Target intelligence / Profile preview

Plasmodium spp. dihydrofolate reductase (DHFR) (DHFR)

Target
DHFR
Molecular classification
Enzyme, Oxidoreductase, Bifunctional enzyme
01

Overview

Plasmodium spp. dihydrofolate reductase (DHFR) is a vital enzyme in the folate metabolism of malaria parasites, including Plasmodium falciparum and Plasmodium vivax [1.2.1, 1.5.1]. In these organisms, DHFR exists as part of a bifunctional protein coupled with thymidylate synthase (DHFR-TS), a structural arrangement distinct from the separate enzymes found in humans [1.1.1, 1.3.1]. The enzyme's primary role is to catalyze the reduction of dihydrofolate to tetrahydrofolate, providing essential one-carbon units for the de novo synthesis of thymidylate, purines, and certain amino acids necessary for DNA replication and parasite survival [1.3.2, 1.5.1]. DHFR is a well-established target for antifolate antimalarials like pyrimethamine and cycloguanil, which competitively inhibit the enzyme to arrest parasite growth [1.2.1, 1.2.4]. However, the effectiveness of these treatments is significantly compromised by the global spread of specific point mutations in the dhfr gene that alter the active site and reduce drug affinity [1.1.3, 1.4.1]. Consequently, current drug development efforts are focused on identifying novel inhibitors that can effectively target these resistant variants while maintaining high selectivity to avoid interfering with human folate metabolism [1.2.1, 1.3.1].

Other names
DHFRDHFR-TSBifunctional dihydrofolate reductase-thymidylate synthasepfdhfrpvdhfrDihydrofolate reductase-thymidylate synthase
02

Mechanism of action

Inhibition of dihydrofolate reductase activity, preventing the conversion of dihydrofolate to tetrahydrofolate, which depletes the pool of folate cofactors required for dTMP and purine biosynthesis, ultimately inhibiting DNA synthesis and parasite cell division [1.2.1, 1.3.2].

03

Biological functions

Folate metabolismDNA synthesisPurine synthesisThymidylate synthesisAmino acid synthesis
04

Disease associations

InfectionMalaria
05

Safety considerations

Widespread and rapid development of drug resistance due to point mutations [1.1.1, 1.2.1]Potential for host toxicity (e.g., bone marrow suppression) if the drug lacks sufficient selectivity for the parasite enzyme over human DHFR [1.3.1]Therapeutic failure in regions with high prevalence of resistant alleles [1.4.5]
06

Interacting drugs

Pyrimethamine

6 more in the full profile.

07

Biomarkers

dhfr gene mutations (e.g., S108N, N51I, C59R, I164L) [1.1.3, 1.4.1, 1.4.4]dhfr gene amplification [1.1.1]Parasite clearance rate

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