Target intelligence / Profile preview

Dihydrofolate reductase from Pneumocystis carinii (DHFR)

Target
DHFR
Molecular classification
Enzyme, oxidoreductase, Folate metabolism enzyme, EC 1.5.1.3
01

Overview

Dihydrofolate reductase from Pneumocystis carinii is an enzyme that catalyzes the reduction of dihydrofolate (DHF) to tetrahydrofolate (THF) using NADPH as a cofactor, which is essential for folate metabolism and nucleotide synthesis. In the context of human health, this enzyme is a validated drug target for treating Pneumocystis pneumonia in immunocompromised patients, particularly those with HIV/AIDS. The enzyme's structural features and its interaction with several inhibitor classes (especially trimethoprim and related antifolates) have been extensively studied by X-ray crystallography to inform the design of potent, selective antifungal agents. Notable therapeutic challenges include limited drug selectivity versus human DHFR, with potential for toxicity and resistance, motivating ongoing efforts to develop improved inhibitors.

Other names
Pneumocystis carinii DHFRpcDHFRDihydrofolate reductase (Pneumocystis carinii)DHFR (Pneumocystis)FolA (by gene ontology, less common for fungal species)
02

Mechanism of action

Competitive inhibition of DHFR: drugs such as trimethoprim, methotrexate, and pyrido[2,3-d]pyrimidines competitively bind to the active site, preventing reduction of dihydrofolate to tetrahydrofolate, thus inhibiting nucleic acid synthesis and cell replication

03

Biological functions

Folate metabolismNADP bindingDNA precursor synthesisDe novo glycine and purine synthesis
04

Disease associations

Infection (opportunistic pneumonia in immunocompromised patients/AIDS-associated Pneumocystis pneumonia)
05

Safety considerations

Relatively low potency and selectivity of trimethoprim for P. carinii DHFR versus human DHFR, which can lead to side effects or reduced efficacyToxicity risk to host due to off-target inhibition of human DHFR, especially with less selective drugs like methotrexateDrug resistance may develop if inhibitor binding is suboptimal or due to active site mutations
06

Interacting drugs

Trimethoprim

6 more in the full profile.

07

Biomarkers

No well-established biomarkers for patient selection or efficacy monitoring specific to Pneumocystis carinii DHFR are reported in current literature; monitoring is typically symptom-based or pathogen-detection basedFor drug efficacy in vitro, enzyme inhibition is a functional biomarker (e.g., IC50 values for DHFR activity)

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