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Dihydropteroate synthase (DHPS) is an essential enzyme in the folate biosynthesis pathway of Mycobacterium leprae, the bacterium responsible for leprosy. It catalyzes the condensation of para-aminobenzoic acid (PABA) with 6-hydroxymethyl-7,8-dihydropteridine pyrophosphate to form 7,8-dihydropteroate [UniProt: P0C0X1]. This process is critical for the production of tetrahydrofolate, which serves as a necessary cofactor for the synthesis of nucleic acids and proteins in the pathogen [PubMed: 10852355]. Because humans lack DHPS and obtain folate through dietary sources, the enzyme is a selective target for sulfonamide-class drugs and sulfones like dapsone [DrugBank: DB00250]. Dapsone acts as a structural analog of PABA, competitively inhibiting DHPS and leading to bacteriostatic effects [PubMed: 11518592]. Clinical resistance to dapsone is primarily mediated by specific mutations in the folP1 gene, which encodes the DHPS enzyme, particularly at positions 53 and 55 [WHO: Leprosy Resistance]. Consequently, DHPS remains a focal point for diagnostic resistance testing and the development of multidrug therapy regimens to treat Hansen's disease [PubMed: 12654734].
Competitive inhibition of para-aminobenzoic acid (PABA) binding to the enzyme, which prevents the formation of 7,8-dihydropteroate and subsequent folate synthesis.
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