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Dihydrofolate reductase from Plasmodium falciparum (DHFR (commonly "PfDHFR" to specify Plasmodium falciparum))

Target
DHFR (commonly "PfDHFR" to specify Plasmodium falciparum)
Molecular classification
Enzyme, Oxidoreductase, Folate pathway enzyme
01

Overview

Dihydrofolate reductase from Plasmodium falciparum is an essential enzyme that maintains the folate cycle, required for the synthesis of thymidine and ultimately DNA. It catalyzes the reduction of dihydrofolate to tetrahydrofolate using NADPH as a donor, a step crucial for cell division and proliferation in the malaria parasite. This enzyme is structurally distinct from its mammalian counterpart, which has enabled the development of selective inhibitors used in malaria therapy, such as pyrimethamine and cycloguanil. However, the effectiveness of these drugs has been undermined by rapid emergence of resistant parasite strains harboring point mutations in the DHFR gene, necessitating ongoing drug development efforts that address both wild-type and mutant forms of the enzyme.

Other names
Bifunctional thymidylate synthase–dihydrofolate reductase (TS-DHFR)Plasmodium falciparum DHFRPfDHFR
02

Mechanism of action

Competitive inhibition of DHFR, blocking the reduction of dihydrofolate to tetrahydrofolate, thereby halting DNA synthesis and parasite replication

03

Biological functions

DNA synthesisNucleotide biosynthesisFolate recyclingCell growth and replication
04

Disease associations

Infection (malaria)Drug resistance in malaria
05

Safety considerations

Drug resistance due to point mutations in DHFR is a major concernPyrimethamine and its combinations may cause serious side effects, including liver damage
06

Interacting drugs

Pyrimethamine

4 more in the full profile.

07

Biomarkers

Mutations (e.g., S108N, N51I) in the DHFR gene, indicating antifolate resistance and informing drug selection

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