id: MODULE:cardiolipin_metabolism
title: Mitochondrial cardiolipin metabolism — TAMM41 CDP-diacylglycerol synthesis, PGS1/PTPMT1 phosphatidylglycerol
  synthesis, CRLS1 cardiolipin synthase and deacylation-reacylation remodelling by phospholipases and tafazzin
description: >-
  Cardiolipin is a dimeric phospholipid, two phosphatidyl groups joined through a central glycerol and
  carrying four acyl chains, that is made in and largely confined to the mitochondrial inner membrane,
  where it supports the respiratory chain complexes, ATP synthase, the ADP/ATP carrier and cristae
  structure. Its synthesis is a four-step pathway on the matrix side of the inner membrane. Phosphatidic
  acid, which must first be moved from the outer to the inner membrane by the intermembrane-space
  PRELID1-TRIAP1 lipid transfer complex, is activated with CTP to CDP-diacylglycerol by the mitochondrial
  CDP-diacylglycerol synthase TAMM41. PGS1 transfers the phosphatidyl group of CDP-diacylglycerol to
  sn-glycerol 3-phosphate, forming phosphatidylglycerophosphate, the committed step. The protein
  tyrosine phosphatase-like enzyme PTPMT1 dephosphorylates it to phosphatidylglycerol, and cardiolipin
  synthase CRLS1 condenses phosphatidylglycerol with a second CDP-diacylglycerol to give nascent
  cardiolipin and CMP. Nascent cardiolipin carries mixed, often saturated acyl chains and is remodelled
  to its mature, unsaturated (in heart mostly tetralinoleoyl) form by deacylation and reacylation. A
  phospholipase removes one acyl chain to give monolysocardiolipin; candidates are the alpha/beta
  hydrolase ABHD18 and the calcium-independent phospholipases A2 PLA2G6 (iPLA2-beta) and PNPLA8
  (iPLA2-gamma). The CoA-independent transacylase tafazzin (TAFAZZIN) then transfers an acyl chain from
  another phospholipid, mainly phosphatidylcholine, to monolysocardiolipin; acyl-CoA-dependent
  monolysocardiolipin acyltransferase activity of the trifunctional protein alpha subunit (HADHA) has also
  been reported. Loss of tafazzin causes Barth syndrome, with monolysocardiolipin accumulation and
  cardiomyopathy, and biallelic variants in TAMM41, PTPMT1 and CRLS1 cause mitochondrial disease.
status: DRAFT
scope: CONCRETE
evidence:
- source_id: PW:0001344
  title: cardiolipin metabolic pathway
  statement: >-
    The module boundary follows the de novo synthesis and remodelling branches of the RGD Pathway Ontology
    record and diagram for this term. The diagram draws phosphatidic acid and CTP forming CDP-diacylglycerol,
    CDP-diacylglycerol to phosphatidylglycerophosphate, phosphatidylglycerophosphate to phosphatidylglycerol,
    phosphatidylglycerol to cardiolipin and Taz acting on cardiolipin, and then cardiolipin translocated to
    the outer membrane and associated with Ckmt1, CKMT1B, Nme4 and Plscr3, and peroxidised by Cycs as an
    input to the intrinsic apoptotic (PW:0000104) and mitochondrial autophagy (PW:0001842) pathways. The
    RGD human gene set is CKMT1A, CKMT1B, CRLS1, CYCS, NME4, PGS1, PLSCR3, PTPMT1, TAMM41 and TAFAZZIN.
    Derived through projects/RGD_PATHWAY_ONTOLOGY (pathways/PW_0001344.yaml).
- source_id: file:projects/RGD_PATHWAY_ONTOLOGY/pathways/PW_0001344.yaml
  title: RGD PW:0001344 record text (project snapshot)
  statement: >-
    The RGD record divides cardiolipin metabolism into a four-step de novo synthesis and a
    deacylation-reacylation remodelling branch, the two branches modelled here.
  supporting_text: In the biosynthesis of CL, a series of four steps generate an initial CL molecule which
    then undergoes remodeling, through a deacylation-reacylation cycle that can follow several routes to
    produce the final, mature CL.
- source_id: GO:0032048
  title: cardiolipin metabolic process
  statement: >-
    The skos:closeMatch GO mapping of PW:0001344 (PW definition xref and lexical match;
    projects/RGD_PATHWAY_ONTOLOGY/data/module_seeds.yaml). Used as the module-level concept; its children
    GO:0032049 cardiolipin biosynthetic process and GO:0035965 cardiolipin acyl-chain remodeling are placed on
    the synthesis and remodelling parts.
- source_id: PMID:19075029
  title: The microsomal cardiolipin remodeling enzyme acyl-CoA lysocardiolipin acyltransferase is an acyltransferase
    of multiple anionic lysophospholipids.
  statement: >-
    Boundary evidence for leaving the ER acyltransferase LCLAT1 (ALCAT1) out of the remodelling parts: knockdown
    of the human enzyme lowers lysophosphatidylinositol and lysophosphatidylglycerol acyltransferase activity
    but not lysocardiolipin acyltransferase activity.
  supporting_text: Reduced expression of ALCAT1 in Hela cells resulted in significant reductions of LPIAT and
    LPGAT activities, but not ALCAT activity.
- source_id: PMID:16620771
  title: 'Functional characterization of human 1-acylglycerol-3-phosphate acyltransferase isoform 8: cloning,
    tissue distribution, gene structure, and enzymatic activity.'
  statement: >-
    A second study of the same human protein (as AGPAT8) found lysophosphatidic acid acyltransferase activity
    and no lysocardiolipin acyltransferase activity in cell lysates.
  supporting_text: lacks acyl-CoA:lysocardiolipin acyltransferase activity
proposed_new_terms:
- proposed_name: phospholipid:monolysocardiolipin acyltransferase activity (CoA-independent)
  proposed_definition: >-
    Catalysis of the transfer of an acyl group from a glycerophospholipid, such as
    phosphatidylcholine, to monolysocardiolipin without an acyl-CoA intermediate, forming
    cardiolipin and a lysophospholipid.
  justification: >-
    Tafazzin's activity has no exact GO term. GO:0032577 phosphatidylcholine:cardiolipin
    O-linoleoyltransferase activity, used on the tafazzin annoton, restricts the acyl group to
    linoleoyl, and GO:0047184 on TAFAZZIN is an acyl-CoA-dependent term.
  proposed_parent:
    id: GO:0016747
    label: acyltransferase activity, transferring groups other than amino-acyl groups
  supported_by:
  - reference_id: PMID:17082194
    supporting_text: catalyzed both forward and reverse transacylations between cardiolipin and phosphatidylcholine, but was unable to utilize CoA or acyl-CoA as substrates.
module:
  id: cardiolipin_metabolism
  label: Mitochondrial cardiolipin metabolism
  module_type: METABOLIC_PATHWAY
  concepts:
  - preferred_term: cardiolipin metabolic process
    term:
      id: GO:0032048
      label: cardiolipin metabolic process
    description: >-
      The closeMatch of PW:0001344, covering both de novo synthesis and acyl-chain remodelling.
  context:
    taxa:
    - preferred_term: Homo sapiens
      term:
        id: NCBITaxon:9606
        label: Homo sapiens
    cellular_components:
    - preferred_term: mitochondrial inner membrane
      term:
        id: GO:0005743
        label: mitochondrial inner membrane
      description: >-
        Where cardiolipin is made and where mature cardiolipin resides. The synthetic enzymes act on its
        matrix face; the PA transfer complex and tafazzin act from the intermembrane space side.
  parts:
  - order: 1
    role: phosphatidic acid supply to the inner membrane
    optional: true
    node:
      id: pa_intermembrane_transfer
      label: PRELID1-TRIAP1 transfer of phosphatidic acid across the intermembrane space
      module_type: TRANSPORT_STEP
      description: >-
        Phosphatidic acid made in the endoplasmic reticulum reaches the outer mitochondrial membrane and
        is carried across the intermembrane space to the inner membrane by a heterodimer of the PRELI-domain
        lipid transfer protein PRELID1 and its chaperone TRIAP1, a mammalian counterpart of the yeast
        Ups1-Mdm35 pair. Loss of either subunit lowers cardiolipin and is bypassed by supplying
        phosphatidylglycerol. Marked optional because it delivers the substrate rather than performing a
        step of cardiolipin chemistry, and because the RGD diagram does not draw it.
      concepts:
      - preferred_term: intermembrane phospholipid transfer
        term:
          id: GO:0120010
          label: intermembrane phospholipid transfer
      evidence:
      - source_id: PMID:23931759
        statement: TRIAP1/PRELI complexes in the IMS transfer lipid and supply PA for CL synthesis in the
          inner membrane.
        supporting_text: TRIAP1/PRELI complexes exert lipid transfer activity in vitro and supply phosphatidic
          acid (PA) for CL synthesis in the inner membrane.
      annotons:
      - id: prelid1_pa_transfer
        label: PRELID1 phosphatidic acid transfer (with TRIAP1)
        participant:
          selector_type: GENE_PRODUCT
          gene_product:
            preferred_term: PRELID1
            term:
              id: UniProtKB:Q9Y255
              label: PRELI domain-containing protein 1, mitochondrial
        function:
          preferred_term: phosphatidic acid transfer activity
          term:
            id: GO:1990050
            label: phosphatidic acid transfer activity
          substrates:
          - preferred_term: phosphatidic acid
            term:
              id: CHEBI:58608
              label: 1,2-diacyl-sn-glycerol 3-phosphate(2-)
        processes:
        - preferred_term: intermembrane phospholipid transfer
          term:
            id: GO:0120010
            label: intermembrane phospholipid transfer
        locations:
        - preferred_term: mitochondrial intermembrane space
          term:
            id: GO:0005758
            label: mitochondrial intermembrane space
        role_description: >-
          The lipid-binding subunit; its PRELI domain holds the phospholipid. GOA records the activity as
          contributes_to GO:1990050 (IMP, PMID:23931759), reflecting that it works as a heterodimer.
        evidence:
        - source_id: PMID:23931759
          statement: Loss of TRIAP1 or PRELI impairs cardiolipin accumulation.
          supporting_text: Loss of TRIAP1 or PRELI impairs the accumulation of CL
      - id: triap1_pa_transfer
        label: TRIAP1 phosphatidic acid transfer (with PRELID1)
        participant:
          selector_type: GENE_PRODUCT
          gene_product:
            preferred_term: TRIAP1
            term:
              id: UniProtKB:O43715
              label: TP53-regulated inhibitor of apoptosis 1
        function:
          preferred_term: phosphatidic acid transfer activity
          term:
            id: GO:1990050
            label: phosphatidic acid transfer activity
        locations:
        - preferred_term: mitochondrial intermembrane space
          term:
            id: GO:0005758
            label: mitochondrial intermembrane space
        role_description: >-
          Small CHCH-type intermembrane-space chaperone that stabilises PRELID1 and is required for the
          transfer activity (contributes_to GO:1990050, IDA, PMID:23931759 and PMID:26071602).
        evidence:
        - source_id: PMID:26071602
          statement: Crystal structures of TRIAP1 and a TRIAP1-PRELI-domain complex show how TRIAP1 chaperones
            the PRELI domain in the intermembrane space.
          supporting_text: Crystal structures of free TRIAP1 and the TRIAP1-SLMO1 complex reveal how the PRELI
            domain is chaperoned during import into the intermembrane mitochondrial space.
  - order: 2
    role: CDP-diacylglycerol synthesis in the inner membrane
    node:
      id: mito_cdp_dag_synthesis
      label: TAMM41 mitochondrial CDP-diacylglycerol synthase
      module_type: REACTION
      description: >-
        TAMM41 activates phosphatidic acid with CTP to CDP-diacylglycerol on the matrix face of the inner
        membrane, supplying the CDP-diacylglycerol used twice in the pathway, by PGS1 and by CRLS1. The ER
        CDS1/CDS2 enzymes make the CDP-diacylglycerol pool for phosphatidylinositol synthesis and cannot
        replace TAMM41 for cardiolipin. The fungal counterpart is the mito_tam41 variant of the
        cdp_dag_phospholipid_synthesis module; it is not included by module_ref because that node is
        fungal-scoped and would bring yeast exemplars into a human module (see notes).
      concepts:
      - preferred_term: CDP-diacylglycerol biosynthetic process
        term:
          id: GO:0016024
          label: CDP-diacylglycerol biosynthetic process
      annotons:
      - id: tamm41_cdp_dag_synthase
        label: TAMM41 phosphatidate cytidylyltransferase
        participant:
          selector_type: GENE_PRODUCT
          gene_product:
            preferred_term: TAMM41
            term:
              id: UniProtKB:Q96BW9
              label: Phosphatidate cytidylyltransferase, mitochondrial
        function:
          preferred_term: phosphatidate cytidylyltransferase activity
          term:
            id: GO:0004605
            label: phosphatidate cytidylyltransferase activity
          substrates:
          - preferred_term: phosphatidic acid
            term:
              id: CHEBI:58608
              label: 1,2-diacyl-sn-glycerol 3-phosphate(2-)
          - preferred_term: CTP
            term:
              id: CHEBI:37563
              label: CTP(4-)
          products:
          - preferred_term: CDP-diacylglycerol
            term:
              id: CHEBI:58332
              label: CDP-diacylglycerol(2-)
          - preferred_term: diphosphate
            term:
              id: CHEBI:33019
              label: diphosphate(3-)
        processes:
        - preferred_term: CDP-diacylglycerol biosynthetic process
          term:
            id: GO:0016024
            label: CDP-diacylglycerol biosynthetic process
        - preferred_term: cardiolipin biosynthetic process
          term:
            id: GO:0032049
            label: cardiolipin biosynthetic process
        locations:
        - preferred_term: mitochondrial inner membrane
          term:
            id: GO:0005743
            label: mitochondrial inner membrane
        role_description: >-
          Peripheral matrix-side inner-membrane enzyme (RHEA:16229). Human TAMM41 has no experimental
          molecular function row in GOA; GO:0004605 rests on ISS/IBA and on the direct assay of the yeast
          orthologue (PMID:23623749), and patient missense variants fail to complement the yeast mutant.
        evidence:
        - source_id: PMID:23623749
          statement: Yeast Tam41 directly converts PA to CDP-DAG with CTP.
          supporting_text: Taken together, we conclude that Tam41 directly catalyzes the conversion of PA to
            CDP-DAG in the presence of CTP.
        - source_id: PMID:35321494
          statement: Human TAMM41 deficiency lowers muscle cardiolipin and the patient missense variants fail
            to rescue the yeast tam41 respiratory growth defect.
          supporting_text: All three mutants failed to rescue the growth defect
        gocam_associations:
        - model: gomodel:67b1629100002092
          activity: gomodel:67b1629100002092/67b1629100002105
          title: Cardiolipin metabolic process (GO:0032048) (Human)
          description: TAMM41 GO:0004605 in the mitochondrial matrix, part of GO:0016024, directly positively
            regulating PGS1.
  - order: 3
    role: phosphatidylglycerophosphate synthesis (committed step)
    node:
      id: pgp_synthesis
      label: PGS1 phosphatidylglycerophosphate synthase
      module_type: REACTION
      description: >-
        PGS1 transfers the phosphatidyl group of CDP-diacylglycerol to sn-glycerol 3-phosphate, releasing
        CMP. This is the committed step of phosphatidylglycerol and cardiolipin synthesis.
      concepts:
      - preferred_term: phosphatidylglycerol biosynthetic process
        term:
          id: GO:0006655
          label: phosphatidylglycerol biosynthetic process
      annotons:
      - id: pgs1_pgp_synthase
        label: PGS1 CDP-diacylglycerol--glycerol-3-phosphate 3-phosphatidyltransferase
        participant:
          selector_type: GENE_PRODUCT
          gene_product:
            preferred_term: PGS1
            term:
              id: UniProtKB:Q32NB8
              label: CDP-diacylglycerol--glycerol-3-phosphate 3-phosphatidyltransferase, mitochondrial
        function:
          preferred_term: CDP-diacylglycerol-glycerol-3-phosphate 3-phosphatidyltransferase activity
          term:
            id: GO:0008444
            label: CDP-diacylglycerol-glycerol-3-phosphate 3-phosphatidyltransferase activity
          substrates:
          - preferred_term: CDP-diacylglycerol
            term:
              id: CHEBI:58332
              label: CDP-diacylglycerol(2-)
          - preferred_term: sn-glycerol 3-phosphate
            term:
              id: CHEBI:57597
              label: sn-glycerol 3-phosphate(2-)
          products:
          - preferred_term: phosphatidylglycerophosphate
            term:
              id: CHEBI:60110
              label: 1-(3-sn-phosphatidyl)-sn-glycerol 3-phosphate(3-)
          - preferred_term: CMP
            term:
              id: CHEBI:60377
              label: cytidine 5'-monophosphate(2-)
        processes:
        - preferred_term: cardiolipin biosynthetic process
          term:
            id: GO:0032049
            label: cardiolipin biosynthetic process
        locations:
        - preferred_term: mitochondrial inner membrane
          term:
            id: GO:0005743
            label: mitochondrial inner membrane
        role_description: >-
          CDP-alcohol phosphatidyltransferase (RHEA:12593). Human PGS1 has no experimental molecular
          function row in GOA; GO:0008444 rests on ISS/IBA and on the hamster enzyme, purified from CHO
          mitochondria and shown to be encoded by PGS1 (PMID:11171073).
        evidence:
        - source_id: PMID:11171073
          statement: Mammalian PGP synthase catalyses the committed step and is separate from PGP phosphatase.
          supporting_text: Phosphatidylglycerophosphate (PGP) synthase catalyses the committed step in the
            biosynthesis of phosphatidylglycerol and cardiolipin in mammalian cells.
        gocam_associations:
        - model: gomodel:67b1629100002092
          activity: gomodel:67b1629100002092/67b1629100002101
          title: Cardiolipin metabolic process (GO:0032048) (Human)
          description: PGS1 GO:0008444 in the mitochondrial matrix, part of GO:0032049, directly positively
            regulating PTPMT1.
  - order: 4
    role: phosphatidylglycerophosphate dephosphorylation to phosphatidylglycerol
    node:
      id: pgp_dephosphorylation
      label: PTPMT1 phosphatidylglycerophosphatase
      module_type: REACTION
      description: >-
        PTPMT1, a PTEN-like member of the protein tyrosine phosphatase superfamily, removes the terminal
        phosphate of phosphatidylglycerophosphate to give phosphatidylglycerol. It is the mammalian
        counterpart of yeast Gep4, which belongs to a different phosphatase family.
      concepts:
      - preferred_term: phosphatidylglycerol biosynthetic process
        term:
          id: GO:0006655
          label: phosphatidylglycerol biosynthetic process
      annotons:
      - id: ptpmt1_pgp_phosphatase
        label: PTPMT1 phosphatidylglycerophosphatase
        participant:
          selector_type: GENE_PRODUCT
          gene_product:
            preferred_term: PTPMT1
            term:
              id: UniProtKB:Q8WUK0
              label: Phosphatidylglycerophosphatase and protein-tyrosine phosphatase 1
        function:
          preferred_term: phosphatidylglycerophosphatase activity
          term:
            id: GO:0008962
            label: phosphatidylglycerophosphatase activity
          substrates:
          - preferred_term: phosphatidylglycerophosphate
            term:
              id: CHEBI:60110
              label: 1-(3-sn-phosphatidyl)-sn-glycerol 3-phosphate(3-)
          - preferred_term: water
            term:
              id: CHEBI:15377
              label: water
          products:
          - preferred_term: phosphatidylglycerol
            term:
              id: CHEBI:64716
              label: 1,2-diacyl-sn-glycero-3-phospho-(1'-sn-glycerol)(1-)
          - preferred_term: phosphate
            term:
              id: CHEBI:43474
              label: hydrogenphosphate
        processes:
        - preferred_term: cardiolipin biosynthetic process
          term:
            id: GO:0032049
            label: cardiolipin biosynthetic process
        locations:
        - preferred_term: mitochondrial inner membrane
          term:
            id: GO:0005743
            label: mitochondrial inner membrane
        role_description: >-
          Peripheral matrix-side inner-membrane phosphatase (RHEA:33751). GO:0008962 for human PTPMT1 rests
          on ISS/IBA from the mouse enzyme, which dephosphorylates PGP specifically in vitro and whose loss
          accumulates PGP (PMID:21641550); human loss-of-function variants lower cardiolipin
          (GO:0032049, IMP, PMID:39279645).
        evidence:
        - source_id: PMID:21641550
          statement: Mouse PTPMT1 dephosphorylates PGP in vitro and its loss accumulates PGP and depletes
            cardiolipin.
          supporting_text: We further demonstrate that PTPMT1 specifically dephosphorylates PGP in vitro.
        - source_id: PMID:39279645
          statement: Biallelic human PTPMT1 variants impair cardiolipin biosynthesis.
          supporting_text: These studies revealed that loss of PTPMT1 impairs cardiolipin biosynthesis, OXPHOS
            and mitochondrial morphology
        gocam_associations:
        - model: gomodel:67b1629100002092
          activity: gomodel:67b1629100002092/67b1629100002097
          title: Cardiolipin metabolic process (GO:0032048) (Human)
          description: PTPMT1 GO:0008962 in mitochondrion, part of GO:0032049, directly positively regulating
            CRLS1.
  - order: 5
    role: cardiolipin synthesis
    node:
      id: cardiolipin_synthesis
      label: CRLS1 cardiolipin synthase (CMP-forming)
      module_type: REACTION
      description: >-
        CRLS1 transfers the phosphatidyl group of a second CDP-diacylglycerol to phosphatidylglycerol,
        forming nascent cardiolipin and CMP. This eukaryotic CDP-alcohol phosphotransferase-type synthase
        differs from the phospholipase D-type cardiolipin synthases of bacteria, which condense two
        phosphatidylglycerols.
      concepts:
      - preferred_term: cardiolipin biosynthetic process
        term:
          id: GO:0032049
          label: cardiolipin biosynthetic process
      annotons:
      - id: crls1_cardiolipin_synthase
        label: CRLS1 cardiolipin synthase
        participant:
          selector_type: GENE_PRODUCT
          gene_product:
            preferred_term: CRLS1
            term:
              id: UniProtKB:Q9UJA2
              label: Cardiolipin synthase (CMP-forming)
        function:
          preferred_term: cardiolipin synthase (CMP-forming) activity
          term:
            id: GO:0043337
            label: cardiolipin synthase (CMP-forming) activity
          substrates:
          - preferred_term: CDP-diacylglycerol
            term:
              id: CHEBI:58332
              label: CDP-diacylglycerol(2-)
          - preferred_term: phosphatidylglycerol
            term:
              id: CHEBI:64716
              label: 1,2-diacyl-sn-glycero-3-phospho-(1'-sn-glycerol)(1-)
          products:
          - preferred_term: cardiolipin (nascent)
            term:
              id: CHEBI:62237
              label: cardiolipin(2-)
          - preferred_term: CMP
            term:
              id: CHEBI:60377
              label: cytidine 5'-monophosphate(2-)
        processes:
        - preferred_term: cardiolipin biosynthetic process
          term:
            id: GO:0032049
            label: cardiolipin biosynthetic process
        locations:
        - preferred_term: mitochondrial inner membrane
          term:
            id: GO:0005743
            label: mitochondrial inner membrane
        role_description: >-
          Multi-pass inner-membrane enzyme (RHEA:32931). GO:0043337 is its experimental GOA function (IDA,
          PMID:16678169 and PMID:16716149) and the core function of the CRLS1 gene review.
        evidence:
        - source_id: PMID:16716149
          statement: Recombinant human CLS1 makes cardiolipin from CDP-DAG and PG.
          supporting_text: The recombinant hCLS1 enzyme expressed in COS-7 cells catalysed efficiently the
            synthesis of cardiolipin in vitro using CDP-DAG and PG as substrates.
        - source_id: PMID:16678169
          statement: The human cDNA complements the cardiolipin synthase-deficient yeast crd1 mutant.
          supporting_text: confirmed that it indeed encodes human cardiolipin synthase
        - source_id: PMID:35147173
          statement: CRLS1 patient fibroblasts have less cardiolipin and more phosphatidylglycerol.
          supporting_text: significantly increased levels of phosphatidylglycerol, the substrate of CRLS1
        gocam_associations:
        - model: gomodel:67b1629100002092
          activity: gomodel:67b1629100002092/67b1629100002093
          title: Cardiolipin metabolic process (GO:0032048) (Human)
          description: CRLS1 GO:0043337 in mitochondrial membrane, part of GO:0032049, directly positively
            regulating PLA2G6.
  - order: 6
    role: cardiolipin deacylation to monolysocardiolipin (first half of remodelling)
    node:
      id: cardiolipin_deacylation
      label: Phospholipase deacylation of cardiolipin (ABHD18, PLA2G6, PNPLA8)
      module_type: REACTION
      description: >-
        A phospholipase removes one acyl chain from nascent cardiolipin to give monolysocardiolipin, the
        acceptor for reacylation (RHEA:32935). Which enzyme carries most of this flux in human tissues is not
        settled, so three candidates with direct evidence are modelled as alternatives. ABHD18 is the
        functional homologue of yeast Cld1 and deacylates cardiolipin in mouse cells and flies, with
        preference for the saturated, less unsaturated species of nascent cardiolipin. The calcium-independent
        phospholipases A2 PLA2G6 and PNPLA8 hydrolyse cardiolipin in vitro; PLA2G6 yields mainly
        monolysocardiolipin, and PNPLA8 is the main enzyme releasing oxidised acyl chains from cardiolipin.
      concepts:
      - preferred_term: cardiolipin acyl-chain remodeling
        term:
          id: GO:0035965
          label: cardiolipin acyl-chain remodeling
      variant_sets:
      - id: cardiolipin_deacylase
        label: Cardiolipin deacylating phospholipase
        axis: enzyme family (alpha/beta-hydrolase ABHD18 versus patatin-like calcium-independent phospholipases A2)
        selection: ONE_OR_MORE
        variants:
        - id: abhd18_variant
          label: ABHD18 cardiolipin lipase
          module_type: REACTION
          annotons:
          - id: abhd18_cardiolipin_deacylase
            label: ABHD18 cardiolipin deacylation
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: ABHD18
                term:
                  id: UniProtKB:Q0P651
                  label: Protein ABHD18
            function:
              preferred_term: A2-type glycerophospholipase activity
              term:
                id: GO:0004623
                label: A2-type glycerophospholipase activity
              substrates:
              - preferred_term: cardiolipin
                term:
                  id: CHEBI:62237
                  label: cardiolipin(2-)
              - preferred_term: water
                term:
                  id: CHEBI:15377
                  label: water
              products:
              - preferred_term: monolysocardiolipin
                term:
                  id: CHEBI:64743
                  label: 2-monolysocardiolipin(2-)
              - preferred_term: fatty acid
                term:
                  id: CHEBI:28868
                  label: fatty acid anion
            processes:
            - preferred_term: cardiolipin acyl-chain remodeling
              term:
                id: GO:0035965
                label: cardiolipin acyl-chain remodeling
            locations:
            - preferred_term: mitochondrion
              term:
                id: GO:0005739
                label: mitochondrion
            role_description: >-
              GO:0004623 is the core function of the ABHD18 gene review, which also proposes a new
              cardiolipin deacylase activity term; human GOA has no experimental molecular function row for
              ABHD18. The evidence is from mouse myoblasts and Drosophila, and ABHD18 also removes further
              acyl chains to dilysocardiolipin.
            evidence:
            - source_id: PMID:40378955
              statement: ABHD18 is the cardiolipin lipase in mice and flies and deacylates beyond MLCL.
              supporting_text: Our data demonstrate that ABHD18 is the elusive lipase that hydrolyzes CL in mice
                and flies and presumably in other organisms.
        - id: pla2g6_variant
          label: PLA2G6 (iPLA2-beta)
          module_type: REACTION
          annotons:
          - id: pla2g6_cardiolipin_deacylase
            label: PLA2G6 cardiolipin deacylation
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: PLA2G6 (iPLA2-beta)
                term:
                  id: UniProtKB:O60733
                  label: 85/88 kDa calcium-independent phospholipase A2
            function:
              preferred_term: A2-type glycerophospholipase activity
              term:
                id: GO:0004623
                label: A2-type glycerophospholipase activity
              substrates:
              - preferred_term: cardiolipin
                term:
                  id: CHEBI:62237
                  label: cardiolipin(2-)
              - preferred_term: water
                term:
                  id: CHEBI:15377
                  label: water
              products:
              - preferred_term: monolysocardiolipin
                term:
                  id: CHEBI:64743
                  label: 2-monolysocardiolipin(2-)
              - preferred_term: fatty acid
                term:
                  id: CHEBI:28868
                  label: fatty acid anion
            processes:
            - preferred_term: cardiolipin acyl-chain remodeling
              term:
                id: GO:0035965
                label: cardiolipin acyl-chain remodeling
            locations:
            - preferred_term: mitochondrion
              term:
                id: GO:0005739
                label: mitochondrion
            role_description: >-
              Broad-specificity group VIA phospholipase. GO:0004623 and GO:0035965 are experimental GOA rows
              (IDA, PMID:23533611), from an in vitro assay with cardiolipin as substrate; inhibition of the
              Drosophila orthologue iPLA2-VIA suppresses the tafazzin mutant phenotype. The human GO-CAM
              places it between CRLS1 and tafazzin.
            evidence:
            - source_id: PMID:23533611
              statement: Group VIA iPLA2 hydrolyses cardiolipin and accumulates monolysocardiolipin, unlike
                secreted PLA2s, which accumulate dilysocardiolipin.
              supporting_text: The sPLA2s caused an accumulation of dilyso-cardiolipin, in contrast to iPLA2
                which caused an accumulation of monolyso-cardiolipin.
            gocam_associations:
            - model: gomodel:67b1629100002092
              activity: gomodel:67b1629100002092/67b1629100002132
              title: Cardiolipin metabolic process (GO:0032048) (Human)
              description: PLA2G6 GO:0004623 in mitochondrion, part of GO:0035965, directly positively
                regulating TAFAZZIN.
        - id: pnpla8_variant
          label: PNPLA8 (iPLA2-gamma)
          module_type: REACTION
          annotons:
          - id: pnpla8_cardiolipin_deacylase
            label: PNPLA8 cardiolipin deacylation
            participant:
              selector_type: GENE_PRODUCT
              gene_product:
                preferred_term: PNPLA8 (iPLA2-gamma)
                term:
                  id: UniProtKB:Q9NP80
                  label: Calcium-independent phospholipase A2-gamma
            function:
              preferred_term: A2-type glycerophospholipase activity
              term:
                id: GO:0004623
                label: A2-type glycerophospholipase activity
              substrates:
              - preferred_term: cardiolipin
                term:
                  id: CHEBI:62237
                  label: cardiolipin(2-)
              - preferred_term: water
                term:
                  id: CHEBI:15377
                  label: water
              products:
              - preferred_term: monolysocardiolipin
                term:
                  id: CHEBI:64743
                  label: 2-monolysocardiolipin(2-)
              - preferred_term: fatty acid
                term:
                  id: CHEBI:28868
                  label: fatty acid anion
            locations:
            - preferred_term: mitochondrion
              term:
                id: GO:0005739
                label: mitochondrion
            role_description: >-
              Membrane-bound group VIB phospholipase found in mitochondria and peroxisomes. GO:0004623 is an
              experimental GOA row (IDA, several papers) and GO:0032048 cardiolipin metabolic process is IDA
              (PMID:28442572). Its shown role is hydrolysis of oxidised cardiolipin to release oxidised fatty
              acid signals, so it is given no remodelling process here; its share of routine remodelling
              deacylation is not established.
            evidence:
            - source_id: PMID:28442572
              statement: iPLA2-gamma is the major enzyme releasing oxidised aliphatic chains from cardiolipin.
              supporting_text: we demonstrated that iPLA2γ is the major enzyme responsible for the release of
                oxidized aliphatic chains from CL
  - order: 7
    role: transacylation of monolysocardiolipin to mature cardiolipin (second half of remodelling)
    node:
      id: tafazzin_transacylation
      label: Tafazzin phospholipid-monolysocardiolipin transacylase
      module_type: REACTION
      description: >-
        Tafazzin transfers an acyl chain, preferentially linoleoyl, from phosphatidylcholine (and other
        phospholipids) to monolysocardiolipin without acyl-CoA, regenerating cardiolipin and releasing
        lysophosphatidylcholine (RHEA:33731). The reaction is reversible, and repeated cycles of
        deacylation and transacylation enrich cardiolipin in the unsaturated species favoured by membrane
        packing rather than by tafazzin's own specificity. Its loss in Barth syndrome causes
        monolysocardiolipin accumulation and loss of tetralinoleoyl cardiolipin.
      concepts:
      - preferred_term: cardiolipin acyl-chain remodeling
        term:
          id: GO:0035965
          label: cardiolipin acyl-chain remodeling
      annotons:
      - id: tafazzin_transacylase
        label: TAFAZZIN phosphatidylcholine:monolysocardiolipin transacylase
        participant:
          selector_type: GENE_PRODUCT
          gene_product:
            preferred_term: TAFAZZIN
            term:
              id: UniProtKB:Q16635
              label: Tafazzin
        function:
          preferred_term: phosphatidylcholine:cardiolipin O-linoleoyltransferase activity
          term:
            id: GO:0032577
            label: phosphatidylcholine:cardiolipin O-linoleoyltransferase activity
          substrates:
          - preferred_term: monolysocardiolipin
            term:
              id: CHEBI:64743
              label: 2-monolysocardiolipin(2-)
          - preferred_term: phosphatidylcholine
            term:
              id: CHEBI:57643
              label: 1,2-diacyl-sn-glycero-3-phosphocholine
          products:
          - preferred_term: cardiolipin (remodelled)
            term:
              id: CHEBI:62237
              label: cardiolipin(2-)
          - preferred_term: lysophosphatidylcholine
            term:
              id: CHEBI:58168
              label: 1-O-acyl-sn-glycero-3-phosphocholine
        processes:
        - preferred_term: cardiolipin acyl-chain remodeling
          term:
            id: GO:0035965
            label: cardiolipin acyl-chain remodeling
        locations:
        - preferred_term: mitochondrial membrane
          term:
            id: GO:0031966
            label: mitochondrial membrane
        role_description: >-
          CoA-independent phospholipid-lysophospholipid transacylase. The function term is authored here
          (see notes): GOA's experimental molecular function row is GO:0047184, an acyl-CoA-dependent
          lysophosphatidylcholine acyltransferase, which tafazzin is not, and the human GO-CAM uses the
          generic GO:0016747. GO:0035965 is experimental (IDA and IMP rows). Tafazzin faces the
          intermembrane space on both inner and outer membranes, hence the general mitochondrial membrane
          term.
        evidence:
        - source_id: PMID:17082194
          statement: Purified tafazzin catalyses forward and reverse transacylation between cardiolipin and
            phosphatidylcholine and cannot use CoA or acyl-CoA.
          supporting_text: catalyzed both forward and reverse transacylations between cardiolipin and
            phosphatidylcholine, but was unable to utilize CoA or acyl-CoA as substrates.
        - source_id: PMID:19700766
          statement: The human full-length and exon 5-lacking isoforms have transacylase activity and restore
            cardiolipin in tafazzin-deficient flies.
          supporting_text: only full-length tafazzin (FL) and tafazzin lacking exon 5 (Delta5) had transacylase
            activity
        gocam_associations:
        - model: gomodel:67b1629100002092
          activity: gomodel:67b1629100002092/67b1629100002152
          title: Cardiolipin metabolic process (GO:0032048) (Human)
          description: TAFAZZIN GO:0016747 in mitochondrion, part of GO:0035965, directly positively
            regulating HADHA.
  - order: 8
    role: acyl-CoA-dependent reacylation of monolysocardiolipin
    optional: true
    node:
      id: coa_dependent_mlcl_reacylation
      label: HADHA monolysocardiolipin acyltransferase
      module_type: REACTION
      description: >-
        An acyl-CoA-dependent route to reacylate monolysocardiolipin (RHEA:35839) reported for the alpha
        subunit of the mitochondrial trifunctional protein. Optional because tafazzin loss alone produces
        the Barth syndrome cardiolipin defect, showing that this route does not compensate for it; the ER
        acyl-CoA:lysocardiolipin acyltransferase LCLAT1 is not included (see notes).
      concepts:
      - preferred_term: cardiolipin acyl-chain remodeling
        term:
          id: GO:0035965
          label: cardiolipin acyl-chain remodeling
      annotons:
      - id: hadha_mlcl_acyltransferase
        label: HADHA acyl-CoA:monolysocardiolipin acyltransferase
        participant:
          selector_type: GENE_PRODUCT
          gene_product:
            preferred_term: HADHA
            term:
              id: UniProtKB:P40939
              label: Trifunctional enzyme subunit alpha, mitochondrial
        function:
          preferred_term: acyltransferase activity, transferring groups other than amino-acyl groups
          term:
            id: GO:0016747
            label: acyltransferase activity, transferring groups other than amino-acyl groups
          substrates:
          - preferred_term: monolysocardiolipin
            term:
              id: CHEBI:64743
              label: 2-monolysocardiolipin(2-)
          - preferred_term: acyl-CoA
            term:
              id: CHEBI:58342
              label: acyl-CoA(4-)
          products:
          - preferred_term: cardiolipin
            term:
              id: CHEBI:62237
              label: cardiolipin(2-)
          - preferred_term: coenzyme A
            term:
              id: CHEBI:57287
              label: coenzyme A(4-)
        processes:
        - preferred_term: cardiolipin acyl-chain remodeling
          term:
            id: GO:0035965
            label: cardiolipin acyl-chain remodeling
        locations:
        - preferred_term: mitochondrial inner membrane
          term:
            id: GO:0005743
            label: mitochondrial inner membrane
        role_description: >-
          A secondary activity of the beta-oxidation enzyme. The function term follows the HADHA gene review's
          core function for this activity; GO:0035965 is experimental (IDA, PMID:23152787).
        evidence:
        - source_id: PMID:23152787
          statement: Purified human alpha-TFP acylates MLCL to cardiolipin with acyl-CoA donors.
          supporting_text: Purified human recombinant αTFP exhibited acyl-CoA acyltransferase activity in the
            acylation of MLCL to CL with linoleoyl-CoA, oleoyl-CoA and palmitoyl-CoA as substrates.
        gocam_associations:
        - model: gomodel:67b1629100002092
          activity: gomodel:67b1629100002092/67b1629100002145
          title: Cardiolipin metabolic process (GO:0032048) (Human)
          description: >-
            HADHA in the mitochondrial inner membrane, part of GO:0035965, downstream of tafazzin; the model
            types it as GO:0052816 long-chain fatty acyl-CoA hydrolase activity, which the HADHA review judges
            a wrong-paper attribution (see notes).
  connections:
  - source: pa_intermembrane_transfer
    target: mito_cdp_dag_synthesis
    connection_type: PROVIDES_INPUT_FOR
    description: Phosphatidic acid delivered to the inner membrane is the TAMM41 substrate.
  - source: mito_cdp_dag_synthesis
    target: pgp_synthesis
    connection_type: PROVIDES_INPUT_FOR
    description: CDP-diacylglycerol is the phosphatidyl donor for PGS1.
  - source: mito_cdp_dag_synthesis
    target: cardiolipin_synthesis
    connection_type: PROVIDES_INPUT_FOR
    description: A second CDP-diacylglycerol is the phosphatidyl donor for CRLS1.
  - source: pgp_synthesis
    target: pgp_dephosphorylation
    connection_type: PROVIDES_INPUT_FOR
    description: Phosphatidylglycerophosphate made by PGS1 is dephosphorylated by PTPMT1.
  - source: pgp_dephosphorylation
    target: cardiolipin_synthesis
    connection_type: PROVIDES_INPUT_FOR
    description: Phosphatidylglycerol is the phosphatidyl acceptor for CRLS1.
  - source: cardiolipin_synthesis
    target: cardiolipin_deacylation
    connection_type: PROVIDES_INPUT_FOR
    description: Nascent cardiolipin is deacylated to monolysocardiolipin.
  - source: cardiolipin_deacylation
    target: tafazzin_transacylation
    connection_type: PROVIDES_INPUT_FOR
    description: Monolysocardiolipin is reacylated by tafazzin from phosphatidylcholine.
  - source: cardiolipin_deacylation
    target: coa_dependent_mlcl_reacylation
    connection_type: PROVIDES_INPUT_FOR
    description: Monolysocardiolipin can also be reacylated from acyl-CoA by HADHA.
  knowledge_gaps:
  - gap_statement: >-
      Which phospholipase performs most cardiolipin deacylation in human tissues, ABHD18 or the iPLA2
      enzymes PLA2G6 and PNPLA8, and whether they act on nascent cardiolipin, on damaged or oxidised
      cardiolipin, or both, has not been settled; the ABHD18 evidence is from mouse cells and flies and the
      iPLA2 evidence is largely in vitro or concerns oxidised cardiolipin.
    boundary: Deacylation step of cardiolipin remodelling.
    gap_kind:
    - BIOLOGY
  - gap_statement: >-
      How much the acyl-CoA-dependent monolysocardiolipin acyltransferases (HADHA, LCLAT1) contribute to
      cardiolipin remodelling in vivo, relative to tafazzin, is not known.
    boundary: Reacylation step of cardiolipin remodelling.
    gap_kind:
    - BIOLOGY
notes: >-
  Derived from the RGD Pathway Ontology record and diagram PW:0001344 (cardiolipin metabolic pathway) through
  the RGD_PATHWAY_ONTOLOGY project's diagram->module route; GO mapping GO:0032048 cardiolipin metabolic process
  (skos:closeMatch). Of the 10 RGD human genes, TAMM41, PGS1, PTPMT1, CRLS1 and TAFAZZIN are participants. The
  module is modelled as eight parts, two of them optional: (1, optional) PRELID1-TRIAP1 phosphatidic acid
  transfer; (2) TAMM41 CDP-diacylglycerol synthesis; (3) PGS1; (4) PTPMT1; (5) CRLS1; (6) a variant set of
  deacylating phospholipases (ABHD18, PLA2G6, PNPLA8); (7) tafazzin transacylation; and (8, optional) HADHA
  acyl-CoA-dependent monolysocardiolipin reacylation. ChEBI ids are the Rhea participants of RHEA:16229,
  RHEA:12593, RHEA:33751, RHEA:32931, RHEA:32935, RHEA:33731 and RHEA:35839, with labels checked against OLS.

  RGD record error: the record text says that in the first step "Tamm41 uses cytidine triphosphate and
  phosphatidylglycerol"; the substrate is phosphatidic acid, as the RGD diagram itself draws (phosphatidic acid
  and CTP to CDP-diacylglycerol). The module follows the diagram.

  Boundary decisions. (a) The outer branch of the RGD diagram is not modelled: translocation of cardiolipin to
  the outer membrane (with CKMT1A, CKMT1B and NME4 bridging the membranes and the scramblase PLSCR3), its
  peroxidation by cytochrome c (CYCS), and its signalling roles in mitophagy and apoptosis. These genes do not
  make or remodel cardiolipin; cardiolipin is their binding partner or substrate, and their roles belong to
  modules/mitophagy.yaml and modules/intrinsic_apoptotic_signaling.yaml (RGD PW:0001842 and PW:0000104, mentioned
  here only as diagram links). Creatine kinase and nucleoside diphosphate kinase are also kinases of energy
  transfer, not lipid enzymes. The diagram's downstream outputs (electron transport chain, ATP synthesis,
  metabolite carriers) are uses of cardiolipin and are likewise out of scope. (b) PRELID1-TRIAP1 is included
  as an optional transport step rather than context because it performs the delivery of the TAMM41 substrate
  to the inner membrane (direct lipid transfer activity, PMID:23931759), not merely because it is required;
  it is optional because it is substrate supply and is not drawn by RGD. Other PRELI-domain pairs (PRELID3B
  with TRIAP1, transferring phosphatidylserine for PE synthesis) are not part of this pathway. (c) The
  CDP-diacylglycerol step is modelled directly with human TAMM41 rather than by module_ref to
  cdp_dag_phospholipid_synthesis#cdp_dag_synthesis (or its mito_tam41 variant): that module is scoped to Fungi
  with S. cerevisiae and S. pombe exemplars, and a module_ref node carries no annotons, so referencing it would
  drop TAMM41, an RGD-curated human member, and assert fungal proteins in a concrete human module. The two
  modules describe the same reaction, and the fungal module's PGS1, GEP4 and CRD1 nodes are the fungal
  counterparts of parts 3 to 5. The ER CDS1/CDS2 synthases are not included: they supply phosphatidylinositol
  synthesis, not mitochondrial cardiolipin. (d) Remodelling. Deacylation is a variant set because no single
  human enzyme is established: ABHD18 (mouse and fly genetics, PMID:40378955), PLA2G6 (in vitro cardiolipin
  hydrolysis, PMID:23533611; the human GO-CAM uses it) and PNPLA8 (oxidised cardiolipin, PMID:28442572; no
  remodelling process asserted on it). Tafazzin is a required part because its loss alone causes Barth syndrome.
  HADHA is an optional acyl-CoA-dependent reacylation route. LCLAT1 (ALCAT1, AGPAT8), an ER multi-pass
  acyltransferase that UniProt describes as an acyl-CoA:lysocardiolipin acyltransferase only by similarity, is
  not included: two studies of the human protein found no lysocardiolipin acyltransferase activity
  attributable to it (PMID:19075029, PMID:16620771), its experimental GOA function is lysophosphatidic acid
  acyltransferase activity, and its ER location places it away from the inner-membrane cardiolipin pool. It
  could be added as an optional variant of part 8 if later human evidence supports it. Other phospholipases
  reported to act on cardiolipin (secreted and cytosolic PLA2s) are not included. (e) Fly and bacterial
  counterparts: modules/dmel_cardiolipin_biosynthesis_remodeling.yaml models the same Pgs1-Ptpmt1-Cls-Taz chain
  with Abhd18 and iPLA2-VIA deacylation (it leaves tafazzin without a function term);
  modules/bacterial_phosphatidylglycerol_cardiolipin_biosynthesis.yaml covers the bacterial route, whose
  phospholipase D-type cardiolipin synthase condenses two phosphatidylglycerols. Neither is referenced as a
  part. (f) Not modelled: cardiolipin degradation beyond remodelling, the regulatory condensate scaffold
  SPATA18 (Mieap) present in the GO-CAM as a positive regulator of the enzymes, and transcriptional control.

  Molecular functions (QuickGO, checked 2026-11-10). Backed by experimental human GOA rows: CRLS1 GO:0043337
  (IDA, PMID:16678169, PMID:16716149; CRLS1 review core function); PLA2G6 GO:0004623 (IDA, PMID:23533611);
  PNPLA8 GO:0004623 (IDA, several papers); PRELID1 and TRIAP1 GO:1990050 (contributes_to, IMP/IDA,
  PMID:23931759, PMID:26071602). Not backed by an experimental human GOA row: TAMM41 GO:0004605, PGS1 GO:0008444
  and PTPMT1 GO:0008962 (ISS/IBA, and the GO-CAM; supported by the yeast, hamster and mouse enzymes cited on each
  annoton); ABHD18 GO:0004623 (the ABHD18 review's core function); HADHA GO:0016747 (the HADHA review's core
  function for this activity). Tafazzin GO:0032577 phosphatidylcholine:cardiolipin O-linoleoyltransferase
  activity is authored here: it is the only GO term describing transfer of an acyl group from phosphatidylcholine
  to cardiolipin, and tafazzin prefers linoleoyl groups (PMID:17082194), but the acceptor is strictly
  monolysocardiolipin and the enzyme is not linoleoyl-specific, so a term for CoA-independent
  phospholipid:monolysocardiolipin transacylase activity, requested in proposed_new_terms, would fit better. Comparator check for processes:
  GO:0032049 is placed on the four synthetic enzymes and GO:0035965 on the deacylases and reacylating enzymes;
  GO:0120010 on PRELID1, which transfers lipid, and not on TRIAP1, whose experimental process row is the parent
  GO:0015914; neither transfer subunit is given GO:0032049.

  Possible upstream issues. (1) The TAFAZZIN GO:0047184 1-acylglycerophosphocholine O-acyltransferase activity
  IDA row (PMID:12930833) uses an acyl-CoA-dependent EC 2.3.1.23 term for a CoA-independent transacylase; the
  cited paper is a yeast complementation study of splice variants and does not assay acyl-CoA acyltransferase
  activity in its abstract. (2) In GO-CAM gomodel:67b1629100002092 the HADHA activity is typed GO:0052816
  long-chain fatty acyl-CoA hydrolase activity, which the HADHA gene review traces to a wrong-paper attribution;
  the monolysocardiolipin acyltransferase activity would be an acyltransferase term. (3) The same model places
  TAMM41 and PGS1 in the mitochondrial matrix (GO:0005759); both act at the matrix face of the inner membrane
  (TAMM41 peripheral, PGS1 membrane-associated), so the inner membrane would be more precise. (4) The model's
  causal chain CRLS1 -> PLA2G6 -> TAFAZZIN -> HADHA uses directly-positively-regulates edges for what are
  substrate hand-offs; HADHA and tafazzin are alternative reacylation routes, not sequential steps.

  GO-CAM: gomodel:67b1629100002092 (Cardiolipin metabolic process, Human; the seed's best_gocam lead, which here
  is the pathway itself) contains TAMM41, PGS1, PTPMT1, CRLS1, PLA2G6, TAFAZZIN, HADHA and SPATA18; all but
  SPATA18 are linked at activity level. No production GO-CAM in gocams/index.tsv contains PRELID1, TRIAP1,
  PNPLA8 or ABHD18. Gene reviews exist for CRLS1, ABHD18 and HADHA among the participants (and CKMT1A and CYCS
  among the excluded RGD genes); TAMM41, PGS1, PTPMT1, TAFAZZIN, PLA2G6, PNPLA8, PRELID1 and TRIAP1 have none.
  PANTHER family ids and PTNs are deliberately not asserted. Abstract-only caches: PMID:17082194, PMID:19700766,
  PMID:28442572, PMID:16620771, PMID:11171073, PMID:23931759 and others; full text is cached for PMID:21641550,
  PMID:35321494, PMID:39279645 and PMID:23533611.
