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  • A synthetic pyrimidine-based antifolate. Pemetrexed binds to and inhibits the enzyme thymidylate synthase (TS), which catalyses the methylation of 2\'-deoxyuridine-5\'-monophosphate (dUMP) to 2\'-deoxythymidine-5\'-monophosphate (dTMP), an essential precursor in DNA synthesis.
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