Kisho is an information platform, not a medical provider. Nothing on this site constitutes medical advice, diagnosis, or treatment recommendations. All content is aggregated from publicly available sources (including ClinicalTrials.gov, PubMed, FDA.gov, and Orphanet) and is provided for informational purposes only. Clinical trial eligibility, treatment decisions, and any health-related actions should always be discussed with a qualified healthcare professional. Kisho does not endorse any specific therapy, organization, or clinical trial. Terms of use · Privacy policy
Dihydropteridine reductase (DHPR) deficiency is a severe form of hyperphenylalaninemia (HPA) due to impaired regeneration of tetrahydrobiopterin (BH4), leading to decreased levels of neurotransmitters (dopamine, serotonin) and folate in cerebrospinal fluid, and causing neurological symptoms such as psychomotor delay, hypotonia, seizures, abnormal movements, hypersalivation, and swallowing difficulties.
Features include always present findings: Diminished tissue dihydropteridine reductase activity; and very common findings: Microcephaly, Difficulty swallowing (dysphagia), Global developmental delay, and Intellectual disability. 18 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 9 | Difficulty swallowing (dysphagia), Dystonia, Seizure |
Head and neck | 1 | Microcephaly |
Digestive system | 1 | Difficulty swallowing (dysphagia) |
Muscles | 1 | Low muscle tone (hypotonia) |
Metabolism | 1 | Recurrent fever |
QDPR function has not been fully characterized.
Dihydropteridine reductase deficiency is caused by mutations in the QDPR gene on chromosome 4.
Genetic testing for QDPR is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for dihydropteridine reductase deficiency has been reported in the published literature.
Phenotype severity distribution: 1 always present feature, 4 very common features.
Estimated prevalence: Unknown (Unknown prevalence).
1 clinical trial registered. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
116 publications have been identified in PubMed for dihydropteridine reductase deficiency. Research spans Basic Science / Preclinical (47%), Epidemiology / Natural History (21%), and Review / Meta-Analysis (13%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 54 | 47% |
Disease patterns and progression | 24 | 21% |
Research summaries | 15 | 13% |
New treatment approaches | 7 | 6% |
Testing and diagnosis research | 6 | 5% |
Clinical study results | 6 | 5% |
Patient case studies | 4 | 3% |
Huang LX (2026). [PMID: 41767410](https://pubmed.ncbi.nlm.nih.gov/41767410/). *Biomed Res Int*. [Basic Science / Preclinical]
Wang S (2026). [PMID: 42000180](https://pubmed.ncbi.nlm.nih.gov/42000180/). *Water Res*. [Clinical Trial Publication]
Li H (2026). [PMID: 41562318](https://pubmed.ncbi.nlm.nih.gov/41562318/). *Physical chemistry chemical physics : PCCP*. [Basic Science / Preclinical]
Gong L (2026). [PMID: 41980429](https://pubmed.ncbi.nlm.nih.gov/41980429/). *Maturitas*. [Review / Meta-Analysis]
Liu Y (2026). [PMID: 41806557](https://pubmed.ncbi.nlm.nih.gov/41806557/). *Molecular immunology*. [Review / Meta-Analysis]
Sun S (2026). [PMID: 41547438](https://pubmed.ncbi.nlm.nih.gov/41547438/). *Diabetes Metab*. [Diagnostic / Biomarker]
Mao C (2026). [PMID: 41771883](https://pubmed.ncbi.nlm.nih.gov/41771883/). *Nat Commun*. [Basic Science / Preclinical]
Zhang J (2026). [PMID: 40889047](https://pubmed.ncbi.nlm.nih.gov/40889047/). *Science China. Life sciences*. [Diagnostic / Biomarker]
Noriega-Prieto JA (2026). [PMID: 41469443](https://pubmed.ncbi.nlm.nih.gov/41469443/). *Nature neuroscience*. [Basic Science / Preclinical]
Yi H (2026). [PMID: 41477926](https://pubmed.ncbi.nlm.nih.gov/41477926/). *Eur J Surg Oncol*. [Epidemiology / Natural History]
Data assembled from 8 of 12 sources · Last updated Sep 18, 2026, 6:51 PM UTC
Patient Advocacy Groups (PAGs) provide support, resources, and community for patients and caregivers.
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center