THH

N-[4-({[(6S)-2-AMINO-4-HYDROXY-5-METHYL-5,6,7,8-TETRAHYDROPTERIDIN-6-YL]METHYL}AMINO)BENZOYL]-L-GLUTAMIC ACID

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is present as a standalone ligand in 11 entries

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Chemical Component Summary
Name	N-[4-({[(6S)-2-AMINO-4-HYDROXY-5-METHYL-5,6,7,8-TETRAHYDROPTERIDIN-6-YL]METHYL}AMINO)BENZOYL]-L-GLUTAMIC ACID
Synonyms	5-METHYLTETRAHYDROFOLATE
Identifiers	(2S)-2-[[4-[[(6S)-2-amino-4-hydroxy-5-methyl-7,8-dihydro-6H-pteridin-6-yl]methylamino]phenyl]carbonylamino]pentanedioic acid
Formula	C₂₀ H₂₅ N₇ O₆
Molecular Weight	459.456
Type	NON-POLYMER
Isomeric SMILES	CN1c2c(nc(nc2O)N)NC[C@@H]1CNc3ccc(cc3)C(=O)N[C@@H](CCC(=O)O)C(=O)O
InChI	InChI=1S/C20H25N7O6/c1-27-12(9-23-16-15(27)18(31)26-20(21)25-16)8-22-11-4-2-10(3-5-11)17(30)24-13(19(32)33)6-7-14(28)29/h2-5,12-13,22H,6-9H2,1H3,(H,24,30)(H,28,29)(H,32,33)(H4,21,23,25,26,31)/t12-,13-/m0/s1
InChIKey	ZNOVTXRBGFNYRX-STQMWFEESA-N

Chemical Details
Formal Charge	0
Atom Count	58
Chiral Atom Count	2
Bond Count	60
Aromatic Bond Count	12

Drug Info: DrugBank

DrugBank ID	DB11256
Name	Levomefolic acid
Groups	investigational approved
Description	Levomefolic acid (INN) is the metabolite of folic acid (Vitamin B9) and it is a predominant active form of folate found in foods and in the blood circulation, accounting for 98% of folates in human plasma [A19276]. It is transported across the membranes including the blood-brain barrier into various tissues where it plays an essential role in the DNA synthesis, cysteine cycle and regulation of homocysteine, where it methylates homocysteine and forms methionine and tetrahydrofolate (THF). Levomefolate is approved as a food additive and is designated a GRAS (generally regarded as safe) compound [L773]. It is available commercially as a crystalline form of the calcium salt (Metafolin(R)), which has the stability required for use as a supplement [A19276]. Supplementation of levomefolic acid is desired over folic acid due to reduced potential for masking vitamin B12 deficiency symptoms.
Synonyms	Levomefolate calcium Levomefolate magnesium (6S)-5-MTHF L-5-methyltetrahydrofolate Levomefolic acid Levomefolate glucosamine L-5-MTHF LMSR N-[4-[[[(6S)-2-Amino-3,4,5,6,7,8-hexahydro-5-methyl-4-oxo-6-pteridinyl]methyl]amino]benzoyl]-L-glutamic acid 5-methyl-(6S)-tetrahydrofolic acid (6S)-5-Methyltetrahydrofolic acid L-methylfolate (6S)-5-methyltetrahydrofolate Levomefolate
Brand Names	Virt-PN Plus L-Methyl-B6-B12 Virt-PN DHA Prenate Essential Quflora FE Medi-10 Poly-VI-flor Quflora Pediatric Drops Tendera-OB Livita Children Levomefolate Calcium Acetylcysteine Mecobalamin Algal L-Methyl-MC Obstetrix ONE Floriva Multi-Vit-Flor Multivitamin with Fluoride Tricare Prenatal Quick Dissolve Levomefolate Calcium, Pyridoxal 5-phosphate, Methylcobalamin and Schizochytrium DHA Oil L-Methyl MC Tydemy PreGenna PNV Tabs 20-1 Virt-PN BumP DHA Puralor WellFola Tricare Prenatal DHA One With Folate Beyaz MaxFe Denovo Niferex Prenate Pixie TriStart DHA Livita Adults Obstetrix DHA Combo Pack Chromagen OBTREX DHA Combo Pack KeyFolic ProFola Vitafol Fe Plus Sodium polysulthionate, 5-methyltetrahydrofolate Prenate Mini Levomefolate Calcium Pyridoxal-5 Phosphate Mecobalamin Algal Hemax Zatean-Pn Safyral Folixate Poly-Vi-Flor with Iron Levomefolate Calcium-Pyridoxal Phosphate-Mecobalamin Davimet with Fluoride Hematron-AF Select-OB Plus DHA Prenatal Supplement Plus DHA Sulfzix EnLyte Obstetrix EC Levomefolate Calcium, Acetylcysteine, Mecobalamin and Algal Zatean-Pn Plus Yaz Plus Zatean-Pn DHA Maxaron Forte NuFera Vitafol Ultra WestGel DHA WesCap-PN DHA Obtrex One FolaMax Virt-Pn Natal PNV L-Methylfolate Calcium Quflora Pediatric Levomefolate Calcium, Cyanocobalamin and Pyridoxine Hydrochloride Enl Virt-Pn DHA Davimet-M EnBrace HR Select OB Levomefolate Calcium and Schizochytrium DHA Drospirenone/ethinyl estradiol/levomefolate calcium and levomefolate calcium L-Methyl-MC-NAC LorMate Drospirenone/Ethinyl Estradiol/Levomefolate Calcium and Levomefolate Calcium Tri-Vi-Flor PramLyte Drospirenone, Ethinyl Estradiol and Levomefolate Calcium and Levomefolate Calcium Prenate Elite Yasmin Plus Folene Rulavite DHA Vitafol Nano Rajani Levomefolate Calcium Acetylcysteine and Mecobalamin Algal TL-Folate Menatrol Poly-Vi-Flor Floriva Plus L-Methyl PNV DHA Biopar delta-FORTE Levomefolate Calcium and Algal Tricare Prenatal 2-part Daily Prenatal Vitamin System Quflora FE Pediatric Drops L-Methyl MC NAC
Indication	For the treatment and prevention of folate deficiency and for use as an antidote against folic acid antagonists. Contained in oral contraceptives to reduce the risk of neural tube defects arising from folic acid deficiency for pregnant women who conceived during use or shortly after the discontinuation of the product. Being studied for use as a treatment for cardiovascular diseases [A19273] and adjunct therapy for patients undergoing antidepressant pharmacotherapy [A19271, A19272].
Categories	Amino Acids Amino Acids, Acidic Amino Acids, Dicarboxylic Amino Acids, Peptides, and Proteins Coenzymes Enzymes and Coenzymes Folate Analog Folic Acid and Derivatives Heterocyclic Compounds, Fused-Ring Pteridines Pterins Vitamin B Complex Vitamins
CAS number	31690-09-2

Drug Targets

Name	Target Sequence	Pharmacological Action	Actions
Methionine synthase	MSPALQDLSQPEGLKKTLRDEINAILQKRIMVLDGGMGTMIQREKLNEEH...	unknown	substrate,cofactor
Proton-coupled folate transporter	MEGSASPPEKPRARPAAAVLCRGPVEPLVFLANFALVLQGPLTTQYLWHR...	unknown	substrate
Folate transporter 1	MVPSSPAVEKQVPVEPGPDPELRSWRHLVCYLCFYGFMAQIRPGESFITP...	unknown	substrate

Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison T, Liu P, Ly S, Frolkis A, Pon A, Banco K, Mak C, Neveu V, Djoumbou Y, Eisner R, Guo AC, Wishart DS. Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682