5-FormylH(4)folate is administered clinically under the name Leucovori
n(TM) in association with the antineoplastic agent 5-fluorouracil (5-F
U) to enhance the cytotoxic effects of 5-FU. The combination has been
shown to be superior to 5-FU alone in the treatment of patients with m
etastatic colorectal carcinoma, Methenyltetrahydrofolate synthetase (M
THFS) catalyzes the transformation of 5-formyltetrahydrofolate to meth
enylH(4)folate, which is the obligatory initial metabolic step prior t
o the intracellular conversion of 5-formylH(4)folate to other reduced
folates and the increase in intracellular folate pools required for 5-
FU potentiation, In the following paper, we will summarize results of
biochemical and molecular studies of human MTHFS.