Uroporphyrinogen III synthase knock-in mice have the human congenital erythropoietic porphyria phenotype, including the characteristic light-induced cutaneous lesions

Am J Hum Genet. 2006 Apr;78(4):645-58. doi: 10.1086/502667. Epub 2006 Feb 9.

Abstract

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, V99A(T)/V99A(T), a head-to-tail concatemer of three V99A targeting constructs. Although V99A(T)/V99A(T) and C73R/V99A(T) mice had approximately 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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Heme / metabolism
  • Humans
  • Light / adverse effects*
  • Mice
  • Mice, Transgenic
  • Microsomes, Liver / metabolism
  • Molecular Sequence Data
  • Phenotype
  • Porphyria, Erythropoietic / enzymology
  • Porphyria, Erythropoietic / genetics*
  • Porphyria, Erythropoietic / physiopathology
  • Porphyrins / metabolism
  • Skin Diseases / etiology*
  • Skin Diseases / physiopathology
  • Uroporphyrinogen III Synthetase / genetics
  • Uroporphyrinogen III Synthetase / physiology*

Substances

  • Porphyrins
  • Heme
  • Uroporphyrinogen III Synthetase

Associated data

  • RefSeq/NM_009479