CDO1 expression is tightly controlled at post-translational and epigenetic levels:
CDO1’s regulation ensures cysteine concentrations remain non-toxic (optimal range: 20–100 μM) while supporting taurine and sulfate biosynthesis .
CDO1 acts as a tumor suppressor, and its loss correlates with poor prognosis:
Alzheimer’s/Parkinson’s Disease: Reduced CDO1 activity elevates cytotoxic cysteine, exacerbating neuronal damage .
Pantothenate Kinase-Associated Neurodegeneration: CDO1 deficiency causes cysteine accumulation in the globus pallidus .
NAFLD: CDO1 activates AMPK signaling via Camkk2, enhancing mitochondrial biogenesis and fatty acid oxidation .
Obesity: Adipose-specific CDO1 overexpression improves insulin sensitivity and lipolysis .
Structural Insights: The Cys93-Tyr157 thioether bond lowers tyrosine oxidation potential by 0.5 V, facilitating O₂ activation .
Enzymatic Redundancy: CDO1 and ADO (2-aminoethanethiol dioxygenase) are the sole human thiol dioxygenases, both mitochondrial .
Genetic Variants: 148 CDO1 variants identified, including 68 deleterious missense mutations linked to developmental defects .
CDO1 is a non-heme structured, iron-containing metalloenzyme that catalyzes the conversion of cysteine to cysteine sulfinate, playing a key role in taurine biosynthesis . As a metabolic enzyme, CDO1 represents the first step in the major catabolic pathway for cysteine, ultimately leading to the production of hypotaurine (HTAU) and taurine . The conversion pathway involves CDO1-mediated oxidation of cysteine to cysteine sulfinic acid (CSA), which can then be decarboxylated to form HTAU.
The catalytic activity of CDO1 depends on its iron-containing active site, and mutations affecting this site (such as Y157F) render the enzyme catalytically inactive . CDO1's enzymatic function places it at a critical junction in cellular sulfur metabolism, influencing not only taurine production but also potentially affecting glutathione synthesis and cellular redox status.
CDO1 expression shows considerable tissue specificity, with liver demonstrating particularly high expression levels. The liver is considered one of the highest CDO1-expressing tissues and is responsible for supplying taurine to the body . Lung tissue also expresses CDO1, though typically at lower levels than liver. In experimental models, researchers have observed that physiological CDO1 protein levels in mouse lung are substantially lower than in liver, suggesting tissue-specific regulation of this enzyme .
This differential expression pattern may relate to the varying metabolic requirements of different tissues, with high-CDO1 tissues potentially requiring enhanced capacity for cysteine catabolism or taurine production.
CDO1 sits at a crucial intersection of several metabolic pathways:
Taurine biosynthesis pathway: CDO1 catalyzes the first step in converting cysteine to taurine via CSA and HTAU intermediates .
Glutathione synthesis: CDO1 competes with glutathione synthesis for the available cysteine pool. Experimental evidence shows that Cdo1 depletion in mouse models modestly increases both total cysteine and glutathione levels, demonstrating this metabolic competition .
Sulfite generation: In certain cell types, particularly those with high GOT1 (glutamic-oxaloacetic transaminase 1) expression and low CSAD (cysteine sulfinic acid decarboxylase) expression, CDO1-derived CSA can lead to sulfite (SO₃²⁻) production .
NADPH-dependent processes: CDO1 activity can affect cellular NADPH/NADP+ ratios, subsequently impacting NADPH-dependent reactions such as reductive carboxylation and proline synthesis .
These interconnected pathways highlight CDO1's potential to influence multiple aspects of cellular metabolism beyond simple cysteine catabolism.
Multiple lines of experimental evidence support CDO1's tumor suppressor function:
Growth inhibition in vitro: Forced expression of CDO1 in cancer cell lines (including HCT116, DLD-1, KYSE30, MCF-7, NUGC3, and H1431) significantly suppresses cell growth. In HCT116 and DLD-1 colorectal cancer cells, CDO1 expression reduced growth to 42% and 27% of control cells, respectively .
Colony formation suppression: CDO1 expression dramatically reduces colony-forming ability in multiple cancer cell lines. Control HCT116 and DLD-1 cells formed 200±45.3 and 300±35.3 colonies respectively, while CDO1-transfected cells formed only 20±12.2 and 80±11.3 colonies .
Inhibition of anchorage-independent growth: CDO1-expressing cancer cell clones showed remarkably decreased colony formation in soft agar compared to control cells, indicating reduced transformation potential .
Invasion suppression: Cell invasion assays demonstrated that CDO1 expression significantly decreased the invasive capacity of both HCT116 and DLD-1 colorectal cancer cells .
In vivo tumor growth inhibition: In mouse xenograft models, DLD-1 cells stably expressing CDO1 showed significantly reduced tumor growth compared to control cells. At 4 weeks post-injection, tumors from CDO1-expressing cells were significantly smaller (989±408.1 mm³) than control tumors (2,091±119.2 mm³, p=0.009) .
Growth acceleration with CDO1 knockdown: Conversely, siRNA-mediated knockdown of CDO1 in CDO1-expressing cell lines (HEK293 and HepG2) resulted in increased cell growth, further supporting CDO1's growth-inhibitory function .
CDO1 expression impacts cancer cell metabolism and proliferation through several mechanisms:
Metabolic alteration: CDO1 expression in cancer cells leads to increased conversion of cysteine to CSA and HTAU, potentially diverting cysteine from other metabolic pathways .
Reduction in NADPH/NADP+ ratio: CDO1 expression decreases cellular NADPH/NADP+ ratios, particularly affecting non-small cell lung cancer (NSCLC) cells with high NRF2 activity .
Impairment of NADPH-dependent processes: The reduced NADPH availability in CDO1-expressing cells impairs NADPH-dependent metabolic reactions, including:
Sulfite generation in specific cellular contexts: In cells with high GOT1 expression and low CSAD expression (common in NSCLC cell lines), CDO1 activity leads to sulfite production, which can form adducts with cysteine and potentially cause protein sulfitolysis .
These metabolic changes collectively contribute to CDO1's antiproliferative effects, particularly in cancer cells with elevated cysteine levels.
Yes, CDO1 shows selective toxicity toward cancer cells with specific metabolic characteristics:
Cells with high intracellular cysteine: CDO1's antiproliferative effects are strongly correlated with intracellular cysteine levels. Cancer cells with elevated cysteine accumulation (such as NRF2/KEAP1 mutant cells) are particularly vulnerable to CDO1 expression .
NRF2-high cells: NRF2 HIGH cancer cells accumulate more CDO1 protein than NRF2 LOW cells and are more sensitive to CDO1-mediated growth inhibition. In isogenic A549 cells, CDO1 expression significantly impaired the proliferation of NRF2-expressing cells while having no effect on NRF2 knockout cells .
Cells with altered CSA metabolism: Cancer cells with high GOT1 and low CSAD expression (which favors sulfite production over taurine synthesis) may be more sensitive to CDO1-mediated toxicity .
This selective toxicity makes CDO1 particularly interesting as a potential therapeutic vulnerability in cancers with these metabolic characteristics.
CDO1 expression is tightly regulated through epigenetic mechanisms, with promoter methylation playing a crucial role:
Promoter methylation: The CDO1 promoter exhibits differential methylation between normal and cancer tissues. Hypermethylation of the CDO1 promoter in cancer leads to transcriptional silencing .
Demethylating agent response: Treatment of colorectal cancer cell lines with 5-aza-2'-deoxycytidine (a DNA methyltransferase inhibitor) restores CDO1 expression, confirming the role of methylation in CDO1 silencing .
Methylation-independent protein regulation: While transcription is regulated by promoter methylation, CDO1 protein levels are additionally regulated by a post-translational mechanism linked to intracellular cysteine levels. High intracellular cysteine promotes CDO1 protein stabilization through reduced ubiquitination and degradation .
This dual regulation (transcriptional control via methylation and post-translational control via cysteine levels) allows for precise modulation of CDO1 activity in response to both epigenetic changes and metabolic status.
Researchers employ several techniques to study CDO1 promoter methylation:
Differential expression profiling: Comparing RNA expression profiles of cancer cell lines before and after treatment with 5-aza-2'-deoxycytidine to identify genes whose expression is restored by demethylation .
Methylation-specific PCR: Using primers specific for methylated or unmethylated DNA sequences to assess the methylation status of the CDO1 promoter in clinical samples .
Bisulfite sequencing: For detailed mapping of methylated cytosines within the CDO1 promoter region .
Correlation analysis: Comparing CDO1 mRNA expression levels with promoter methylation status across multiple samples to establish the relationship between methylation and gene silencing .
These approaches have collectively established CDO1 promoter methylation as a common event in human carcinogenesis and a potential biomarker for cancer detection.
CDO1 silencing through promoter methylation has been observed across multiple cancer types:
Colorectal cancer (CRC): CDO1 promoter is differentially methylated in primary CRC tissues with high frequency compared to normal colon tissues .
Breast cancer: Significant difference in CDO1 promoter methylation frequency between primary normal and tumor tissues .
Esophageal cancer: Exhibits differential CDO1 methylation compared to normal esophageal tissue .
Lung cancer: NSCLC cells, particularly those with NRF2/KEAP1 mutations, often show altered CDO1 regulation .
Bladder cancer: Shows significant differences in CDO1 methylation between tumor and normal tissues .
Gastric cancer: Demonstrates aberrant CDO1 methylation compared to normal stomach tissue .
Across these cancer types, CDO1 downregulation at both mRNA and protein levels is consistently observed, suggesting that CDO1 silencing may be a common event in human carcinogenesis .
CDO1 functions as a metabolic liability for cancer cells through several mechanisms:
Competition for cysteine: CDO1 diverts cysteine from other metabolic pathways, potentially limiting availability for critical processes like glutathione synthesis in cells highly dependent on cysteine .
NADPH depletion: CDO1 activity leads to decreased NADPH/NADP+ ratios, impairing NADPH-dependent processes essential for cancer cell metabolism and proliferation .
Cysteine-dependent growth impairment: CDO1's antiproliferative effects are cysteine-dependent. When cysteine uptake is inhibited (e.g., with erastin) or under low cysteine conditions, CDO1 expression decreases and its growth-inhibitory effects are lost .
Selective impact on detached conditions: CDO1 expression significantly impairs the ability of cancer cells to grow in soft agar, suggesting a particular vulnerability under detached conditions. This is potentially relevant to metastatic spread, as detached cells rely more heavily on IDH1-dependent reductive carboxylation for NADPH generation in mitochondria .
Sulfite production: In certain cellular contexts (high GOT1, low CSAD), CDO1 activity leads to sulfite generation, which may have additional toxic effects through protein modification .
These mechanisms collectively explain why cancer cells often silence CDO1 expression as they evolve toward more aggressive phenotypes.
Several experimental models have proven valuable for investigating CDO1 function:
Cell line models:
Isogenic systems: Genetically identical cells differing only in CDO1 expression. Examples include:
Stable expression systems: Cancer cell lines with doxycycline-inducible CDO1 expression, allowing controlled study of CDO1's effects
Endogenous CDO1 expression: H1581 cells naturally express CDO1 and can be engineered for CDO1 knockout
Functional assays:
In vivo models:
These diverse models allow for comprehensive investigation of CDO1's biochemical functions, antiproliferative effects, and potential as a therapeutic target or biomarker.
Researchers can manipulate CDO1 expression through several approaches:
Forced expression systems:
Knockdown and knockout approaches:
Epigenetic modulation:
These methodologies allow researchers to precisely control CDO1 expression levels and timing, facilitating detailed investigation of its functions in various experimental contexts.
Several analytical techniques are employed to study CDO1-mediated metabolic alterations:
Isotope tracing metabolomics:
Metabolite quantification:
Enzymatic activity assays:
Metabolic flux analysis:
These analytical approaches provide comprehensive insights into how CDO1 expression affects cellular metabolism, particularly in cancer contexts where metabolic reprogramming is a common feature.
CDO1 intersects with several critical metabolic pathways in cancer cells:
Interaction with NRF2-mediated metabolism:
Relationship with cystine import systems:
Impact on mitochondrial metabolism:
Interaction with GOT1-mediated metabolism:
These interactions highlight CDO1's position at a critical node in cancer cell metabolism, potentially explaining why its silencing provides a selective advantage during tumor progression.
CDO is a 22.5 kDa protein that contains 200 amino acid residues and has an isoelectric point (pI) of 5.5 . The primary structure of CDO is highly conserved among mammalian species, with only minor differences between murine and human CDO . The enzyme is part of the cupin superfamily, characterized by a 6-stranded β-barrel in a “jelly-roll” topology . Crystal structures of the protein have been obtained at high resolution, providing detailed insights into its active site and overall structure .
The active site of CDO contains iron (II) bound to the cysteine substrate and key residues that facilitate the catalytic process . The enzyme oxidizes cysteine to cysteine sulfinic acid by incorporating dioxygen (O₂), although the exact mechanism of this reaction is still under investigation .
CDO is highly expressed in the liver and placenta, with lower expression levels in the heart, brain, and pancreas . It is also detectable in hepatoblastoma HepG2 cells . The enzyme is a vital regulator of cellular cysteine concentrations and plays an essential role in maintaining the hepatic concentration of intracellular free cysteine within a narrow range .
By converting cysteine to cysteine sulfinic acid, CDO helps regulate intracellular levels of cysteine and responds to changes in cysteine availability . This regulation is crucial for preventing cysteine toxicity and ensuring proper cellular function . CDO is also involved in the biosynthesis of taurine, a compound important for various physiological processes .
Recombinant human CDO is produced using expression systems such as Escherichia coli (E. coli) . The recombinant protein is typically purified to high levels of purity and is used for research purposes to study the enzyme’s structure, function, and role in various biological processes .
The recombinant human CDO protein is supplied as a filtered solution and is stable for several months when stored at temperatures below -20°C . It is used in various biochemical assays and studies to understand the enzyme’s catalytic mechanisms and its implications in health and disease .