The study used patient-derived cells and a mouse model to show that DHPS mutations reduce the enzyme's activity, leading to a shift in eIF5A modifications that impairs mRNA translation and disrupts neuronal development.
Human Genetics and Genomics Advances · 9 authors, 8 centres
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The study used patient-derived cells and a mouse model to show that DHPS mutations reduce the enzyme's activity, leading to a shift in eIF5A modifications that impairs mRNA translation and disrupts neuronal development.
Using patient-derived lymphoblast cell lines and a mouse model with brain-specific Dhps deletion, the authors demonstrated that human DHPS variants cause reduced DHPS protein abundance and impaired enzyme activity. This leads to a shift in eukaryotic initiation factor 5A (eIF5A) modifications, increasing the nuclear acetylated form (eIF5A^AcK47^) and decreasing the cytoplasmic hypusinated form (eIF5A^HYP^). The resulting defect in mRNA translation altered the synthesis of proteins critical for neuronal development and function. Limitations include the use of a brain-specific knockout model that may not fully recapitulate all human clinical features, and the study's primary focus on molecular mechanisms rather than direct clinical outcomes.