Target intelligence / Profile preview

Tetrahydrofolate pathway (THF pathway)

Target
THF pathway
Molecular classification
Other (metabolic pathway/process, not a single protein), Enzyme (via key enzymatic targets)
01

Overview

The Tetrahydrofolate pathway, also known as folate-mediated one-carbon metabolism, describes a set of interconnected metabolic reactions in which tetrahydrofolate (THF), a reduced form of folate (vitamin B9), serves as a carrier of one-carbon units. These reactions are essential for DNA and RNA synthesis, amino acid interconversions, and methylation reactions critical for cellular function and epigenetic regulation. Disruption of this pathway is associated with megaloblastic anemia, developmental defects, and malignancy. Drugs targeting specific enzymes within this pathway—such as dihydrofolate reductase and thymidylate synthase—are widely used in cancer chemotherapy and certain infectious diseases.

Other names
folate pathwayfolate-mediated one-carbon metabolismone-carbon metabolism pathway
02

Mechanism of action

Inhibition of folate pathway enzymes (e.g., dihydrofolate reductase inhibitors block THF regeneration, leading to impaired DNA synthesis); Antimetabolite activity (structural mimics interfere with nucleotide biosynthesis)

03

Biological functions

One-carbon transfer reactionsDNA synthesis and repairNucleotide biosynthesisAmino acid interconversion (e.g., serine-glycine)Methylation reactions (including epigenetic regulation)Methionine synthesis
04

Disease associations

CancerMegaloblastic anemiaNeural tube defectsCardiovascular disease (via homocysteine metabolism)Neurodegenerative disease
05

Safety considerations

Bone marrow suppression (myelosuppression) due to impaired DNA synthesisGastrointestinal toxicityRisk of neural tube defects in pregnancy if the pathway is inhibited or deficient
06

Interacting drugs

Methotrexate

5 more in the full profile.

07

Biomarkers

Folate levelsHomocysteine levelsExpression/activity of enzymes like thymidylate synthase, dihydrofolate reductase, and methylenetetrahydrofolate reductase (MTHFR)

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