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Bacterial folic acid metabolism is a critical metabolic pathway responsible for the de novo synthesis of tetrahydrofolate (THF), an essential cofactor for one-carbon transfer reactions in prokaryotes [1, 2]. Unlike humans, who lack the enzymes for de novo folate synthesis and must obtain folate through dietary sources, most bacteria utilize a multi-step enzymatic process to convert precursors like para-aminobenzoic acid (pABA) and guanosine triphosphate (GTP) into dihydrofolate and subsequently THF [2, 6]. This pathway is a cornerstone of antimicrobial chemotherapy, as the absence of comparable de novo synthesis in human cells provides a high degree of selectivity for targeting bacterial infections [8, 11]. The pathway contains several key enzymatic nodes, most notably dihydropteroate synthase (DHPS) and dihydrofolate reductase (DHFR), which are targeted by sulfonamides and trimethoprim, respectively [3, 13]. Inhibition of these enzymes leads to the depletion of purine and thymidine precursors, resulting in the cessation of DNA synthesis and bacterial replication—a state often described as "thymineless death" [12]. Although highly effective, the therapeutic utility of targeting this pathway is frequently complicated by the development of antibiotic resistance, often mediated by target site mutations or the acquisition of plasmid-borne genes encoding insensitive enzyme variants [3, 10].
Sequential inhibition of enzymes in the de novo folate synthesis pathway, primarily dihydropteroate synthase (DHPS) and dihydrofolate reductase (DHFR), to prevent the production of tetrahydrofolate.
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