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Most Common: Hearing Loss (D034381), Deafness (D003638), Sensorineural HL (D006319), Waardenburg Syndrome, Usher Syndromes
Term ID:3377
Name:Dihydropyrimidine Dehydrogenase Deficiency
Definition:An autosomal recessive disorder affecting DIHYDROPYRIMIDINE DEHYDROGENASE and causing familial pyrimidinemia. It is characterized by thymine-uraciluria in homozygous deficient patients. Even a partial deficiency in the enzyme leaves individuals at risk for developing severe 5-FLUOROURACIL-associated toxicity.
Alternative IDs:OMIM:274270
ParentIDs:MESH:D011686
TreeNumbers:C16.320.565.798.183 |C18.452.648.798.183
Synonyms:Deficiencies, Dihydropyrimidine Dehydrogenase |Deficiencies, DPD |Deficiency, Dihydropyrimidine Dehydrogenase |Deficiency, DPD |Dehydrogenase Deficiencies, Dihydropyrimidine |Dehydrogenase Deficiency, Dihydropyrimidine |Dihydropyrimidine Dehydrogenase Deficien
Slim Mappings:Genetic disease (inborn)|Metabolic disease
Reference: MedGen: D054067
MeSH: D054067
OMIM: 274270;

Genes: DPYD;
Phenotypes
1 HP:0000007Autosomal recessive inheritance
2 HP:0001274Agenesis of corpus callosumHP:0040283
3 HP:0000717Autism
4 HP:0002059Cerebral atrophy
5 HP:0000589Coloboma
6 HP:0000750Delayed speech and language development
7 HP:0001508Failure to thrive
8 HP:0001290Generalized hypotonia
9 HP:0001510Growth delay
10 HP:0000752Hyperactivity
11 HP:0001276Hypertonia
12 HP:0001252Hypotonia
13 HP:0001249Intellectual disability
14 HP:0001254Lethargy
15 HP:0000252Microcephaly
16 HP:0000568Microphthalmia
17 HP:0001270Motor delay
18 HP:0000639Nystagmus
19 HP:0000648Optic atrophy
20 HP:0003812Phenotypic variability
21 HP:0003654Reduced dihydropyrimidine dehydrogenase level
22 HP:0001250Seizure
23 HP:0002445Tetraplegia
Disease Causing ClinVar Variants
Variation_NameGeneIDGeneSymbolClinicalSignificancedbSNPRCVaccessionTestedInGTRPhenotypeIDsChromosomeStartStopHGVS_cHGVS_pHGVS_gOtherIDsDisease_ClinVarDisease_hgmd
NM_000110.3(DPYD):c.2657G>A (p.Arg886His)-1-Pathogenic1801267RCV000000466; NMedGen:C2720286,OMIM:27427019756415497564154NM_000110.3:c.2657G>ANP_000101.2:p.Arg886HisNC_000001.10:g.97564154C>TOMIM Allelic Variant:612779.0006C2720286 274270 Dihydropyrimidine dehydrogenase deficiency
NM_000110.3(DPYD):c.2043_2058del16 (p.Leu682Ilefs)1806DPYDLikely pathogenic773499329RCV000169225; NMedGen:C2720286,OMIM:27427019783911797839132NM_000110.3:c.2043_2058del16NP_000101.2:p.Leu682IlefsNC_000001.10:g.97839117_97839132del16-C2720286 274270 Dihydropyrimidine dehydrogenase deficiency
NM_000110.3(DPYD):c.1905+1G>A1806DPYDdrug response3918290RCV000000460; RCV000201291; RCV000086468; RCV000030868; RCV000211317; RCV000211404; RCV000211354; RCV000211222; YMedGen:C2720286,OMIM:274270; MedGen:C2931876,OMIM:142623; MedGen:CN077983; MedGen:CN221809; MedGen:CN236468; MedGen:CN236492; MedGen:CN236593; MedGen:CN23662219791561497915614NM_000110.3:c.1905+1G>ANC_000001.10:g.97915614C>TOMIM Allelic Variant:612779.0001,PharmGKB Clinical Annotation:827843617,PharmGKB:827843617CN236492 capecitabine response - Toxicity/ADR; C2720286 274270 Dihydropyrimidine dehydrogenase deficiency; CN077983 Fluorouracil response; CN236593 fluorouracil response - Toxicity/ADR; C2931876 142623 Hirschsprung disease 1; CN221809 not provided; C
NM_000110.3(DPYD):c.85T>C (p.Cys29Arg)1806DPYDPathogenic1801265RCV000000464; NMedGen:C2720286,OMIM:27427019834888598348885NM_000110.3:c.85T>CNP_000101.2:p.Cys29ArgNC_000001.10:g.98348885Gx3d,NC_000001.10:g.98348885G>AOMIM Allelic Variant:612779.0004C2720286 274270 Dihydropyrimidine dehydrogenase deficiency
NM_000110.3(DPYD):c.61C>T (p.Arg21Ter)1806DPYDLikely pathogenic72549310RCV000169198; NMedGen:C2720286,OMIM:27427019834890998348909NM_000110.3:c.61C>TNP_000101.2:p.Arg21TerNC_000001.10:g.98348909G>A-C2720286 274270 Dihydropyrimidine dehydrogenase deficiency