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5,10-Methenyltetrahydrofolate synthetase (MTHFS) is an ATP- and Mg²⁺-dependent enzyme that irreversibly catalyzes the conversion of 5-formyltetrahydrofolate (a folate storage form) to 5,10-methenyltetrahydrofolate, a key intermediate in one-carbon metabolism essential for DNA synthesis, DNA methylation, and neurotransmitter biosynthesis[1][3][5]. MTHFS plays a critical role in regulating cellular folate pools and is required for maintaining nucleotide biosynthesis and methylation reactions, especially in rapidly dividing cells and during neurodevelopment. Genetic variants or altered expression of MTHFS are associated with increased risk or development of cancers, neurological disorders, and other diseases linked to impaired one-carbon metabolism. Experimental evidence supports its role as a potential therapeutic target and biomarker for diseases modulated by folate metabolism[1][3][5].
Inhibition of folate metabolism Modulation of purine biosynthesis by altering 10-formyltetrahydrofolate availability[5]
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