In mammals, folylpoly-␥-glutamate synthetase (FPGS) activity is found in any cell undergoing sustained proliferative phases, but this enzyme also displays a tissuespecific pattern of expression in differentiated tissues. It is now reported that the steady state levels of FPGS mRNA in normal and neoplastic cells reflect these patterns, supporting the concept that the control mechanisms underlying this distribution are transcriptional.
Folylpoly-␥-glutamate synthetase (FPGS)1 catalyzes the ATPdependent formation of an amide bond between the ␥-carboxyl group of the naturally occurring folates and the amino group of glutamic acid. The addition of glutamic acid moieties to folate compounds allows their intracellular retention and concentration for both the folate cofactors (1-3) as well as for all of the "classical" folate antimetabolites studied to date. As a result of its role in the retention of folate cofactors in the cytosol and mitochondria, FPGS is essential for folate homeostasis and the survival of proliferating mammalian cells. The metabolism of antimetabolites by this enzyme plays a major role in the cytotoxicity, and perhaps the selective cytotoxicity, of several folate antagonists used or under development for the treatment of human cancers.Because any cell that is attempting to proliferate during exposure to classical antifolates is susceptible to cytotoxicity if it expresses FPGS, the tissue distribution of this enzyme and the factors controlling its expression are of critical importance. From early studies on the distribution of enzyme activity, it was known that the levels of FPGS are moderately high in some tumors, in normal gut and bone marrow stem cells, and in the two specialized organs of folate metabolism, liver and kidney, but enzyme levels in other mouse adult tissues were barely detectable (4 -6). Studies relating methotrexate polyglutamylation and FPGS activity in individual childhood leukemias to the therapeutic activity of this drug have suggested that the sensitivity of some of these tumors to antifolate chemotherapy is causally related to the level of expression of FPGS (6 -9). In a recent study of FPGS in human leukemias (9), B-lineage leukemias, which are more responsive to methotrexate, had higher levels of FPGS activity than did T-lineage leukemias. Cells from acute nonlymphoblastic leukemias, which are generally resistant to antifolates, had lower enzyme levels (9). This lineage-specific effect was also seen in cells selected from normal bone marrow; lymphoid progenitor cells (CD10/CD19 ϩ ) had high levels of FPGS activity similar to those seen in blast cells from patients with B-lineage leukemias, whereas normal nonlymphoid progenitors (CD34 ϩ ) had lower levels (9). On the other hand, a decrease in cellular FPGS activity in tumor cells can contribute to or cause both acquired (10, 11) and intrinsic (12) resistance to methotrexate.A previous study in this laboratory (6) concluded that FPGS levels are controlled by at least two mechanisms, one of which is linked to proliferation a...