Target intelligence / Profile preview

Methylenetetrahydrofolate dehydrogenase 1 and 2 (MTHFD1, MTHFD2)

Target
MTHFD1, MTHFD2
Molecular classification
Enzyme, Oxidoreductase, Mitochondrial enzyme (MTHFD2), Cytoplasmic enzyme (MTHFD1)
01

Overview

Methylenetetrahydrofolate dehydrogenase 1 (MTHFD1, cytoplasmic) and methylenetetrahydrofolate dehydrogenase 2 (MTHFD2, mitochondrial) are enzymes central to folate-mediated one-carbon metabolism, required for purine, thymidine, and methionine biosynthesis. MTHFD1 is a cytoplasmic, trifunctional enzyme with dehydrogenase, cyclohydrolase, and formyltetrahydrofolate synthetase activity, and is broadly expressed in adult tissues. MTHFD2 is a mitochondrial, bifunctional enzyme (dehydrogenase and cyclohydrolase), uniquely expressed at high levels in embryonic and transformed (cancer) cells but largely absent from most adult tissues. MTHFD2 is highly upregulated in many tumors, where it enables rapid nucleotide synthesis and supports redox balance. Because of its cancer-restricted expression and essential function in tumor cell proliferation, MTHFD2 is a highly attractive target for anticancer drug discovery. If you seek information on only one isoform, MTHFD2 more specifically refers to the cancer-associated mitochondrial bifunctional enzyme, while MTHFD1 is the cytoplasmic, ubiquitously expressed trifunctional enzyme.

Other names
C-1-tetrahydrofolate synthaseNADP-dependent methylenetetrahydrofolate dehydrogenase/cyclohydrolase/formyltetrahydrofolate synthetaseNAD-dependent methylenetetrahydrofolate dehydrogenase/cyclohydrolaseNMDMCMethylenetetrahydrofolate dehydrogenase 2
02

Mechanism of action

Inhibitors block the dehydrogenase and/or cyclohydrolase activities, thereby disrupting mitochondrial one-carbon metabolism, depleting nucleotide pools, and impairing redox homeostasis—leading to reduced tumor cell proliferation and survival

03

Biological functions

Folate-mediated one-carbon metabolismNucleotide biosynthesis (purines, pyrimidines)NAD(P)H productionRegulation of cell proliferationProtein synthesis initiation
04

Disease associations

Cancer (including acute myeloid leukemia, breast cancer, colorectal cancer, nonsmall cell lung cancer, ovarian cancer)Embryogenesis (essential for embryonic development, knockout is embryonic lethal)
05

Safety considerations

Potential toxicity in proliferative tissues due to enzyme’s role in nucleotide biosynthesisMTHFD2 is largely absent in adult tissues but critical during embryonic development, suggesting developmental toxicity risks if inhibited in non-adultsHousekeeping role of MTHFD1 in normal cells may cause off-target toxicity if inhibitors are not selective for MTHFD2 over MTHFD1
06

Interacting drugs

Experimental and tool compounds: TH9619, LY374571, 16a, 16g, TH7299 (small-molecule inhibitors in preclinical development)

1 more in the full profile.

07

Biomarkers

Overexpression of MTHFD2 in tumor tissue is associated with increased proliferation and poor prognosis in various cancersExpression of MTHFD2 versus MTHFD1 for tissue selectivity (potential marker of “cancer metabolic state” vs. adult differentiated tissues)

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