About Sepiapterin Reductase Deficiency

What is Sepiapterin Reductase Deficiency?

Sepiapterin Reductase Deficiency (SRD) is a rare genetic disorder caused by a deficiency of the enzyme sepiapterin reductase. This enzyme is responsible for the production of tetrahydrobiopterin (BH4), a cofactor that is essential for the production of neurotransmitters such as serotonin, dopamine, and norepinephrine. Without BH4, these neurotransmitters cannot be produced, leading to a variety of neurological and psychiatric symptoms. Symptoms of SRD include developmental delays, intellectual disability, seizures, movement disorders, and behavioral problems. Treatment for SRD typically involves the use of BH4 supplements and other medications to manage symptoms.

What are the symptoms of Sepiapterin Reductase Deficiency?

The symptoms of Sepiapterin Reductase Deficiency can vary from person to person, but may include:

-Developmental delay

-Intellectual disability

-Seizures

-Movement disorders

-Speech and language delays

-Behavioral problems

-Growth delays

-Hearing loss

-Vision problems

-Skin abnormalities

-Abnormalities of the heart, lungs, and other organs

What are the causes of Sepiapterin Reductase Deficiency?

Sepiapterin Reductase Deficiency is caused by mutations in the SPR gene, which provides instructions for making the enzyme sepiapterin reductase. This enzyme is involved in the production of certain molecules, such as tetrahydrobiopterin (BH4), which is essential for the production of certain neurotransmitters. Mutations in the SPR gene can lead to a deficiency of BH4, which can cause a variety of neurological and developmental problems.

What are the treatments for Sepiapterin Reductase Deficiency?

The primary treatment for Sepiapterin Reductase Deficiency is supplementation with the enzyme sepiapterin reductase. This enzyme is available in the form of a synthetic version called sapropterin dihydrochloride. Other treatments may include dietary modifications, physical therapy, and medications to help manage symptoms. In some cases, gene therapy may be an option.

What are the risk factors for Sepiapterin Reductase Deficiency?

1. Genetic inheritance: Sepiapterin Reductase Deficiency is an autosomal recessive disorder, meaning that it is passed down from both parents to their child.

2. Ethnicity: Sepiapterin Reductase Deficiency is more common in certain ethnic groups, such as Ashkenazi Jews, Italians, and Greeks.

3. Age: Sepiapterin Reductase Deficiency is more common in infants and young children.

4. Environmental factors: Exposure to certain environmental toxins, such as lead, may increase the risk of developing Sepiapterin Reductase Deficiency.

Is there a cure/medications for Sepiapterin Reductase Deficiency?

Yes, there is a medication available for Sepiapterin Reductase Deficiency. The medication is called sapropterin dihydrochloride, and it is used to increase the body's production of the enzyme sepiapterin reductase. This medication is available in the United States and Europe.