Target intelligence / Profile preview

Mycobacterium tuberculosis dihydrofolate reductase (MtbDHFR)

Target
MtbDHFR
Molecular classification
Enzyme, Oxidoreductase, Folate metabolism enzyme
01

Overview

Mycobacterium tuberculosis dihydrofolate reductase (MtbDHFR) is an essential enzyme required for the survival and proliferation of the causative agent of tuberculosis [1]. It catalyzes the NADPH-dependent reduction of 7,8-dihydrofolate to 5,6,7,8-tetrahydrofolate, a vital cofactor in the biosynthesis of purines, thymidylate, and certain amino acids [2]. By maintaining the pool of tetrahydrofolate, MtbDHFR supports DNA replication and overall bacterial metabolism [3]. Inhibition of this enzyme leads to thymineless death in the bacteria, making it a classic target for antimicrobial therapy [4]. Although several antifolates like trimethoprim are widely used for other bacterial infections, MtbDHFR exhibits intrinsic resistance to many common inhibitors, necessitating the development of more potent and selective agents [5]. Modern drug discovery efforts aim to exploit unique structural features of the MtbDHFR active site, such as the glycerol-binding pocket, to achieve high affinity while minimizing cross-reactivity with the human DHFR ortholog [6]. [1] UniProt (P9WNX1); [2] Zheng, J., et al. Science (2013); [3] PubChem (Target Summary); [4] Wikipedia (Dihydrofolate reductase); [5] Moon, S., et al. Journal of Medicinal Chemistry (2012); [6] Hajian, B., et al. Progress in Medicinal Chemistry (2019).

Other names
DHFRDihydrofolate reductasefolADYR_MYCTU
02

Mechanism of action

Competitive inhibition of the enzyme dihydrofolate reductase, which prevents the reduction of 7,8-dihydrofolate to 5,6,7,8-tetrahydrofolate, thereby depleting the pool of tetrahydrofolate cofactors required for the synthesis of thymidylate and purines, leading to the cessation of DNA synthesis and bacterial cell death.

03

Biological functions

Folate biosynthesisDNA synthesisOne-carbon metabolismThymidylate synthesisPurine biosynthesis
04

Disease associations

InfectionTuberculosis
05

Safety considerations

Selectivity over human dihydrofolate reductase (hDHFR) to avoid host toxicityDevelopment of drug resistance via folA promoter or coding mutationsPoor penetration into mycobacterial granulomasPotential for hematological toxicity if hDHFR is inhibited
06

Interacting drugs

Trimethoprim

5 more in the full profile.

07

Biomarkers

folA gene mutationsSputum culture conversionDihydrofolate/Tetrahydrofolate ratio

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