The Tryptophan Kynurenine Pathway (TKP) in Post-Covid Syndrome (PCS) (WP5549)
Homo sapiens
Following the SARS-CoV-2 pandemic, increasing evidence suggests that the overactivation of the Tryptophan–Kynurenine Pathway (TKP) plays a significant role in the pathophysiology of Post-Covid syndrome. This dysregulation is marked by reduced tryptophan (TRP) levels and elevated concentrations of specific tryptophan catabolites (TRYCATs). Notably, heightened TKP activity has been observed in patients exhibiting symptoms of post-acute sequelae of COVID-19 (PASC). In fact, elevated levels of TKP metabolites such as quinolinic acid, 3- hydroxy anthranilic acid and kynurenine, have been associated with cognitive impairments. Persistent inflammatory conditions observed in Post-Covid patients potentially upregulate the indoleamine 2,3-dioxygenase (IDO) enzymes, specifically IDO 1, as well as KMO, which catalyses the conversion from Kynurenine to 3-Hydroxykynurenine. Thus, the kynurenine pathway relates to PACS and potentially enables future biomarker and therapeutic possibilities.
Authors
Kristof-KirpsActivity
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Organisms
Homo sapiensCommunities
Annotations
Pathway Ontology
kynurenine metabolic pathway tryptophan metabolic pathway immune system disease pathway nervous system disease pathwayDisease Ontology
long COVID mild cognitive impairmentLabel | Type | Compact URI | Comment |
---|---|---|---|
Anthranilic acid | Metabolite | chebi:30754 | |
Kynurenine | Metabolite | chebi:28683 | |
N-Formylkynurenine | Metabolite | chebi:30249 | |
3-Hydroxykynurenine | Metabolite | chebi:1547 | |
3-Hydroxyanthranilic acid | Metabolite | hmdb:HMDB01476 | |
Xanthurenic acid | Metabolite | hmdb:HMDB00881 | |
Tryptophan | Metabolite | chebi:27897 | OCR lexicon match: Trp |
3-Hydroxykynurenamine | Metabolite | hmdb:HMDB0060281 | 3-Hydroxykynurenamine |
Quinolinic acid | Metabolite | hmdb:HMDB00232 | |
Kynurenic Acid | Metabolite | chebi:18344 | |
H2O2 | Metabolite | chebi:16240 | |
DDC | GeneProduct | hgnc.symbol:DDC | catalyzes the decarboxylation of aromatic L-amino acids to their amine derivativeAADC (Aromatic L-amino acid decarboxylase) |
IDO2 | GeneProduct | hgnc.symbol:IDO2 | |
TNF | GeneProduct | hgnc.symbol:TNF | |
AADAT | GeneProduct | hgnc.symbol:AADAT | KYAT2 = AADATType your comment here |
KMO | GeneProduct | hgnc.symbol:KMO | |
IL1B | GeneProduct | hgnc.symbol:IL1B | |
IFNB1 | GeneProduct | ensembl:ENSG00000171855 | |
IL6 | GeneProduct | hgnc.symbol:IL6 | |
AFMID | GeneProduct | hgnc.symbol:AFMID | |
HAAO | GeneProduct | hgnc.symbol:HAAO | |
IDO1 | GeneProduct | ncbigene:3620 | OCR lexicon match: IDO |
TDO2 | GeneProduct | ncbigene:6999 | OCR lexicon match: TDO |
KYNU | GeneProduct | hgnc.symbol:KYNU | |
KYNU | GeneProduct | ncbigene:8942 | |
IFNG | GeneProduct | hgnc.symbol:IFNG | |
IFNA6 | GeneProduct | ensembl:ENSG00000120235 | |
KYAT1 | Protein | uniprot:Q16773 | KAT I/glutamine transaminase K/cysteine conjugate beta-lyase 1 |
KYAT2 | Protein | uniprot:Q8N5Z0 | KAT II/aminoadipate aminotransferase |
KYAT3 | Protein | uniprot:Q6YP21 | KAT III/cysteine conjugate beta-lyase 2 |
KYAT4 | Protein | uniprot:P00505 | KAT IV/glutamic-oxaloacetic transaminase 2/mitochondrial aspartate aminotransferase |
References
- Relationship between interferon-gamma, indoleamine 2,3-dioxygenase, and tryptophan catabolism. Taylor MW, Feng GS. FASEB J. 1991 Aug;5(11):2516–22. PubMed Europe PMC Scholia
- Characterization of an indoleamine 2,3-dioxygenase induced by gamma-interferon in cultured human fibroblasts. Pfefferkorn ER, Rebhun S, Eckel M. J Interferon Res. 1986 Jun;6(3):267–79. PubMed Europe PMC Scholia
- Molecular cloning and functional expression of human 3-hydroxyanthranilic-acid dioxygenase. Malherbe P, Köhler C, Da Prada M, Lang G, Kiefer V, Schwarcz R, et al. J Biol Chem. 1994 May 13;269(19):13792–7. PubMed Europe PMC Scholia
- Hydrogen peroxide-mediated neuronal cell death induced by an endogenous neurotoxin, 3-hydroxykynurenine. Okuda S, Nishiyama N, Saito H, Katsuki H. Proc Natl Acad Sci U S A. 1996 Oct 29;93(22):12553–8. PubMed Europe PMC Scholia
- Oxidative stress as a mechanism for quinolinic acid-induced hippocampal damage: protection by melatonin and deprenyl. Behan WM, McDonald M, Darlington LG, Stone TW. Br J Pharmacol. 1999 Dec;128(8):1754–60. PubMed Europe PMC Scholia
- 3-Hydroxykynurenine and 3-hydroxyanthranilic acid generate hydrogen peroxide and promote alpha-crystallin cross-linking by metal ion reduction. Goldstein LE, Leopold MC, Huang X, Atwood CS, Saunders AJ, Hartshorn M, et al. Biochemistry. 2000 Jun 20;39(24):7266–75. PubMed Europe PMC Scholia
- 3-Hydroxyanthranilic acid, an L-tryptophan metabolite, induces apoptosis in monocyte-derived cells stimulated by interferon-gamma. Morita T, Saito K, Takemura M, Maekawa N, Fujigaki S, Fujii H, et al. Ann Clin Biochem. 2001 May;38(Pt 3):242–51. PubMed Europe PMC Scholia
- Effect of arylformamidase (kynurenine formamidase) gene inactivation in mice on enzymatic activity, kynurenine pathway metabolites and phenotype. Dobrovolsky VN, Bowyer JF, Pabarcus MK, Heflich RH, Williams LD, Doerge DR, et al. Biochim Biophys Acta. 2005 Jun 20;1724(1–2):163–72. PubMed Europe PMC Scholia
- Excitotoxicity of quinolinic acid: modulation by endogenous antagonists. Jhamandas KH, Boegman RJ, Beninger RJ, Miranda AF, Lipic KA. Neurotox Res. 2000;2(2–3):139–55. PubMed Europe PMC Scholia
- Kynurenines impair energy metabolism in rat cerebral cortex. Schuck PF, Tonin A, da Costa Ferreira G, Viegas CM, Latini A, Duval Wannmacher CM, et al. Cell Mol Neurobiol. 2007 Feb;27(1):147–60. PubMed Europe PMC Scholia
- Aryl hydrocarbon receptor signaling mediates expression of indoleamine 2,3-dioxygenase. Vogel CFA, Goth SR, Dong B, Pessah IN, Matsumura F. Biochem Biophys Res Commun. 2008 Oct 24;375(3):331–5. PubMed Europe PMC Scholia
- Mechanism for quinolinic acid cytotoxicity in human astrocytes and neurons. Braidy N, Grant R, Adams S, Brew BJ, Guillemin GJ. Neurotox Res. 2009 Jul;16(1):77–86. PubMed Europe PMC Scholia
- Structure, expression, and function of kynurenine aminotransferases in human and rodent brains. Han Q, Cai T, Tagle DA, Li J. Cell Mol Life Sci. 2010 Feb;67(3):353–68. PubMed Europe PMC Scholia
- Quinolinic acid: an endogenous neurotoxin with multiple targets. Lugo-Huitrón R, Ugalde Muñiz P, Pineda B, Pedraza-Chaverrí J, Ríos C, Pérez-de la Cruz V. Oxid Med Cell Longev. 2013;2013:104024. PubMed Europe PMC Scholia
- Structure and mechanism of kynureninase. Phillips RS. Arch Biochem Biophys. 2014 Feb 15;544:69–74. PubMed Europe PMC Scholia
- Role of indoleamine 2,3-dioxygenase in health and disease. Yeung AWS, Terentis AC, King NJC, Thomas SR. Clin Sci (Lond). 2015 Oct;129(7):601–72. PubMed Europe PMC Scholia
- Kynurenine-3-monooxygenase: a review of structure, mechanism, and inhibitors. Smith JR, Jamie JF, Guillemin GJ. Drug Discov Today. 2016 Feb;21(2):315–24. PubMed Europe PMC Scholia
- Stress-related regulation of the kynurenine pathway: Relevance to neuropsychiatric and degenerative disorders. O’Farrell K, Harkin A. Neuropharmacology. 2017 Jan;112(Pt B):307–23. PubMed Europe PMC Scholia
- L-Tryptophan-kynurenine pathway enzymes are therapeutic target for neuropsychiatric diseases: Focus on cell type differences. Fujigaki H, Yamamoto Y, Saito K. Neuropharmacology. 2017 Jan;112(Pt B):264–74. PubMed Europe PMC Scholia
- Anthranilic Acid: A Potential Biomarker and Treatment Target for Schizophrenia. Oxenkrug G, van der Hart M, Roeser J, Summergrad P. Ann Psychiatry Ment Health. 2016;4(2):1059. PubMed Europe PMC Scholia
- Xanthurenic Acid Formation from 3-Hydroxykynurenine in the Mammalian Brain: Neurochemical Characterization and Physiological Effects. Sathyasaikumar KV, Tararina M, Wu HQ, Neale SA, Weisz F, Salt TE, et al. Neuroscience. 2017 Dec 26;367:85–97. PubMed Europe PMC Scholia
- Kynurenic Acid: The Janus-Faced Role of an Immunomodulatory Tryptophan Metabolite and Its Link to Pathological Conditions. Wirthgen E, Hoeflich A, Rebl A, Günther J. Front Immunol. 2018 Jan 10;8:1957. PubMed Europe PMC Scholia
- The kynurenine pathway: a finger in every pie. Savitz J. Mol Psychiatry. 2020 Jan;25(1):131–47. PubMed Europe PMC Scholia
- Microorganisms, Tryptophan Metabolism, and Kynurenine Pathway: A Complex Interconnected Loop Influencing Human Health Status. Dehhaghi M, Kazemi Shariat Panahi H, Guillemin GJ. Int J Tryptophan Res. 2019 Jun 19;12:1178646919852996. PubMed Europe PMC Scholia
- Coordination Complex Formation and Redox Properties of Kynurenic and Xanthurenic Acid Can Affect Brain Tissue Homeodynamics. Kubicova L, Hadacek F, Bachmann G, Weckwerth W, Chobot V. Antioxidants (Basel). 2019 Oct 11;8(10):476. PubMed Europe PMC Scholia
- Indoleamine and tryptophan 2,3-dioxygenases as important future therapeutic targets. Dolšak A, Gobec S, Sova M. Pharmacol Ther. 2021 May;221:107746. PubMed Europe PMC Scholia
- Pro-Inflammatory Cytokines: Potential Links between the Endocannabinoid System and the Kynurenine Pathway in Depression. Zádor F, Joca S, Nagy-Grócz G, Dvorácskó S, Szűcs E, Tömböly C, et al. Int J Mol Sci. 2021 May 31;22(11):5903. PubMed Europe PMC Scholia
- Immune Influencers in Action: Metabolites and Enzymes of the Tryptophan-Kynurenine Metabolic Pathway. Tanaka M, Tóth F, Polyák H, Szabó Á, Mándi Y, Vécsei L. Biomedicines. 2021 Jun 25;9(7):734. PubMed Europe PMC Scholia
- 3-hydroxy-L-kynurenamine is an immunomodulatory biogenic amine. Clement CC, D’Alessandro A, Thangaswamy S, Chalmers S, Furtado R, Spada S, et al. Nat Commun. 2021 Jul 21;12(1):4447. PubMed Europe PMC Scholia
- PD-L1 targeting and subclonal immune escape mediated by PD-L1 mutations in metastatic colorectal cancer. Stein A, Simnica D, Schultheiß C, Scholz R, Tintelnot J, Gökkurt E, et al. J Immunother Cancer. 2021 Jul;9(7):e002844. PubMed Europe PMC Scholia
- Markers of Immune Activation and Inflammation in Individuals With Postacute Sequelae of Severe Acute Respiratory Syndrome Coronavirus 2 Infection. Peluso MJ, Lu S, Tang AF, Durstenfeld MS, Ho HE, Goldberg SA, et al. J Infect Dis. 2021 Dec 1;224(11):1839–48. PubMed Europe PMC Scholia
- Kynurenine-3-monooxygenase (KMO): From its biological functions to therapeutic effect in diseases progression. Chen Y, Zhang J, Yang Y, Xiang K, Li H, Sun D, et al. J Cell Physiol. 2022 Dec;237(12):4339–55. PubMed Europe PMC Scholia
- The kynurenine pathway relates to post-acute COVID-19 objective cognitive impairment and PASC. Cysique LA, Jakabek D, Bracken SG, Allen-Davidian Y, Heng B, Chow S, et al. Ann Clin Transl Neurol. 2023 Aug;10(8):1338–52. PubMed Europe PMC Scholia
- Xanthurenic acid: A role in brain intercellular signaling. Maitre M, Taleb O, Jeltsch-David H, Klein C, Mensah-Nyagan AG. J Neurochem. 2024 Sep;168(9):2303–15. PubMed Europe PMC Scholia