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Isocitrate Lyase from Mycobacterium tuberculosis

1 Introduction
2 Isocitrate Lyase
3 Mechanism of Action
4 Disease Association
- 4.1 Clinical Implications
- 4.2 Inhibitors
5 Other 3D Structures of Isocitrate Lyase

Introduction

Isocitrate lyase is a lyase found in the proteome of multiple bacteria that oxidizes the hydroxl group of isocitrate and cleaves the substrate in two forming glyoxylate and succinate. Isocitrate lyase is a tetramer that is composed primarily of alpha helices and beta sheets with a unique structural phenomenon called "". This enzyme can be found within the cytosol of bacteria and is used in a variation of the citric acid cycle to help conserve energy by not using NADPH as an electron carrier and by reforming coenzyme-A earlier than in the normal citric acid cycle.

Isocitrate Lyase

Structure

Figure 1. Crystal Structure of Isocitrate Lyase. Quaternary structure is comprised of four subunits forming an alpha/beta barrel.

Isocitrate lyase is a tetramer with 222 symmetry. Each subunit is composed of 14 alpha helices and 14 beta sheets which includes a total of 426 residues. These α helices and β sheets form an unusual α/β barrel seen in Figure 1. The α/β barrel contains a topology of (βα)₂α(βα)₅β, differing from the canonical (βα)₈ pattern. Residues 184-200 and 235-254 connects the third and forth β-strands to their consecutive helices and form a that consists of a short five-stranded βsheet (β6,β7,β9,β10,β11) that lies on top of the α/β barrel. ^[1] Additionally, this β-domain contains the catalytic loop necessary for isocitrate lyase to breakdown isocitrate. A study of the equilibria between the four subunits shows that each isocitrate lyase monomer has a dynamic comformational change of the active site loop. At any given time, only two of the subunits are in the open conformation. ^[2] Isocitrate lyase shows a resemblance to phosphoenolpyrvate mutase. ^[1]

Helix Swapping

A unique structural feature of this enzyme is a phenomenon called "". Helix swapping is observed between two monomers to form stable dimers. The 12th and 13th helices of each monomer exchange three dimensional placement with the respective helices of the opposite monomer. Due to the 222 symmetry observed, only two dimers form than combine to form the observed tetramer. As a result of this structure, 18% of the surface of each monomer is buried within the protein.

Active Site

Figure 2. Active Site Residues. All eight active site residues necessary for catalysis of isocitrate are shown in slate. However, the protein shown is a C191S mutant of isocitrate lyase.

Figure 3. Active site residues hydrogen bound to a cofactor and the products of the catalyzed isocitrate reaction. Glyoxylate is shown in blue, succinate is shown in green, and the Mg²⁺ cofactor is shown in yellow.

The active site of isocitrate lyase consists of eight residues: Trp93, Cys191, His193, Ser315, Ser317, Asn313, Thr347, Leu348 (Figure 2). Additionally, there are several other amino acid side chains present that form hydrogen bonding opportunities with isocitrate to catalyze the breakdown reaction to glyoxylate and succinate. Ser91, Gly92, Trp93, and Arg228 form while Asn313, Glu295, Arg228, and Gly192 and Trp93, Thr347, Ser315, Ser317, and His193 form with the two carboxylates within succinate. ^[1] Additionally, a Mg²⁺ ion is needed for further electrostatic stabilization of the extreme negative charge on isocitrate. This Mg²⁺ hydrogen bonds to the carboxylate in glyoxylate and one of the carboxylates in succinate (Figure 3).

Catalytic Loop

Figure 4. Active Site Loop Shift. Binding of the ligand to the enzyme results in a conformational shift that facilitates the breakdown of isocitrate. The active site loop unbound is shown in wheat and the active site loop bound is shown in green.

The catalytic loop of isocitrate lyase consists of residues 185-196 (Figure 4). The two most important are Cys191 and His193 as these form a charge relay strong enough to extract a proton from isocitrate. Poor electron density has been observed for residues His193 and Leu194 indicating that this loop is very flexible. ^[1] This data backs up the claim that that monomers of the protein are in a structural equilibria between the open and closed forms of the active site. In order for the catalytic loop to shift into the closed position necessary for catalysis, isocitrate must be within the binding pocket. The hydrogen bonding opportunities formed cause a ripple effect that shifts the catalytic loop into a closer position. ^[1] This shift also causes the C-terminal domain of the subunit (residues 411-428) to . The C-terminal domain is stabilized by an with Lys189. This combined movement locks the active site residues into a proper orientation for lysis of a C-C bond within isocitrate. ^[1]

Regulation

Isocitrate lyase competes with isocitrate dehydrogenase, an enzyme found in the citric cycle, for isocitrate processing. The favoritism of one enzyme over the other is controlled by the phosphorylation of isocitrate dehydrogenase. This enzyme has a much higher affinity for isocitrate as compared to isocitrate lyase. Phosphorylation of isocitrate dehydrogenase inactivates the enzyme and leades to increased isocitrate lyase activity. ^[3]

Mechanism of Action

Figure 5. Observed Mechanism for the Breakdown of Isocitrate by Isocitrate Lyase.

His193 shifts the pKa of Cys191 and removes its proton. This allows Cys191 to extract a proton from the hydroxyl group of isocitrate. The resulting oxyanion forms a carbonyl and forces the lysis of a C-C bond. Glyoxylate and the enol form of succinate are formed and stabilized with a Mg²⁺ ion. The succinate enolate resonates and extracts the proton back from Cys191 to form succinate (Figure 5).

Disease Association

Clinical Implications

Image:TCA Cycle.png

Figure 6. Citric Acid Cycle with Glyoxylate Shunt Pathway. In several bacterial species, there is a carbon conserving gloxylate shunt pathway that converts isocitrate to malate in two steps instead of the usual five steps.

Mycobacterium tuberculosis is a respiratory infection that causes numerous fatalities throughout the world. It lives in organisms and feeds off of host cells, which indicate a variety of lipases exist within M. tuberculosis. Current drugs that are on the market now target a small number of bacterial processes like cell wall formation and chromosomal replication. Although several antibiotics exist, all of them target these same mechanisms of inhibition. These commonalities have led to the prevalence of different multi-drug resistant (MDR) tuberculosis strains. Due to the high level of resistance, finding a lasting treatment for MDR TB infections has become very problematic. Studies into new mechanisms of inhibition will be crucial to prevent widespread outbreaks.

Isocitrate lyase plays a key role in survival of M. tuberculosis by sustaining intracellular infections in inflammatory respiratory macrophages. Used in the citric acid cycle, isocitrate lyase is the first enzyme catalyzing the carbon conserving glyoxylate pathway (Figure 6). This glyoxylate pathway has not been observed in mammals and thus presents a unique drug target to solely attack TB infections. Upregulation of the glyoxylate cycle has been seen for pathogens like M. tuberculosis that attack humans. ^[4] Furthermore, isocitrate lyase has been found to be essential for tuberculosis survival within hosts. ^[5]

Inhibitors

Due to the increased usefulness of this enzyme in propagating M. tuberculosis infections, specific inhibitors are being looked into as possible therapeutic targets for isocitrate lyase. Two such inhibitors that have already been identified are bromopyruvate and nitropropionate. Unfortunately, these molecules are non-specific and would also inhibit other enzymes essential for host function. ^[6] More research is needed to identify inhibitors that selectively target enzymes in the glyoxylate cycle.

Other 3D Structures of Isocitrate Lyase

1F61 Mycobacterium tuberculosis
1F8M Mycobacterium tuberculosis
1DQU Aspergillus nidulans
1IGW Escherichia coli
3IG3 Yersinia pestis
3I4E Burkholderia pseudomallei
3P0X, 3EOL, 3OQ8, 2E5B Brucella melitensis

References

↑ ^1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; et. al; Structure of isocitrate lyase, a persistence factor of Mycobacterium tuberculosis. Nat. Struct. Biol.. 2000. 7(8):663-668.
↑ Gould, T.; van de Langemheen, H.; Muñoz-Elías, E.; McKinney, D.; Sacchettini, J.; Dual role of isocitrate lyase 1 in the glyoxylate and methylcitrate cycles in Mycobacterium tuberculosis. Molecular Microbiology. 2006. 61(4):940-947. doi:10.1111/j.1365-2958.2006.05297.x.
↑ Cozzone, A.; Regulation of acetate metabolism by protein phosphorylation in enteric bacteria. Annual Review of Microbiology. 1998, 52:127-164. doi: 10.1146/annurev.micro.52.1.127.
↑ Srivastava, V.; Janin, A.; Srivastava, B.; Srivastava, R.; Selection of genes of Mycobacterium tuberculosis upregulated during residence in lungs of infected mice. ScienceDirect. 2007. doi:10.1016/j.tube.2007.10.002.
↑ Muñoz-Elías, E.; McKinney, J.; M. tuberculosis isocitrate lyases 1 and 2 are jointly required for in vivo growth and virulence. Nat. Med. 2005. 11(6):638-644. doi:10.1038/nm1252.
↑ Dunn, M.; Ramírez-Trujillo, J.; Hernández-Lucas, I.; Major roles of isocitrate lyase and malate synthase in bacterial and fungal pathogenesis. Microbiology. 2009. 155:3166-3175. doi:10.1099/mic.0.030858-0.

Retrieved from "http://52.214.119.220/wiki/index.php/Sandbox_Reserved_1058"

@@ Line 6: / Line 6: @@
 ===Structure===
 [[Image:Normal_Crystal_Structure.png|250 px|left|thumb|'''Figure 1. Crystal Structure of Isocitrate Lyase.''' Quaternary structure is comprised of four subunits forming an alpha/beta barrel.]]
-[http://www.rcsb.org/pdb/explore/explore.do?structureId=1f8i Isocitrate lyase] is a tetramer with 222 symmetry. Each subunit is composed of 14 alpha helices and 14 beta sheets which includes a total of 426 residues. These α helices and β sheets form an unusual α/β barrel seen in '''Figure 1'''. The α/β barrel contains a topology of (βα)<sub>2</sub>α(βα)<sub>5</sub>β, differing from the canonical (βα)<sub>8</sub> pattern. Residues 184-200 and 235-254 connects the third and forth β-strands to their consecutive helices and form a <scene name='69/694225/Small_beta_domain/1'>small β-domain</scene> that consists of a short five-stranded βsheet (β6,β7,β9,β10,β11) that lies on top of the α/β barrel. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref> Additionally, this β-domain contains the catalytic loop necessary for isocitrate lyase to breakdown isocitrate. A study of the equilibria between the four subunits shows that each isocitrate lyase monomer has a dynamic comformational change of the active site loop. At any given time, only two of the subunits are in the open conformation. <ref name="gould"> Gould, T.; van de Langemheen, H.; Muñoz-Elías, E.; McKinney, D.; Sacchettini, J.; Dual role of isocitrate lyase 1 in the glyoxylate and methylcitrate cycles in ''Mycobacterium tuberculosis''. ''Molecular Microbiology''. '''2006'''. ''61(4)'':940-947. doi:10.1111/j.1365-2958.2006.05297.x. </ref> Isocitrate Lyase shows a resemblance to [http://www.rcsb.org/pdb/explore/explore.do?structureId=1S2V phosphoenolpyrvate mutase]. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref>
+[http://www.rcsb.org/pdb/explore/explore.do?structureId=1f8i Isocitrate lyase] is a tetramer with 222 symmetry. Each subunit is composed of 14 alpha helices and 14 beta sheets which includes a total of 426 residues. These α helices and β sheets form an unusual α/β barrel seen in '''Figure 1'''. The α/β barrel contains a topology of (βα)<sub>2</sub>α(βα)<sub>5</sub>β, differing from the canonical (βα)<sub>8</sub> pattern. Residues 184-200 and 235-254 connects the third and forth β-strands to their consecutive helices and form a <scene name='69/694225/Small_beta_domain/1'>small β-domain</scene> that consists of a short five-stranded βsheet (β6,β7,β9,β10,β11) that lies on top of the α/β barrel. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref> Additionally, this β-domain contains the catalytic loop necessary for isocitrate lyase to breakdown isocitrate. A study of the equilibria between the four subunits shows that each isocitrate lyase monomer has a dynamic comformational change of the active site loop. At any given time, only two of the subunits are in the open conformation. <ref name="gould"> Gould, T.; van de Langemheen, H.; Muñoz-Elías, E.; McKinney, D.; Sacchettini, J.; Dual role of isocitrate lyase 1 in the glyoxylate and methylcitrate cycles in ''Mycobacterium tuberculosis''. ''Molecular Microbiology''. '''2006'''. ''61(4)'':940-947. doi:10.1111/j.1365-2958.2006.05297.x. </ref> Isocitrate lyase shows a resemblance to [http://www.rcsb.org/pdb/explore/explore.do?structureId=1S2V phosphoenolpyrvate mutase]. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref>
@@ Line 15: / Line 15: @@
 ===Active Site===
-[[Image:Active Site Residues.png|250 px|left|thumb|'''Figure 3. Active Site Residues.''' All eight active site residues necessary for catalysis of isocitrate are shown in slate. However, the protein shown is a C191S mutant of isocitrate lyase.]] [[Image:Active_Site_Hydrogen_Bonding.png|250 px|right|thumb|'''Figure 4. Active site residues hydrogen bound to a cofactor and the products of the catalyzed isocitrate reaction.''' Glyoxylate is shown in blue, succinate is shown in green, and the Mg<sup>2+</sup> cofactor is shown in yellow.]] The active site of isocitrate lyase consists of eight residues: Trp93, Cys191, His193, Ser315, Ser317, Asn313, Thr347, Leu348 (Figure 3). Additionally, there are several other amino acid side chains present that form hydrogen bonding opportunities with isocitrate to catalyze the breakdown reaction to glyoxylate and succinate. Ser91, Gly92, Trp93, and Arg228 form <scene name='69/694225/Glyoxylate_hydrogen_bonding/5'>hydrogen bonds with glyoxylate</scene> while Asn313, Glu295, Arg228, and Gly192 and Trp93, Thr347, Ser315, Ser317, and His193 form <scene name='69/694224/Succinate_hydrogen_bonding/1'>hydrogen bonding opportunities</scene> with the two carboxylates within succinate. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref> Additionally, a Mg<sup>2+</sup> ion is needed for further electrostatic stabilization of the extreme negative charge on isocitrate. This Mg<sup>2+</sup> hydrogen bonds to the carboxylate in glyoxylate and one of the carboxylates in succinate (Figure 4).
+[[Image:Active Site Residues.png|250 px|left|thumb|'''Figure 2. Active Site Residues.''' All eight active site residues necessary for catalysis of isocitrate are shown in slate. However, the protein shown is a C191S mutant of isocitrate lyase.]] [[Image:Active_Site_Hydrogen_Bonding.png|250 px|right|thumb|'''Figure 3. Active site residues hydrogen bound to a cofactor and the products of the catalyzed isocitrate reaction.''' Glyoxylate is shown in blue, succinate is shown in green, and the Mg<sup>2+</sup> cofactor is shown in yellow.]] The active site of isocitrate lyase consists of eight residues: Trp93, Cys191, His193, Ser315, Ser317, Asn313, Thr347, Leu348 ('''Figure 2'''). Additionally, there are several other amino acid side chains present that form hydrogen bonding opportunities with isocitrate to catalyze the breakdown reaction to glyoxylate and succinate. Ser91, Gly92, Trp93, and Arg228 form <scene name='69/694225/Glyoxylate_hydrogen_bonding/5'>hydrogen bonds with glyoxylate</scene> while Asn313, Glu295, Arg228, and Gly192 and Trp93, Thr347, Ser315, Ser317, and His193 form <scene name='69/694224/Succinate_hydrogen_bonding/1'>hydrogen bonding opportunities</scene> with the two carboxylates within succinate. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref> Additionally, a Mg<sup>2+</sup> ion is needed for further electrostatic stabilization of the extreme negative charge on isocitrate. This Mg<sup>2+</sup> hydrogen bonds to the carboxylate in glyoxylate and one of the carboxylates in succinate ('''Figure 3''').
@@ Line 23: / Line 23: @@
 ===Catalytic Loop===
-[[Image:Active Loop Shift.png|250 px|left|thumb|'''Figure 5. Active Site Loop Shift.''' Binding of the ligand to the enzyme results in a conformational shift that facilitates the breakdown of isocitrate. The active site loop unbound is shown in wheat and the active site loop bound is shown in green.]] The catalytic loop of isocitrate lyase consists of residues 185-196 (Figure 5). The two most important are Cys191 and His193 as these form a charge relay strong enough to extract a proton from isocitrate. Poor electron density has been observed for residues His193 and Leu194 indicating that this loop is very flexible. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref> This data backs up the claim that that monomers of the protein are in a structural equilibria between the open and closed forms of the active site. In order for the catalytic loop to shift into the closed position necessary for catalysis, isocitrate must be within the binding pocket. The hydrogen bonding opportunities formed cause a ripple effect that shifts the catalytic loop into a closer position. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref> This shift also causes the C-terminal domain of the subunit (residues 411-428) to <scene name='69/694225/C-terminus_loop_in_cat_loop/1'>move into the former position of the catalytic loop (in green)</scene>. The C-terminal domain is stabilized by an <scene name='69/694225/Lys_electrostatic/1'>electrostatic interaction</scene> with Lys189. This combined movement locks the active site residues into a proper orientation for lysis of a C-C bond within isocitrate. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref>
+[[Image:Active Loop Shift.png|250 px|left|thumb|'''Figure 4. Active Site Loop Shift.''' Binding of the ligand to the enzyme results in a conformational shift that facilitates the breakdown of isocitrate. The active site loop unbound is shown in wheat and the active site loop bound is shown in green.]] The catalytic loop of isocitrate lyase consists of residues 185-196 ('''Figure 4'''). The two most important are Cys191 and His193 as these form a charge relay strong enough to extract a proton from isocitrate. Poor electron density has been observed for residues His193 and Leu194 indicating that this loop is very flexible. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref> This data backs up the claim that that monomers of the protein are in a structural equilibria between the open and closed forms of the active site. In order for the catalytic loop to shift into the closed position necessary for catalysis, isocitrate must be within the binding pocket. The hydrogen bonding opportunities formed cause a ripple effect that shifts the catalytic loop into a closer position. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref> This shift also causes the C-terminal domain of the subunit (residues 411-428) to <scene name='69/694225/C-terminus_loop_in_cat_loop/1'>move into the former position of the catalytic loop (in green)</scene>. The C-terminal domain is stabilized by an <scene name='69/694225/Lys_electrostatic/1'>electrostatic interaction</scene> with Lys189. This combined movement locks the active site residues into a proper orientation for lysis of a C-C bond within isocitrate. <ref name="sharma"> Sharma, V.; Sharma, S.; Hoener zu Bentrup, K.; McKinney, J.; Russell, D.; ''et. al''; Structure of isocitrate lyase, a persistence factor of ''Mycobacterium tuberculosis''. ''Nat. Struct. Biol.''. '''2000'''. ''7(8)'':663-668. </ref>
@@ Line 33: / Line 33: @@
 ==Mechanism of Action==
-[[Image:Complete_Mechanism.PNG|500 px|right|thumb|'''Figure 6. Observed Mechanism for the Breakdown of Isocitrate by Isocitrate Lyase.''']]
+[[Image:Complete_Mechanism.PNG|500 px|right|thumb|'''Figure 5. Observed Mechanism for the Breakdown of Isocitrate by Isocitrate Lyase.''']]
-His193 shifts the pKa of Cys191 and removes its proton. This allows Cys191 to extract a proton from the hydroxyl group of isocitrate. The resulting oxyanion forms a carbonyl and forces the lysis of a C-C bond. Glyoxylate and the enol form of succinate are formed and stabilized with a Mg<sup>2+</sup> ion. The succinate enolate resonates and extracts the proton back from Cys191 to form succinate (Figure 6).
+His193 shifts the pKa of Cys191 and removes its proton. This allows Cys191 to extract a proton from the hydroxyl group of isocitrate. The resulting oxyanion forms a carbonyl and forces the lysis of a C-C bond. Glyoxylate and the enol form of succinate are formed and stabilized with a Mg<sup>2+</sup> ion. The succinate enolate resonates and extracts the proton back from Cys191 to form succinate ('''Figure 5''').
@@ Line 58: / Line 58: @@
 ===Clinical Implications===
-[[Image:TCA_Cycle.png|500 px|left|thumb|'''Figure 7. Citric Acid Cycle with Glyoxylate Shunt Pathway.''' In several bacterial species, there is a carbon conserving gloxylate shunt pathway that converts isocitrate to malate in two steps instead of the usual five steps.]] ''Mycobacterium tuberculosis'' is a respiratory infection that causes numerous fatalities throughout the world. It lives in organisms and feeds off of host cells, which indicate a variety of lipases exist within ''M. tuberculosis''. Current drugs that are on the market now target a small number of bacterial processes like cell wall formation and chromosomal replication. Although several antibiotics exist, all of them target these same mechanisms of inhibition. These commonalities have led to the prevalence of different multi-drug resistant (MDR) tuberculosis strains. Due to the high level of resistance, finding a lasting treatment for MDR TB infections has become very problematic. Studies into new mechanisms of inhibition will be crucial to prevent widespread outbreaks.
+[[Image:TCA_Cycle.png|500 px|left|thumb|'''Figure 6. Citric Acid Cycle with Glyoxylate Shunt Pathway.''' In several bacterial species, there is a carbon conserving gloxylate shunt pathway that converts isocitrate to malate in two steps instead of the usual five steps.]] ''Mycobacterium tuberculosis'' is a respiratory infection that causes numerous fatalities throughout the world. It lives in organisms and feeds off of host cells, which indicate a variety of lipases exist within ''M. tuberculosis''. Current drugs that are on the market now target a small number of bacterial processes like cell wall formation and chromosomal replication. Although several antibiotics exist, all of them target these same mechanisms of inhibition. These commonalities have led to the prevalence of different multi-drug resistant (MDR) tuberculosis strains. Due to the high level of resistance, finding a lasting treatment for MDR TB infections has become very problematic. Studies into new mechanisms of inhibition will be crucial to prevent widespread outbreaks.
-Isocitrate lyase plays a key role in survival of ''M. tuberculosis'' by sustaining intracellular infections in inflammatory respiratory macrophages. Used in the citric acid cycle, isocitrate lyase is the first enzyme catalyzing the carbon conserving glyoxylate pathway (Figure 7). This glyoxylate pathway has not been observed in mammals and thus presents a unique drug target to solely attack TB infections.
+Isocitrate lyase plays a key role in survival of ''M. tuberculosis'' by sustaining intracellular infections in inflammatory respiratory macrophages. Used in the citric acid cycle, isocitrate lyase is the first enzyme catalyzing the carbon conserving glyoxylate pathway ('''Figure 6'''). This glyoxylate pathway has not been observed in mammals and thus presents a unique drug target to solely attack TB infections.
 Upregulation of the glyoxylate cycle has been seen for pathogens like ''M. tuberculosis'' that attack humans. <ref name="srivastava"> Srivastava, V.; Janin, A.; Srivastava, B.; Srivastava, R.; Selection of genes of ''Mycobacterium tuberculosis'' upregulated during residence in lungs of infected mice. ''ScienceDirect''. '''2007'''. doi:10.1016/j.tube.2007.10.002. </ref> Furthermore, isocitrate lyase has been found to be essential for tuberculosis survival within hosts. <ref name="muñoz-elías"> Muñoz-Elías, E.; McKinney, J.; ''M. tuberculosis'' isocitrate lyases 1 and 2 are jointly required for ''in vivo'' growth and virulence. ''Nat. Med.'' '''2005'''. ''11(6)'':638-644. doi:10.1038/nm1252. </ref>