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Literature summary for 6.3.2.17 extracted from

  • Raz, S.; Stark, M.; Assaraf, Y.G.
    Folylpoly-gamma-glutamate synthetase A key determinant of folate homeostasis and antifolate resistance in cancer (2016), Drug Resist. Updat., 28, 43-64 .
    View publication on PubMed

Cloned(Commentary)

Cloned (Comment) Organism
gene FPGS, DNA and amino acid sequence analysis, promoter determination and analysis, overview, recombinnat expression in murine knockout cell line AUXB1 Homo sapiens
gene fpgS, DNA and amino acid sequence determination and analysis Lacticaseibacillus casei

Protein Variants

Protein Variants Comment Organism
C346F MTXR5 resistant leukemia cells, established by repeated cycles of 24 h-pulse exposures to methotrexate (MTX), harbor a C346F substitution resulting in a 91% loss of their cellular FPGS activity. Kinetic analysis reveals that the mutant protein retains parental affinity toward MTX, while the Km toward L-glutamate increases by 23fold. Substitution of active site residues D335, H338 and R377 results in an over 500fold decrease in the Vmax of the polyglutamylation reaction when compared to the wild-type hcFPGS protein Homo sapiens
C388F MTXR5 resistant leukemia cells established by repeated cycles of 24 h-pulse exposures to methotrexate (MTX), harbor a C388F substitution resulting in a 91% loss of their cellular FPGS activity. Kinetic analysis reveals that the mutant protein retains parental affinity toward MTX, while the Km toward L-glutamate increases by 23fold. 3D-modeling analysis suggests that C388 is located at the entrance to the active site of this enzyme Homo sapiens
D335A site-directed mutagenesis, the substitution leads to a catalytically dead FPGS with diminished binding of glutamate, ATP and the antifolate Homo sapiens
H338A site-directed mutagenesis, the mutation increases the Kmfor glutamic acid by 600fold foldwith negligible residual catalytic activity Homo sapiens
additional information aberrant FPGS preRNA splicing, FPGS preRNA splicing, five sublines, isolated by 24 h-pulse exposure of CCRF-CEM cells to MTX or 7OH-MTX, as well as ALL patients' specimens display aberrant splicing of the FPGS mRNA, comprised of both intron retention and exon skipping. FPGS mutations in antifolate selected tumor cell lines are identified in antifolate-resistant sublines of the human T-ALL cell line CCRF-CEM. The resistant sublines, MTXR5, CEM-p, MTAR1.5, ZD1694 C-9 andMTA C-3, all harboring point mutations in the FPGS open reading frame, are selected with different polyglutamatable (i.e. classical) antifolates using diverse selection methods. These drug-resistant sublines are all crossresistant to classical antifolates (e.g. raltitrexed/ZD1694/tomudex) while retaining sensitivity to non-polyglutamatable antifolates (e.g. plevitrexed/ZD9331/vamidex), compared to their parental counterparts, hence exhibiting a major loss of FPGS activity Homo sapiens
additional information aberrant FPGS preRNA splicing, FPGS preRNA splicing, five sublines, isolated by 24 h-pulse exposure of CCRF-CEM cells to MTX or 7OH-MTX, as well as ALL patients' specimens display aberrant splicing of the FPGS mRNA, comprised of both intron retention and exon skipping. FPGS mutations in antifolate selected tumor cell lines are identified in antifolate-resistant sublines of the human T-ALL cell line CCRF-CEM. The resistant sublines, MTXR5, CEM-p, MTAR1.5, ZD1694 C-9 andMTA C-3, all harboring point mutations in the FPGS open reading frame, are selected with different polyglutamatable (i.e. classical) antifolates using diverse selection methods. These drug-resistant sublines are all crossresistant to classical antifolates (e.g. raltitrexed/ZD1694/tomudex) while retaining sensitivity to non-polyglutamatable antifolates (e.g. plevitrexed/ZD9331/vamidex), compared to their parental counterparts, hence exhibiting a majorloss of FPGS activity Homo sapiens
additional information FPGS promoter methylation leads to reduced transcription in rats following three months of alcohol consumption. This reduction in FPGS activity results in decreased levels of total as well as polyglutamated folates in different tissues Rattus norvegicus
additional information generation of a FPGS-null Chinese hamster ovary (CHO) cell line AUXB1. The cells are isolated as auxotrophs for glycine, adenosine and thymidine. AUXB1 cells are hemizygous for the FPGS gene and harbor a nonsense mutation at position 432 which renders the enzyme catalytically dead. AUXB1 cells are transfected with human FPGS cDNA presenting high FPGS activity Cricetulus griseus
R377A D335A site-directed mutagenesis, the substitution results in a 1500fold increase in the Km for glutamate, and a 20fold decrease in the Kcat Homo sapiens

Localization

Localization Comment Organism GeneOntology No. Textmining
cytoplasm
-
Lacticaseibacillus casei 5737
-
cytoplasm
-
Rattus norvegicus 5737
-
cytoplasm
-
Homo sapiens 5737
-
mitochondrial inner membrane the mitochondrial isoform is an integral membrane protein Homo sapiens 5743
-
mitochondrion
-
Rattus norvegicus 5739
-
mitochondrion
-
Cricetulus griseus 5739
-
mitochondrion
-
Mus musculus 5739
-
additional information folylpoly-gamma-glutamate synthetase resides in both the cytoplasm and mitochondria Cricetulus griseus
-
-
additional information folylpoly-gamma-glutamate synthetase resides in both the cytoplasm and mitochondria. The cytosolic fraction contains between 65-75% of total cellular FPGS and the mitochondria 25-35% Rattus norvegicus
-
-
additional information folylpoly-gamma-glutamate synthetase resides in both the cytoplasm and mitochondria. The cytosolic fraction contains between 65-75% of total cellular FPGS and the mitochondria 25-35% Mus musculus
-
-
additional information human FPGS (hFPGS) has two major isoforms, the short isoform represents a cytosolic enzyme (cFPGS), while the longer isoform contains a mitochondrial leader sequence (MLS) directing FPGS to mitochondria (mFPGS). The cytosolic fraction contains between 65-75% of total cellular FPGS and the mitochondria 25-35% Homo sapiens
-
-
additional information human FPGS (hFPGS) has two major isoforms, the short isoform represents a cytosolic enzyme (cFPGS), while the longer isoform contains a mitochondrial leader sequence directing FPGS to mitochondria (mFPGS). The cytosolic fraction contains between 65-75% of total cellular FPGS and the mitochondria 25-35% Homo sapiens
-
-

Metals/Ions

Metals/Ions Comment Organism Structure
Mg2+ required Lacticaseibacillus casei
Mg2+ required Escherichia coli
Mg2+ required Rattus norvegicus
Mg2+ required Cricetulus griseus
Mg2+ required Mus musculus
Mg2+ required Homo sapiens

Natural Substrates/ Products (Substrates)

Natural Substrates Organism Comment (Nat. Sub.) Natural Products Comment (Nat. Pro.) Rev. Reac.
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate Lacticaseibacillus casei
-
ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate Escherichia coli
-
ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate Rattus norvegicus
-
ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate Cricetulus griseus
-
ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate Mus musculus
-
ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate Homo sapiens
-
ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?

Organism

Organism UniProt Comment Textmining
Cricetulus griseus Q924L9
-
-
Escherichia coli P08192
-
-
Homo sapiens Q05932
-
-
Homo sapiens Q96LE3
-
-
Lacticaseibacillus casei P15925
-
-
Mus musculus P48760
-
-
Rattus norvegicus M0R401
-
-

Posttranslational Modification

Posttranslational Modification Comment Organism
additional information posttranscriptional mechanisms are involved in regulating FPGS activity Homo sapiens

Source Tissue

Source Tissue Comment Organism Textmining
AML-193 cell
-
Homo sapiens
-
bone marrow
-
Homo sapiens
-
CCRF-CEM cell
-
Homo sapiens
-
CEM cell
-
Homo sapiens
-
CHO cell
-
Cricetulus griseus
-
head and neck squamous carcinoma cell
-
Homo sapiens
-
Hep-G2 cell
-
Homo sapiens
-
HL-60 cell
-
Homo sapiens
-
K-562 cell
-
Homo sapiens
-
liver
-
Homo sapiens
-
MOLT-3 cell
-
Homo sapiens
-
additional information FPGS expression analysis in human tissues, antifolate resistant sublines, overview Homo sapiens
-
NALM-6 cell
-
Homo sapiens
-
peripheral blood mononuclear cell
-
Homo sapiens
-
skeletal muscle
-
Homo sapiens
-

Substrates and Products (Substrate)

Substrates Comment Substrates Organism Products Comment (Products) Rev. Reac.
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate
-
Lacticaseibacillus casei ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate
-
Escherichia coli ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate
-
Rattus norvegicus ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate
-
Cricetulus griseus ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate
-
Mus musculus ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?
ATP + tetrahydropteroyl-[gamma-Glu]n + L-glutamate
-
Homo sapiens ADP + phosphate + tetrahydropteroyl-[gamma-Glu]n+1
-
?

Synonyms

Synonyms Comment Organism
cFPGS
-
Homo sapiens
DHFS/FPGS
-
Escherichia coli
dihydrofolate synthase/folylpolyglutamate synthase
-
Escherichia coli
eFPGS
-
Escherichia coli
Folylpoly-gamma-glutamate synthetase
-
Lacticaseibacillus casei
Folylpoly-gamma-glutamate synthetase
-
Escherichia coli
Folylpoly-gamma-glutamate synthetase
-
Rattus norvegicus
Folylpoly-gamma-glutamate synthetase
-
Cricetulus griseus
Folylpoly-gamma-glutamate synthetase
-
Mus musculus
Folylpoly-gamma-glutamate synthetase
-
Homo sapiens
FPGS
-
Lacticaseibacillus casei
FPGS
-
Escherichia coli
FPGS
-
Rattus norvegicus
FPGS
-
Cricetulus griseus
FPGS
-
Mus musculus
FPGS
-
Homo sapiens
mFPGS
-
Homo sapiens
More cf. EC 6.3.2.12 Escherichia coli

Cofactor

Cofactor Comment Organism Structure
ATP
-
Lacticaseibacillus casei
ATP
-
Escherichia coli
ATP
-
Rattus norvegicus
ATP
-
Cricetulus griseus
ATP
-
Mus musculus
ATP
-
Homo sapiens

Expression

Organism Comment Expression
Homo sapiens mechanisms of FPGS downregulation, overview down
Homo sapiens mechanisms of FPGSd ownregulation, overview down

General Information

General Information Comment Organism
malfunction decreased FPGS activity is found to underlie intrinsic antifolate resistance in several human cells and tumor cell lines. Inherent methotrexate resistance in head and neck squamous carcinoma cells is attributed to a 3fold decrease in their cellular FPGS activity. Intrinsic resistance to MTX via reduced FPGS activity is also found in sarcoma patients. FPGS-deficient cells display parental sensitivity to methotrexate (MTX), detailed overview. Low MTX-polyglutamate levels are correlated with reduced response to MTX treatment in rheumatoid arthritis patients Homo sapiens
malfunction knockout of the FPGS gene in mice results in embryonic lethality. Decreased translation of the FPGS mRNA is demonstrated in edatrexate (EDX)-resistant L-1210 cells obtained from mice treated with EDX. While 7 EDX-resistant clones display FPGS-based EDX resistance, only one leukemia cell line which displays the greatest loss of FPGS activity, exhibits reduced translation of FPGS mRNA upon in vitro translation experiments. Insufficient FPGS translation is not a common mechanism of loss of FPGS activity Mus musculus
malfunction the lack of FPGS activity in catalytically inactive AUXB1 mutant cells results in intracellular folate pools in AUXB1 cells that are composed predominantly of folate monoglutamates which are rapidly exported out of cells (i.e. via the ATP-driven exporters and the bidirectional anion exchanger RFC). In turn, the cells retain only 10% of the intracellular folate pool presentin parental CHO cells, and lose 50% of their folate pools as fast as 2 h after transfer to a folate-depleted medium. AUXB1 cells have lower intracellular concentrations of folatescompared to the growth medium. FPGS-null AUXB1 cells have very little intracellular folate concentrations, albeit they can grow in the absence of purines or thymidine provided, their growth medium is supplemented with high folate concentrations. But they fail to grow in the absence of glycine at any folate medium concentration, suggesting the complete deficiency of mitochondrial folatesin these cells. AUXB1 cells transfected with Escherichia coli FPGS can only yield a triglutamate folate tail in AUXB1 cells. Both eFPGS and human cytosolic FPGS (hcFPGS) can rescue nucleoside auxotrophy of AUXB1 cells. Transfection of AUXB1 cells with hcFPGS complements growth in methionine-free medium, while cytosolic eFPGS does not Cricetulus griseus
metabolism subcellular compartmentalization of one-carbon metabolism in mammalian cells involving the enzyme, overview Rattus norvegicus
metabolism subcellular compartmentalization of one-carbon metabolism in mammalian cells involving the enzyme, overview Mus musculus
metabolism subcellular compartmentalization of one-carbon metabolism in mammalian cells involving the enzyme, overview Homo sapiens
additional information 3D-modeling analysis suggests that C388 is located at the entrance to the active site of this enzyme Homo sapiens
additional information amino acids D335, H338 and R377 participate in the alignment of glutamic acid in the active site Homo sapiens
physiological function FPGS catalyzes the addition of a long polyglutamate chain to folates andantifolates, hence rendering them polyanions which are efficiently retained in the cell and are now bound with enhanced affinity by various folate-dependent enzymes. Mammalians are devoid of autonomous biosynthesis of folates and hence must obtain them from the diet. Reduced folate cofactors are B9-vitamins which play a key role as donors of one-carbon unitsin the biosynthesis of purine nucleotides, thymidylate and amino acids as well as in a multitude of methylation reactions including DNA, RNA, histone and non-histone proteins, phospholipids, as well as intermediate metabolites. Folate-dependent one-carbon metabolism occurs in several subcellular compartments including the cytoplasm, mitochondria, and nucleus. Since folates are essential for DNA replication, intra-cellular folate cofactors play a central role in cancer biology and inflammatory autoimmune disorders. In the cytosol, folates are crucial for the catalytic activity of the nucleotide biosynthesis enzymes 5-aminoimidazole-4-carboxamide ribonu-cleotide (AICAR) and glycinamide ribonucleotide transformylase (GARTF) as well as for the remethylation of homocysteine to methionine by the enzyme methionine synthase (MS) and conversion of serine to glycine by serine hydroxymethyltransferase (SHMT) 1. In the nucleus, folates are crucial for the thymidylate biosynthesis enzyme, thymidylate synthase (TS). In mitochondria, folates are required for the biosynthesis of glycine by the enzyme SHMT-2, and for the synthesis of formyl-methionyl tRNA by the mitochondrial enzyme methionyl-tRNA formyltransferase (MTFMT). Cytosolic folates are mostly present as penta-to hexaglutamates, while mitochondrial folates have longer polyglutamate tails with hepta- and octaglutamate moieties in hamsters Cricetulus griseus
physiological function the capacity of cells to accumulate folates several orders of magnitude above their extracellular concentration is predominantly attributable to the activity of the unique enzyme folylpoly-gamma-glutamate synthetase (FPGS). The enzyme is an ATP-dependent ligase which catalyzes the addition of a polyglutamate tail to reduced folates, one glutamate residue after the other (1-8 additional glutamate moieties). FPGS catalyzes the addition of a long polyglutamate chain to folates and antifolates, hence rendering them polyanions which are efficiently retained in the cell and are now bound with enhanced affinity by various folate-dependent enzymes, impact of polyglutamylation on intracellular folate homeostasis, overview. The average length of the polyglutamate tail is dependent upon the intracellular activity level of FPGS, the higher the protein level and activity, the longer the length of the polyglutamate congener swhich can be found within the cell. Mammalians are devoid of autonomous biosynthesis of folates and hence must obtain them from the diet. Reduced folate cofactors are B9-vitamins which play a key role as donors of one-carbon unitsin the biosynthesis of purine nucleotides, thymidylate and amino acids as well as in a multitude of methylation reactions including DNA, RNA, histone and non-histone proteins, phospholipids, as well as intermediate metabolites. Folate-dependent one-carbon metabolism occurs in several subcellular compartments including the cytoplasm, mitochondria, and nucleus. Since folates are essential for DNA replication, intracellular folate cofactors play a central role in cancer biology and inflammatory autoimmune disorders. In the cytosol, folates are crucial for the catalytic activity of the nucleotide biosynthesis enzymes 5-aminoimidazole-4-carboxamide ribonu-cleotide (AICAR) and glycinamide ribonucleotide transformylase (GARTF) as well as for the remethylation of homocysteine to methionine by the enzyme methionine synthase (MS) and conversion of serine to glycine by serine hydroxymethyltransferase (SHMT) 1. In the nucleus, folates are crucial for the thymidylate biosynthesis enzyme, thymidylate synthase (TS). In mitochondria, folates are required for the biosynthesis of glycine by the enzyme SHMT-2, and for the synthesis of formyl-methionyl tRNA by the mitochondrial enzyme methionyl-tRNA formyltransferase (MTFMT) Rattus norvegicus
physiological function the capacity of cells to accumulate folates several orders of magnitude above their extracellular concentration is predominantly attributable to the activity of the unique enzyme folylpoly-gamma-glutamate synthetase(FPGS). The enzyme is an ATP-dependent ligase which catalyzes the addition of a polyglutamate tail to reduced folates, one glutamate residue after the other (1-8 additional gluta-mate moieties). FPGS catalyzes the addition of a long polyglutamate chain to folates and antifolates, hence rendering them polyanions which are efficiently retained in the cell and are now bound with enhanced affinity by various folate-dependent enzymes, impact of polyglutamylation on intracellular folate homeostasis, overview. The average length of the polyglutamate tail is dependent upon the intracellular activity level of FPGS, the higher the protein level and activity, the longer the length of the polyglutamate congener swhich can be found within the cell. Mammalians are devoid of autonomous biosynthesis of folates and hence must obtain them from the diet. Reduced folate cofactors are B9-vitamins which play a key role as donors of one-carbon unitsin the biosynthesis of purine nucleotides, thymidylate and amino acids as well as in a multitude of methylation reactions including DNA, RNA, histone and non-histone proteins, phospholipids, as well as intermediate metabolites. Folate-dependent one-carbon metabolism occurs in several subcellular compartments including the cytoplasm, mitochondria, and nucleus. Since folates are essential for DNA replication, intracellular folate cofactors play a central role in cancer biology and inflammatory autoimmune disorders. In the cytosol, folates are crucial for the catalytic activity of the nucleotide biosynthesis enzymes 5-aminoimidazole-4-carboxamide ribonu-cleotide (AICAR) and glycinamide ribonucleotide transformylase (GARTF) as well as for the remethylation of homocysteine to methionine by the enzyme methionine synthase (MS) and conversion of serine to glycine by serine hydroxymethyltransferase (SHMT) 1. In the nucleus, folates are crucial for the thymidylate biosynthesis enzyme, thymidylate synthase (TS). In mitochondria, folates are required for the biosynthesis of glycine by the enzyme SHMT-2, and for the synthesis of formyl-methionyl tRNA by the mitochondrial enzyme methionyl-tRNA formyltransferase (MTFMT) Mus musculus
physiological function the capacity of cells to accumulate folates several orders of magnitude above their extracellular concentration is predominantly attributable to the activity of the unique enzyme folylpoly-gamma-glutamate synthetase(FPGS). The enzyme is an ATP-dependent ligase which catalyzes the addition of a polyglutamate tail to reduced folates, one glutamate residue after the other (1-8 additional gluta-mate moieties). FPGS catalyzes the addition of a long polyglutamate chain to folates and antifolates, hence rendering them polyanions which are efficiently retained in the cell and are now bound with enhanced affinity by various folate-dependent enzymes, impact of polyglutamylation on intracellular folate homeostasis, overview. The average length of the polyglutamate tail is dependent upon the intracellular activity level of FPGS, the higher the protein level and activity, the longer the length of the polyglutamate congener which can be found within the cell. Mammalians are devoid of autonomous biosynthesis of folates and hence must obtain them from the diet. Reduced folate cofactors are B9-vitamins which play a key role as donors of one-carbon unitsin the biosynthesis of purine nucleotides, thymidylate and amino acids as well as in a multitude of methylation reactions including DNA, RNA, histone and non-histone proteins, phospholipids, as well as intermediate metabolites. Folate-dependent one-carbon metabolism occurs in several subcellular compartments including the cytoplasm, mitochondria, and nucleus. Since folates are essential for DNA replication, intra-cellular folate cofactors play a central role in cancer biology and inflammatory autoimmune disorders. In the cytosol, folates are crucial for the catalytic activity of the nucleotide biosynthesis enzymes 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR) and glycinamide ribonucleotide transformylase (GARTF) as well as for the remethylation of homocysteine to methionine by the enzyme methionine synthase (MS) and conversion of serine to glycine by serine hydroxymethyltransferase (SHMT) 1. In the nucleus, folates are crucial for the thymidylate biosynthesis enzyme, thymidylate synthase (TS). In mitochondria, folates are required for the biosynthesis of glycine by the enzyme SHMT-2, and for the synthesis of formyl-methionyl tRNA by the mitochondrial enzyme methionyl-tRNA formyltransferase (MTFMT). High FPGS levels, along with low GGH and MRP1 expression, correlate with higher accumulation of reduced folates in colorectal cancer patients administrated with leucovorin (folinic acid, 5-CHO-THF). Posttranscriptional mechanisms are involved in regulating FPGS activity. FPGS activity is correlated with cancer patient outcome Homo sapiens
physiological function the capacity of cells to accumulate folates several orders of magnitude above their extracellular concentration is predominantly attributable to the activity of the unique enzyme folylpoly-gamma-glutamate synthetase(FPGS). The enzyme is an ATP-dependent ligase which catalyzes the addition of a polyglutamate tail to reduced folates, one glutamate residue after the other (1-8 additional gluta-mate moieties). FPGS catalyzes the addition of a long polyglutamate chain to folates and antifolates, hence rendering them polyanions which are efficiently retained in the cell and are now bound with enhanced affinity by various folate-dependent enzymes, impact of polyglutamylation on intracellular folate homeostasis, overview. The average length of the polyglutamate tail is dependent upon the intracellular activity level of FPGS, the higher the protein level and activity, the longer the length of the polyglutamate congeners, which can be found within the cell. Mammalians are devoid of autonomous biosynthesis of folates and hence must obtain them from the diet. Reduced folate cofactors are B9-vitamins which play a key role as donors of one-carbon units in the biosynthesis of purine nucleotides, thymidylate and amino acids as well as in a multitude of methylation reactions including DNA, RNA, histone and non-histone proteins, phospholipids, as well as intermediate metabolites. Folate-dependent one-carbon metabolism occurs in several subcellular compartments including the cytoplasm, mitochondria, and nucleus. Since folates are essential for DNA replication, intra-cellular folate cofactors play a central role in cancer biology and inflammatory autoimmune disorders. In the cytosol, folates are crucial for the catalytic activity of the nucleotide biosynthesis enzymes 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR) and glycinamide ribonucleotide transformylase (GARTF) as well as for the remethylation of homocysteine to methionine by the enzyme methionine synthase (MS) and conversion of serine to glycine by serine hydroxymethyltransferase (SHMT) 1. In the nucleus, folates are crucial for the thymidylate biosynthesis enzyme, thymidylate synthase (TS). In mitochondria, folates are required for the biosynthesis of glycine by the enzyme SHMT-2, and for the synthesis of formyl-methionyl tRNA by the mitochondrial enzyme methionyl-tRNA formyltransferase (MTFMT). High FPGS levels, along with low GGH and MRP1 expression, correlate with higher accumulation of reduced folates in colorectal cancer patients administrated with leucovorin (folinic acid, 5-CHO-THF). Posttranscriptional mechanisms are involved in regulating FPGS activity. FPGS activity is correlated with cancer patient outcome Homo sapiens