Article
Autosomal Recessive Guanosine Triphosphate Cyclohydrolase I Deficiency: Redefining the Phenotypic Spectrum and Outcomes.
Movement disorders clinical practice - 1 Sept 2024
Novelli Maria, Tolve Manuela, Quiroz Vicente, Carducci Claudia, Bove Rossella, Ricciardi Giacomina, Yang Kathryn, Manti Filippo, Pisani Francesco, Ebrahimi-Fakhari Darius, Galosi Serena, Leuzzi Vincenzo
Abstract excerpt
BACKGROUND: The GCH1 gene encodes the enzyme guanosine triphosphate cyclohydrolase I (GTPCH), which catalyzes the rate-limiting step in the biosynthesis of tetrahydrobiopterin (BH4), a critical cofactor in the production of monoamine neurotransmitters. Autosomal dominant GTPCH (adGTPCH) deficiency is the most common cause of dopa-responsive dystonia (DRD), whereas the recessive form (arGTPCH) is an ultrarare and...
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