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Plasmodium dihydrofolate reductase-thymidylate synthase (DHFR-TS (PfDHFR-TS for Plasmodium falciparum))

Target
DHFR-TS (PfDHFR-TS for Plasmodium falciparum)
Molecular classification
Enzyme, Folate biosynthesis enzyme, Bifunctional enzyme (enzymatic activities: dihydrofolate reductase, thymidylate synthase)
01

Overview

Plasmodium dihydrofolate reductase-thymidylate synthase is a bifunctional enzyme found in malaria parasites, such as Plasmodium falciparum, that catalyzes two sequential reactions in folate and thymidylate metabolism. The enzyme's dihydrofolate reductase (DHFR) domain reduces dihydrofolate to tetrahydrofolate, while the thymidylate synthase (TS) domain catalyzes the conversion of dUMP to dTMP, both functions essential for DNA synthesis in the parasite. Unlike higher eukaryotes, where DHFR and TS are encoded by separate genes, Plasmodium species have a single polypeptide with both activities. DHFR-TS is a validated molecular target for antimalarial drugs such as pyrimethamine and cycloguanil, with resistance commonly developing through point mutations within the DHFR domain. This enzyme is essential for parasite survival, and inhibition leads to impaired DNA replication and cell death.

Other names
Plasmodium DHFR-TSbifunctional dihydrofolate reductase-thymidylate synthaseTS-DHFRPfDHFR-TS (specifically for Plasmodium falciparum)PFD0830w (gene, Plasmodium falciparum)PF3D7_0417200 (PlasmoDB reference)
02

Mechanism of action

Competitive inhibition of the DHFR domain (by pyrimethamine, cycloguanil, proguanil, P218): blocks reduction of dihydrofolate to tetrahydrofolate, inhibiting DNA synthesis. Some inhibitors also bind to the thymidylate synthase domain, affecting dTMP synthesis.

03

Biological functions

Folate metabolismThymidylate (dTMP) biosynthesisDNA synthesisNucleotide biosynthesis
04

Disease associations

Infection (specifically malaria and other parasitic diseases)
05

Safety considerations

Drug resistance due to point mutations in the DHFR domain, leading to reduced efficacy of antifolate drugs like pyrimethamine and cycloguanilPotential toxicity with high-dose antifolates
06

Interacting drugs

Pyrimethamine

4 more in the full profile.

07

Biomarkers

Point mutations in the DHFR domain (such as Ser108N, Asn51Ile, Cys59Arg in P. falciparum) serve as biomarkers for antifolate resistance

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