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Glyoxylate cycle

The glyoxylate cycle, also known as the glyoxylate shunt or bypass, is a metabolic pathway that enables certain microorganisms, plants, and fungi to assimilate two-carbon compounds such as acetate or fatty acids into four-carbon intermediates like succinate and malate, thereby supporting gluconeogenesis and biosynthesis by circumventing the carbon-losing decarboxylation steps of the tricarboxylic acid (TCA) cycle. This pathway operates through two unique enzymes—isocitrate lyase, which cleaves isocitrate into succinate and glyoxylate, and malate synthase, which condenses glyoxylate with another acetyl-CoA to form malate—integrated with shared TCA cycle reactions to net the production of one four-carbon dicarboxylic acid from two acetyl-CoA molecules without CO₂ release. First identified in 1957 by Hans Kornberg and colleagues in Escherichia coli and germinating castor bean seedlings, the cycle is absent in vertebrates, where acetyl-CoA from such substrates can only be fully oxidized for energy rather than converted to carbohydrates. In bacteria like E. coli and , the glyoxylate cycle facilitates growth on as a sole carbon source and plays a critical role in by enabling persistence within host macrophages that rely on breakdown. In plants, particularly oilseed species such as and sunflower, it is localized to specialized peroxisomes called glyoxysomes in germinating seedlings, where it converts storage lipids into sugars essential for post-germinative growth before begins. Fungi, including Candida glabrata, utilize the cycle for alternative carbon metabolism under nutrient stress, while some bacteria employ variant pathways lacking canonical enzymes, highlighting evolutionary diversity in C2 assimilation. Regulation occurs via transcriptional controls and enzyme phosphorylation, such as the E. coli kinase/ (AceK), ensuring flux diversion to the shunt when activity is suppressed.

Overview

Definition and Purpose

The glyoxylate cycle is an anabolic variant of the tricarboxylic acid (TCA) cycle that bypasses the decarboxylation steps of isocitrate dehydrogenase and α-ketoglutarate dehydrogenase, allowing net synthesis of carbohydrates from two-carbon precursors such as acetate or fatty acids. This modification enables organisms lacking the ability to directly assimilate two-carbon units to utilize them for biosynthetic purposes, distinguishing it from the catabolic focus of the standard TCA cycle. The primary purpose of the glyoxylate cycle is to convert derived from or breakdown into four-carbon intermediates, such as succinate and malate, which serve as precursors for and other anabolic pathways. By avoiding the carbon loss associated with CO₂ release in the TCA cycle, this pathway conserves carbon atoms, facilitating the net production of glucose or other carbohydrates from non-carbohydrate sources in environments where complex carbon compounds are scarce. The overall net reaction of the glyoxylate cycle can be summarized as: $2 \text{[Acetyl-CoA](/page/Acetyl-CoA)} + \text{NAD}^+ + 2 \text{H}_2\text{O} \rightarrow \text{succinate} + 2 \text{[CoA](/page/COA)} + \text{NADH} + 3 \text{H}^+ This metabolic strategy confers an evolutionary advantage, enabling growth and survival on C₂ substrates like in nutrient-limited conditions where longer-chain carbon sources are unavailable.

Historical Discovery

The glyoxylate cycle was first identified in the 1950s by Hans Kornberg and his collaborators at the and , who were examining the ability of microorganisms to grow using as the sole carbon source. This work revealed that certain bacteria, such as species of and , could achieve net synthesis of cellular carbohydrates from two-carbon units, a process incompatible with the standard tricarboxylic acid (TCA) cycle due to its decarboxylative losses. Early studies highlighted the need for an alternative pathway to enable from . Key evidence came from radioisotope labeling experiments using ^{14}C-acetate, which demonstrated the incorporation of labeled carbon into sugars and other carbohydrates in acetate-grown , confirming net carbon gain beyond what the cycle could support. These findings, conducted in cell suspensions and extracts, indicated a bypass mechanism involving glyoxylate as an intermediate. In 1957, Kornberg and Hans Krebs formalized this in a landmark paper, proposing the glyoxylate cycle as a modified pathway with two additional reactions to circumvent CO_2 release. The term "glyoxylate cycle" was introduced that year, marking its formal naming. Confirmation and extension to eukaryotes followed rapidly. Also in 1957, Kornberg collaborated with Harry Beevers to detect the cycle's defining —isocitrate lyase and malate synthase—in extracts from castor bean (Ricinus communis) , linking the pathway to fat-to-carbohydrate conversion in germinating oilseeds. By 1960, comprehensive assays in , fungi, and additional had fully elucidated the cycle's steps and , solidifying its role across organisms. Refinements in the 1970s further clarified the cycle's subcellular localization, with studies by Beevers and others associating its enzymes with peroxisomal compartments (glyoxysomes) in plant cells, building on initial work from the late 1960s. This integration with biology provided deeper insights into the pathway's efficiency and regulation.

Relation to TCA Cycle

Shared Components

The glyoxylate cycle shares several foundational enzymes and intermediates with the tricarboxylic acid (TCA) cycle, reflecting their evolutionary and functional relatedness as pathways for acetyl-CoA metabolism. These overlaps allow the glyoxylate cycle to function as an anaplerotic variant of the TCA cycle, enabling net carbon assimilation for biosynthetic purposes in organisms incapable of glycolysis from two-carbon sources. Key shared enzymes include , which catalyzes the condensation of and oxaloacetate to form citrate; aconitase, which isomerizes citrate to isocitrate; and , which oxidizes malate to oxaloacetate while generating NADH. These enzymes facilitate the initial entry and early processing of in both cycles, as well as the regenerative step that closes the cyclic flow. Common intermediates encompass (the primary substrate), citrate, isocitrate, succinate, fumarate, malate, and oxaloacetate, which serve as pivotal points of convergence and divergence between the pathways. Notably, the shared segments up to isocitrate and from succinate onward provide a scaffold for metabolic flux, bypassing the decarboxylative losses unique to the cycle. In eukaryotes, the cycle is typically localized to mitochondria, while the glyoxylate cycle operates in peroxisomes (such as glyoxysomes in and fungi). In prokaryotes, both pathways occur in the . The shared enzymes contribute to NADH and FADH₂ production that links to the for ATP generation via . This energetic efficiency in the overlapping steps supports while positioning the glyoxylate shunt for net synthesis of four-carbon intermediates.

Key Modifications

The glyoxylate cycle diverges from the tricarboxylic acid (TCA) cycle by bypassing the two decarboxylation steps that result in carbon loss, specifically the reactions catalyzed by isocitrate dehydrogenase and α-ketoglutarate dehydrogenase. In the standard TCA cycle, isocitrate is oxidized and decarboxylated to α-ketoglutarate with the release of CO₂, followed by the conversion of α-ketoglutarate to succinyl-CoA, which involves another decarboxylation and CO₂ release; these steps collectively eliminate two carbon atoms per acetyl-CoA molecule entering the cycle. By omitting these oxidative decarboxylations, the glyoxylate cycle conserves carbon atoms from acetyl-CoA, enabling net synthesis of four-carbon intermediates rather than complete oxidation to CO₂. This conservation is achieved through the introduction of a glyoxylate shunt, which replaces the bypassed TCA steps with two unique reactions. First, isocitrate is cleaved into succinate and glyoxylate by the enzyme isocitrate lyase, avoiding the carbon loss associated with . Second, glyoxylate then condenses with a second molecule of to form malate, catalyzed by malate synthase; this malate can re-enter the shared TCA pathway components to regenerate oxaloacetate. These shunt reactions effectively redirect the metabolic flow to retain the carbon skeleton from two units. The net effect of these modifications is a carbon-conserving pathway where two molecules of are converted to one molecule of succinate (a compound) without net CO₂ release, in contrast to the TCA cycle's catabolic loop that oxidizes to two CO₂ molecules. This allows organisms to utilize two-carbon substrates, such as or fatty acids, for biosynthetic purposes, producing succinate or oxaloacetate as precursors for while generating reducing equivalents like NADH. Unlike the mitochondrial localization of the cycle in eukaryotes, the glyoxylate cycle is typically compartmentalized in peroxisomes, where key enzymes like isocitrate lyase and malate synthase reside, facilitating β-oxidation of fatty acids and integration with . This peroxisomal sequestration separates anabolic carbon conservation from mitochondrial energy production, optimizing in nutrient-limited environments.

Pathway Mechanisms

Core Reaction Steps

The glyoxylate cycle operates as a modified version of the tricarboxylic acid () cycle, bypassing the two steps to enable net synthesis of four-carbon compounds from two-carbon units. It begins with the condensation of and oxaloacetate to form citrate, catalyzed by , mirroring the initial step of the cycle. This reaction is represented as: \text{Acetyl-CoA} + \text{oxaloacetate} + \text{H}_2\text{O} \rightarrow \text{citrate} + \text{CoA} Next, citrate is isomerized to isocitrate via aconitase, which involves dehydration and rehydration to rearrange the molecule without altering its carbon skeleton. The reaction is: \text{Citrate} \rightleftharpoons \text{cis-aconitate} \rightleftharpoons \text{isocitrate} The cycle then diverges from the pathway at isocitrate, where isocitrate lyase cleaves it into succinate and glyoxylate in a key shunt reaction that avoids carbon loss as CO₂. This step is: \text{Isocitrate} \rightarrow \text{succinate} + \text{glyoxylate} Subsequently, malate synthase condenses glyoxylate with a second molecule of acetyl-CoA to produce malate, incorporating the second two-carbon unit into a four-carbon intermediate. The reaction proceeds as: \text{Glyoxylate} + \text{acetyl-CoA} + \text{H}_2\text{O} \rightarrow \text{malate} + \text{CoA} Finally, malate dehydrogenase oxidizes malate back to oxaloacetate, regenerating the initial acceptor molecule and producing one molecule of NADH. This closing step is: \text{Malate} + \text{NAD}^+ \rightarrow \text{oxaloacetate} + \text{NADH} + \text{H}^+ The cyclic nature of the pathway allows succinate to exit for use in gluconeogenesis or other biosynthetic processes, while oxaloacetate is recycled; the net input of two acetyl-CoA molecules thus yields one succinate without net consumption of TCA intermediates. Overall, each turn of the cycle produces one NADH, providing reducing power but yielding less energy than the full TCA cycle, which generates multiple reduced cofactors per acetyl-CoA. The net reaction can be summarized as: $2 \text{ acetyl-CoA} + \text{NAD}^+ + 2 \text{ H}_2\text{O} \rightarrow \text{succinate} + 2 \text{ CoA} + \text{NADH} + 2 \text{ H}^+

Essential Enzymes

Isocitrate lyase (ICL) is the primary enzyme unique to the glyoxylate cycle, functioning as a tetrameric protein that catalyzes the reversible aldol cleavage of isocitrate into glyoxylate, a two-carbon compound, and succinate, a four-carbon compound. The enzyme's active site coordinates a Mg²⁺ cofactor, which binds to the substrate isocitrate to form the true reactive complex, facilitating the lyase reaction through a mechanism involving proton abstraction and C-C bond breakage. In organisms like Paracoccidioides brasiliensis, ICL activity is regulated by phosphorylation, which inactivates the enzyme during growth on glucose, while dephosphorylation by phosphatases restores catalytic function upon shifting to alternative carbon sources. Kinetic studies indicate a Michaelis constant (Km) for isocitrate of approximately 0.2–0.3 mM in bacterial species such as Escherichia coli and Corynebacterium glutamicum, reflecting efficient substrate affinity under physiological conditions. Malate synthase (MS) serves as the second key enzyme in the cycle, catalyzing the irreversible condensation of glyoxylate with to form L-malate and . The reaction proceeds via a Claisen-like where the of , generated by , attacks the carbonyl of glyoxylate to yield malyl-CoA, followed by of the high-energy bond, which drives the overall irreversibility and prevents reversal. In certain , including Mycobacterium tuberculosis, MS is often fused to at the , creating a bifunctional (e.g., Icl2 isoform) that enhances pathway efficiency by localizing both activities within a single polypeptide. Supporting enzymes in the glyoxylate cycle include peroxisomal isoforms of , which initiates the pathway by condensing with oxaloacetate, and , which interconverts malate and oxaloacetate while reoxidizing NADH from β-oxidation. In plants like , the peroxisomal isoform specifically supports catabolism by maintaining balance, though it does not directly participate in glyoxylate cycle carbon flow. The genes encoding ICL and MS exhibit coordinated regulation; for example, the aceA gene for ICL in E. coli is part of the aceBAK and is induced more than 10-fold when serves as the carbon source, enabling adaptation to substrates. This acetate-dependent induction ensures high expression of both enzymes during growth on two-carbon compounds, optimizing flux through the cycle.

Biological Functions

Role in Plants

In plants, the glyoxylate cycle primarily functions within glyoxysomes, specialized subtypes of peroxisomes located in the cotyledons and other storage tissues of germinating seeds. These organelles house the key enzymes of the cycle, facilitating the coordination with β-oxidation of stored lipids to generate acetyl-CoA. Glyoxysomes are particularly abundant during early seedling development, enabling efficient metabolic conversion before the onset of photosynthesis. During seed germination in oilseed plants such as , the glyoxylate cycle plays a critical role in mobilizing storage lipids to support heterotrophic growth. Stored triacylglycerols are broken down via β-oxidation in glyoxysomes to produce , which enters the cycle to form succinate and malate, bypassing the decarboxylation steps of the TCA cycle. These four-carbon intermediates are exported to the and mitochondria for , ultimately yielding that fuels seedling expansion and root development. This lipid-to-sugar conversion is indispensable for etiolated seedlings reliant on seed reserves, as it provides both energy and biosynthetic precursors in the absence of external carbon sources. Genetic evidence underscores the cycle's essentiality in plant . In mutants deficient in , a pivotal that cleaves isocitrate to succinate and glyoxylate, seedlings fail to effectively convert to carbohydrates, resulting in arrested growth and inability to establish on media with as the sole carbon source. These icl mutants exhibit normal initial but succumb to carbon during post-germinative stages, particularly under prolonged dark conditions that mimic burial. Such phenotypes confirm the cycle's non-redundant role in sustaining vigor in oil-rich species. The activity of the glyoxylate cycle is tightly regulated during to align with metabolic transitions. It is highly active in etiolated (dark-grown) seedlings, where catabolism predominates, but becomes repressed upon exposure to , which promotes photosynthetic competence and shifts carbon acquisition. Phytochrome-mediated signaling accelerates mobilization initially but downregulates cycle enzymes as chloroplasts develop. Additionally, accumulating post-germination represses the synthesis of key enzymes like and malate synthase through feedback mechanisms, preventing unnecessary activity once exogenous or photosynthetically derived sugars are available. This developmental control ensures resource allocation matches the seedling's changing needs. Beyond , the glyoxylate cycle intersects with in leaf peroxisomes, where it can help mitigate carbon losses under stress. generates glyoxylate from glycolate oxidation, and in conditions of pathway perturbation, upregulation of cycle enzymes like and malate synthase allows glyoxylate to condense with , forming malate that re-enters central and recycles carbon more efficiently. This compensatory mechanism reduces the accumulation of toxic intermediates and enhances photosynthetic recovery, particularly in high-light environments where photorespiratory flux is elevated. Additionally, recent has identified a cytosolic glyoxylate shunt that complements the peroxisomal pathway, further reducing carbon loss during .

Role in Microorganisms

The glyoxylate cycle enables bacteria such as to assimilate as a carbon source during periods of nutrient limitation, such as fasting conditions, by bypassing the steps of the tricarboxylic acid (TCA) cycle to generate four-carbon intermediates for biosynthesis. In pathogens like , the cycle is upregulated during infection to utilize and fatty acids derived from host , supporting persistence within macrophages and contributing to chronic infection. This pathway is essential for M. tuberculosis virulence, as mutants lacking isocitrate lyase (ICL), a key enzyme, exhibit severely attenuated survival in mouse models of . In fungi, the glyoxylate cycle supports pathogens like and species in colonizing host tissues by enabling the metabolism of s and acetate abundant in nutrient-poor environments, such as during . For , the cycle facilitates adaptation to lipid-rich niches, including the formation of biofilms on fatty acid substrates within the host, enhancing persistence and dissemination. The pathogenic role of the glyoxylate cycle in microorganisms involves bypassing the cycle's energy-generating but carbon-losing steps, allowing net synthesis of carbohydrates from two-carbon units for survival in hostile environments like macrophages. In fungal pathogens, knockout strains demonstrate reduced in mouse models of systemic , with C. albicans Δicl1 mutants showing markedly lower fungal burden and prolonged host survival compared to wild-type strains. Beyond , the glyoxylate cycle is critical for environmental in soil bacteria and fungi, enabling the utilization of exudates and organic compounds from decaying matter as carbon sources in carbon-limited niches. For instance, in biocontrol fungi like species, the cycle supports growth on acetate-derived exudates, contributing to antagonism against pathogens and promotion of health. Microorganisms with an active glyoxylate cycle exhibit significantly higher growth yields on as a carbon source compared to mutants lacking the pathway; this enhanced yield supports , providing precursors for essential cellular components during alternative carbon metabolism.

Regulation and Inhibition

Regulatory Mechanisms

The glyoxylate cycle is subject to multifaceted regulatory mechanisms that ensure its activation under conditions favoring growth on two-carbon sources like , while repression occurs during glucose abundance to prioritize efficient energy production via and the cycle. In bacteria such as , transcriptional control plays a central role, primarily through the repressors IclR and FadR acting on the aceBAK , which encodes key enzymes isocitrate lyase (), malate synthase (MS), and isocitrate dehydrogenase kinase/phosphatase (AceK). IclR directly binds to the aceBAK promoter to repress transcription, while FadR, a fatty acid-responsive regulator, activates iclR expression, thereby indirectly enhancing repression of the operon under non-inducing conditions. Induction by occurs via the -CRP complex, which binds the promoter to counteract repression when glucose levels are low and is elevated, thereby promoting aceBAK expression during utilization. In eukaryotes like yeast (), post-translational regulation contributes to rapid adaptation, particularly through glucose-mediated catabolite inactivation of during shifts to fermentable carbon sources. This inactivation involves a reversible process triggered by glucose-induced signaling via the cAMP-PKA pathway, leading to intracellular acidification and subsequent enzyme modification or sequestration, which inhibits activity and favors cycle flux over the glyoxylate bypass. The PKA-mediated response ensures that glyoxylate cycle enzymes are swiftly downregulated upon glucose availability, preventing unnecessary anaplerotic activity. Allosteric regulation fine-tunes activities to match metabolic demands and avoid futile cycling. These mechanisms integrate with shared enzymes, where oxaloacetate levels modulate activity through conformational changes that influence its association with other proteins, thereby balancing entry into the glyoxylate versus pathways. In eukaryotic cells, compartmental signals regulate the glyoxylate cycle by controlling localization to , where and reside. biogenesis factors encoded by PEX genes, such as PEX5 and PEX7, facilitate the of peroxisomal targeting signal-bearing enzymes, ensuring proper assembly of the cycle machinery in response to or metabolism cues. Disruption of PEX function impairs , thereby repressing cycle activity and linking dynamics to overall metabolic regulation.

Pharmacological Inhibitors

The glyoxylate cycle is a promising target for pharmacological intervention in microbial pathogens that rely on it for persistence and , particularly through inhibition of its key enzymes, isocitrate lyase () and malate synthase (). These inhibitors disrupt carbon assimilation from two-carbon sources like fatty acids, forcing reliance on less favorable metabolic routes and impairing growth in host environments. Itaconate, an endogenous produced by activated macrophages during immune responses, serves as a potent ICL inhibitor by forming a covalent with a conserved active-site residue, competitively blocking isocitrate cleavage into succinate and glyoxylate. This mechanism effectively halts glyoxylate shunt activity and bacterial proliferation on or . Synthetic analogs, such as 3-nitropropionate, act as mechanism-based inactivators of ICL across bacterial and fungal species; as a succinate analog and mimic, it undergoes nitroalkane activation to form a stable thiohydroximate with the catalytic , leading to irreversible enzyme blockade and accumulation of toxic isocitrate. Inhibition of MS, the enzyme condensing glyoxylate and acetyl-CoA to form malate, is less directly targeted but achieved indirectly via fluoroacetate derivatives. These compounds are metabolized to fluorocitrate, which mimics isocitrate and potently inhibits aconitase in the upstream cycle, disrupting carbon flux into the glyoxylate shunt, elevating glyoxylate toxicity, and blocking net malate production essential for in pathogens. Therapeutically, ICL-targeted inhibitors hold potential against glyoxylate-dependent infections, including fungal , where cycle disruption impairs nutrient scavenging in host tissues, and bacterial , with ICL essential for M. tuberculosis latency and persistence on fatty acids. As of 2025, studies have further elucidated itaconate's mechanism in M. tuberculosis, showing interference with central carbon beyond ICL inhibition. Research in the 2020s has advanced preclinical candidates like optimized itaconate derivatives and novel ICL chemotypes for antitubercular therapy, though challenges in potency and isoform coverage have delayed clinical trials. A major hurdle in developing these inhibitors is achieving selectivity, as many compounds cross-react with mammalian TCA cycle enzymes—such as 3-nitropropionate's inhibition of —risking host ; this is mitigated by exploiting pathogen-specific /MS structural features absent in humans, who lack the full glyoxylate cycle. In vitro efficacy underscores their antimicrobial promise: itaconate reduces growth by approximately 50% at physiologically relevant concentrations (1–5 mM) by suppressing -dependent utilization, sensitizing the to host immune clearance.

Applications in Biotechnology

Metabolic Engineering

Metabolic engineering of the glyoxylate cycle involves introducing or enhancing its key enzymes in non-native organisms to redirect carbon flux toward valuable industrial products, particularly in bacteria and yeast lacking a complete native shunt. In Escherichia coli, engineering via derepression of native isocitrate lyase (ICL) and malate synthase (MS), such as through iclR knockout, bypasses the decarboxylation steps of the tricarboxylic acid cycle, enabling efficient succinate production from glucose under anaerobic conditions. This strategy activates the glyoxylate shunt, allowing the conversion of isocitrate to succinate and malate without CO₂ loss, thereby improving theoretical yields to near 1 mol succinate per mol glucose. For instance, engineered E. coli strains with iclR deletion and blocks in competing pathways like lactate dehydrogenase achieved succinate titers of up to 40 g/L with a yield of 1.6 mol/mol glucose after 96 hours of fermentation. Flux optimization strategies further refine glyoxylate cycle activity by modulating enzyme expression and localization. In Saccharomyces cerevisiae, overexpression of the native genes aceA (encoding ICL) and aceB (encoding MS) enhances acetate assimilation, redirecting flux from ethanol toward succinate production during mixed-substrate fermentations. This approach couples the glyoxylate shunt with gluconeogenesis, converting acetyl-CoA from ethanol breakdown into C4 intermediates for succinate. Additionally, targeting ICL and MS to peroxisomes, the native compartment for the cycle in yeast, improves enzyme stability and flux efficiency in acetate-limited conditions. These modifications alleviate catabolite repression and boost overall carbon recovery. Industrial applications leverage the engineered glyoxylate cycle for and bioproduct synthesis. In bacterial hosts like E. coli, glyoxylate shunt knockout has been used to improve production by addressing imbalance, achieving titers of 18.3 g/L by enhancing branched-chain pathways. In oleaginous algae, such as , the native glyoxylate cycle aids lipid accumulation from -rich waste streams under nitrogen limitation, supporting . These applications capitalize on the cycle's role in assimilating C2 feedstocks like from industrial effluents. Key challenges in glyoxylate cycle engineering include maintaining redox balance, as the shunt generates an NADH surplus that can inhibit downstream pathways and reduce yields. Strategies like co-overexpression of NADH oxidases or transhydrogenases address this by regenerating NAD⁺, improving succinate productivity in E. coli. Reviews describe bacterial with constitutive glyoxylate shunt activation via iclR , enabling robust utilization for succinate. A notable involves modified for waste acetate utilization, where activation of the glyoxylate cycle through aceA/aceB overexpression and enhancement improves yields on lignocellulosic hydrolysates compared to wild-type strains. This engineering increases growth rates by improving assimilation and reduces ethanol inhibition, demonstrating scalability for bioethanol coproduction.

Therapeutic Targeting

The glyoxylate cycle is an attractive therapeutic target for drugs due to its absence in humans, who lack the key enzymes and , enabling selective inhibition of pathogens that rely on it for survival without host toxicity. This selectivity is particularly relevant for pathogens like (Mtb), which activates the cycle during latency and persistence within host macrophages to metabolize fatty acids as carbon sources. Drug development efforts have focused on inhibitors for tuberculosis treatment, with several compounds advancing in preclinical pipelines. For instance, mechanism-based inactivators targeting both ICL1 and ICL2 isoforms have shown potent inhibition of Mtb growth , providing a foundation for novel anti-TB agents. In agriculture, inhibitors are explored as fungicides against plant pathogens like Candida albicans and Paracoccidioides spp., where alkaloids and other small molecules disrupt the cycle to impair fungal on lipid-rich substrates. Clinical progress remains preclinical, with ICL and MS inhibitors demonstrating synergy in combination therapies alongside standard antifungals or anti-TB drugs. In vivo studies using ICL-deficient Mtb mutants in mouse models revealed a greater than 1.5 log reduction in lung bacterial burden by 16 weeks post-infection compared to wild-type strains, highlighting the cycle's role in chronic persistence and supporting inhibitor efficacy in reducing pathogen load. Derivatives of known pharmacological inhibitors have shown favorable pharmacokinetics and bactericidal effects in acute infection models. Emerging host-directed therapies leverage itaconate, an endogenous immune produced by activated macrophages, to block the glyoxylate shunt in invading pathogens. Itaconate inhibits activity in Mtb, disrupting methylcitrate and glyoxylate cycles during infection, and dimethyl itaconate has exhibited antimicrobial effects against both tuberculous and in cellular models. As of 2025, future outlooks emphasize for allosteric binders to identify leads with improved potency and reduced resistance potential, informed by computational studies and structural analyses, including 2024 investigations of natural compounds targeting for latent TB inhibition. These efforts aim to translate preclinical successes into viable therapeutics for latent infections and fungal diseases.

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