GCH1

GTP cyclohydrolase 1, the group of MicroRNA protein coding host genes

Basic information

Region (hg38): 14:54842008-54902826

Previous symbols: [ "GCH", "DYT5", "DYT14" ]

Links

ENSG00000131979NCBI:2643OMIM:600225HGNC:4193Uniprot:P30793AlphaFoldGenCCjaxSfariGnomADPubmedClinVar

Phenotypes

GenCC

Source: genCC

  • GTP cyclohydrolase I deficiency with hyperphenylalaninemia (Definitive), mode of inheritance: AR
  • dystonia 5 (Definitive), mode of inheritance: AD
  • dystonia 5 (Strong), mode of inheritance: AD
  • dystonia 5 (Strong), mode of inheritance: AR
  • GTP cyclohydrolase I deficiency with hyperphenylalaninemia (Strong), mode of inheritance: AR
  • dystonia 5 (Definitive), mode of inheritance: AD
  • GTP cyclohydrolase I deficiency with hyperphenylalaninemia (Supportive), mode of inheritance: AR
  • dystonia 5 (Supportive), mode of inheritance: AD
  • GTP cyclohydrolase I deficiency (Definitive), mode of inheritance: AD
  • dystonia 5 (Strong), mode of inheritance: AD
  • GTP cyclohydrolase I deficiency with hyperphenylalaninemia (Strong), mode of inheritance: AR
  • GTP cyclohydrolase I deficiency (Definitive), mode of inheritance: Semidominant

Clinical Genomic Database

Source: CGD

ConditionInheritanceIntervention CategoriesIntervention/Rationale Manifestation CategoriesReferences
Hyperphenylalaninemia, BH4-deficient, B; Dystonia, dopa-responsiveAD/ARBiochemicalIn Hyperphenylalaninemia, BH4-deficient, B, medical therapy (eg, BH-4, 5-HT, L-dopa) may be beneficial; In Dopa-responsive dystonia, which may not be easily clinically recognizable early, L-dopa can be effectiveBiochemical; Neurologic942621; 945938; 6734669; 3762960; 3822637; 3400489; 3041760; 2296384; 1899474; 8163996; 7874165; 7869202; 7730309; 9667588; 10208576; 10987649; 11113234; 11346370; 12084887; 12552057; 15753436; 16908750; 17111153; 20301681

ClinVar

This is a list of variants' phenotypes submitted to ClinVar and linked to the GCH1 gene.

  • GTP cyclohydrolase I deficiency;Dystonia 5 (30 variants)
  • not provided (15 variants)
  • Dystonia 5 (13 variants)
  • Dystonia 5;GTP cyclohydrolase I deficiency (12 variants)
  • GTP cyclohydrolase I deficiency (3 variants)
  • Dystonia, dopa-responsive, with or without hyperphenylalaninemia, autosomal recessive (1 variants)
  • Dystonic disorder (1 variants)
  • Inborn genetic diseases (1 variants)
  • GTP cyclohydrolase I deficiency with hyperphenylalaninemia (1 variants)

Variants pathogenicity by type

Statistics on ClinVar variants can assist in determining whether a specific variant type in the GCH1 gene is commonly pathogenic or not.

In the table, we include only reliable ClinVar variants with their consequences to MANE Select, Mane Plus Clinical transcripts, or transcripts with TSL equals 1. Click the count to view the source variants.

Warning: slight differences between displayed counts and the number of variants in ClinVar may occur, primarily due to (1) the application of a different transcript and/or consequence by our variant effect predictor or (2) differences in clinical significance: we classify Benign/Likely benign variants as Likely benign and Pathogenic/Likely pathogenic variants as Likely pathogenic.

Variant type Pathogenic Likely pathogenic VUS Likely benign Benign Sum
synonymous
2
clinvar
88
clinvar
90
missense
6
clinvar
17
clinvar
129
clinvar
1
clinvar
153
nonsense
11
clinvar
2
clinvar
1
clinvar
14
start loss
3
clinvar
3
frameshift
15
clinvar
5
clinvar
1
clinvar
21
inframe indel
2
clinvar
2
clinvar
1
clinvar
5
splice donor/acceptor (+/-2bp)
14
clinvar
3
clinvar
1
clinvar
18
splice region
9
7
16
non coding
1
clinvar
35
clinvar
67
clinvar
27
clinvar
130
Total 52 29 170 156 27

Highest pathogenic variant AF is 0.00000658

Variants in GCH1

This is a list of pathogenic ClinVar variants found in the GCH1 region.

You can filter this list by clicking the number of variants in the Variants pathogenicity by type table.

Position Type Phenotype Significance ClinVar
14-54842102-A-G GTP cyclohydrolase I deficiency • Dystonia 5 Benign (Jan 12, 2018)313357
14-54842110-T-C GTP cyclohydrolase I deficiency • Dystonia 5 Uncertain significance (Jan 12, 2018)313358
14-54842162-T-C Dystonia 5 • GTP cyclohydrolase I deficiency Uncertain significance (Jan 13, 2018)883578
14-54842193-T-G Dystonia 5 • GTP cyclohydrolase I deficiency Uncertain significance (Jan 12, 2018)313359
14-54842298-G-A GTP cyclohydrolase I deficiency • Dystonia 5 Uncertain significance (Jan 13, 2018)313360
14-54842389-T-G GTP cyclohydrolase I deficiency • Dystonia 5 • Dystonia 5;GTP cyclohydrolase I deficiency with hyperphenylalaninemia Uncertain significance (Sep 01, 2021)313361
14-54842538-C-A Dopa-responsive dystonia • GTP cyclohydrolase I deficiency Likely benign (Jun 14, 2016)313362
14-54842544-T-C Dystonia 5 • GTP cyclohydrolase I deficiency Uncertain significance (Jan 12, 2018)313363
14-54842552-A-AAT GTP cyclohydrolase I deficiency • Dopa-responsive dystonia Likely benign (Jun 14, 2016)313364
14-54842723-T-C GTP cyclohydrolase I deficiency • Dystonia 5 Uncertain significance (Apr 28, 2017)881215
14-54842734-T-G GTP cyclohydrolase I deficiency • Dystonia 5 Uncertain significance (Jan 13, 2018)313365
14-54842760-G-A Dystonia 5 • GTP cyclohydrolase I deficiency Uncertain significance (Jan 13, 2018)313366
14-54842787-G-A GTP cyclohydrolase I deficiency • Dystonia 5 Benign (Aug 30, 2018)313367
14-54842834-G-A GTP cyclohydrolase I deficiency • Dystonia 5 Benign (Jul 05, 2018)313368
14-54842841-G-C GTP cyclohydrolase I deficiency • Dystonia 5 Benign/Likely benign (Jan 13, 2018)313369
14-54842875-C-T GTP cyclohydrolase I deficiency • Dystonia 5 Benign (Jul 05, 2018)313370
14-54842887-G-C Dystonia 5 • GTP cyclohydrolase I deficiency Benign/Likely benign (Jan 13, 2018)313371
14-54842895-T-A GTP cyclohydrolase I deficiency • Dystonia 5 Benign/Likely benign (Jan 13, 2018)313372
14-54842959-C-T GTP cyclohydrolase I deficiency • Dystonia 5 Uncertain significance (Jan 12, 2018)883617
14-54842960-G-GAT Dopa-responsive dystonia • GTP cyclohydrolase I deficiency Benign (Jul 05, 2018)313373
14-54842973-C-T Dystonia 5 • GTP cyclohydrolase I deficiency Conflicting classifications of pathogenicity (Jan 12, 2018)883618
14-54842975-T-C GTP cyclohydrolase I deficiency • Dystonia 5 Uncertain significance (Mar 16, 2018)883619
14-54842984-G-A GTP cyclohydrolase I deficiency • Dystonia 5 • Dystonia 5;GTP cyclohydrolase I deficiency with hyperphenylalaninemia Uncertain significance (Sep 07, 2021)883620
14-54843007-G-A GTP cyclohydrolase I deficiency • Dystonia 5 Conflicting classifications of pathogenicity (Jan 13, 2018)313374
14-54843082-T-G Dystonia 5 • GTP cyclohydrolase I deficiency Uncertain significance (Jan 13, 2018)881260

GnomAD

Source: gnomAD

GeneTypeBio TypeTranscript Coding Exons Length
GCH1protein_codingprotein_codingENST00000491895 660845
pLI Probability
LOF Intolerant
pRec Probability
LOF Recessive
Individuals with
no LOFs
Individuals with
Homozygous LOFs
Individuals with
Heterozygous LOFs
Defined p
0.9030.0969124500021245020.00000803
Z-Score Observed Expected Observed/Expected Mutation Rate Total Possible in Transcript
Missense1.52861360.6330.000007231623
Missense in Polyphen1953.7660.35338617
Synonymous-0.9015950.81.160.00000257487
Loss of Function2.93111.90.08386.90e-7129

LoF frequencies by population

EthnicitySum of pLOFs p
African & African-American0.000.00
Ashkenazi Jewish0.000.00
East Asian0.000.00
Finnish0.000.00
European (Non-Finnish)0.00001800.0000180
Middle Eastern0.000.00
South Asian0.000.00
Other0.000.00

dbNSFP

Source: dbNSFP

Function
FUNCTION: Positively regulates nitric oxide synthesis in umbilical vein endothelial cells (HUVECs). May be involved in dopamine synthesis. May modify pain sensitivity and persistence. Isoform GCH-1 is the functional enzyme, the potential function of the enzymatically inactive isoforms remains unknown. {ECO:0000269|PubMed:12176133, ECO:0000269|PubMed:16338639, ECO:0000269|PubMed:17057711, ECO:0000269|PubMed:8068008, ECO:0000269|PubMed:9445252}.;
Disease
DISEASE: Hyperphenylalaninemia, BH4-deficient, B (HPABH4B) [MIM:233910]: A disease characterized by malignant hyperphenylalaninemia due to tetrahydrobiopterin deficiency, and defective neurotransmission due to depletion of the neurotransmitters dopamine and serotonin. The principal symptoms include: psychomotor retardation, tonicity disorders, convulsions, drowsiness, irritability, abnormal movements, hyperthermia, hypersalivation, and difficulty swallowing. Some patients may present a phenotype of intermediate severity between severe hyperphenylalaninemia and mild dystonia. In this intermediate phenotype, there is marked motor delay, but no mental retardation and only minimal, if any, hyperphenylalaninemia. {ECO:0000269|PubMed:7501255, ECO:0000269|PubMed:9667588}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Dystonia, dopa-responsive (DRD) [MIM:128230]: A form of dystonia that responds to L-DOPA treatment without side effects. Dystonia is defined by the presence of sustained involuntary muscle contractions, often leading to abnormal postures. DRD typically presents in childhood with walking problems due to dystonia of the lower limbs and worsening of the dystonia towards the evening. It is characterized by postural and motor disturbances showing marked diurnal fluctuation. Torsion of the trunk is unusual. Symptoms are alleviated after sleep and aggravated by fatigue and exercise. {ECO:0000269|PubMed:10076897, ECO:0000269|PubMed:10208576, ECO:0000269|PubMed:10582612, ECO:0000269|PubMed:10825351, ECO:0000269|PubMed:10987649, ECO:0000269|PubMed:11113234, ECO:0000269|PubMed:12391354, ECO:0000269|PubMed:17101830, ECO:0000269|PubMed:7501255, ECO:0000269|PubMed:7874165, ECO:0000269|PubMed:8852666, ECO:0000269|PubMed:8957022, ECO:0000269|PubMed:9120469, ECO:0000269|PubMed:9328244, ECO:0000269|PubMed:9778264}. Note=The disease is caused by mutations affecting the gene represented in this entry.;
Pathway
Folate biosynthesis - Homo sapiens (human);Sepiapterin reductase deficiency;Segawa syndrome;Pterine Biosynthesis;Dopa-responsive dystonia;Hyperphenylalaniemia due to guanosine triphosphate cyclohydrolase deficiency;Hyperphenylalaninemia due to 6-pyruvoyltetrahydropterin synthase deficiency (ptps);Hyperphenylalaninemia due to dhpr-deficiency;tetrahydrobiopterin <i>de novo</i> biosynthesis;Folate metabolism;Metabolism;Tetrahydrobiopterin (BH4) synthesis, recycling, salvage and regulation;Metabolism of cofactors;Metabolism of vitamins and cofactors;Purine nucleotides nucleosides metabolism (Consensus)

Recessive Scores

pRec
0.757

Intolerance Scores

loftool
0.0278
rvis_EVS
-0.1
rvis_percentile_EVS
46.2

Haploinsufficiency Scores

pHI
0.292
hipred
Y
hipred_score
0.825
ghis
0.576

Essentials

essential_gene_CRISPR
N
essential_gene_CRISPR2
N
essential_gene_gene_trap
N
gene_indispensability_pred
E
gene_indispensability_score
0.824

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium

Mouse Genome Informatics

Gene name
Gch1
Phenotype
homeostasis/metabolism phenotype; nervous system phenotype (the observable morphological and physiological characteristics of the extensive, intricate network of electochemical structures in the body that is comprised of the brain, spinal cord, nerves, ganglia and parts of the receptor organs that are manifested through development and lifespan); cardiovascular system phenotype (the observable morphological and physiological characteristics of the mammalian heart, blood vessels, or circulatory system that are manifested through development and lifespan); mortality/aging (the observable characteristics related to the ability of a mammalian organism to live and age that are manifested throughout development and life span);

Gene ontology

Biological process
tetrahydrobiopterin biosynthetic process;nitric oxide biosynthetic process;regulation of blood pressure;positive regulation of heart rate;regulation of lung blood pressure;response to lipopolysaccharide;response to interferon-gamma;response to tumor necrosis factor;7,8-dihydroneopterin 3'-triphosphate biosynthetic process;vasodilation;dopamine biosynthetic process;pteridine-containing compound biosynthetic process;negative regulation of blood pressure;tetrahydrofolate biosynthetic process;response to pain;neuromuscular process controlling posture;positive regulation of nitric-oxide synthase activity;cofactor metabolic process;protein homooligomerization;protein heterooligomerization;regulation of removal of superoxide radicals
Cellular component
nucleus;nucleoplasm;cytoplasm;cytosol;cytoplasmic vesicle;nuclear membrane;protein-containing complex;neuron projection terminus
Molecular function
GTPase activity;GTP cyclohydrolase I activity;calcium ion binding;protein binding;GTP binding;zinc ion binding;GTP-dependent protein binding;translation initiation factor binding;protein homodimerization activity;coenzyme binding;mitogen-activated protein kinase binding