No function (updated: April 1, 2015)
The data and differentiation stages presented below come from the proteomic study and analysis performed by our partners of the GReX consortium, more details are available in their published work.
No sequence conservation computed yet.
Total structural coverage: 66%
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The reference OMIM entry for this protein is 258900
Orotic aciduria
Orotic aciduria i
Orotate phosphoribosyltransferase and orotidylic decarboxylase deficiency
Oprt and odc deficiency
Orotidylic pyrophosphorylase and orotidylic decarboxylase deficiency
Uridine monophosphate synthase deficien
A number sign (#) is used with this entry because orotic aciduria can be caused by compound heterozygous mutation in the UMPS gene (613891), which encodes a bifunctional enzyme with orotate phosphoribosyltransferase (OPRT) and orotidylic decarboxylase (ODC) activity, on chromosome 3q13.
DESCRIPTION
Orotic aciduria is a rare autosomal recessive disorder characterized by megaloblastic anemia and orotic acid crystalluria that is frequently associated with some degree of physical and mental retardation. These features respond to appropriate pyrimidine replacement therapy, and most cases appear to have a good prognosis. A minority of cases have additional features, particularly congenital malformations and immune deficiencies, which may adversely affect this prognosis (summary by Webster et al., 2001). Bailey (2009) reported that to that time, 2 cases of orotic aciduria without megaloblastic anemia (OAWA) had been reported.
CLINICAL FEATURES
The phenotypic features of orotic aciduria are megaloblastic anemia that is unresponsive to vitamin B12 and folic acid, hypochromic, microcytic circulating erythrocytes that persist with administration of iron or pyridoxine, large amounts of orotic acid in the urine, and correction of anemia and reduction in orotic acid excretion when uridylic acid and cytidylic acid are administered (Huguley et al., 1959). Fallon et al. (1964) studied extensively the heterozygotes in the first family described (Huguley et al., 1959). A second family was discovered in New Zealand and a third in Texas (Haggard and Lockhart, 1965). In the last patient, urinary obstruction was produced by the high urinary excretion of orotic acid. Rogers et al. (1968) described another case, from North Carolina. Girot et al. (1983) stated that only 9 cases had been reported; they added 2 more, sibs with a defect in cellular immunity. Humoral immunity was normal. Severe infections had been reported in some patients; 1 died of varicella and another of meningitis. The patients reported by Girot et al. (1983) were Senegalese and the offspring of first cousins. Becroft et al. (1984) questioned the conclusion of Girot et al. (1983) that immunodeficiency can be an integral feature of orotic aciduria. They provided follow-up on the longest surviving patient, aged 21 years, treated with uridine from the age of 17 months (Becroft et al., 1969). In later years his dose of uridine had been 3 g/d by mouth and he was in good health and had regular employment. No evidence of immunodeficiency was found with or without uridine therapy.
DIAGNOSIS
Rogers and Porter (1968) devised a screening test for orotic aciduria that is effective in detecting either homozygotes or heterozygotes.
BIOCHEMICAL FEATURES
- Orotic Aciduria Two enzymatic functions are defective in this disorder: orotate phosphoribosyltransferase (OPRT; EC 2.4.2.10) and OMP decarboxylase (ODC; EC 4.1.1.23), which catalyze the last 2 steps in uridine monophosphate biosynthesis (Fallon et al., 1964). These 2 enzymes are present in a single polypeptide, so that there is a single bifunctional enzyme (UMPS) (summary by Bailey, 2009). Worthy et al. (1974) concluded that the mutation causing orotic aciduria is structural because orotidine-5-prime-phosphate decarboxylase from homozygous cells was abnormally thermolabile and showed electrophoretic abnormality. Winkler and Suttle (1988) found no decrease in the amount of UMP synthase mRNA and no detectable differ ...
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Feb. 2, 2018: Protein entry updated
Automatic update: Uniprot description updated
Dec. 19, 2017: Protein entry updated
Automatic update: Uniprot description updated
March 16, 2016: Protein entry updated
Automatic update: OMIM entry 258900 was added.
Jan. 25, 2016: Protein entry updated
Automatic update: model status changed