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Biochemistry · Amino acid metabolism

Role of folic acid

*Acidum folicum*

Folic acid is a crucial participant in metabolism, acting as an intermediate carrier of single-carbon fragments. After activation in the liver, it provides cells with the carbon radicals necessary for the synthesis of nucleotides and other compounds.

Site of activationThe conversion of folate into its active form takes place in liver tissue
Main functionTransfer of single-carbon fragments (neither acyl nor amino groups)
Reaction coenzymeNADPH is required for the activity of folate reductase enzymes
Key objectiveSynthesis of nucleotides through the addition of single-carbon groups
4 min readFor medical studentsUpdated 09/24/2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Formation of the active form

Folic acid (folate) itself is a precursor. To enter biochemical processes, it must be converted into its active form — tetrahydrofolate ($H_4$-folate).

This process takes place in the liver and requires specific enzymes:

  • Folate reductases;
  • Dihydrofolate reductases.

For the reduction reactions to proceed, both enzymes strictly require the coenzyme NADPH, which acts as a donor of reducing equivalents. Through sequential reactions, $H_4$-folate is formed, ready to perform its transport functions.

Transport of single-carbon groups

The main biological role of $H_4$-folate is that it serves as an intermediate carrier of single-carbon groups.

It is important to clearly understand what $H_4$-folate is not in biochemical reactions. It cannot act as:

  • A carrier of acyl or two-carbon fragments;
  • A donor of phosphate groups;
  • A terminal acceptor or carrier of amino groups.

Its specialization is strictly limited to capturing, holding, and transferring fragments containing exactly one carbon atom.

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Forms of single-carbon fragments

Single-carbon radicals bound to $H_4$-folate are not static. The basic methylene group ($-CH_2-$) within the methylene-$H_4$-folate molecule can undergo redox transformations, converting into other functional forms.

The main forms of single-carbon groups transported by folate include:

  1. Methylene ($-CH_2-$) — the initial form for many transformations.
  2. Methyl ($-CH_3$) — the most reduced group.
  3. Methenyl ($-CH=$) — the form with a double bond.
  4. Formyl ($-CHO$) — the most oxidized group.

This plasticity allows folate to supply various biochemical pathways with the required types of carbon residues.

Biological significance

All processes of transfer and interconversion of single-carbon fragments are aimed at supporting critical synthetic processes within the cell.

First and foremost, single-carbon groups are used for the synthesis of nucleotides — the building blocks of nucleic acids. Without the adequate functioning of the tetrahydrofolate system, the cell loses the ability to form fully functional nucleotides and a number of other vital metabolites that depend on the addition of a single carbon atom.

Briefly: answers to topical questions

In the synthesis of which specific nucleotides (purine or pyrimidine) do tetrahydrofolate derivatives participate?

Tetrahydrofolate derivatives participate in the synthesis of both purine and pyrimidine nucleotides.

  • $N^5,N^{10}$-methylene-$H_4$-folate — ensures the synthesis of pyrimidine nucleotides (specifically, thymidylic acid or TMP).
  • $N^5,N^{10}$-methenyl-$H_4$-folate — required for the synthesis of purine nucleotides (incorporates a carbon atom into position 8 of the purine ring).
  • $N^{10}$-formyl-$H_4$-folate — also participates in the synthesis of purine nucleotides (incorporates a carbon atom into position 2 of the purine ring).

In the metabolism of which amino acids does tetrahydrofolate participate?

Tetrahydrofolate participates in the interconversions and metabolism of several amino acids.

  • Serine — donates a single-carbon group to tetrahydrofolate, being converted into glycine.
  • Glycine — formed from serine with the participation of tetrahydrofolic acid; its catabolism also proceeds with the participation of $H_4$-folate.
  • Methionine — regenerated from homocysteine via remethylation, where methyl-$H_4$-folate serves as the primary methyl group donor.
  • Homocysteine — uses the methyl group from $N^5$-methyl-THF to be converted back into methionine.

Which medications are competitive inhibitors of dihydrofolate reductase?

Competitive inhibitors of dihydrofolate reductase are drugs that act as folic acid analogues.

  • Methotrexate — inhibits dihydrofolate reductase, disrupts the reduction of $H_2$-folate into active $H_4$-folate, and is used in tumor treatment.
  • Aminopterin — along with methotrexate, is a potent cell proliferation inhibitor that blocks this enzyme.

What structural components does a folic acid molecule consist of?

The folic acid molecule consists of three main components:

  • Pteridine ring (pterin).
  • Para-aminobenzoic acid (PABA).
  • Glutamic acid.

The core structure of folic acid is pteroylmonoglutamic acid; other folic acids differ in the number of glutamic acid residues attached as a γ-glutamyl peptide.

How to memorize

To remember the forms of carbon groups on folate, use the rule of three "M"s and one "F": Methylene, Methyl, Methenyl, Formyl.

Class and exam questions

Where in the body is H4-folate formed?

The process of active tetrahydrofolate formation from folic acid takes place in the liver.

Which enzymes and coenzymes are required for folate activation?

The enzymes folate reductase and dihydrofolate reductase participate in this conversion, with NADPH acting as their coenzyme.

Can H4-folate transfer amino groups or phosphates?

No, tetrahydrofolate acts strictly as an intermediate carrier of single-carbon fragments.

What are single-carbon fragments used for?

They are primarily required for nucleotide synthesis and the construction of various other cellular compounds.

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What else to study on this topic

  • Mechanism of action of dihydrofolate reductase and folate reductase
  • The role of NADPH as a coenzyme in reduction reactions
  • Biochemical pathways of nucleotide synthesis involving folate
  • Chemical mechanisms of the interconversion of methylene, methyl, methenyl, and formyl groups

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