A simple procedure for the synthesis of high specific activity tritiated (6S)-5-formyltetrahydrofolate

The 5-position of tetrahydrofolate was found to be unusually reactive with low concentrations of formic acid in the presence of a water-soluble carbodiimide. The product of this reaction has neutral and acid ultraviolet spectra and chromatographic behavior consistent with its identity as 5-formyltetrahydrofolate (leucovorin). When enzymatically synthesized (6S)-tetrahydrofolate was used as starting material, the product supported the growth of folatedepleted L1210 cells at one-half the concentration required for authentic (6R,S)-leucovorin. This reaction has been used to produce high specific activity (44 Ci/mmol) [³H](6S)-5-formyltetrahydrofolate in high yield. Experiments with [¹⁴C]formic acid indicate that 1 mol of formate reacted per mol of tetrahydrofolate but that no reaction occurred with a variety of other folate compounds. (6S)-5-Formyltetrahydrofolate, labeled in the formyl group with ¹⁴C, has also been synthesized using this reaction. These easily produced, labeled folates should allow close examination of the transport and utillization of leucovorin and of the mechanism of reversal of methotrexate toxicity by reduced folate cofactors.