Aminopterin in HAT medium functions by:
Aminopterin classifies as antifolate antimetabolite structurally analogous to folic acid with pteridine ring substitution preventing enzymatic reduction. Dihydrofolate reductase normally catalyzes NADPH dependent reduction of dihydrofolate to tetrahydrofolate, central one-carbon carrier crucial for biosynthesis. Tetrahydrofolate derivatives required at two distinct steps: 10-formyl tetrahydrofolate donates formyl groups to glycinamide ribonucleotide transformylase and aminoimidazole carboxamide ribonucleotide transformylase in de novo purine pathway synthesizing inosine monophosphate precursor to adenine and guanine nucleotides, and 5,10-methylene tetrahydrofolate provides methyl group to thymidylate synthase converting deoxyuridine monophosphate to thymidine monophosphate essential for DNA replication. Aminopterin competitive inhibition depletes all tetrahydrofolate pools, halts purine and thymidine triphosphate production, cellular ATP drops, AMPK activated, p53 stabilization triggers apoptosis within hours. Rapidly proliferating lymphocytes depend heavily on de novo route because salvage alone insufficient during S phase. Provision of hypoxanthine and thymidine allows salvage-competent cells to circumvent block via HGPRT and TK, explaining selective toxicity exploited in hybridoma selection and historically in cancer chemotherapy similar to methotrexate.
Ref: Goodman & Gilman Pharmacol 13th ed DHFR antifolate; Lodish MBoC 9th ed Fig 7-32 aminopterin blocks de novo purine thymidylate.