DHFR is an attractive pharmaceutical target for inhibition due to its pivotal role in DNA precursor (
thymine) synthesis.
Trimethoprim, an
antibiotic, inhibits bacterial DHFR while
methotrexate, a
chemotherapy agent, inhibits mammalian DHFR. However,
resistance has developed against some drugs, as a result of mutational changes in DHFR itself.
Cancer DHFR is responsible for the levels of tetrahydrofolate in a cell, and the inhibition of DHFR can limit the growth and proliferation of cells that are characteristic of cancer and bacterial infections.
Methotrexate, a
competitive inhibitor of DHFR, is one such anticancer drug that inhibits DHFR.
Folate is necessary for growth, and the pathway of the metabolism of folate is a target in developing treatments for cancer. DHFR is one such target. A regimen of
fluorouracil,
doxorubicin, and methotrexate was shown to prolong survival in patients with advanced gastric cancer. Further studies into inhibitors of DHFR can lead to more ways to treat cancer.
Infection Bacteria also need DHFR to grow and multiply and hence inhibitors selective for bacterial DHFR have found application as antibacterial agents. However, resistance to trimethoprim and other drugs aimed at DHFR can arise due to a variety of mechanisms, limiting the success of their therapeutical uses. Resistance can arise from DHFR gene amplification,
mutations in DHFR, decrease in the uptake of the drugs, among others. Regardless, trimethoprim and
sulfamethoxazole in combination has been used as an antibacterial agent for decades. Other classes of compounds that target DHFR in general, and bacterial DHFRs in particular, belong to the classes such as diaminopteridines, diaminotriazines, diaminopyrroloquinazolines, stilbenes, chalcones, deoxybenzoins, diaminoquinazolines, diaminopyrroloquinazolines, to name but a few.
Potential anthrax treatment of chromosomal (Type I) dihydrofolate reductase from
Bacillus anthracis (BaDHFR),
Staphylococcus aureus (SaDHFR),
Escherichia coli (EcDHFR), and
Streptococcus pneumoniae (SpDHFR) Dihydrofolate reductase from
Bacillus anthracis (BaDHFR) is a validated drug target in the treatment of the infectious disease, anthrax. BaDHFR is less sensitive to
trimethoprim analogs than is dihydrofolate reductase from other species such as
Escherichia coli,
Staphylococcus aureus, and
Streptococcus pneumoniae. A structural alignment of dihydrofolate reductase from all four species shows that only BaDHFR has the combination
phenylalanine and
tyrosine in positions 96 and 102, respectively. BaDHFR's resistance to
trimethoprim analogs is due to these two residues (F96 and Y102), which also confer improved kinetics and catalytic efficiency. Current research uses active site mutants in BaDHFR to guide lead optimization for new antifolate inhibitors. == As a research tool ==