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Dihydrofolate reductase (DHFR) and dihydropteroate synthase (DHPS) are enzymes essential for folate metabolism. DHFR reduces dihydrofolic acid to tetrahydrofolic acid, a key intermediate required for nucleotide biosynthesis and cell proliferation. DHPS catalyzes the formation of dihydropteroate, a precursor in folate synthesis found in microorganisms but not humans[1][2][3][7]. Both are targeted by antimicrobial agents: sulfonamides inhibit DHPS, and trimethoprim/pyrimethamine inhibit DHFR, often used in combination for synergistic effects and to delay resistance emergence in pathogens such as Plasmodium falciparum (malaria)[6][7]. In human medicine, DHFR is also a target for anticancer drugs (e.g. methotrexate)[1]. Resistance due to gene mutations is a major therapeutic challenge, especially in infectious disease contexts[5][6].
DHFR inhibitors block reduction of dihydrofolate to tetrahydrofolate, preventing synthesis of purines and thymidylate DHPS inhibitors block folate biosynthesis by competing with para-aminobenzoic acid (pABA) for binding, thus blocking dihydropteroate formation Dual inhibition leads to synergistic blockade of folate metabolism
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