Copyright © 2006 The American Society of Human Genetics. All rights reserved.
The American Journal of Human Genetics, Volume 78, Issue 4, 575-587, 1 April 2006
doi:10.1086/501372
Seungkyoung Yang1, 3, *, Young Jae Lee3, *, Jin-Man Kim2, Sean Park3, Joanna Peris5, Philip Laipis4, Young Shik Park6, Jae Hoon Chung1 and S. Paul Oh3,
, 
1 Department of Biological Sciences, Korea Advanced Institute of Science and Technology, Daejeon, South Korea
2 Department of Pathology, Chungnam National University School of Medicine, Daejeon, South Korea
3 Departments of Physiology and Functional Genomics University of Florida College of Pharmacy, Gainesville
4 Biochemistry and Molecular Biology, University of Florida College of Medicine
5 Department of Pharmacodynamics, University of Florida College of Pharmacy, Gainesville
6 School of Biotechnology and Biomedical Science, Inje University, Kimhae, South Korea
Address for correspondence and reprints: Dr. S. Paul Oh, Department of Physiology and Functional Genomics, University of Florida, 1600 SW Archer Road, Room D533d, Gainesville, FL 32610Abstract
Tetrahydrobiopterin (BH4) is an essential cofactor for several enzymes, including all three forms of nitric oxide synthases, the three aromatic hydroxylases, and glyceryl-ether mono-oxygenase. A proper level of BH4 is, therefore, necessary for the metabolism of phenylalanine and the production of nitric oxide, catecholamines, and serotonin. BH4 deficiency has been shown to be closely associated with diverse neurological psychiatric disorders. Sepiapterin reductase (SPR) is an enzyme that catalyzes the final step of BH4 biosynthesis. Whereas the number of cases of neuropsychological disorders resulting from deficiencies of other catalytic enzymes involved in BH4 biosynthesis and metabolism has been increasing, only a handful of cases of SPR deficiency have been reported, and the role of SPR in BH4 biosynthesis in vivo has been poorly understood. Here, we report that mice deficient in the Spr gene (Spr−/−) display disturbed pterin profiles and greatly diminished levels of dopamine, norepinephrine, and serotonin, indicating that SPR is essential for homeostasis of BH4 and for the normal functions of BH4-dependent enzymes. The Spr−/− mice exhibit phenylketonuria, dwarfism, and impaired body movement. Oral supplementation of BH4 and neurotransmitter precursors completely rescued dwarfism and phenylalanine metabolism. The biochemical and behavioral characteristics of Spr−/− mice share striking similarities with the symptoms observed in SPR-deficient patients. This Spr mutant strain of mice will be an invaluable resource to elucidate many important issues regarding SPR and BH4 deficiencies.
| Mutations in the Sepiapterin Reductase Gene Cause a Novel Tetrahydrobiopterin-Dependent Monoamine-Neurotransmitter Deficiency without Hyperphenylalaninemia The American Journal of Human Genetics, Volume 69, Issue 2, 1 August 2001, Pages 269-277 Luisa Bonafé, Beat Thöny, Johann M. Penzien, Barbara Czarnecki and Nenad Blau Abstract Classic tetrahydrobiopterin (BH4) deficiencies are characterized by hyperphenylalaninemia and deficiency of monoamine neurotransmitters. In this article, we report two patients with progressive psychomotor retardation, dystonia, severe dopamine and serotonin deficiencies (low levels of 5-hydroxyindoleacetic and homovanillic acids), and abnormal pterin pattern (high levels of biopterin and dihydrobiopterin) in cerebrospinal fluid. Furthermore, they presented with normal urinary pterins and without hyperphenylalaninemia. Investigation of skin fibroblasts revealed inactive sepiapterin reductase (SR), the enzyme catalyzing the final two-step reaction in the biosynthesis of BH4. Mutations in the SPR gene were detected in both patients and their family members. One patient was homozygous for a TC→CT dinucleotide exchange, predicting a truncated SR (Q119X). The other patient was a compound heterozygote for a genomic 5-bp deletion (1397–1401delAGAAC) resulting in abolished SPR-gene expression and an A→G transition leading to an R150G amino acid substitution and to inactive SR as confirmed by recombinant expression. The absence of hyperphenylalaninemia and the presence of normal urinary pterin metabolites and of normal SR-like activity in red blood cells may be explained by alternative pathways for the final two-step reaction of BH4 biosynthesis in peripheral and neuronal tissues. We propose that, for the biosynthesis of BH4 in peripheral tissues, SR activity may be substituted by aldose reductase (AR), carbonyl reductase (CR), and dihydrofolate reductase, whereas, in the brain, only AR and CR are fully present. Thus, autosomal recessive SR deficiency leads to BH4 and to neurotransmitter deficiencies without hyperphenylalaninemia and may not be detected by neonatal screening for phenylketonuria. Abstract | | |
| Nonreplication of Linkage Disequilibrium between the Dopamine D4 Receptor Locus and Tourette Syndrome The American Journal of Human Genetics, Volume 61, Issue 1, 1 July 1997, Pages 238-239 Johannes Hebebrand, Markus M. Nöthen, Andreas Ziegler, Birgit Klug, Helge Neidt, Katja Eggermann, Gerd Lehmkuhl, Fritz Poustka, Martin H. Schmidt, Peter Propping and Helmut Remschmidt | |
| A Quantitative-Trait Analysis of Human Plasma–Dopamine β-Hydroxylase Activity: Evidence for a Major Functional Polymorphism at the DBH Locus The American Journal of Human Genetics, Volume 68, Issue 2, 1 February 2001, Pages 515-522 Cyrus P. Zabetian, George M. Anderson, Sarah G. Buxbaum, Robert C. Elston, Hiroshi Ichinose, Toshiharu Nagatsu, Kwang-Soo Kim, Chun-Hyung Kim, Robert T. Malison, Joel Gelernter and Joseph F. Cubells Abstract Dopamine-β-hydroxylase (DβH) catalyzes the conversion of dopamine to norepinephrine and is released from sympathetic neurons into the circulation. Plasma-DβH activity varies widely between individuals, and a subgroup of the population has very low activity levels. Mounting evidence suggests that the DBH structural gene is itself the major quantitative-trait locus (QTL) for plasma-DβH activity, and a single unidentified polymorphism may account for a majority of the variation in activity levels. Through use of both sequencing-based mutational analysis of extreme phenotypes and genotype/phenotype correlations in samples from African American, European American (EA), and Japanese populations, we have identified a novel polymorphism (−1021C→T), in the 5′ flanking region of the DBH gene, that accounts for 35%–52% of the variation in plasma-DβH activity in these populations. In EAs, homozygosity at the T allele predicted the very low DβH–activity trait, and activity values in heterozygotes formed an intermediate distribution, indicating codominant inheritance. Our findings demonstrate that −1021C→T is a major genetic marker for plasma-DβH activity and provide new tools for investigation of the role of both DβH and the DBH gene in human disease. Abstract | | |