[PDF][PDF] Uroporphyrinogen III synthase knock-in mice have the human congenital erythropoietic porphyria phenotype, including the characteristic light-induced …

DF Bishop, A Johansson, R Phelps, AA Shady… - The American Journal of …, 2006 - cell.com
DF Bishop, A Johansson, R Phelps, AA Shady, MCM Ramirez, M Yasuda, A Caro…
The American Journal of Human Genetics, 2006cell.com
Congenital erythropoietic porphyria (CEP), an autosomal recessive inborn error, results from
the deficient but not absent activity of uroporphyrinogen III synthase (URO-synthase), the
fourth enzyme in the heme biosynthetic pathway. The major clinical manifestations include
severe anemia, erythrodontia, and disfiguring cutaneous involvement due to the
accumulation of phototoxic porphyrin I isomers. Murine models of CEP could facilitate
studies of disease pathogenesis and the evaluation of therapeutic endeavors. However …
Congenital erythropoietic porphyria (CEP), an autosomal recessive inborn error, results from the deficient but not absent activity of uroporphyrinogen III synthase (URO-synthase), the fourth enzyme in the heme biosynthetic pathway. The major clinical manifestations include severe anemia, erythrodontia, and disfiguring cutaneous involvement due to the accumulation of phototoxic porphyrin I isomers. Murine models of CEP could facilitate studies of disease pathogenesis and the evaluation of therapeutic endeavors. However, URO-synthase null mice were early embryonic lethals. Therefore, knock-in mice were generated with three missense mutations, C73R, V99A, and V99L, which had in vitro–expressed activities of 0.24%, 5.9%, and 14.8% of expressed wild-type activity, respectively. Homozygous mice for all three mutations were fetal lethals, except for mice homozygous for a spontaneous recombinant allele, V99AT/V99AT, a head-to-tail concatemer of three V99A targeting constructs. Although V99AT/V99AT and C73R/V99AT mice had ∼2% hepatic URO-synthase activity and normal hepatic microsomal heme and hemoprotein levels, they had 20% and 13% of wild-type activity in erythrocytes, respectively, which indicates that sufficient erythroid URO-synthase was present for fetal development and survival. Both murine genotypes showed marked porphyrin I isomer accumulation in erythrocytes, bone, tissues, and excreta and had fluorescent erythrodontia, hemolytic anemia with reticulocytosis and extramedullary erythropoiesis, and, notably, the characteristic light-induced cutaneous involvement. These mice provide insight into why CEP is an erythroid porphyria, and they should facilitate studies of the disease pathogenesis and therapeutic endeavors for CEP.
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