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Coenzyme Q – cytochrome c reductase
Coenzyme Q – cytochrome c reductase
from Wikipedia
Cytochrome b-c1 complex
Crystal structure of mitochondrial cytochrome bc complex bound with ubiquinone.[1]
Identifiers
Symbol(N/A)
SCOP21be3 / SCOPe / SUPFAM
TCDB3.D.3
OPM superfamily92
OPM protein3cx5
Membranome258
ubiquinol—cytochrome-c reductase
Identifiers
EC no.7.1.1.8
CAS no.9027-03-6
Databases
IntEnzIntEnz view
BRENDABRENDA entry
ExPASyNiceZyme view
KEGGKEGG entry
MetaCycmetabolic pathway
PRIAMprofile
PDB structuresRCSB PDB PDBe PDBsum
Gene OntologyAmiGO / QuickGO
Search
PMCarticles
PubMedarticles
NCBIproteins

The coenzyme Q : cytochrome c – oxidoreductase, sometimes called the cytochrome bc1 complex, and at other times complex III, is the third complex in the electron transport chain (EC 1.10.2.2), playing a critical role in biochemical generation of ATP (oxidative phosphorylation). Complex III is a multisubunit transmembrane protein encoded by both the mitochondrial (cytochrome b) and the nuclear genomes (all other subunits). Complex III is present in the mitochondria of all animals and all aerobic eukaryotes and the inner membranes of most bacteria. Mutations in Complex III cause exercise intolerance as well as multisystem disorders. The bc1 complex contains 11 subunits: 3 respiratory subunits (cytochrome b, cytochrome c1, Rieske protein), 2 core proteins, and 6 low-molecular-weight proteins.

Ubiquinol—cytochrome-c reductase catalyzes the chemical reaction

QH2 + 2 ferricytochrome c Q + 2 ferrocytochrome c + 2 H+

Thus, the two substrates of this enzyme are quinol (QH2) and ferri- (Fe3+) cytochrome c, whereas its 3 products are quinone (Q), ferro- (Fe2+) cytochrome c, and H+.

This enzyme belongs to the family of oxidoreductases, specifically those acting on diphenols and related substances as donor with a cytochrome as acceptor. This enzyme participates in oxidative phosphorylation. It has four cofactors:[clarification needed] cytochrome c1, cytochrome b-562, cytochrome b-566, and a 2-Iron ferredoxin of the Rieske type.

Nomenclature

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The systematic name of this enzyme class is ubiquinol:ferricytochrome-c oxidoreductase. Other names in common use include:

  • coenzyme Q-cytochrome c reductase,
  • dihydrocoenzyme Q-cytochrome c reductase,
  • reduced ubiquinone-cytochrome c reductase, complex III,
  • (mitochondrial electron transport),
  • ubiquinone-cytochrome c reductase,
  • ubiquinol-cytochrome c oxidoreductase,
  • reduced coenzyme Q-cytochrome c reductase,
  • ubiquinone-cytochrome c oxidoreductase,
  • reduced ubiquinone-cytochrome c oxidoreductase,
  • mitochondrial electron transport complex III,
  • ubiquinol-cytochrome c-2 oxidoreductase,
  • ubiquinone-cytochrome b-c1 oxidoreductase,
  • ubiquinol-cytochrome c2 reductase,
  • ubiquinol-cytochrome c1 oxidoreductase,
  • CoQH2-cytochrome c oxidoreductase,
  • ubihydroquinol:cytochrome c oxidoreductase,
  • coenzyme QH2-cytochrome c reductase, and
  • QH2:cytochrome c oxidoreductase.

Structure

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Structure of complex III (click to enlarge)

Compared to the other major proton-pumping subunits of the electron transport chain, the number of subunits found can be small, as small as three polypeptide chains. This number does increase, and eleven subunits are found in higher animals.[2] Three subunits have prosthetic groups. The cytochrome b subunit has two b-type hemes (bL and bH), the cytochrome c subunit has one c-type heme (c1), and the Rieske Iron Sulfur Protein subunit (ISP) has a two iron, two sulfur iron-sulfur cluster (2Fe•2S).

Structures of complex III: PDB: 1KYO​, PDB: 1L0L

Composition of complex

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In vertebrates the bc1 complex, or Complex III, contains 11 subunits: 3 respiratory subunits, 2 core proteins and 6 low-molecular weight proteins.[3][4] Proteobacterial complexes may contain as few as three subunits.[5]

Table of subunit composition of complex III

[edit]
No. Subunit name Human gene symbol Protein description from UniProt Pfam family with Human protein
Respiratory subunit proteins
1 MT-CYB / Cyt b MT-CYB Cytochrome b Pfam PF13631
2 CYC1 / Cyt c1 CYC1 Cytochrome c1, heme protein, mitochondrial Pfam PF02167
3 Rieske / UCR1 UQCRFS1 Cytochrome b-c1 complex subunit Rieske, mitochondrial EC 1.10.2.2 Pfam PF02921 , Pfam PF00355
Core protein subunits
4 QCR1 / SU1 UQCRC1 Cytochrome b-c1 complex subunit 1, mitochondrial Pfam PF00675, Pfam PF05193
5 QCR2 / SU2 UQCRC2 Cytochrome b-c1 complex subunit 2, mitochondrial Pfam PF00675, Pfam PF05193
Low-molecular weight protein subunits
6 QCR6 / SU6 UQCRH Cytochrome b-c1 complex subunit 6, mitochondrial Pfam PF02320
7 QCR7 / SU7 UQCRB Cytochrome b-c1 complex subunit 7 Pfam PF02271
8 QCR8 / SU8 UQCRQ Cytochrome b-c1 complex subunit 8 Pfam PF02939
9 QCR9 / SU9 UQCRFS1a (N-terminal of Rieske, no separate entry) Pfam PF09165
10 QCR10 / SU10 UQCR10 Cytochrome b-c1 complex subunit 9 Pfam PF05365
11 QCR11 / SU11 UQCR11 Cytochrome b-c1 complex subunit 10 Pfam PF08997
  • a In vertebrates, a cleavage product of 8 kDa from the N-terminus of the Rieske protein (Signal peptide) is retained in the complex as subunit 9. Thus subunits 10 and 11 correspond to fungal QCR9p and QCR10p.

Reaction

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schematic illustration of complex III reactions

It catalyzes the reduction of cytochrome c by oxidation of coenzyme Q (CoQ) and the concomitant pumping of 4 protons from the mitochondrial matrix to the intermembrane space:

QH2 + 2 cytochrome c (FeIII) + 2 H+
in
→ Q + 2 cytochrome c (FeII) + 4 H+
out

In the process called Q cycle,[6][7] two protons are consumed from the matrix (M), four protons are released into the inter membrane space (IM) and two electrons are passed to cytochrome c.

Reaction mechanism

[edit]
The Q cycle

The reaction mechanism for complex III (cytochrome bc1, coenzyme Q: cytochrome C oxidoreductase) is known as the ubiquinone ("Q") cycle. In this cycle four protons get released into the positive "P" side (inter membrane space), but only two protons get taken up from the negative "N" side (matrix). As a result, a proton gradient is formed across the membrane. In the overall reaction, two ubiquinols are oxidized to ubiquinones and one ubiquinone is reduced to ubiquinol. In the complete mechanism, two electrons are transferred from ubiquinol to ubiquinone, via two cytochrome c intermediates.

Overall:

  • 2 x QH2 oxidised to Q
  • 1 x Q reduced to QH2
  • 2 x Cyt c reduced
  • 4 x H+ released into intermembrane space
  • 2 x H+ picked up from matrix

The reaction proceeds according to the following steps:

Round 1:

  1. Cytochrome b binds a ubiquinol and a ubiquinone.
  2. The 2Fe/2S center and BL heme each pull an electron off the bound ubiquinol, releasing two protons into the intermembrane space.
  3. One electron is transferred to cytochrome c1 from the 2Fe/2S centre, whilst another is transferred from the BL heme to the BH Heme.
  4. Cytochrome c1 transfers its electron to cytochrome c (not to be confused with cytochrome c1), and the BH Heme transfers its electron to a nearby ubiquinone, resulting in the formation of a ubisemiquinone.
  5. Cytochrome c diffuses. The first ubiquinol (now oxidised to ubiquinone) is released, whilst the semiquinone remains bound.

Round 2:

  1. A second ubiquinol is bound by cytochrome b.
  2. The 2Fe/2S center and BL heme each pull an electron off the bound ubiquinol, releasing two protons into the intermembrane space.
  3. One electron is transferred to cytochrome c1 from the 2Fe/2S centre, whilst another is transferred from the BL heme to the BH Heme.
  4. Cytochrome c1 then transfers its electron to cytochrome c, whilst the nearby semiquinone produced from round 1 picks up a second electron from the BH heme, along with two protons from the matrix.
  5. The second ubiquinol (now oxidised to ubiquinone), along with the newly formed ubiquinol are released.[8]

Inhibitors of complex III

[edit]

There are three distinct groups of Complex III inhibitors.

  • Antimycin A binds to the Qi site and inhibits the transfer of electrons in Complex III from heme bH to oxidized Q (Qi site inhibitor).
  • Myxothiazol and stigmatellin binds to the Qo site and inhibits the transfer of electrons from reduced QH2 to the Rieske Iron sulfur protein. Myxothiazol and stigmatellin bind to distinct but overlapping pockets within the Qo site.
    • Myxothiazol binds nearer to cytochrome bL (hence termed a "proximal" inhibitor).
    • Stigmatellin binds farther from heme bL and nearer the Rieske Iron sulfur protein, with which it strongly interacts.

Some have been commercialized as fungicides (the strobilurin derivatives, best known of which is azoxystrobin; QoI inhibitors) and as anti-malaria agents (atovaquone). Some Qo site inhibitors have been commercialized as insecticides (IRAC group 20).[9]

Also propylhexedrine inhibits cytochrome c reductase.[10]

Oxygen free radicals

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A small fraction of electrons leave the electron transport chain before reaching complex IV. Premature electron leakage to oxygen results in the formation of superoxide. The relevance of this otherwise minor side reaction is that superoxide and other reactive oxygen species are highly toxic and are thought to play a role in several pathologies, as well as aging (the free radical theory of aging).[11] Electron leakage occurs mainly at the Qo site and is stimulated by antimycin A. Antimycin A locks the b hemes in the reduced state by preventing their re-oxidation at the Qi site, which, in turn, causes the steady-state concentrations of the Qo semiquinone to rise, the latter species reacting with oxygen to form superoxide. The effect of high membrane potential is thought to have a similar effect.[12] Superoxide produced at the Qo site can be released both into the mitochondrial matrix[13][14] and into the intermembrane space, where it can then reach the cytosol.[13][15] This could be explained by the fact that Complex III might produce superoxide as membrane permeable HOO rather than as membrane impermeable O−.
2
.[14]

Human gene names

[edit]
  • MT-CYB: mtDNA encoded cytochrome b; mutations associated with exercise intolerance
  • CYC1: cytochrome c1
  • CYCS: cytochrome c
  • UQCRFS1: Rieske iron sulfur protein
  • UQCRB: Ubiquinone binding protein, mutation linked with mitochondrial complex III deficiency nuclear type 3
  • UQCRH: hinge protein
  • UQCRC2: Core 2, mutations linked to mitochondrial complex III deficiency, nuclear type 5
  • UQCRC1: Core 1
  • UQCR: 6.4KD subunit
  • UQCR10: 7.2KD subunit
  • TTC19: Newly identified subunit, mutations linked to complex III deficiency nuclear type 2. Helps remove the N-terminal fragment of UQCRFS1, which would otherwise interfere with complex III function.[16]

Mutations in complex III genes in human disease

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Mutations in complex III-related genes typically manifest as exercise intolerance.[17][18] Other mutations have been reported to cause septo-optic dysplasia[19] and multisystem disorders.[20] However, mutations in BCS1L, a gene responsible for proper maturation of complex III, can result in Björnstad syndrome and the GRACILE syndrome, which in neonates are lethal conditions that have multisystem and neurologic manifestations typifying severe mitochondrial disorders. The pathogenicity of several mutations has been verified in model systems such as yeast.[21]

The extent to which these various pathologies are due to bioenergetic deficits or overproduction of superoxide is presently unknown.

See also

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Additional images

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References

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Further reading

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[edit]
Revisions and contributorsEdit on WikipediaRead on Wikipedia
from Grokipedia
Coenzyme Q – cytochrome c reductase, also known as the cytochrome bc₁ complex or Complex III, is a dimeric complex located in the that serves as a central component of the (ETC) in . It catalyzes the oxidation of (the reduced form of coenzyme Q) to ubiquinone, transferring electrons to while coupling this reaction to the translocation of protons from the to the , thereby generating an electrochemical proton gradient that drives ATP synthesis. This process is essential for cellular energy production in aerobic organisms and is conserved across eukaryotes and many prokaryotes. The structure of the cytochrome bc₁ complex is highly organized, featuring up to 11 subunits in mammalian mitochondria, with the core catalytic subunits conserved across species: cytochrome b (an containing two groups, b_L and b_H), cytochrome c₁ (a peripheral membrane protein with a c-type ), and the Rieske iron-sulfur protein (ISP, containing a 2Fe-2S cluster). In bacteria like Rhodobacter sphaeroides, the complex is simpler with only four subunits, but eukaryotic versions include additional supernumerary subunits that enhance stability, regulate assembly, and facilitate interactions with other respiratory complexes. The dimer exhibits a twofold axis to the membrane, with each monomer spanning the and exposing functional domains to the . The mechanism of action relies on the Q-cycle, a bifurcated pathway that amplifies proton translocation efficiency. At the Qo site (on the positive side of the ), is oxidized, releasing two protons to the ; one reduces the ISP and is subsequently passed to c₁ and then to , while the second travels through the low-potential chain of b_L and b_H to reduce ubiquinone to semiquinone at the Qi site (on the negative side), where it takes up two protons from . Over two turns of the cycle, this results in the net oxidation of one , reduction of two molecules, and translocation of four protons, maintaining a oxidized ubiquinone pool and supporting the protonmotive force. Beyond its role in respiration, the cytochrome bc₁ complex participates in supercomplex assemblies with Complexes I and IV, enhancing efficiency and preventing production. It is also a validated target for and drugs, such as atovaquone, due to its essentiality and structural conservation in pathogens, with recent structural studies revealing inhibitor-induced conformational changes in the ISP that inform resistance mechanisms and .

Nomenclature and overview

Nomenclature

Coenzyme Q – cytochrome c reductase, also known as ubiquinol:cytochrome-c , is the systematic name for this , reflecting its role in oxidizing (the reduced form of coenzyme Q) while reducing . It is classified under the EC 7.1.1.8, which denotes its function as a membrane-bound transferring electrons from an iron-sulfur protein to a or related compound, an update from its prior designation as EC 1.10.2.2 in 2018 to better align with classifications for proton-translocating complexes. Common alternative names include Complex III, referring to its position as the third in the mitochondrial ; the bc1 complex, highlighting its core b and c1; and coenzyme Q:cytochrome c oxidoreductase, emphasizing the from coenzyme Q to . The evolved from early studies of mitochondrial in the , when researchers isolated and characterized respiratory chain components from beef heart mitochondria, initially describing it as a reduced coenzyme Q-cytochrome c reductase based on its catalytic activity. This functional naming persisted as subsequent work delineated its distinct subunits and cofactors, solidifying terms like Complex III within the broader framework of respiratory complexes established by that era's biochemical fractionations. It is distinguished from other respiratory complexes—such as Complex I (NADH:ubiquinone oxidoreductase, EC 7.1.1.2), Complex II (succinate:ubiquinone oxidoreductase, EC 1.3.5.1), and Complex IV (, EC 7.1.1.9)—by its specific mediation of electron transfer between and , without involvement in NADH or succinate oxidation or final oxygen reduction.

Biological role

Coenzyme Q – cytochrome c reductase, also known as mitochondrial complex III or the bc1 complex, is embedded in the where it functions as a central component of the (ETC) in aerobic respiration. This positioning allows it to facilitate the sequential transfer of electrons through the respiratory chain, linking upstream complexes like complex I and II to downstream and complex IV. The primary biological role of the enzyme involves oxidizing (QH2), the reduced form of coenzyme Q, and reducing , thereby shuttling electrons from the lipid-soluble ubiquinone pool to the water-soluble in the . This electron transfer is coupled to the translocation of protons across the via the mechanism, generating a proton motive force that establishes an essential for . In mammalian mitochondria, complex III assembles into higher-order respiratory supercomplexes, such as I1III2IV1 and I2III2IV2, which enhance channeling of electrons and substrates for efficient respiration; recent cryo-EM structures from 2022 have resolved these assemblies , revealing how they optimize electron flow while minimizing production. Beyond its canonical function in the ETC, complex III indirectly supports non-canonical pathways through interactions with the coenzyme Q pool, such as the oxidation of (H2S) mediated by sulfide:quinone oxidoreductase (SQOR). SQOR transfers electrons from H2S to ubiquinone, producing persulfides and feeding into the Q pool for subsequent oxidation by complex III, thereby regulating sulfide homeostasis and preventing toxicity while contributing to mitochondrial balance, as highlighted in 2021 reviews on CoQ dynamics. This process underscores the enzyme's broader role in cellular signaling and . The proton-pumping activity of complex III, which translocates four protons per two electrons transferred in the , directly contributes to the proton gradient that drives ATP synthesis by (complex V) in . This coupling ensures efficient energy production from nutrient oxidation, with disruptions in complex III function leading to impaired ATP generation and mitochondrial dysfunction.

Structure and composition

Overall architecture

Coenzyme Q – cytochrome c reductase, commonly known as Complex III or the cytochrome bc1 complex, functions as a symmetric dimer embedded in the , with each monomer comprising 11 distinct subunits in humans. The dimeric organization enhances stability and coordinates across the two monomers, spanning approximately 100 in height and 70 in width. At the core of each monomer lie three essential redox-active subunits: cytochrome b, the Rieske iron-sulfur protein (ISP), and cytochrome c1, which form the catalytic heart of the complex. Cytochrome b is a harboring the Qo site on the (positive) side and the Qi site on the (negative) side, enabling bifurcated electron flow in the Q-cycle. The Rieske ISP, with its [2Fe-2S] cluster, and cytochrome c1, featuring a c-type , are anchored peripherally on the positive side to facilitate docking of and cytochrome c, respectively. Proton translocation pathways consist of hydrophilic channels lined by charged residues, such as histidines in the Rieske ISP and conserved water networks near the Qo site, allowing the uptake and release of four protons per Q-cycle. Lipid interactions, particularly with molecules at the dimer interface and subunit boundaries, rigidify the structure and influence conformational dynamics essential for . Cryo-electron microscopy (cryo-EM) has elucidated the overall architecture with atomic-level detail. Structures from the , including bovine Complex III resolved at around 3.5 , first delineated the symmetric dimer and key binding pockets for quinones and inhibitors. Subsequent 2024 in cryo-EM studies on porcine mitochondria refined these to higher resolutions (better than 3 locally), revealing native lipid densities and subtle asymmetries in monomer orientations that support functional dimerism. In apicomplexan organisms, such as , 2025 cryo-EM structures of the Complex III2 dimer at 3.2 resolution underscore conserved features like the cytochrome b core and Rieske positioning, despite additional clade-specific subunits expanding the to 14 components. Complex III further integrates into larger respiratory supercomplexes within the membrane, promoting efficient electron channeling. Notably, the I2+III2 supercomplex, visualized by cryo-EM at 3.7 Å resolution in 2025, forms a compact assembly where the III2 dimer bridges two Complex I monomers, stabilizing the cristae architecture and mitigating defects in electron transport under .

Subunit composition

Coenzyme Q – cytochrome c reductase in humans consists of 11 protein subunits arranged in a monomeric unit that dimerizes to form the functional complex. The three core catalytic subunits—, , and the Rieske iron-sulfur protein (ISP)—house the redox-active cofactors responsible for from to , while the two core proteins and six supernumerary subunits provide structural integrity, stability, and regulatory roles. The cofactors are integral to the catalytic mechanism: binds two low-potential s (b_H and b_L) for bifurcated in the Q ; ₁ contains a high-potential c₁ for transferring electrons to ; and the ISP harbors a [2Fe–2S] cluster that shuttles electrons between the quinol oxidation site and ₁. is one copy of each subunit per , with the dimer exhibiting twofold symmetry.
Subunit NameGene SymbolMass (kDa)Function/CofactorNotes (Organism Comparison)
Cytochrome bMT-CYB42Transmembrane electron carrier; binds s b_H and b_L for Mitochondrial-encoded; conserved across species
Cytochrome c₁CYC135Electron transfer to ; binds heme c₁Nuclear-encoded; conserved
Rieske ISPUQCRFS124 (mature)Mobile electron shuttle; [2Fe–2S] clusterNuclear-encoded; processed post-translationally; conserved
Core protein 1UQCRC153Structural scaffold; protease-like activityNuclear-encoded; conserved
Core protein 2UQCRC248Structural scaffold; protease-like activityNuclear-encoded; conserved
Subunit VII (QCR7)UQCRB13Stabilizes site; bindingNuclear-encoded; conserved
Subunit VIII (QCR8)UQCRQ10Membrane anchor; structuralNuclear-encoded; conserved
Hinge protein (QCR6)UQCRH10Regulates Rieske domain mobilityNuclear-encoded; conserved
Subunit IX (QCR9)UQCR107Structural stabilizationNuclear-encoded; conserved
Subunit X (QCR10)UQCR116Structural stabilizationNuclear-encoded; conserved
Subunit XI (QCR11)UQCR116.5Structural stabilization of dimer interfaceNuclear-encoded; absent in (10 subunits total)
Subunit compositions vary slightly across species; for example, Saccharomyces cerevisiae Complex III contains only 10 subunits, lacking the smallest mammalian supernumerary subunit (equivalent to ~6.5 kDa), which contributes to dimer stability but is dispensable for basic . Assembly of the mature complex requires transient interactions with non-structural factors, such as UQCC1, UQCC2, and UQCC3, which facilitate subunit incorporation but are not retained in the final holoenzyme.

Reaction and mechanism

Catalyzed reaction

Coenzyme Q – cytochrome c reductase, also known as the cytochrome bc₁ complex or Complex III, catalyzes the transfer of electrons from ubiquinol (QH₂) to cytochrome c, coupled to the translocation of protons across the inner mitochondrial membrane. The overall stoichiometry of the reaction, as part of the Q-cycle mechanism, is represented by the equation: QH2+2 cyt c3++2H(matrix)+Q+2 cyt c2++4H(intermembrane space)+\text{QH}_2 + 2 \text{ cyt } c^{3+} + 2 \text{H}^+_\text{(matrix)} \rightarrow \text{Q} + 2 \text{ cyt } c^{2+} + 4 \text{H}^+_\text{(intermembrane space)} This net reaction involves the oxidation of one of to ubiquinone () via the Qo site on the side, reduction of two molecules of oxidized , uptake of two protons from , and release of four protons into the . The Q-cycle mechanism, proposed by Peter Mitchell, enables this process by bifurcating the two s from : one follows the high-potential chain through the Rieske iron-sulfur protein and cytochrome c₁ to reduce , while the other traverses the low-potential chain via the b to reduce a ubiquinone at the Qi site, regenerating a semiquinone intermediate that completes the cycle. The net effect is the transfer of four protons across the membrane per two s transferred from to , doubling the proton-to- compared to a linear mechanism. The reaction is thermodynamically favorable due to the difference in standard potentials between the substrates and products. The midpoint (E_m) for the /ubiquinone couple is approximately +60 mV, while that for the (oxidized/reduced) couple is about +250 mV, providing a sufficient driving force (ΔE ≈ +190 mV) for under physiological conditions. This proton translocation contributes to the generation of the proton motive force (Δp), comprising a gradient (ΔpH) and a (Δψ), which drives ATP synthesis via in the . The efficiency of this energy conservation mechanism underscores the role of the Q-cycle in mitochondrial .

Detailed mechanism

The detailed mechanism of coenzyme Q–cytochrome c reductase, also known as the cytochrome bc₁ complex, operates through the Q-cycle, a bifurcated process that couples the oxidation of (QH₂) to the reduction of while translocating protons across the . In the initial step of the Q-cycle, QH₂ binds at the quinol oxidation site (Qo site) on the positive (P) side of the , where it undergoes two- oxidation. One is transferred to the Rieske iron-sulfur protein (ISP), which then relays it through the high-potential chain to cytochrome c₁ and subsequently to , while the second is directed to the low-potential chain via b_L to b_H. This bifurcation generates a transient semiquinone anion (SQ⁻) at the Qo site, and two scalar protons are released into the (P-side) during QH₂ . The electron from the b hemes reaches the quinone reduction site (Qi site) on the negative (N) side, where it reduces ubiquinone (Q) to a semiquinone anion (SQ⁻), with no net proton uptake in this half-cycle. A second turnover of the cycle is required for completion: another QH₂ molecule binds at the Qo site, repeating the bifurcation process, with its high-potential electron again reducing and its low-potential electron reducing the SQ⁻ at the Qi site to (QH₂). This second reduction at Qi incorporates two protons from the (N-side), completing the vectorial proton translocation. Overall, the full Q-cycle results in the net oxidation of one QH₂ at Qo, reduction of one Q to QH₂ at Qi, transfer of two electrons to , release of four scalar protons to the P-side, and uptake of two vectorial protons from the N-side, establishing a for ATP synthesis. Central to the Qo site reaction is the conformational dynamics of the ISP, whose extrinsic head domain—containing the [2Fe-2S] cluster—undergoes a large-scale movement of approximately 20–30 via a flexible hinge, swinging from a position proximal to the Qo site (b-position) to one adjacent to cytochrome c₁ (c-position) to facilitate . This mobility ensures efficient bifurcation by positioning the ISP for initial electron acceptance from QH₂ before relocating for delivery to c₁, with the domain's state and occupancy regulating the transition. The distinction between scalar and vectorial proton transport in the Q-cycle underscores its protonmotive efficiency: scalar protons are directly released from substrate oxidation on the P-side, whereas vectorial protons are effectively pumped by the asymmetric uptake at Qi, driven by the span across the . Recent cryo-EM structures of the inhibitor-bound III₂–IV supercomplex containing the cytochrome bc₁ complex from the apicomplexan parasite Toxoplasma gondii (2025) provide mechanistic insights into the Qo and Qi sites in a near-native state.

Inhibitors and reactive oxygen species

Inhibitors

Coenzyme Q – cytochrome c reductase, also known as the cytochrome bc1 complex or Complex III, is inhibited by compounds that target its two distinct quinone-binding sites: the Qo site (or Qp site) on the positive (intermembrane space) side and the Qi site (or Qn site) on the negative (matrix) side. These inhibitors disrupt the Q-cycle mechanism by blocking electron transfer from ubiquinol (QH2) or to ubiquinone (Q), respectively. Qo site inhibitors, such as stigmatellin and myxothiazol, bind near the iron-sulfur protein (ISP) subunit and prevent the initial oxidation of , thereby halting the bifurcated pathway. Stigmatellin coordinates with the ISP ligand and a conserved glutamate residue, stabilizing the complex in a conformation that impedes Qo site occupancy. Myxothiazol, a methoxyacrylate, occupies a hydrophobic pocket adjacent to the Qo site, displacing the ISP and inhibiting its movement essential for electron donation to 1. Qi site inhibitors, exemplified by , bind within the Qi pocket of , blocking the reduction of ubiquinone to semiquinone and preventing electron flow from the low-potential b heme (bH) to Q. This inhibition traps electrons in the complex, disrupting the overall proton translocation coupled to the Q-cycle. Ilicicolin H acts similarly at the Qi site but with lower affinity than ; it is antimycin-insensitive in certain assays, allowing its use to probe residual activity in antimycin-treated complexes. Atovaquone, a hydroxynaphthoquinone, targets the Qo site in 's bc1 complex and is a frontline antimalarial drug that collapses the mitochondrial in parasites. Recent cryo-EM structures from 2025 reveal atovaquone binding in the III2–IV supercomplex, showing it occupies the Qo pocket and interacts with key residues of , confirming its conserved mechanism across apicomplexans. agents targeting the bc1 complex, such as natural product-derived Qi site inhibitors like ilicicolin H and synthetic analogs (e.g., AS2077715), selectively impair fungal respiration and by exploiting differences in the Qo or Qi sites between fungi and mammals. Endogenous regulation of Complex III activity involves , a mitochondrial that binds to the complex and stabilizes its dimeric assembly, enhancing efficiency at both Qo and sites. Cardiolipin deficiency impairs supercomplex formation with Complexes IV and reduces overall respiratory chain activity, underscoring its role as a non-competitive modulator.

Production of reactive oxygen species

Coenzyme Q – cytochrome c reductase, also known as complex III, generates superoxide (O₂⁻•) primarily at the quinol oxidation site (Qo site) through the unstable semiquinone intermediate formed during ubiquinol oxidation. This semiquinone radical (SQ⁻) reacts with molecular oxygen, leading to superoxide production as a byproduct of electron leakage in the electron transport chain. The process occurs via both forward electron transfer (from ubiquinol to cytochrome c) and reverse electron transfer pathways, where high proton motive force drives electrons backward, enhancing SQ⁻ stability and ROS output. Under physiological conditions, ROS from complex III serve as signaling molecules, such as in hypoxia, where reduced oxygen availability stabilizes the hypoxia-inducible factor-1α (HIF-1α) via superoxide-mediated oxidation of prolyl hydroxylases. This signaling promotes adaptive responses like and . In contrast, excessive ROS contribute to cellular damage, including in , where the Nrf2/FSP1/CoQ10 axis suppresses ferroptosis by scavenging radicals and preventing iron-dependent propagation. Reverse electron transport, often triggered by high succinate levels, and hypoxic conditions further elevate ROS production at the Qo site by altering flux and SQ⁻ lifetime. Mitochondrial coenzyme Q (CoQ) acts as a primary radical scavenger, intercepting and other ROS near the Qo site to mitigate . By regenerating its reduced form (), CoQ prevents propagation of radical chain reactions within the inner membrane. Recent studies demonstrate that CoQ10 supplementation reduces mitochondrial ROS levels in models of metabolic disorders, such as CDKL5 deficiency, by restoring antioxidant capacity and normalizing balance. In neuronal models of , CoQ10 pretreatment significantly lowers production, highlighting its therapeutic potential in ROS-related pathologies.

Genetics and human pathology

Encoding genes

The Coenzyme Q – cytochrome c reductase, also known as Complex III or the cytochrome bc1 complex, is composed of 11 protein subunits in humans, with their encoding genes distributed between the mitochondrial and nuclear genomes. Only one subunit, , is encoded by the mitochondrial genome, while the remaining ten subunits are encoded by nuclear genes. These nuclear-encoded subunits include two core catalytic subunits (cytochrome c1 and the Rieske iron-sulfur protein) and eight other nuclear-encoded subunits (including core proteins and supernumerary subunits) that contribute to stability, assembly, and regulation. The mitochondrially encoded gene is MT-CYB (also known as MTCYB), located on the (mtDNA) at positions 14,748–15,826 (revised Cambridge reference sequence). It produces the protein, a transmembrane subunit essential for oxidation and the Q-cycle mechanism within Complex III. All other subunits are nuclear-encoded, synthesized in the , and imported into the mitochondria for assembly with cytochrome b. The nuclear genes encoding the Complex III subunits are as follows:
Gene SymbolChromosome LocationProtein ProductFunction
CYC18q24.3Cytochrome c1Heme-containing subunit that accepts electrons from the Rieske iron-sulfur protein and transfers them to .
UQCRFS119p13.3Rieske iron-sulfur proteinContains a [2Fe-2S] cluster that facilitates from to cytochrome c1.
UQCRC13p21.31Core protein 1Structural core subunit involved in complex assembly and stabilization.
UQCRC216q13Core protein 2Structural core subunit that supports dimerization and overall complex integrity.
UQCRB8q22.1Ubiquinol- reductase binding protein (QP-C)Hinge protein that aids in binding and .
UQCRH1p33Hinge proteinAssists in docking and complex stability.
UQCRQ5q31.1Complex III subunit VII (QCR8)Small supernumerary subunit associated with the core and involved in ubiquinone binding.
UQCR1022q11.21Complex III subunit X (QCR9)Low-molecular-weight supernumerary subunit contributing to structural integrity.
UQCR1119p13.3Complex III subunit XI (QCR10)Smallest supernumerary subunit aiding in complex assembly and stability.
Note that the Rieske iron-sulfur protein (UQCRFS1) contributes two polypeptides to the complex: the mature protein and its cleaved N-terminal targeting sequence, accounting for 11 total subunits from 10 genes. The biogenesis of Complex III involves coordinated expression and import of these nuclear-encoded subunits into the mitochondria. Each nuclear gene product contains an N-terminal mitochondrial targeting signal (MTS), a positively charged amphipathic alpha-helix that is recognized by the translocase of the outer mitochondrial membrane (TOM) complex for import, followed by processing by the inner membrane translocase (TIM) and matrix processing peptidase to yield the mature protein. These subunits then assemble stepwise with the mitochondrially translated cytochrome b in the inner mitochondrial membrane, facilitated by assembly factors such as BCS1L and UQCC proteins. Recent studies in 2025 have utilized model organisms like to perform functional testing of missense variants in CoQ biosynthesis genes, such as COQ2, revealing impacts on mitochondrial respiratory chain assembly, including disruptions to Complex III function due to altered ubiquinone availability. These approaches provide insights into variant pathogenicity beyond subunit-encoding genes, highlighting indirect effects on complex stability.

Mutations and associated diseases

Mutations in genes encoding subunits of coenzyme Q–cytochrome c reductase (Complex III) lead to primary mitochondrial complex III deficiencies, which are rare multisystem disorders characterized by impaired and energy production. These defects primarily affect nuclear-encoded genes such as UQCRB and UQCRC2, as well as the mitochondrially encoded MT-CYB, resulting in clinical manifestations including , , and . The prevalence of isolated complex III deficiency is estimated at less than 1 in 100,000 individuals, with most cases presenting in infancy or early childhood as progressive, often lethal conditions involving and multiorgan failure. Specific examples of pathogenic variants highlight the clinical heterogeneity. Homozygous deletions in UQCRB, such as c.306_309del, have been identified in pediatric cases of complex III deficiency, leading to severe , hyperlactatemia, and , as reported in rare familial instances up to 2024. Similarly, missense mutations in UQCRC2, including c.547C>T, cause encephalomyopathy with metabolic and neurological involvement in at least 12 documented cases across six families. Mutations in the assembly factor BCS1L underlie GRACILE syndrome, an autosomal recessive disorder featuring growth retardation, aminoaciduria, , , , and early death typically by age 3 months, with over 124 cases linked to diverse BCS1L variants. Variants in MT-CYB often manifest as isolated or multisystem disease, including and renal tubulopathy. Secondary effects on Complex III can arise from (CoQ10) deficiencies, which disrupt to and exacerbate mitochondrial dysfunction. Recent models of CoQ10 biosynthesis defects, such as mutations in CoQ pathway genes, demonstrate diverse phenotypes including reduced lifespan, locomotor impairment, and increased , underscoring the indirect impact on Complex III activity. Diagnosis of complex III deficiencies relies on enzymatic assays measuring reduced complex III activity in muscle or biopsies, combined with genetic sequencing via next-generation panels targeting and nuclear genes. Confirmation often involves assessing lactate/pyruvate ratios and analysis for MT-CYB variants. Therapeutic options remain limited to supportive care, with CoQ10 supplementation showing neuroprotective effects in neurological manifestations of mitochondrial diseases, as evidenced by 2023 studies demonstrating reduced and improved mitochondrial function in cellular models. approaches are under investigation for mitochondrial disorders, with prospects for delivering functional BCS1L or subunit genes via AAV vectors, though no approved treatments exist as of 2025.

References

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