Coenzyme Q is a
lipid that participates to important physiological functions.
Coenzyme Q is synthesized in multiple steps from the precursor
4-hydroxybenzoic acid. Mutations in
enzymes that participate to
coenzyme Q biosynthesis result in primary
coenzyme Q deficiency, a type of
mitochondrial disease.
Coenzyme Q10 supplementation of patients is the classical treatment but it shows limited efficacy in some cases. The molecular understanding of the
coenzyme Q biosynthetic pathway allowed the design of experiments to bypass deficient biosynthetic steps with analogs of
4-hydroxybenzoic acid. These molecules provide the defective chemical group and can reactivate endogenous
coenzyme Q biosynthesis as demonstrated recently in yeast, mammalian cell cultures, and mouse models of primary
coenzyme Q deficiency. This mini review presents how the chemical properties of various analogs of
4-hydroxybenzoic acid dictate the effect of the molecules on CoQ biosynthesis and how the reactivation of endogenous
coenzyme Q biosynthesis may achieve better results than exogenous
CoQ10 supplementation.