DMGDH is an important enzyme in one-carbon metabolism.
Bound tetrahydrofolate (THF) serves as a scavenger for the formaldehyde product.
We solved the crystal structure of DMGDH and DMGDH–THF complex.
An intramolecular channel connects the active site and the THF binding site.
A mechanism for human DMGDH inactivation by a natural mutation is proposed.