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Human Folate Receptor

Human folate receptors (FR-alpha, FR-beta, FR-gamma) are cysteine-rich glycoproteins at the cell surface ^[2]. These receptors are expressed at very low levels in most tissues, but are expressed at higher levels in numerous cancer cells to meet the folate demand of the rapidly dividing cells under low folate conditions ^[2]. FR-alpha is displayed on the apical surface of polarized epithelial cells, particularly in the proximal tubule cells of the kidney and choroid plexus ^[3]. FR-beta is expressed in the latter stages of normal myelopoiesis and in the placenta, spleen, and thymus ^[3]. The FR-gamma receptors are expressed in the spleen, thymus, and bone marrow ^[3].

Folic acid is an essential vitamin that was developed in the 1940s to treat anemia, it is converted to naturally occurring metabolites by dihydrofolate reductase and can act as a dietary supplement for these folates ^[3]. Folates are necessary in the cells of eukaryotes for single carbon transfer reactions, and multiple steps in nucleotide synthesis ^[3]. Folic acid and its reduced derivatives are transported via facilitative transporters and via a family of glycosylphosphatidylinositol (GPI)-anchored receptors with limited expression profiles that are most generally described as folate receptors ^[3].

Function

Folates are one-carbon donors for the synthesis of purines and thymidine, which are both essential components of nucleic acids ^[3]. This means that they are indirectly used for the methylation of DNA, proteins, and lipids^[3]. The three subtypes of folate receptors that were previously mentioned (FR-alpha, FR-beta, FR-gamma) also play a role in other happenings in the human body. They mediated folate uptake in cells through endocytosis^[3]. The endosome's acidic environment promotes the release of these folate receptors, which is then transported into the cell's cytoplasm by a proton-coupled folate transporter^[3]. Expression of the folate cells however, is restricted to cells that are important for embryonic development which do include the placental and neural tubes, among other things^[3]. In the human body, FR-alpha is the most widely expressed but is still low in normal tissues with higher levels of expression in many rapidly dividing tumors^[3]. Folate receptors also have gene encoding functions. Human folate receptor-alpha has been implicated in folate transcytosis in the kidney and delivery into the central nervous system^[3]. Human folate receptors beta and gamma gene encoding functions are unclear when expressed normally except is is known that the beta subtype is capable of delivering folate and folate-derived molecules into activated macrophages or certain leukemic cells^[3].

Applications

Many cancers highly express the alpha folate receptor, therefore resulting in becoming an important target for receptor-mediated chemotherapy ^[3]. Folate receptor targeted therapies are expected to be effective in treatment of many types of cancers and inflammatory diseases^[4]. Alpha folate receptors are overexpressed in nonmucinous adenocarcinomas of the ovary, uterus, breast, cervix, kidney, and colon ^[4]. Beta human folate receptors expression is increased in certain leukemias, its also increased in cells that are involved in the pathogenesis of rheumatoid arthritis and other conditions such as psoriasis and Crohn's disease^[4].

Structural highlights

The structure of the alpha folate receptor is composed of . The structure of FRα contains a long and open folate binding pocket. Folic acid is oriented with its basic pteroate moiety docked deep inside the negatively charged pocket and the two negatively charged carboxyl groups^[2].

The folate receptor is a glycoprotein which binds the vitamin folic acid and its analogues. Alpha folate receptors have three predicted (N47, N139, and N179)^[5]. Glycosylation is a structural feature of all three isoforms of the human folate receptor ^[5]. At least on of the core glycosylated residues is necessary for the synthesis of FRα in its active conformation ^[5].

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