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92  5 Multi-Enzyme Systems and Cascade Reactions Involving Cytochrome P450 Monooxygenases

           Cascade type 1                            Cascade type 3
                P450 1      P450 1        P450 1               P450
           S            I 1           I 2         P      S              P

                                                          NADPH    NADP +


                                                    Coproduct         Cosubstrate
           Cascade type 2                                     Enzyme
                                           P 1
              P450 /P450 2  P450 1
                  1
           S             I 1               P 2
                                           P 3
                                                     Cascade type 4
            P450 3
                                                           P450          Enzyme
                                                     S              I              P
                             P 4
              P450 1
           I 2
                                                      NADPH   NADP +  NADP +  NADPH
                             P 5
                    Scheme 5.3  General overview of multistep cascades involving P450s. S, substrate; I, inter-
                    mediate; P, product.

                    5.2
                    Physiological Cascade Reactions Involving P450s
                    5.2.1
                    Multistep Oxidations Catalyzed by a Single P450

                    As mentioned above, a number of P450s catalyze sequential reactions, using
                    more than one molecule of atmospheric O and iterations of the catalytic cycle to
                                                      2
                    carry out multiple oxidations of a single compound. Whereas single P450 oxida-
                    tions are based on a single two-electron transfer, multistep oxidations consist of
                    sequential two-electron oxidations. Several multistep P450s are involved in steroid
                    metabolism, including, for example, CYP11A1, CYP11B2, CYP17A1, CYP51A1,
                    and CYP19A1 [29].
                      A number of kinetic and biochemical studies have been undertaken to elucidate
                    the mechanism of such multistep oxidations. One of the main aspects of these
                    investigations is whether the ‘‘intermediate product’’ dissociates out of the active
                    site or the subsequent reaction takes place immediately without dissociation of
                    the ‘‘intermediate.’’ According to this behavior, Guengerich and colleagues [29]
                    distinguish between distributive and processive multistep reactions.
                      For example, mitochondrial cytochrome CYP11A1 (also referred to as
                    P450scc) cleaves the side chain of cholesterol to form pregnenolone, the
                    precursor of all steroid hormones [30]. This process consists of three sequential
                    monooxygenation reactions and proceeds via 22(R)-hydroxycholesterol and
                    20α,22(R)-dihydroxycholesterol, followed by the cleavage of the C20–C22 bond,
                    ultimately yielding pregnenolone (Scheme 5.4). Earlier studies had revealed that
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