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. 2022 Nov 30;13:6557. doi: 10.1038/s41467-022-34243-3

Fig. 1. Overview of folate metabolism in bacteria and mammals and targets of SMX and TMP.

Fig. 1

Orange arrows are specific to bacteria. Blue arrows are pathways specific to mammals. Black arrows are common to both bacteria and mammals. Mammalian dihydrofolate reductase (mDHFR) is able to reduce folic acid to DHF, while bacterial dihydrofolate reductase enzymes are unable to perform this reaction23. Mammalian exogenous folate uptake pathways can accommodate multiple reduced folate substrates (RFC and hFR) or folic acid in addition to reduced folates (PCFT)42. RFC is the major transporter in systemic tissues while hFR and PCFT are tissue-specific. RFC reduced folate carrier, hFR human folate receptor, PCFT proton-coupled folate transporter, GTP guanosine triphosphate, DHP dihydropteroate, DHF dihydrofolate, THF tetrahydrofolate, PABA para-aminobenzoic acid, dUMP deoxyuridine monophosphate, dTMP deoxythymidine monophosphate, TMP trimethoprim, SMX sulfamethoxazole, DHFR dihydrofolate reductase (mammalian). Created with BioRender.com.