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The enzymes of de novo purine synthesis (DNPS) constitute a critical metabolic pathway responsible for the stepwise assembly of the purine ring, starting from phosphoribosyl pyrophosphate (PRPP) to form inosine monophosphate (IMP) [1.2.1, 1.4.3]. In humans, this process involves six enzymes, several of which are multifunctional, such as the trifunctional GART and bifunctional ATIC [1.2.1, 1.4.2]. These enzymes often organize into a dynamic multi-enzyme complex known as the purinosome to enhance catalytic efficiency through substrate channeling [1.4.2]. This pathway is essential for providing the adenine and guanine nucleotides required for DNA replication, RNA transcription, and energy metabolism, making it a primary target in rapidly proliferating cells [1.2.2, 1.4.1]. Consequently, DNPS inhibitors such as methotrexate and 6-mercaptopurine have long been cornerstones of cancer chemotherapy and immunosuppressive therapy for autoimmune diseases [1.3.1, 1.5.5]. Beyond oncology and immunology, these enzymes are increasingly explored as targets for novel anti-infectives, particularly against pathogens like Mycobacterium tuberculosis that rely heavily on de novo synthesis [1.3.3, 1.3.4]. Therapeutic use is often limited by systemic toxicities, such as myelosuppression and gastrointestinal distress, due to the pathway's fundamental role in normal high-turnover tissues [1.5.1, 1.5.3].
Inhibition of specific enzymes within the de novo purine biosynthetic pathway (such as PPAT, GART, ATIC, or IMPDH) to deplete intracellular pools of adenine and guanine nucleotides, thereby disrupting DNA/RNA synthesis and inducing cell cycle arrest or apoptosis [1.3.2, 1.5.4].
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