Background: The fungal pathogen Pneurnocystis carinii causes a pneumon
ia which is an opportunistic infection of AIDS patients. Current thera
py includes the dihydrofolate reductase (DHFR) inhibitor trimethoprim
which is selective but only a relatively weak inhibitor of the enzyme
for P. carinii. Determination of the three-dimensional structure of th
e enzyme should form the basis for design of more potent and selective
therapeutic agents for treatment of the disease. Results: The structu
re of P. carinii DHFR in complex with reduced nicotinamide adenine din
ucleotide phosphate and trimethoprim has accordingly been solved by X-
ray crystallography. The structure of the ternary complex has been ref
ined at 1.86 Angstrom resolution (R=0.181). A similar ternary complex
with piritrexim (which is a tighter binding, but less selective inhibi
tor) has also been solved, as has the binary complex holoenzyme, both
at 2.5 Angstrom resolution. Conclusions: These structures show how two
drugs interact with a fungal DHFR. A comparison of the three-dimensio
nal structure of this relatively large DHFR with bacterial or mammalia
n enzyme-inhibitor complexes determined previously highlights some add
itional secondary structure elements in this particular enzyme species
. These comparisons provide further insight into the principles govern
ing DHFR-inhibitor interaction, in which the volume of the active site
appears to determine the strength of inhibitor binding.