TYMS catalyzes the reductive methylation of deoxyuridine monophosphate (dUMP) to deoxythymidine monophosphate (dTMP), the sole de novo pathway for thymidylate synthesis . The reaction equation is:
This process is essential for DNA replication and repair, with dTMP subsequently phosphorylated to dTTP for incorporation into DNA . TYMS also auto-regulates its translation and influences cell-cycle progression via interactions with p53 and other oncogenic pathways .
TYMS overexpression is linked to tumorigenesis, drug resistance, and poor prognosis in multiple cancers . Key findings include:
TYMS is a primary target for antimetabolites like 5-FU, which is metabolized to 5-FdUMP, forming a stable ternary complex with TYMS and folate cofactors to block dTMP synthesis . Recent advances include:
Combination Therapies: Leucovorin (LV) enhances 5-FU efficacy by stabilizing folate cofactors .
Novel Inhibitors: AAV-based therapies and nonclassical antifolates (e.g., AG337) show promise in overcoming resistance .
Mouse Models: hTS/Ink4a/Arf mice exhibit enhanced lymphoma and histiocytic sarcoma incidence (31% vs. 15.4% in controls) .
In Vitro Studies: TYMS knockdown reduces proliferation in cervical carcinoma (by 60%) and glioblastoma (by 45%) .
Structural Insights: X-ray crystallography reveals intermolecular interactions (e.g., Arg174/Arg175) stabilizing the dUMP-TYMS complex .
TYMS catalyzes the methylation of deoxyuridylate to deoxythymidylate using 10-methylenetetrahydrofolate (methylene-THF) as a cofactor. This reaction is essential for maintaining the dTMP (thymidine-5-prime monophosphate) pool critical for DNA replication and repair . As a key enzyme in the de novo thymidylate synthesis pathway, TYMS plays a vital role in nucleotide metabolism and genomic stability. Methodologically, TYMS activity can be assessed through enzyme assays measuring the conversion of dUMP to dTMP, often using spectrophotometric or radioactive labeling techniques.
The enzyme exists as a protein of approximately 30-35kDa in humans and has been extensively characterized:
Characteristic | Detail |
---|---|
Gene Symbol | TYMS |
Entrez Gene ID | 7298 |
Synonyms | HST422, TMS, TS |
Gene Type | Protein-coding |
Organism | Homo sapiens (human) |
Isoelectric Point | 6.8 |
Primary Function | dUMP to dTMP conversion |
TYMS expression varies inversely with that of a naturally occurring antisense transcript, mitochondrial enolase superfamily member 1 (GeneID:55556), as cell growth progresses from late-log to plateau phase . In cancer, TYMS exhibits pronounced expression across multiple tumor types compared to normal tissues .
Research approaches for studying this differential expression include:
RNA-Seq analysis of cancer vs. normal tissue from TCGA and GTEx databases
Pathological stage correlation analysis using GEPIA2 platforms
Protein-level validation through immunohistochemistry from Human Protein Atlas
Promoter analysis to identify cancer-specific transcription factors
The TYMS gene contains 28-bp tandem repeat sequences or VNTR (variable numbers of tandem repeats) in the 5′-untranslated region (5′-UTR). The most common variants include double (2R) and triple (3R) repeat sequences, with a single G/C nucleotide polymorphism in the triple repeat sequence giving rise to 3Rc or 3Rg structures .
When investigating these polymorphisms, researchers should:
Use the native human TYMS Kozak sequence rather than non-native sequences like firefly luciferase Kozak, as this can significantly affect translational efficiency results
Employ multiple experimental approaches including transient transfection, antibiotic-selected pools of transfected cells, and stably transfected clones
Validate findings across different cell types relevant to the research question
Consider both transcriptional and translational effects, as contradictory results exist in the literature
Clinical studies examining TYMS polymorphisms and treatment outcomes have produced inconsistent results. A recent Blue Cross Blue Shield report concluded that VNTR determination alone could not reliably predict 5-FU toxicity .
When evaluating contradictory literature, researchers should consider:
Study design limitations (retrospective vs. prospective)
Sample size and statistical power
Treatment protocol variations
Patient population heterogeneity
Potential confounding factors like microsatellite instability (MSI) status, which affects 5-FU response independently
Methodologically, clinical researchers should employ multivariate models that incorporate multiple genetic and clinical factors rather than focusing on single polymorphisms.
Research using TCGA data demonstrates that TYMS expression is significantly elevated in multiple cancer types compared to normal tissues:
Cancer Type | TYMS Expression Status | P-value |
---|---|---|
BLCA, BRCA, CESC | Higher than normal | P<0.01 |
CHOL, COAD, ESCA | Higher than normal | P<0.01 |
GBM, HNSC, KIRC | Higher than normal | P<0.01 |
KIRP, LIHC, LUAD | Higher than normal | P<0.01 |
LUSC, PCPG, STAD | Higher than normal | P<0.01 |
THCA, UCEC | Higher than normal | P<0.01 |
KICH, PRAD, TGCT | Similar to normal | P>0.05 |
Furthermore, TYMS expression correlates positively with pathological stages in ACC, KICH, LIHC, and TGCT, while showing negative correlations in COAD, LUSC, and OV . These expression patterns can guide the selection of cancer types most likely to respond to TYMS-targeting therapies.
TYMS has been extensively studied as a target for cancer chemotherapeutic agents, particularly 5-fluorouracil (5-FU) and its derivatives . Resistance mechanisms include:
TYMS gene amplification leading to increased enzyme expression
Mutations affecting drug binding sites
Alterations in folate metabolism pathways
Enhanced DNA repair mechanisms
Changes in drug metabolism or cellular uptake
To investigate these mechanisms, researchers should employ:
Cell line models with acquired resistance through gradual drug exposure
CRISPR-Cas9 gene editing to introduce or correct specific mutations
Combined genomic and proteomic profiling to identify pathway alterations
Functional assays measuring TYMS catalytic activity in resistant models
Drug combination studies to overcome specific resistance mechanisms
TYMS protein interactions can be studied through multiple complementary approaches:
Binding ELISA assays: The research literature describes a binding ELISA method to detect the interaction between TYMS and AST (Aspartate Aminotransferase) . This technique involves:
Coating microtiter wells with one protein (e.g., AST)
Adding serially diluted partner protein (TYMS)
Incubating with anti-TYMS polyclonal antibody
Detection with HRP-labeled secondary antibody
Quantification through colorimetric substrate reaction
Additional methods include:
Co-immunoprecipitation with mass spectrometry identification
Yeast two-hybrid screening for systematic interaction mapping
Proximity labeling techniques (BioID, APEX2) for in vivo interaction studies
Structural biology approaches to characterize binding interfaces
Methodologically, researchers should employ multiple complementary techniques and include appropriate controls to confirm specificity of interactions.
When evaluating TYMS inhibitors, researchers should implement a multi-level experimental approach:
Biochemical characterization:
Enzyme inhibition kinetics (Ki, IC50 determination)
Binding affinity measurements (isothermal titration calorimetry, surface plasmon resonance)
Structural studies (X-ray crystallography, cryo-EM) to elucidate binding modes
Cellular models:
Dose-response studies in multiple cell lines
Time-course experiments to determine optimal treatment duration
Combination studies with other therapeutic agents
Assessment of dTMP pool depletion and DNA damage markers
Mechanistic validation:
Target engagement assays in intact cells
Genetic approaches (TYMS overexpression, knockdown) to confirm specificity
Rescue experiments with thymidine supplementation
Investigation of downstream pathways activated by TYMS inhibition
Translational considerations:
Correlation with TYMS expression levels across cell lines
Assessment of genetic markers (TYMS polymorphisms) and response
Evaluation in 3D cultures and patient-derived models
Pharmacokinetic and pharmacodynamic studies in vivo
Researchers can leverage multiple public databases to analyze TYMS expression patterns:
Methodological best practices include:
Using log2-transformed expression values (TPM+1) for analysis
Applying appropriate statistical tests with multiple testing correction
Validating findings across multiple independent datasets
Integrating expression data with clinical parameters for meaningful correlations
When faced with conflicting data on TYMS polymorphisms and clinical outcomes, researchers should employ:
Meta-analytical approaches:
Fixed or random effects models depending on heterogeneity assessment
Subgroup analyses stratified by ethnicity, cancer type, and treatment regimen
Publication bias assessment using funnel plots and Egger's test
Sensitivity analyses excluding outlier studies
Bayesian methods:
Prior probability incorporation based on functional evidence
Network meta-analysis for comparing multiple polymorphisms
Probabilistic assessment of clinical significance
Machine learning techniques:
Random forest or support vector machines for multi-marker integration
Feature selection to identify most predictive polymorphisms
Cross-validation to assess predictive performance
Ensemble methods combining multiple algorithms
Causal inference methods:
Mendelian randomization to establish causal relationships
Mediation analysis to identify intermediate phenotypes
Directed acyclic graphs to visualize confounding relationships
These approaches should be complemented by functional validation studies to establish biological plausibility for statistically significant associations.
Recent technological advances are revolutionizing TYMS research:
CRISPR-Cas9 genome editing:
Precise modification of endogenous TYMS locus
Introduction of specific polymorphisms to study functional effects
Creation of reporter knock-ins for real-time expression monitoring
High-throughput screening of genetic modifiers
Single-cell technologies:
Analysis of TYMS expression heterogeneity within tumors
Correlation with cell cycle states and differentiation
Multi-omics integration at single-cell resolution
Spatial transcriptomics to map TYMS expression in tissue context
Structural biology advances:
Cryo-EM for dynamic structural states of TYMS complexes
Hydrogen-deuterium exchange mass spectrometry for conformational changes
Integrative structural modeling combining multiple data types
In-cell NMR for studying TYMS in native environments
Systems biology approaches:
Metabolic flux analysis of nucleotide synthesis pathways
Network modeling of TYMS interactions with related enzymes
Multi-scale modeling linking molecular mechanisms to cellular phenotypes
In silico drug screening and rational inhibitor design
TYMS research has significant potential to advance precision oncology through:
Biomarker development:
Integrated genetic panels combining TYMS polymorphisms with other predictive markers
Expression-based stratification for TYMS inhibitor sensitivity
Dynamic monitoring of TYMS activity during treatment
Liquid biopsy approaches for non-invasive assessment
Novel therapeutic strategies:
Dual-targeting approaches combining TYMS inhibition with complementary pathways
Development of inhibitors targeting specific TYMS variants or conformational states
Delivery technologies for selective targeting to tumor cells
Immunotherapeutic approaches targeting TYMS as a tumor-associated antigen
Treatment personalization:
Algorithm development for optimizing 5-FU dosing based on TYMS genotype
Machine learning models integrating multiple biomarkers for response prediction
Adaptive treatment strategies guided by molecular monitoring
Prevention of toxicity through prophylactic interventions in high-risk patients
Combination therapy rationales:
Thymidylate synthetase, also known as thymidylate synthase (TS), is a crucial enzyme in the de novo synthesis of thymidylate (dTMP), an essential precursor for DNA replication and repair. This enzyme catalyzes the conversion of deoxyuridine monophosphate (dUMP) to deoxythymidine monophosphate (dTMP) using 5,10-methylenetetrahydrofolate as a cofactor . Thymidylate synthetase is highly conserved across various species, including humans, and plays a pivotal role in maintaining the balance of deoxynucleotide pools within the cell .
Thymidylate synthetase is a homodimeric enzyme, meaning it consists of two identical subunits. Each subunit contains an active site where the catalytic reaction occurs. The enzyme’s structure is highly conserved, with bacterial and mammalian TSases sharing remarkable similarities . The active site of thymidylate synthetase binds to both dUMP and the folate cofactor, facilitating the transfer of a methyl group to form dTMP .
The activity of thymidylate synthetase is critical for DNA synthesis and cell proliferation. Inhibition or dysregulation of this enzyme can lead to an imbalance in deoxynucleotide pools, resulting in DNA damage and cell death . Due to its essential role in DNA synthesis, thymidylate synthetase is a target for chemotherapeutic agents, particularly in the treatment of cancer . Overexpression of thymidylate synthetase has been associated with resistance to certain chemotherapeutic drugs, such as 5-fluorouracil (5-FU), making it a significant focus of cancer research .
Human recombinant thymidylate synthetase is produced using recombinant DNA technology, which involves inserting the human TS gene into a suitable expression system, such as Escherichia coli or yeast. This allows for the large-scale production of the enzyme for research and therapeutic purposes. Recombinant thymidylate synthetase retains the same structural and functional properties as the native enzyme, making it a valuable tool for studying enzyme kinetics, drug interactions, and the development of new therapeutic agents .
Thymidylate synthetase is a key target in cancer therapy due to its role in DNA synthesis. Inhibitors of this enzyme, such as 5-FU and its derivatives, are commonly used in the treatment of various cancers, including colorectal, breast, and gastric cancers . Research on thymidylate synthetase also focuses on understanding the mechanisms of drug resistance and developing new strategies to overcome it. Additionally, the enzyme is used in biochemical studies to elucidate the molecular mechanisms of DNA synthesis and repair .