Dihydropteridine reductase deficiency in man: from biology to treatment

Med Res Rev. 2004 Mar;24(2):127-50. doi: 10.1002/med.10055.


In 1975, dihydropteridine reductase (DHPR) deficiency was first recognized as a cause of tetrahydrobiopterin (BH(4)) deficiency, leading to hyperphenylalaninemia (HPA) and impaired biogenic amine deficiency. So far, more than 150 patients scattered worldwide have been reported and major progresses have been made in the understanding of physiopathology, screening, diagnosis, treatment, and molecular genetics of this inherited disease. Present knowledge on different aspects of DHPR deficiency, largely derived from authors' personal experience, is traced in this article.

Publication types

  • Review

MeSH terms

  • Female
  • Genetic Predisposition to Disease*
  • Humans
  • Incidence
  • Infant, Newborn
  • Italy / epidemiology
  • Male
  • Neonatal Screening
  • Phenylketonurias* / epidemiology
  • Phenylketonurias* / genetics*
  • Phenylketonurias* / therapy*
  • Research
  • Risk Factors
  • Sex Distribution