Glycinamide ribonucleotide transformylase (GAR Tfase) has been the target of anti-neoplasticintervention for almost two decades. Here, we use a structure-based approach to design a novel folateanalogue, 10-(trifluoroacetyl)-5,10-dideazaacyclic-5,6,7,8-tetrahydrofolic acid (10-CF
3CO-DDACTHF,
1),which specifically inhibits recombinant human GAR Tfase (
Ki = 15 nM), but is inactive (
Ki > 100
M)against other folate-dependent enzymes that have been examined. Moreover, compound
1 is a potentinhibitor of tumor cell proliferation (IC
50 = 16 nM, CCRF-CEM), which represents a 10-fold improvementover Lometrexol, a GAR Tfase inhibitor that has been in clinical trials. Thus, this folate analogue
1 isamong the most potent and selective inhibitors known toward GAR Tfase. Contributing to its efficaciousactivity, compound
1 is effectively transported into the cell by the reduced folate carrier and intracellularlysequestered by polyglutamation. The crystal structure of human GAR Tfase with folate analogue
1 at1.98 Å resolution represents the first structure of any GAR Tfase to be determined with a cofactor orcofactor analogue without the presence of substrate. The folate-binding loop of residues 141-146, whichis highly flexible in both
Escherichia coli and unliganded human GAR Tfase structures, becomes highlyordered upon binding
1 in the folate-binding site. Computational docking of the natural cofactor into thisand other apo or complexed structures provides a rational basis for modeling how the natural cofactor10-formyltetrahydrofolic acid interacts with GAR Tfase, and suggests that this folate analogue-boundconformation represents the best template to date for inhibitor design.