<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">CMB</journal-id><journal-title-group><journal-title>Computational Molecular Bioscience</journal-title></journal-title-group><issn pub-type="epub">2165-3445</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/cmb.2022.121001</article-id><article-id pub-id-type="publisher-id">CMB-115679</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Molecular Modeling and Molecular Dynamics Simulation Studies on the Selective Binding Mechanism of MTHFD2 Inhibitors
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Mengyang</surname><given-names>Qu</given-names></name><xref ref-type="aff" rid="aff1"><sub>1</sub></xref></contrib></contrib-group><aff id="aff1"><label>1</label><addr-line>Shanghai Institute of Applied Physics, Chinese Academy of Sciences, Shanghai, China</addr-line></aff><pub-date pub-type="epub"><day>04</day><month>03</month><year>2022</year></pub-date><volume>12</volume><issue>01</issue><fpage>1</fpage><lpage>11</lpage><history><date date-type="received"><day>7,</day>	<month>December</month>	<year>2021</year></date><date date-type="rev-recd"><day>4,</day>	<month>March</month>	<year>2022</year>	</date><date date-type="accepted"><day>7,</day>	<month>March</month>	<year>2022</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Methylenetetrahydrofolate dehydrogenase 2 (MTHFD2) is a mitochondrial enzyme that plays an important role in purinecarbon metabolism and thymidine biosynthesis. It has attracted broad interest as a novel therapeutic target for cancer. However, a major problem of current MTHFD2 inhibitors is their lack of selectivity and reactivity with its closest isoform, MTHFD1. Recently, the first selective MTHFD2 inhibitor, DS44960156, has been reported and it exhibits a more than 18-fold selectivity for MTHFD2 over MTHFD1. However, mechanism of DS44960156 selective binding to MTHFD2 over MTHFD1 is unknown. In this study, molecular docking, molecular dynamics (MD) simulations, molecular mechanics generalized born/surface area (MM_GBSA) binding free energy calculations, and analysis of the decomposition of binding free energies were used to investigate the selective binding mechanism of DS44960156 to the folate-binding site of MTHFD2 over MTHFD1. The results revealed that contributions from residues Gln100/Gln132, Val55/Asn87, and Gly237/Gly310 in the binding pocket of MTHFD1/MTHFD2 are the key factors responsible for the binding selectivity. These findings explain the selectivity of DS44960156 to MTHFD2 over MTHFD1, and may provide guidance for the future study and design of novel MTHFD2 inhibitors.
 
</p></abstract><kwd-group><kwd>Methylenetetrahydrofolate Dehydrogenase 2</kwd><kwd> Molecular Docking</kwd><kwd> Molecular Dynamics Simulations</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Anticancer drugs such as alkylating agents, topoisomerase inhibitors, and anti-microtubule agents directly target DNA replication and cell division; however, they affect normal cells as well as cancer cells. Methylenetetrahydrofolate dehydrogenase 2 (MTHFD2) as a novel therapeutic target for cancer has attracted broad interest [<xref ref-type="bibr" rid="scirp.115679-ref1">1</xref>]. MTHFD2 is a mitochondrial enzyme that plays an important role in purine carbon metabolism and thymidine biosynthesis. Sex-determining region Y-related high mobility group box 7, SOX7, as a tumor suppressor, can combine with the MTHFD2 promoter to inhibit the expression of MTHFD2. Therefore, MTHFD2 is not expressed in most healthy adults [<xref ref-type="bibr" rid="scirp.115679-ref2">2</xref>]. However, the induction of KRAS can activate the AKT and ERK1/2 pathways, and recognize and bind to the MTHFD2 promoter through c-Myc to up-regulate the expression of MTHFD2. High expression of MTHFD2 mRNA and protein has been found in patients with various types of cancer [<xref ref-type="bibr" rid="scirp.115679-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.115679-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.115679-ref5">5</xref>]. Thus, MTHFD2 inhibitors are considered as potential cancer treatment drugs with minimal side effects. A few of MTHFD2 inhibitors, such as LY345899 [<xref ref-type="bibr" rid="scirp.115679-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.115679-ref7">7</xref>] and carolacton [<xref ref-type="bibr" rid="scirp.115679-ref8">8</xref>] have been identified. However, an important problem of these inhibitors is the lack of selectivity for MTHFD2 over MTHFD1, which is because of the similar structure of the 2 enzymes. As shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>, MTHFD1 shares 80% similarity with MTHFD2 in the folate-binding site. Inhibition of MTHFD1 is considered to be a potential safety risk, because it is broadly expressed in normal tissues [<xref ref-type="bibr" rid="scirp.115679-ref9">9</xref>]. Therefore, selective inhibitors of MTHFD2 are highly attractive for cancer treatment and drug development.</p><p>Recently, Kawai et al. reported the first selective inhibitor of MTHFD2, DS44960156 (<xref ref-type="fig" rid="fig2">Figure 2</xref>(a)), which exhibits a more than 18-fold selectivity for MTHFD2 over MTHFD1 [<xref ref-type="bibr" rid="scirp.115679-ref9">9</xref>]. X-ray analysis of the crystal structure of the MTHFD2-DS44960156 complex shows that DS44960156 occupies the folate-binding site of MTHFD2 (<xref ref-type="fig" rid="fig2">Figure 2</xref>(b)). The key interactions of the MTHFD2-DS44960156 complex are: 1) Four hydrogen bonds: Gln132 and Lys88</p><p>in MTHFD2 with C=O of the pyrimidin-4-one in DS44960156; Asn87 in MTHFD2 with C=O of the linker amide in DS44960156; Gly310 in MTHFD2 with S=O of the sultam in DS44960156; 2) Anda π-π interaction between Tyr84 in MTHFD2 and the pyrimidin-4-one in DS44960156. However, because of the highly similar structures between the folate-binding sites of MTHFD1 and MTHFD2, it is unclear why DS44960156 selectively binds to MTHFD2 over MTHFD1.</p><p>In this study, molecular modeling and molecular dynamics (MD) simulations were performed to investigate the selective binding mechanism of DS44960156 to MTHFD2 over MTHFD1. We performed MD simulations on the complex structures of DS44960156-MTHFD1 and DS44960156-MTHFD2. The conformation of DS44960156 in the folate-binding site of MTHFD1 and MTHFD2 was compared. Binding free energies were calculated to identify the key residues responsible for the different binding affinity. These results illustrate the selectivity of DS44960156, and may provide guidance for design of novel MTHFD2 inhibitors.</p></sec><sec id="s2"><title>2. Material and Methods</title><sec id="s2_1"><title>2.1. System Preparations</title><p>The crystal structure of MTHFD2-DS44960156 (PDB code 6JIB) [<xref ref-type="bibr" rid="scirp.115679-ref9">9</xref>] was downloaded from the RCSB Protein Data Bank, and the structure of MTHFD1-DS44960156 was predicted by molecular docking. Docking of DS44960156 to the folate-binding site of MTHFD1 was performed using the AutoDock Vina package [<xref ref-type="bibr" rid="scirp.115679-ref10">10</xref>], and the crystal structure of MTHFD1-LY345899 (PDB code 6ECQ) [<xref ref-type="bibr" rid="scirp.115679-ref11">11</xref>] with LY345899 deleted was used for the docking. All non-bonded hetero-atoms and water molecules were removed fromMTHFD1, polar hydrogen atoms and subsequently the Kollman united atom partial charges were added and assigned to MTHFD1. All hydrogen atoms, including polar and nonpolar atoms, and the Gasteiger-H&#252;ckel atomic charge were added and assigned to DS44960156. The MTHFD1 receptor was treated as rigid, and DS44960156 was treated as flexible during docking. We created a 40 &#215; 40 &#215; 40 &#197;<sup>3</sup> rectangular parallelepiped around the cavity, ensuring that it is the right size to allow the ligand to rotate in it. The best pose of the complex, according to the criteria of lowest energy, was selected for MD simulation steps.</p></sec><sec id="s2_2"><title>2.2. MD Simulations</title><p>MD simulations of the complex structures of DS44960156 with MTHFD2 and MTHFD1 were performed. The general AMBER force field (GAFF) [<xref ref-type="bibr" rid="scirp.115679-ref12">12</xref>] was used to parameterize the inhibitor DS44960156 and NADP. The electrostatic potential of DS44960156 was calculated at the HF/6-31G* level using the program Gaussian 09. Afterward, the missing force field parameters were generated using the antechamber module in AMBER 20 [<xref ref-type="bibr" rid="scirp.115679-ref13">13</xref>]. The AMBER ff14SB force field was used to parameterize MTHFD1 and MTHFD2. The complexes were solvated in TIP3P [<xref ref-type="bibr" rid="scirp.115679-ref14">14</xref>] water boxes with an internal offset distance of 10.0 &#197;. Calcium and chlorine ions were added to neutralize the system.</p><p>All of the MD simulations were performed using GROMACS-5.0.7 software [<xref ref-type="bibr" rid="scirp.115679-ref15">15</xref>]. Firstly, the systems were subjected to energy minimizations in 2 steps [<xref ref-type="bibr" rid="scirp.115679-ref16">16</xref>]. The solvent water molecules were optimized first, while the coordinates of other molecules were fixed, followed by an unrestrained minimization of all the atoms in the system. Secondly, the system was gradually heated to 300 K under constant volume. Thirdly, a 5 ns simulation under constant volume and temperature was performed with the non-hydrogen atoms of the protein fixed, followed by a 5 ns simulation under constant pressure and temperature. Finally, 300 ns production simulation was performed. The temperature was maintained at 300 K with a coupling coefficient of 1.0 ps through the V-rescale method. The particle-mesh Ewald method [<xref ref-type="bibr" rid="scirp.115679-ref17">17</xref>] was used to treat long-range electrostatic interactions with a real space cutoff of 1 nm and the cutoff of the van der Waals interactions was set to 1 nm. Bonds involving hydrogen atoms were constrained using the LINCS algorithm [<xref ref-type="bibr" rid="scirp.115679-ref18">18</xref>]. The time step was set to 2 fs and the periodic boundary conditions were applied in all directions.</p></sec><sec id="s2_3"><title>2.3. MM/GBSA Free Energy Calculations and Decomposition</title><p>The binding free energy ( Δ G b i n d ) between DS44960156 and MTHFD1/2 was calculated by the MM/GBSA method: [<xref ref-type="bibr" rid="scirp.115679-ref19">19</xref>] [<xref ref-type="bibr" rid="scirp.115679-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.115679-ref21">21</xref>] [<xref ref-type="bibr" rid="scirp.115679-ref22">22</xref>]</p><p>Δ G b i n d = G c o m p l e x − ( G r e c e p t o r + G l i g a n d ) (1)</p><p>= Δ E M M + Δ E s o l v a t i o n − T Δ S (2)</p><p>= Δ E M M + Δ G G A + Δ G S B − T Δ S (3)</p><p>where G c o m p l e x , G r e c e p t o r , and G l i g a n d are the free energies of the complex, receptor, and ligand, respectively; Δ E M M is the gas-phase interaction energy between the receptor and the ligand; Δ G G A and Δ G S B are respectively the non-polar and polar parts of the desolvation free energy Δ E s o l v a t i o n . Δ G S A is calculated based on the solvent-accessible surface area (SASA): Δ G S A = 0.0072 Δ SASA [<xref ref-type="bibr" rid="scirp.115679-ref23">23</xref>]. And Δ G G B is calculated using the GB model [<xref ref-type="bibr" rid="scirp.115679-ref24">24</xref>]. The binding free energies were then decomposed into contributions of protein-ligand interaction pairs using the MM_GBSA method. The conformational entropy ( − T Δ S ) was calculated using the method provided by Duan et al. [<xref ref-type="bibr" rid="scirp.115679-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.115679-ref26">26</xref>]. In the method, the interaction entropy can be calculated by the following formula:</p><p>− T Δ S = k T ln 〈 e β Δ E i n t p l 〉 , (4)</p><p>where Δ E i n t p l = E i n t p l − 〈 E i n t p l 〉 , represents the fluctuation of protein-ligand interaction energy around the average energy, and 〈 … 〉 stands for a statistical average.</p></sec></sec><sec id="s3"><title>3. Results and Discussion</title><sec id="s3_1"><title>3.1. Molecular Docking</title><p>In this study, the complex structure of MTHFD1-DS44960156 was predicted by molecular docking. To examine the prediction accuracy, we first performed re-docking of DS44960156 into MTHFD2. The re-docked conformation was then superimposed onto the crystal conformation (<xref ref-type="fig" rid="fig3">Figure 3</xref>(a)). The root-mean-square deviation (RMSD) of the heavy atoms of DS44960156 between the redocked conformation and the crystal conformation was 0.4 &#197;, suggesting that the crystal structure of the receptor-ligand complex could be accurately reproduced by AutoDock Vina. The docking results of MTHFD1-DS44960156 (<xref ref-type="fig" rid="fig3">Figure 3</xref>(b)) showed that DS44960156 mainly adopts 1 conformation in the folate-binding site of MTHFD1. AutoDock Vina calculates the binding free energy between the receptor and each docked ligand for each pose, and the pose with the lowest binding free energy was used for the following MD study.</p></sec><sec id="s3_2"><title>3.2. Structural Stability</title><p>MD simulations can accurately identify correct binding conformations, and provide valuable information of the dynamic properties of receptor-ligand interactions [<xref ref-type="bibr" rid="scirp.115679-ref27">27</xref>]. We then performed 300 ns MD simulations on the crystal structure of MTHFD2-DS44960156 and the docked structure of MTHFD1-DS44960156. The RMSD for all the C<sub>α</sub> atoms of the 2 proteins relative to the initial structure was</p><p>calculated. As shown in <xref ref-type="fig" rid="fig4">Figure 4</xref>(a), both systems reached stability from the beginning of the simulations. To further understand the stability of DS44960156 in the folate-binding sites of MTHFD2 and MTHFD1, the RMSD of heavy atoms of DS44960156 was calculated. As shown in <xref ref-type="fig" rid="fig4">Figure 4</xref>(b), DS44960156 exhibited significantly larger conformational dynamics in MTHFD1 than in MTHFD2. These results indicate that DS44960156 is more stable in the folate-binding site of MTHFD2 which may be due to its high binding affinity.</p><p>The difference of the RMSDs between DS44960156 in the folate-binding sites of MTHFD1 and MTHFD2 indicates that DS44960156 may have a different binding mode in MTHFD1 and MTHFD2. To further understand this finding, we superimposed the frames of the MD simulations of MTHFD1-DS44960156 and MTHFD2-DS44960156. As shown in <xref ref-type="fig" rid="fig5">Figure 5</xref>, DS44960156 occupied the folate-binding site ofMTHFD1 as well as MTHFD2, with the terminal benzene ring points out of the pocket, and carboxyl group points into the pocket. However, DS44960156 in MTHFD1 is farther from the folate-binding site than in MTHFD2, which may cause the different binding affinity, thus the difference of the RMSDs.</p></sec><sec id="s3_3"><title>3.3. Binding Free Energy</title><p>To further understand the binding affinity between DS44960156 and MTHFD1/2, MM_GBSA binding free energy calculations were performed on the last 50 ns MD trajectories. As shown in <xref ref-type="table" rid="table1">Table 1</xref>, both the van der Waals ( Δ E v d w ) and electrostatic ( Δ E e l e ) energy are dominant contributions to the binding affinity in each system, while the Δ E v d w values are much larger than the Δ E e l e values, indicating the importance of hydrophobic interactions in both systems. The calculated binding free energy ( Δ G b i n d ) of MTHFD1-DS44960156 was 52.7 kJ/mol lower than that of MTHFD2-DS44960156. The reduction was mainly due to Δ E v d w and Δ E e l e , indicating that both the hydrophobic and electrostatic interactions are unfavorable in the MTHFD1-DS44960156 system compared with the MTHFD2-DS44960156 system.</p></sec><sec id="s3_4"><title>3.4. Residue-Specific Binding Free Energies</title><p>In order to explore the reasons for the stronger binding affinity to MTHFD2, the decomposition of Δ G b i n d for the MTHFD1-DS44960156 and MTHFD2-DS44960156 systems was performed using the MM_GBSA method. Residues that contributed more than 5 kJ/mol were defined as hot-spot residues. As shown in <xref ref-type="table" rid="table2">Table 2</xref>, all of the residues in the binding pocket of MTHFD2 were hot-spot residues. However, there were only 2 hot-spot residues (Tyr 52 and Lys 56) in MTHFD1. These results indicate that the contributions from residues Gln100/Gln132, Val55/Asn87, and Gly237/Gly310 in the binding pockets of MTHFD1/2 are the key factors responsible for the binding selectivity of DS44960156.</p><p>The positions of these residues in the 2 complexes are shown in <xref ref-type="fig" rid="fig6">Figure 6</xref>. It</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Binding free energy (kJ/mol) between DS44960156 and MTHFD1 and MTHFD2</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Energy items (kJ/mol)</th><th align="center" valign="middle" >Complex</th><th align="center" valign="middle" ></th></tr></thead><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >MTHFD1-DS44960156</td><td align="center" valign="middle" >MTHFD2-DS44960156</td></tr><tr><td align="center" valign="middle" >Δ E v d w</td><td align="center" valign="middle" >−125.900 &#177; 7.135</td><td align="center" valign="middle" >−147.832 &#177; 5.567</td></tr><tr><td align="center" valign="middle" >Δ E e l e</td><td align="center" valign="middle" >−31.892 &#177; 5.426</td><td align="center" valign="middle" >−62.591 &#177; 4.586</td></tr><tr><td align="center" valign="middle" >Δ G G B</td><td align="center" valign="middle" >101.347 &#177; 13.105</td><td align="center" valign="middle" >110.361 &#177; 4.637</td></tr><tr><td align="center" valign="middle" >Δ G S A</td><td align="center" valign="middle" >−14.342 &#177; 0.711</td><td align="center" valign="middle" >−19.305 &#177; 0.802</td></tr><tr><td align="center" valign="middle" >− T Δ S</td><td align="center" valign="middle" >25.342 &#177; 2.353</td><td align="center" valign="middle" >20.798 &#177; 3.653</td></tr><tr><td align="center" valign="middle" >Δ G b i n d</td><td align="center" valign="middle" >−39.646 &#177; 9.842</td><td align="center" valign="middle" >−92.396 &#177; 6.892</td></tr></tbody></table></table-wrap><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Energy contributions (kJ/mol) of residues in the binding pocket of MTHFD1 and MTHFD2</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Residues of MTHFD1</th><th align="center" valign="middle" >Binding energy</th><th align="center" valign="middle" >Residues of MTHFD2</th><th align="center" valign="middle" >Binding energy</th></tr></thead><tr><td align="center" valign="middle" >Tyr 52</td><td align="center" valign="middle" >−6.062 kJ/mol</td><td align="center" valign="middle" >Tyr 84</td><td align="center" valign="middle" >−13.201 kJ/mol</td></tr><tr><td align="center" valign="middle" >Val 55</td><td align="center" valign="middle" >−1.372 kJ/mol</td><td align="center" valign="middle" >Asn 87</td><td align="center" valign="middle" >−8.763 kJ/mol</td></tr><tr><td align="center" valign="middle" >Lys 56</td><td align="center" valign="middle" >−9.103 kJ/mol</td><td align="center" valign="middle" >Lys 88</td><td align="center" valign="middle" >−9.134 kJ/mol</td></tr><tr><td align="center" valign="middle" >Gln 100</td><td align="center" valign="middle" >−3.361 kJ/mol</td><td align="center" valign="middle" >Gln 132</td><td align="center" valign="middle" >−7.046 kJ/mol</td></tr><tr><td align="center" valign="middle" >Gly 273</td><td align="center" valign="middle" >−0.442 kJ/mol</td><td align="center" valign="middle" >Gly 310</td><td align="center" valign="middle" >−6.105 kJ/mol</td></tr></tbody></table></table-wrap><p>can be seen that MTHFD2 forms 4 hydrogen bonds (Gln132/Lys88 with C=O of the pyrimidin-4-one; Asn87 with C=O of the linker amide; Gly310 with S=O of the sultam), and a strong π-π interaction (Tyr84 and pyrimidin-4-one) with DS44960156. However, in the MTHFD1-DS44960156 complex, DS44960156 only forms a hydrogen bond and a weak π-π interaction with Lys56 and Tyr52 in MTHFD1. The potential reasons for these interaction differences may be that residue Asn 87 is replaced by a non-polar residue (Val 55) in MTHFD1 which cannot interact with the C=O of the linker amide in DS44960156. This causes the position of DS44960156 in MTHFD1 to be farther from the folate-binding site than in MTHFD2. Therefore, the C=O of pyrimidin-4-one in DS44960156 cannot interact with MTHFD1, and the π-π interaction between Tyr84 and DS44960156 is weak. These interaction differences may be responsible for the difference in selectivity.</p></sec></sec><sec id="s4"><title>4. Conclusion</title><p>In this study, molecular docking, MD simulations, MM_GBSA binding free energy calculations, and calculations of the decomposition of binding free energies were performed to explore the selective binding mechanism of DS44960156 to the folate-binding site of MTHFD2 over that of MTHFD1. MM_GBSA binding free energy calculations showed that Δ G b i n d was 52.7 kJ/mol lower in the MTHFD1-DS44960156 complex compared with the MTHFD2-DS44960156 complex. The per-residue free energy decomposition shows that all the residues in the binding pocket of MTHFD2 have strong interactions with DS44960156. Nonetheless, the interactions between residues Gln100, Val55 and Gly237 in the binding pocket of MTHFD1 and DS44960156 are quite weak. These results indicate that the contributions from residues Gln100/Gln132, Val55/Asn87, and Gly237/Gly310 in the folate binding pockets of MTHFD1 and MTHFD2 are the key factors responsible for the binding selectivity of DS44960156. These results might be useful for designing novel selective MTHFD2 inhibitors.</p></sec><sec id="s5"><title>Conflicts of Interest</title><p>The author declares no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s6"><title>Cite this paper</title><p>Qu, M.Y. (2022) Molecular Modeling and Molecular Dynamics Simulation Studies on the Selective Binding Mechanism of MTHFD2 Inhibitors. Computational Molecular Bioscience, 12, 1-11. https://doi.org/10.4236/cmb.2022.121001</p></sec></body><back><ref-list><title>References</title><ref id="scirp.115679-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Ducker, G.S., Chen, L., Morscher, R.J., Ghergurovich, J.M., Esposito, M., Teng, X., Kang, Y. and Rabinowitz, J.D. (2016) Reversal of Cytosolic One-Carbon Flux Compensates for Loss of the Mitochondrial Folate Pathway. Cell Metabolism, 23, 1140-1153.  
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