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Pyrimidine metabolism

DHODH turns cytosolic, yet cells keep growing

Dihydroorotate dehydrogenase (DHODH) is the only core de novo pyrimidine enzyme in the mitochondrial inner membrane, coupling nucleotide production to electron transport. Curtabbi et al. show that a cytosolic, fumarate-dependent DHODH orthologue can bypass this dependence, sustaining pyrimidine synthesis and supporting cell growth during respiration failure.

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Fig. 1: A cytosolic DHODH bypass uncouples pyrimidine synthesis from mitochondrial respiration.

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Acknowledgements

This work is supported by a grant from the US National Institutes of Health (R35GM158171 to I.B.-S.).

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Correspondence to Issam Ben-Sahra.

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Vidal-Cruchez, O., Ben-Sahra, I. DHODH turns cytosolic, yet cells keep growing. Nat Metab (2026). https://doi.org/10.1038/s42255-026-01466-3

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