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MTHFD1 encodes a cytoplasmic trifunctional enzyme (C-1-tetrahydrofolate synthase) that catalyzes sequential reactions in the interconversion of one-carbon derivatives of tetrahydrofolate. These derivatives are essential for purine, thymidylate, and methionine synthesis. Mutations and variants are linked to various developmental defects and metabolic disorders.
Inhibition of enzymatic activity could theoretically be a mechanism, although not a common therapeutic strategy.
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