Target intelligence / Profile preview

5-methyltetrahydrofolate-homocysteine methyltransferase (Methionine synthase) (MTR)

Target
MTR
Molecular classification
Enzyme, Methyltransferase, Cobalamin-dependent enzyme, Folate-binding protein
01

Overview

Methionine synthase (MTR) is a critical enzyme that resides at the intersection of the folate and methionine cycles, facilitating the remethylation of homocysteine to methionine. In mammals, this process is strictly dependent on methylcobalamin (Vitamin B12) as a cofactor and 5-methyltetrahydrofolate as the methyl donor. By regenerating tetrahydrofolate, MTR supports the synthesis of purines and thymidylate, which are essential for DNA replication and cell division. Dysfunction or inhibition of MTR leads to the "methyl-folate trap," where folate is sequestered in an unusable form, resulting in megaloblastic anemia and elevated homocysteine levels. In oncology, MTR is a target of interest because many cancer cells exhibit methionine dependence and rely on this pathway for survival in physiological folate environments. Furthermore, the structural differences between human cobalamin-dependent MTR and fungal cobalamin-independent MTR make it a promising target for developing selective antifungal agents.

Other names
Methionine synthaseMSMetHMeSecblGHMAG5-methyltetrahydrofolate-homocysteine methyltransferase
02

Mechanism of action

Catalyzes the transfer of a methyl group from 5-methyltetrahydrofolate to homocysteine to form methionine and tetrahydrofolate, utilizing a methylcobalamin cofactor and requiring reductive activation by methionine synthase reductase.

03

Biological functions

One-carbon metabolismMethionine cycleFolate cycleDNA methylationNucleotide synthesis (purine and dTMP)Homocysteine remethylationS-adenosylmethionine (SAM) biosynthesis
04

Disease associations

CancerHomocystinuriaMegaloblastic anemiaCardiovascular diseaseNeurodegenerative diseaseNeural tube defectsFungal infection
05

Safety considerations

Megaloblastic anemiaSubacute combined degeneration of the spinal cord (neuropathy)Methyl-folate trapHyperhomocysteinemiaNeurotoxicity (associated with nitrous oxide exposure)
06

Interacting drugs

Nitrous oxide

7 more in the full profile.

07

Biomarkers

Homocysteine (Hcy)Methylmalonic acid (MMA)S-adenosylmethionine (SAM)S-adenosylhomocysteine (SAH)Serum Vitamin B12Serum Folate

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