Azoreductases are flavoenzymes that have been characterised in a range of prokaryotes and eukaryotes. Bacterial azoreductases are associated with the activation of two classes of drug, azo drugs for the treatment of inflammatory bowel disease and nitrofuran antibiotics. The mechanism of reduction of azo compounds is presented that requires tautomerisation of the azo compound to a quinoneimine and provides a unifying mechanism for the reduction of azo and quinone substrates by azoreductase. The importance of further work in characterisation of azoreductases from enteric bacteria is highlighted to aid in the development of novel drugs for the treatment of colon related disorders.Human azoreductases are known to play a crucial role in the metabolism of a number of quinone containing cancer chemotherapeutic drugs. The mechanism of hydride transfer to quinones, which is shared not only between eukaryotic and prokaryotic azoreductases but the wider family of NAD(P)H quinone oxidoreductases, is outlined. The importance of common SNPs in human azoreductases is described not only in cancer prognosis but also due to their effects on the efficacy of quinone drug based cancer chemotherapeutic regimens. This highlights the need to screen patients for azoreductase SNPs ahead of treatment with these regimens.
Non-approved abbreviations5-ASA: 5-aminosalicylate, AcpD: acyl carrier protein phosphodiesterase, ecAzoR: E. coli azoreductase, FAD: flavin adenine dinucleotide, FMN: Flavin mononucleotide, hNQO1/2: human NAD(P)H quinone oxidoreductase 1 and 2, IBD: inflammatory bowel disease, MdaB: Modulator of drug activity B, NAD(P)H: Nicotinamide adenine dinucleotide (phosphate) reduced, NfsB: Nitrofurazone sensitivity protein B, NRH: (Wu et al., 1997)
Introduction to azoreductasesAzoreductases are a group of diverse enzymes found in many bacterial and eukaryotic organisms (Fig 1 (Ryan et al., 2014)). The azoreductases discussed in this review are flavin-dependent (typically FMN) enzymes that are able to reductively cleave compounds containing an azo bond. Azo compounds are defined as those that contain an R 1 -N=N-R 2 group, where R 1 and R 2 are typically aromatic groups. Azoreductases are primarily cytosolic enzymes, however they have been shown to be secreted during exposure of bacteria to azo dyes (Morrison et al., 2015). The physiological role of these enzymes in the bacteria remains unclear, however they are constitutively expressed during growth in vitro (Chen et al., 2005;Wang et al., 2007) which suggests a role in homeostasis. The majority of azoreductase research is focused on their use in bioremediation where they can be used for the treatment of waste water contaminated with azo dyes from the textile and cosmetics industries (Singh et al., 2015). This review is unique in focusing on their role in the activation of several classes of drug.To date the majority of studies on azoreductases have been performed on enzymes from aerobic bacteria (Crescente et al., 2016;Nakanishi et al., 2001), in contrast only a single ...