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Dopa-responsive hypersomnia and mixed movement disorder due to sepiapterin reductase deficiency

Neurology, 2006
Sepiapterin reductase deficiency (SRD) is a rare, treatable disorder of monoamine metabolism with cognitive delay and l-dopa responsive movement disorder. We describe a patient with SRD and distinctive phenotypic feature of marked hypersomnolence. Our patient showed improvement with therapies directed at both serotonergic and dopaminergic deficiencies.
Jennifer, Friedman   +3 more
openaire   +2 more sources

Priapism caused by partial deficiency of tetrahydrobiopterin through hypofunction of the sympathetic neurons in sepiapterin reductase gene‐disrupted mice

Journal of Inherited Metabolic Disease, 2022
Abstract6R‐L‐erythro‐5,6,7,8‐tetrahydrobiopterin (BH4) is an essential cofactor for aromatic L‐amino acid hydroxylases, including tyrosine hydroxylase (TH), alkylglycerol monooxygenase, and three types of nitric oxide (NO) synthases (NOS). Sepiapterin reductase (SPR) catalyzes the third step of BH4 biosynthesis. SPR gene‐disrupted (Spr−/−) mice exhibit
Chiho Sumi‐Ichinose   +6 more
openaire   +2 more sources

Formulation and clinical evaluation of carbidopa/levodopa oral solution for the treatment of sepiapterin reductase deficiency

European Journal of Pharmaceutics and Biopharmaceutics
sepiapterine reductase deficiency (SRD) is a rare levodopa (L-dopa)-responsive disorder treated with a combination therapy of controlled-release L-dopa and carbidopa. The currently available formulation of controlled-release carbidopa/L-dopa does not entirely meet the requirements for the long-term therapy in pediatric patients. In fact, administration
Evelina Maines   +2 more
exaly   +3 more sources

Genotype–phenotype correlations in sepiapterin reductase deficiency. A splicing defect accounts for a new phenotypic variant

neurogenetics, 2011
Sepiapterin reductase (SR) catalyzes the final step in the de novo synthesis of tetrahydrobiopterin, essential cofactor for phenylalanine, tyrosine, and tryptophan hydroxylases. SR deficiency is a very rare disease resulting in monoamine neurotransmitter depletion.
Arrabal L   +13 more
openaire   +3 more sources

Sepiapterin Reductase Deficiency: Molecular Analysis in a New Case Presenting with Neurotransmitter Deficiency without Hyperphenylalaninemia

2002
A 27 year-old woman presenting with the clinical picture characterized by hypersomnolence, mild psychomotor retardation, dystonia, oculomotor apraxia, weakness, and striking diurnal variations of symptoms was found to be sepiapterin reductase (SR)-deficient by investigations of pterins in cytokine stimulated fibroblasts.
Lina Elzaouk   +7 more
openaire   +1 more source

Unclear symptoms, early diagnosis and perfect outcome: a case diagnosed as sepiapterin reductase deficiency hidden behind vitamin B12 deficiency

Journal of Pediatric Endocrinology and Metabolism
Abstract Objectives Sepiapterin reductase deficiency (SRD) is a rare dopa-sensitive neurotransmitter disorder caused by autosomal recessive mutations in the sepiapterin reductase gene. The triad of paroxysmal stiffening, oculogyric crises, and hypotonia are highly suggestive in some patients. However,
Akif Ayaz   +2 more
exaly   +3 more sources

AKR1C3‑driven Restoration of  Tetrahydrobiopterin Synthesis in Cellular Sepiapterin Reductase Deficiency

Sepiapterin reductase (SPR) catalyzes several key steps in the biosynthesis of tetrahydrobiopterin (BH4), an essential cofactor for nitric oxide synthases and aromatic amino acid hydroxylases, and therefore for neurotransmitter production. Although several reductases—including carbonyl reductase 1 (CRB1), aldose reductase (AKR1B1), and AKR1C3—can ...
James Woodcock   +2 more
openaire   +1 more source

Autosomal Recessive Sepiapterin Reductase Deficiency

2009
Hubert Scharnagl   +199 more
openaire   +1 more source

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