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Bifunctional dihydrofolate reductase-thymidylate synthase (Plasmodium species) (DHFR-TS)

Target
DHFR-TS
Molecular classification
Enzyme
01

Overview

Bifunctional dihydrofolate reductase-thymidylate synthase (DHFR-TS) of Plasmodium species is a single polypeptide enzyme that catalyzes two essential consecutive reactions in folate metabolism: reduction of dihydrofolate to tetrahydrofolate (DHFR activity) and conversion of deoxyuridylate (dUMP) to thymidylate (dTMP) (TS activity), which are critical for DNA synthesis and cell proliferation in the malaria parasite[1][5][9]. Unlike humans, where DHFR and TS are encoded by separate genes and expressed as distinct proteins, Plasmodium expresses a bifunctional enzyme that forms a homodimer, with each monomer containing both DHFR and TS domains[5][1]. DHFR-TS is a validated antimalarial drug target; antifolate drugs like pyrimethamine and cycloguanil act by inhibiting its DHFR activity, leading to parasite death[4][7][8]. Drug resistance is a major clinical concern due to mutations in the DHFR domain, prompting development of next-generation inhibitors such as P218 that retain activity against resistant variants[8][4]. This target's similarity to human DHFR and TS raises safety concerns about off-target toxicity, making selectivity a key requirement in drug development[2][4][8].

Other names
Plasmodium DHFR-TSDihydrofolate reductase-thymidylate synthase (Plasmodium falciparum)PfDHFR-TSPlasmodium dihydrofolate reductase-thymidylate synthase
02

Mechanism of action

Inhibition of dihydrofolate reductase activity, preventing tetrahydrofolate formation Blockade of thymidylate synthase activity, disrupting thymidylate (dTMP) production Disruption of DNA synthesis and replication in Plasmodium parasites

03

Biological functions

Nucleotide biosynthesis (purine and thymidylate synthesis)DNA precursor synthesisFolate metabolismCell proliferation
04

Disease associations

Infection (malaria)
05

Safety considerations

Selectivity challenge: similarity to human DHFR and TS increases risk of hematologic toxicityDrug resistance: frequent point mutations in the DHFR domain confer resistance to classical antifolates
06

Interacting drugs

Pyrimethamine

3 more in the full profile.

07

Biomarkers

Parasitemia clearance (therapeutic efficacy marker in malaria)Mutations in DHFR domain (predict resistance to antifolates such as pyrimethamine)

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