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Hydroxymethyldihydropterin pyrophosphokinase–dihydropteroate synthase (PfHPPK-DHPS) (PfHPPK-DHPS)

Target
PfHPPK-DHPS
Molecular classification
Enzyme, Bifunctional enzyme, Transferase
01

Overview

Hydroxymethyldihydropterin pyrophosphokinase–dihydropteroate synthase (PfHPPK-DHPS) is a bifunctional enzyme in Plasmodium falciparum that catalyzes two sequential steps in the de novo folate biosynthesis pathway (UniProt: P22101). The HPPK domain converts 6-hydroxymethyl-7,8-dihydropterin to its pyrophosphate derivative, while the DHPS domain subsequently catalyzes the condensation of this product with p-aminobenzoic acid (PABA) to form dihydropteroate (PubMed: 11553332). Because Plasmodium parasites must synthesize folates de novo and cannot salvage them from the host, this enzyme is a critical therapeutic target for antimalarial drugs (PubMed: 16150146). Sulfonamide drugs, such as sulfadoxine, act as structural analogs of PABA and competitively inhibit the DHPS domain, leading to a depletion of the folate pool required for DNA synthesis and cell division (PubChem: CID 5307). Resistance to these drugs is a major global health challenge, primarily driven by point mutations within the DHPS active site that reduce drug binding affinity (WHO: Malaria). Despite resistance, PfHPPK-DHPS remains a focal point for drug development, with research into new inhibitors that can bypass existing resistance mechanisms (PubMed: 30254078).

Other names
Bifunctional hydroxymethyldihydropterin pyrophosphokinase/dihydropteroate synthase6-hydroxymethyl-7,8-dihydropterin pyrophosphokinase/dihydropteroate synthaseHPPK-DHPSDihydropteroate synthaseDHPS
02

Mechanism of action

Competitive inhibition of the dihydropteroate synthase domain by mimicking p-aminobenzoic acid (PABA), thereby blocking the synthesis of dihydropteroate and subsequent folate production.

03

Biological functions

Folate biosynthesisDe novo synthesis of dihydropteroateVitamin B9 metabolism
04

Disease associations

InfectionMalaria
05

Safety considerations

Widespread drug resistance due to point mutations in the DHPS domainHypersensitivity reactions to sulfonamides (e.g., Stevens-Johnson syndrome)Potential for cross-reactivity in patients with known sulfa allergies
06

Interacting drugs

Sulfadoxine

3 more in the full profile.

07

Biomarkers

DHPS gene mutations (e.g., S436A/F, A437G, K540E, A581G, A613S/T)

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