR-ato). Atovaquone (Fig. 1 ▶) is a structural analog of ubiquinone. It is used as a broad-spectrum antiparasitic drug and has showed activity against various parasitic infections, such as malaria, toxoplasmosis (caused by Toxoplasma gondii), and pneumonia (Pneumocystis carinii) (Kaneshiro et al. 2000). Atovaquone has passed clinical trials and thereby received approval to combat Plasmodium falciparum. The primary mechanism of action in Plasmodium falciparum is the irreversible binding to the mitochondrial cytochrome bc1 complex, but it is also a potent inhibitor of DHOD activity (Ittarat et al. 1994). Atovaquone is marketed in the United States under the trade name Mepron. Atovaquone is one of the active compounds in Malarone (GlaxoSmithKline), used in the prophylaxis (prevention) and treatment of malaria. Brequinar is a quinoline carboxylic acid, which has been tested preclinically as a cytostatic agent. The three inhibitors atovaquone, A77126, and brequinar (known to inhibit different class 2 DHODs) are chemically different and do not mimic the natural electron acceptor, as shown in Figure 1 ▶. Our analysis of the two structures of DHODR-ato and DHODR-breq revealed a remarkable difference in the conformation of their small N-terminal domain. A comparison to the structures of inhibited DHODH have revealed subtle differences in the N-terminal domain that can explain why the DHOD inhibitors act differently on the two highly homologous enzymes. These results are valuable for the structural-based drug design of organism-specific inhibitors of DHOD, and have formed the basis for a modeling of quinone binding. Furthermore, we present an analysis of the differences in the N-terminal domain between the class 2 membrane-bound and membrane-associated DHOD, based on computational GRID modeling.