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Gene & Protein in Disease                                     NQO2 and dopamine toxicity versus detoxification



            that ROS production in CHO as well as in K562 or SH-SY5Y   reacting with oxygen, it is very rapidly transformed in the
            cells depends on the presence of NQO2. Exploring   quinone form. This reaction generates superoxide anions,
            neurons isolated from NQO2-knockout animals , the   which decomposes into various ROS (Umek et al.  and
                                                                                                        [75]
                                                    [56]
            ROS production was considerably decreased in similar   references therein). The kinetic of this reaction is fairly
                    [9]
            conditions . We concluded that the elevated expression   rapid, depending on the pH of the milieu. This reaction
            of NQO2 in brain cells in the presence of catechol   occurs concomitantly with the formation of an indole-
            quinones could lead to ROS-induced cell death via the   based quinone for part of the produced oxidized species.
            rapid conversion of superoxide radicals into peroxynitrite   The quinone (dopamine quinone or dopaminechrome) is
            by reaction with nitric oxide or into hydrogen peroxide,   recognized and reduced by NQO2 back into the original
            leading to the highly reactive hydroxyl radicals . Among   quinol in the presence of its co-substrate. Then again, the
                                                  [9]
            NQO2 substrates lay oxidized forms of catecholamines   quinol (dopamine) is oxidized back almost immediately
            such as adrenochrome. Catechols have been shown to   into the quinone. As  massive ROS bursts can cause cell
            co-crystalize with NQO2, which has also been categorized   death,  the  colocalization  of  both  dopamine  and  NQO2
            as a catecholamine reductase .                     in dopaminergic neurons could be responsible for
                                   [57]
              In the liver, the activity of oxidoreductase is mainly   dopaminergic neuron death, leading to degenerative
            catalyzed by NQO1, because this enzyme uses NADH as a   situations. Thus, the metabolism of dopamine in those
                                                               neurons is central. Because dopamine glucuronides have
            co-substrate [58,59] , which is massively present in liver tissue .   been described in brain, and at least one UGT isoform is
                                                        [60]
            NQO2, although expressed in liver, is not capable to reduce   active in brain, it is clear that if conjugated to glucuronic
            compounds due to the low availability of its co-substrate,   acid, dopamine cannot enter into this futile cycle of
            NRH, as well as the predominant role of NQO1.
                                                               oxidoreduction leading to ROS-mediated toxicity and
              Finally, in the last years, the literature reported a possible   neuron death.
            relationship between NQO2 expression and memory [61-63] ,   UGT is a family of conjugated enzymes mainly expressed
            before going deeper in a possible relationship between the   in liver and kidneys where it detoxifies compounds from
            enzyme regulation and neurogenerative diseases [61,64-67]    the body. UGT is also expressed and active in the brain.
            as well as schizophrenia . These association(s) need   NQOs are two enzymes, expressed in many organs. In the
                                 [68]
            further validations, as they were dependent on the patient   liver, the role of NQO1 is clearly to detoxify quinones and to
                          [69]
            population tested . Mechanically speaking, an elegant   facilitate conjugation, by UGT. Because NQO1 recognizes
            study  showed that if the promoter region of NQO2 gene   NADH, which is massively present in the liver, its role is
                [70]
            contains a 29-bp insertion polymorphism, the NQO2 gene   preponderant in this organ, while in the brain, the possible
            expression is decreased. Mutation in this region would lead   role of NQO2 is speculated in this context. NQO2 does not
            to an enhanced expression of NQO2. Such mutation(s)   recognize NAD(P)H as a co-substrate. The origin of NRH
            was/were found in post-mortem brain studies of     remains poorly explored. On the neuron side, the absence
            neurodegenerative patients . A physiological hypothesis   of conjugation leads to a futile cycle between quinone and
                                  [68]
            was also put forward as a possible role for NQO2 in the   quinol that produces ROS, a toxic entity to the cells.
            building of memory . Similarly, we showed that mice
                             [63]
            devoid of NQO2 were apparently able to learn faster than   In summary, as shown in  Figure  2, in liver, the
            their wild-type littermates [18,71] , linking again memory   predominance of NQO1 and its co-substrate NADH
            with  NQO2  in  a  negative  correlation  way .  Reduced   as well as the large amount of UGT and UDPGa, its
                                                [72]
            NQO2  expression  in  inhibitory  interneurons  improves   co-substrate, makes the metabolism of quinone quite
            novel object memory. On the contrary, enhanced NQO2   safe, from reduction to diol followed by conjugation. In
            activity would diminish memory after stress episodes .   brain, though, the co-expression of NQO2 and tyrosine
                                                        [61]
            This would form another link between dopaminergic   hydroxylase (TH) might render the installment of this
            neurons, NQO2 and memory, and following this tentative   futile cycle very rapid, depending on NQO2 co-substrate
            paradigm, a higher NQO2 expression/activity leads to a   availability. The possible role of UGT in this organ is
            lower memory formation [61,73] . On the pharmacological   less clear, but the conjugation of diol might stop the
            side, potent and specific NQO2 inhibitors, such as S29434   quinol/quinone futile cycle. Nevertheless, the presence of
                                                                                                    [53]
            and M11, have neuroprotective properties [18,74] .  dopamine-glucuronides in cerebrospinal fluid  indicates
                                                               the presence of at least one UGT isoform in the brain.
            2. Hypothesis
                                                                 An equilibrium between the conjugation of dopamine
            A speculative but simple idea would be as follows:   and its entrance in the quinone/quinol futile cycle would
            dopamine  is  fairly  unstable  in  aerobic  conditions,  and   drive  the  overall  possible  toxicity  of  dopamine,  under


            Volume 2 Issue 1 (2023)                         3                         https://doi.org/10.36922/gpd.227
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