Methotrexate is an antimetabolite of the antifolate type, inhibits dihydrofolate reductase (DHFR), an enzyme that participates in the tetrahydrofolate (a folic acid derivative) synthesis, Folic acid is needed for the de novo synthesis of the nucleoside thymidine - required for DNA synthesis, Methotrexate, therefore, inhibits the synthesis of DNA, RNA, thymidylates, and proteins