Hannu Myllykallio1, Damien Leduc1, Jonathan Filee1 and Ursula Liebl2
1Institut de Ge´ne´tique et Microbiologie CNRS UMR8621; Universite´ de Paris-Sud, Orsay, France2Institut National de la Sante´ et de la Recherche Me´dicale U451; Laboratory of Optics and Biosciences, Ecole Polytechnique-ENSTA,Palaiseau, France
Reduced folate derivatives participate in numerous
comparative genomics has revealed a large number of
reactions of bacterial intermediary metabolism. Conse-
microbial species apparently lacking genes encoding
quently, the well-characterized enzyme implicated in
either one of these enzymes (see ). The absence of
thyA in these genomes was explained by our recent finding
reductase FolA – was considered to be essential for
that a large family of previously uncharacterized ThyX
bacterial growth. However, comparative genomics has
(also known as Thy1) proteins corresponds to a novel class
revealed several bacterial genome sequences that
of flavin-dependent thymidylate synthases . As thyA
appear to lack the folA gene. Here, we provide in silico
and thyX genes have, with few exceptions, mutually
evidence indicating that folA-lacking bacteria use a
exclusive phylogenetic distributions , and the novel
recently discovered class of flavin-dependent thymidy-
class of thymidylate synthases is present in up to 30% of
late synthases for deoxythymidine-50-monophosphate
completed microbial genome sequences these data
synthesis, and propose that many bacteria must con-
unequivocally demonstrate that two major pathways for
tain uncharacterized sources for reduced folate mol-
dTMP formation operate in the microbial world.
ecules that are still waiting to be discovered.
Although both ThyA and ThyX are CH2H4folate-
dependent enzymes, the two distinct classes of thymidy-
One-carbon units linked to tetrahydrofolate (H4folate) are
late synthases appear to differ markedly regarding their
required for RNA-, DNA- and protein-synthesis (In
reductive mechanisms Our data indicate that,
actively dividing cells, a large quantity of reduced folates is
unlike ThyA proteins, Helicobacter pylori ThyX uses
required for synthesis of deoxythymidine-50-monophosphate
CH2H4folate as only a one-carbon donor, whereas the
(dTMP or thymidylate), a unique nucleotide component ofDNA. Consequently, dTMP synthesis has the potential to
diminish the pool-size of reduced folates, thus havingindirect consequences for other branches of the intermediarymetabolism. Until recently, the only known pathway for de
novo synthesis of thymidylate was by thymidylate synthaseThyA, an enzyme methylating deoxyuridine-50-monophos-
phate (dUMP). Uniquely for a biological reaction, the
reductive methylation of dUMP by ThyA is intrinsically
ThyA uses methylenetetrahydrofolate (CH2H4folate) as
both carbon source and reductant H2folate formedthrough oxidation of tetrahydrofolate (H4folate) by ThyA israpidly reduced by FolA, as only reduced folate derivatives
are functional in intermediary metabolism Takinginto account the pivotal functional importance of ThyA andFolA, both of these enzymes have been used widely as
targets for compounds that inhibit cellular proliferation.
For instance, bacterial FolA is specifically inhibited bytrimethoprim, a clinically relevant antibacterial agent .
Fig. 1. All cells need reduced folate cofactors for the biosyntheses of many com-pounds. The de novo pathway for folate compounds directly synthesizes dihydro-
Folate metabolism in bacteria carrying a novel
folate, although only tetrahydrofolate can serve as a donor of one-carbon units forDNA-, RNA-, co-factor- and protein-syntheses Trimethoprim acts as a specific
inhibitor of bacterial dihydrofolate reductase (FolA). The red arrow indicates that,
In contrast to the earlier prediction that functional
in actively dividing cells, the majority of tetrahydrofolate derivatives are used for
coupling of ThyA and FolA should be vital for all bacteria,
dTMP synthesis. Abbreviations: dTMP, deoxythymidine monophosphate; GTP,guanosine triphosphate; H2folate, dihydrofolate; H4folate, tetrahydrofolate; Met,methionine; Met-tRNAfMet, a tRNA bearing N-formyl methionine that is required
Corresponding author: Hannu Myllykallio ([email protected]).
for initiation of protein synthesis in bacteria.
0966-842X/03/$ - see front matter q 2003 Elsevier Science Ltd. All rights reserved. doi:10.1016/S0966-842X(03)00101-X
Table 1. Bacterial species using thymidylate synthase ThyX for thymidylate synthesisaa
aNote that the majority of species included in this non-comprehensive list seemingly lack FolA. Bacterial species relevant for human health are indicated in bold. Abbreviations: FolA, bacterial dihydrofolate reductase; Tdk, thymidine kinase required for a salvage of extracellular thymidine; ThyA and ThyX, flavin-dependent and‘canonical’ thymidylate synthase, respectively. bArchaea containing chemically modified folates were excluded from the list. cPhylogenetic distributions were determined using COG and STRING databases. The symbols þ and 2 refer to the presence and absence of a given gene in a genome,respectively. dIf not otherwise indicated, data were collected using the publicly available sequence data accessible at and . eSee for phylogenetic analysis of these FolA sequences.
electrons required for formation of the methyl moiety are
not have an absolute requirement for FolA in their folate
transferred from reduced pyridine nucleotides via an
metabolism. However, bacteria lacking folA must still
enzyme-bound flavin cofactor to form dTMP This
contain reduced folates for RNA and protein syntheses to
reaction mechanism for dTMP formation maintains the
take place, although their source for reduced folates
folate in its reduced form (as H4folate) at the end of
the catalytic cycle. Therefore, the proposed difference inthe reductive mechanisms of ThyA and ThyX offers a
Alternative pathway(s) for H4folate formation?
plausible explanation as to why all thyA-containing
One explanation for the absence of folA in a wide
bacteria contain folA, despite that this gene is often absent
phylogenetic range of bacteria would be the presence of
from thyX-containing organisms. Surprisingly, this obser-
alternative bacterial pathways and/or enzymes forming
vation also indicates that thyX-containing organisms do
H4folate. The existence of such alternative pathways was
Fig. 2. The different reductive mechanisms of thymidylate synthases (a) ThyA and (b) ThyX. ThyA proteins use methylenetetrahydrofolate (CH2H4folate) both as carbon andelectron source, thus resulting in the formation of H2folate. Reduced flavin nucleotides (FADH2) have an obligatory role in ThyX catalysis , thus strongly indicating thatdTMP catalysis is linked – differently from ThyA proteins – to formation of H4folate. Strikingly, although all thyA-carrying bacteria also contain dihydrofolate reductasefolA, the known pathways for formation of H4folate are absent in several thyX-containing bacteria (), suggesting the presence of an alternative dihydrofolatereductase in many bacterial species. Note also that an enzyme implicated in generation of CH2H4folate – serine transhydroxymethylase (SHT) – has a universal phyloge-netic distribution. Abbreviations: CH2H4folate, methylenetetrahydrofolate; DHFR?, a postulated alternative dihydrofolate reductase; dTMP, deoxythymidine monophos-phate; dUMP, deoxyuridine monophosphate; FADþ, flavin adenine dinucleotide (oxidized form); FADH2, flavin adenine dinucleotide (reduced form); Gly, glycine; H2folate,dihydrofolate; H4folate, tetrahydrofolate; Ser, serine; ThyA and ThyX, thymidylate synthase A and X, respectively. Clostridium acetobutylicum (Firmicutes) Clostridium perfringens (Firmicutes)
Ralstonia solanacearum Thermotoga maritima Rickettsia conorii (α-proteobacteria) Chlamydophila pneumoniae Chlamydia muridarum Chlamydia trachomatis
Fig. 3. Phylogenetic analysis of various FolA sequences. The maximum likelihood analysis was performed as described in the text Bacterial species indicated in red cor-respond to species containing FolA and ThyX proteins. The presence of FolA in ThyX-containing Rickettsia conorii and Clostridium spp. could result from a lateral genetransfer event. The tree was rooted using eukaryotic sequences. Abbreviation: Tn, transposon.
suspected earlier, but before the discovery of ThyX, their
reductase (accession number gi:78392) identifies this
physiological relevance was largely ignored. For instance,
protein as oxygen-insensitive NAD(P)H nitroreductase
E. coli strains carrying inactive folA are still viable and
(NfsB). As genetic data have revealed a role for NfsB in
contain reduced folates . Direct evidence for this
mediating microbial resistance to several nitro-substi-
unexpected source of H4folate in E. coli DfolA strains is
tuted compounds it is possible that this enzyme also
lacking, although it has been proposed to result from the
plays a role in folate metabolism, although this is
presence of an alternative dihydrofolate reductase in this
species. The identity of this putative enzyme is unclear,
Helicobacter spp. and Campylobacter spp. that lack folA
although it could correspond to an E. coli enzyme that was
provide particularly interesting cases in the experimental
originally described as ‘dihydropteridine reductase’, which
identification of new, physiologically relevant pathways
is able to reduce in vitro H2folate to H4folate, albeit very
leading to the formation of H4folate. Not only do H. pylori
inefficiently . In our opinion, this low level of dihydro-
and C. jejuni use thymidylate synthase ThyX for
folate reductase activity is not sufficient to explain the
dTMP synthesis, but they are also considered endogen-
surprisingly high amount of reduced folates in E. coli DfolA
ously resistant to low levels of trimethoprim, a classical
strains (60 – 80% compared with that found for wild-type
inhibitor of bacterial FolA The molecular basis for
strains ). In addition, we have now noticed that the
this chromosomally encoded trimethoprim resistance of
N-terminal protein sequence of E. coli dihydropteridine
1-proteobacteria is poorly understood. However, salvage of
thymidine compounds from the growth medium is unlikely
explanation for the unexpected observation that life
to contribute to trimethoprim resistance, and genomic
without two ‘essential’ enzymes – ThyA and FolA – is
data (not shown) indicate the absence of the trimetho-
still possible. Further understanding of the hitherto poorly
prim-insensitive plasmid-encoded family 2 dihydrofolate
characterized folate metabolism in bacteria using ThyX for
reductase in these species. Taken together, these
thymidylate synthesis will undoubtedly aid in under-
observations suggest that the uncharacterized enzyme,
standing the evolution of intermediary metabolism, as
well as in designing new compounds for inhibiting
synthesizes H4folate in 1-proteobacteria and possibly in
Interestingly, a subgroup of thyX-containing organisms
also contains the folA gene (), revealing that
We would like to thank Patrick Forterre for helpful discussions, and
Julian Eaton-Rye and Stephane Skouloubris for critical comments on the
arily mutually exclusive, assuming that FolA has not
functionally replaced the predicted alternative dihydrofo-late reductase. The simultaneous presence of thyX and
1 Carreras, C.W. and Santi, D.V. (1995) The catalytic mechanism
folA in a given genome could result either from the non-
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orthologous replacement of thyA by thyX, or, alternatively,
from transfer of folA into a thyX-containing organism.
2 Huovinen, P. et al. (1995) Trimethoprim and sulfonamide resistance.
Phylogenetic analysis of FolA () supports this latter
Antimicrob. Agents Chemother. 39, 279 – 289
possibility. In particular, our data indicate that the
3 Myllykallio, H. et al. (2002) An alternative flavin-dependent mechan-
position of Rickettsia conorii FolA is the result of lateral
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4 Galperin, M.Y. and Koonin, E.V. (2000) Who’s your neighbor? New
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computational approaches for functional genomics. Nat. Biotechnol.
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Clostridium spp. is closely related to a FolA variant
5 Herrington, M.B. and Chirwa, N.T. (1999) Growth properties of a
encoded by an E. coli plasmid (Unfortunately, the
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maritima have not yet been firmly established, thus
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preventing a firm conclusion regarding the origin of
their folA genes. It is also worth noting that the transfer
7 Vasudevan, S.G. et al. (1992) Dihydropteridine reductase from
of a transposon-coded folA into clinical isolates of C. jejuni
Escherichia coli exhibits dihydrofolate reductase activity. Biol.
8 Koziarz, J.W. et al. (1998) Oxygen-insensitive nitroreductases:
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ThyX and alternative dihydrofolate reductase as ideal
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For several reasons, ThyX proteins and the postulated
9 Giladi, M. et al. (2002) Genetic evidence for a novel thymidylate
alternative dihydrofolate reductase are ideal targets for
synthase in the halophilic archaeon Halobacterium salinarum and in
compounds specifically inhibiting microbial growth. Not
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10 Gibreel, A. and Sko¨ld, O. (1998) High-level resistance to trimethoprim
only is thyX present in several pathogenic bacteria lacking
in clinical isolates of Campylobacter jejuni by acquisition of foreign
folA genes and absent in humans, but also the de novo
genes (dfr1 and dfr9) expressing drug-insensitive dihydrofolate
synthesis of pyrimidine compounds is required for the
reductases. Antimicrob. Agents Chemother. 42, 3059 – 3064
growth and/or virulence of pathogenic microorganisms
11 Fields, P.I. et al. (1986) Mutants of Salmonella typhirium that cannot
that often reside in pyrimidine-limited environments
survive within the macrophage are avirulent. Proc. Natl. Acad. Sci.
The development of ThyX inhibitors will be
12 Ko¨hler, S. et al. (2002) The analysis of the intramacrophagic virulome
facilitated by the recently solved structure of the Thermo-
of Brucella suis deciphers the environment encountered by the
toga maritima ThyX protein which has already
pathogen inside the macrophage host cell. Proc. Natl. Acad. Sci.
revealed that the two classes of thymidylate synthases are
completely unrelated structurally. Therefore, the design of
13 Kuhn, P. et al. (2002) Crystal structure of Thy1, a thymidylate
ThyX inhibitors does not have to rely on small structural
synthase complementing protein from Thermotoga maritima at 2.25 A
differences between ThyX and human ThyA proteins.
14 Matthews, R.G. (1996) One carbon metabolism. In Escherichia Coli
Similarly, it is tempting to speculate that yet-to-be-
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identified alternative pathways and/or enzymes partici-
15 Van de Casteele, M. et al. (1995) The dihydrofolate reductase-encoding
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17 von Mering, C. et al. (2003) STRING: a database of predicted functional
ism for thymidylate synthesis has revealed a plausible
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Protokoll der Sitzung des Drogenausschusses am 16.3.2010 (Erweiterte Sitzung zum Thema Medikamentenmissbrauch) Zu Gast waren Frau Stolz und Herr Pintscher, Beratungsapothekerin bzw. Sozialarbeiter und Diplom-Pädagoge bei der AOK, die im Rahme der Kooperation von KHG und AOK über das Thema Medikamentenmissbrauch informierten. Zusammengefasst wurde in Vortrag und anschließender Diskussio
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