UROD

gene
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Summary

UROD (uroporphyrinogen decarboxylase, HGNC:12591) is a protein-coding gene on chromosome 1p34.1, encoding Uroporphyrinogen decarboxylase (P06132). Catalyzes the sequential decarboxylation of the four acetate side chains of uroporphyrinogen to form coproporphyrinogen and participates in the fifth step in the heme biosynthetic pathway. It is a selective cancer dependency (DepMap: 56.3% of cell lines).

This gene encodes an enzyme in the heme biosynthetic pathway. This enzyme is responsible for catalyzing the conversion of uroporphyrinogen to coproporphyrinogen through the removal of four carboxymethyl side chains. Mutations and deficiency in this enzyme are known to cause familial porphyria cutanea tarda and hepatoerythropoetic porphyria.

Source: NCBI Gene 7389 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): UROD-related inherited porphyria (Definitive, ClinGen) — +2 more curated relationships
  • Clinical variants (ClinVar): 202 total — 28 pathogenic, 19 likely-pathogenic
  • Phenotypes (HPO): 48
  • Druggable target: yes
  • Cancer dependency (DepMap): dependent in 56.3% of screened cell lines
  • Dosage sensitivity (ClinGen): haploinsufficiency emerging evidence, triplosensitivity no evidence
  • MANE Select transcript: NM_000374

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:12591
Approved symbolUROD
Nameuroporphyrinogen decarboxylase
Location1p34.1
Locus typegene with protein product
StatusApproved
Ensembl geneENSG00000126088
Ensembl biotypeprotein_coding
OMIM613521
Entrez7389

Gene structure

Transcript identifiers

Ensembl transcripts: 46 — 30 protein_coding, 11 retained_intron, 4 nonsense_mediated_decay, 1 protein_coding_CDS_not_defined

ENST00000246337, ENST00000428106, ENST00000434478, ENST00000460334, ENST00000460906, ENST00000461035, ENST00000462688, ENST00000463092, ENST00000465678, ENST00000466193, ENST00000469548, ENST00000472254, ENST00000473012, ENST00000478467, ENST00000486699, ENST00000490385, ENST00000491300, ENST00000491773, ENST00000494399, ENST00000496439, ENST00000636293, ENST00000636836, ENST00000650713, ENST00000651476, ENST00000652165, ENST00000652287, ENST00000652514, ENST00000894914, ENST00000894915, ENST00000894916, ENST00000894917, ENST00000894918, ENST00000894919, ENST00000894920, ENST00000894921, ENST00000936999, ENST00000937000, ENST00000937001, ENST00000937002, ENST00000937003, ENST00000937004, ENST00000937005, ENST00000937006, ENST00000937007, ENST00000937008, ENST00000962747

RefSeq mRNA: 1 — MANE Select: NM_000374 NM_000374

CCDS: CCDS518

Canonical transcript exons

ENST00000246337 — 10 exons

ExonStartEnd
ENSE000019018304501225445012285
ENSE000034952094501473645014836
ENSE000035400944501390945014070
ENSE000035453244501313645013215
ENSE000035529334501443945014576
ENSE000035736984501329245013354
ENSE000035917124501359445013791
ENSE000036287174501494045015006
ENSE000036725724501290745013019
ENSE000036846574501533745015575

Expression profiles

Bgee: expression breadth ubiquitous, 298 present calls, max score 99.47.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 79.7544 / max 2492.2248, expressed in 1827 samples.

FANTOM5 promoters (9 alternative TSS)

Promoter IDTPM avgSamples expressed
266164.84551826
26673.7574463
26663.6517212
26603.02141500
26592.15561365
26621.3531708
26650.696178
26630.216448
26640.057116

Top tissues by expression

299 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
trabecular bone tissueUBERON:000248399.47gold quality
parotid glandUBERON:000183199.33gold quality
right adrenal glandUBERON:000123398.70gold quality
right adrenal gland cortexUBERON:003582798.66gold quality
parietal pleuraUBERON:000240098.51gold quality
left adrenal glandUBERON:000123498.49gold quality
left adrenal gland cortexUBERON:003582598.49gold quality
adrenal cortexUBERON:000123598.37gold quality
endothelial cellCL:000011598.33gold quality
adrenal glandUBERON:000236997.95gold quality
pleuraUBERON:000097797.88gold quality
middle temporal gyrusUBERON:000277197.79gold quality
Brodmann (1909) area 23UBERON:001355497.69gold quality
bone marrowUBERON:000237197.64gold quality
apex of heartUBERON:000209897.52gold quality
pancreatic ductal cellCL:000207997.51gold quality
germinal epithelium of ovaryUBERON:000130497.46gold quality
visceral pleuraUBERON:000240197.35gold quality
stromal cell of endometriumCL:000225597.22gold quality
right lobe of liverUBERON:000111497.11gold quality
pigmented layer of retinaUBERON:000178296.88gold quality
retinaUBERON:000096696.85gold quality
bone marrow cellCL:000209296.83gold quality
cervix squamous epitheliumUBERON:000692296.82gold quality
lower esophagus muscularis layerUBERON:003583396.75gold quality
nephron tubuleUBERON:000123196.73gold quality
lower esophagusUBERON:001347396.73gold quality
esophagogastric junction muscularis propriaUBERON:003584196.61gold quality
right lobe of thyroid glandUBERON:000111996.60gold quality
left lobe of thyroid glandUBERON:000112096.58gold quality

Single-cell (SCXA)

Detected in 12 experiment(s), a significant marker in 10.

ExperimentMarker?Max mean expression
E-MTAB-9388yes1981.84
E-GEOD-130473yes1452.04
E-MTAB-10042yes834.16
E-CURD-112yes630.17
E-HCAD-4yes413.65
E-HCAD-6yes67.44
E-CURD-122yes21.96
E-MTAB-9067yes20.18
E-HCAD-9yes8.03
E-CURD-98no1573.08
E-ANND-5no608.56
E-ANND-3no0.00

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): MYC, PPARA

miRNA regulators (miRDB)

22 targeting UROD, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-6758-5P100.0066.211470
HSA-MIR-4747-5P100.0067.902681
HSA-MIR-5196-5P100.0067.982761
HSA-MIR-132399.8369.892471
HSA-MIR-6764-5P99.7567.892304
HSA-MIR-548O-3P99.7469.302228
HSA-MIR-397599.6265.97697
HSA-MIR-1915-3P99.5866.791988
HSA-MIR-446099.3768.52615
HSA-MIR-470599.1069.101091
HSA-MIR-3152-3P99.1066.35678
HSA-MIR-452-3P99.0166.251241
HSA-MIR-570198.9769.541502
HSA-MIR-676-3P97.8665.70668
HSA-MIR-6718-5P97.2468.15553
HSA-MIR-2355-3P96.8468.54909
HSA-MIR-397696.6767.791187
HSA-MIR-1226-5P96.5065.28643
HSA-MIR-6834-5P96.2564.88823
HSA-MIR-6734-5P95.7065.56950
HSA-MIR-3679-5P94.7566.46862
HSA-MIR-1185-5P94.4765.95725

Functional genomics

ClinGen dosage: haploinsufficiency 2 (emerging evidence), triplosensitivity 0 (no evidence). ClinGen Gene Dosage Map DepMap (CRISPR cell-line fitness): dependent in 56.3% of screened cell lines.

Literature-anchored findings (GeneRIF, showing 16)

  • Sequence deletions in uroporphyrinogen decarboxylase is associated with Porphyria Cutanea Tarda. (PMID:15046048)
  • we identified eight mutations in 18 previously unclassified porphyria cutanea tarda families (PMID:15186324)
  • Sequencing of the hydroxymethylbilane synthase and uroporphyrinogen decarboxylase genes confirmed the relatively rare diagnosis of dual porphyria, and revealed a novel uroporphyrinogen decarboxylase mutation (PMID:16390615)
  • There is a high degree of molecular heterogeneity of familial porphyria cutanea tarda in Spain and molecular genetic analysis is useful in distinguish between F-PCT and sporadic PCT. (PMID:17627795)
  • role of UROD mutations as a strong risk factor for porphyria cutanea tarda even in areas where environmental factors (hepatitis C virus) have been shown to be highly associated with the disease (PMID:19419417)
  • Expression of the D306Y mutation results in an insoluble recombinant protein. G318R and K297N have little effect on the structure or activity of recombinant URO-D, but the proteins display reduced stability in vitro. (PMID:19656450)
  • description of 3 siblings with hepatoerythropoietic porphyria; sequencing of the UROD gene revealed compound heterozygosity for a novel missense mutation, V166A, and a complex deletion/insertion, 645del1053ins10 (PMID:20479301)
  • function of Arg37 in uroporphyrinogen III decarboxylase (PMID:20553007)
  • Hepatoerythropoietic porphyria and familial porphyria cutanea tarda G281E mutation in the uroporphyrinogen decarboxylase gene (PMID:21079081)
  • Mutations in UROD gene is associated with familial porphyria cutanea tarda. (PMID:22382040)
  • Data suggest that the traditional Chinese medicine (TCM) candidate potential three-in-one inhibitors for three drug target proteins epidermal growth factor receptor (EGFR), Her2, and uroporphyrinogen decarboxylase (UROD) against head and neck cancer. (PMID:23140436)
  • analysis of uroporphyrinogen decarboxylase as a potential target for specific components of traditional Chinese medicine (PMID:23209648)
  • Among seventeen F-PCT patients, sixteen UROD mutations were identified. (PMID:23545314)
  • a new insight in the conformational changes occurred in the mutant structures of UROD protein. (PMID:24777812)
  • a new mutation in the UROD gene in Egyptian patients with Hepatoerythropoietic porphyria, is reported. (PMID:26789143)
  • These results expand the molecular heterogeneity of Porphyria Cutanea Tarda and Hepatoerythropoietic Porphyria by adding a total of 19 novel UROD mutations. (PMID:30514647)

Cross-species orthologs

4 orthologs

OrganismSymbolGene ID
danio_reriourodENSDARG00000006818
mus_musculusUrodENSMUSG00000028684
rattus_norvegicusUrodENSRNOG00000018211
drosophila_melanogasterUrodFBGN0033428

Paralogs (4): MTR (ENSG00000116984), BHMT2 (ENSG00000132840), BHMT (ENSG00000145692), MTHFR (ENSG00000177000)

Protein

Protein identifiers

Uroporphyrinogen decarboxylaseP06132 (reviewed: P06132)

All UniProt accessions (14): P06132, A0A1B0GVN9, A0A1B0GVZ4, A0A494BZV1, A0A494BZY8, A0A494C007, A0A494C085, A0A494C0P4, A0A494C0Q8, A0A494C0S8, A0A494C1D8, A0A494C1T3, H0Y5R6, Q5T446

UniProt curated annotations — full annotation on UniProt →

Function. Catalyzes the sequential decarboxylation of the four acetate side chains of uroporphyrinogen to form coproporphyrinogen and participates in the fifth step in the heme biosynthetic pathway. Isomer I or isomer III of uroporphyrinogen may serve as substrate, but only coproporphyrinogen III can ultimately be converted to heme. In vitro also decarboxylates pentacarboxylate porphyrinogen I.

Subunit / interactions. Homodimer.

Subcellular location. Cytoplasm. Cytosol.

Disease relevance. Familial porphyria cutanea tarda (FPCT) [MIM:176100] A form of porphyria. Porphyrias are inherited defects in the biosynthesis of heme, resulting in the accumulation and increased excretion of porphyrins or porphyrin precursors. They are classified as erythropoietic or hepatic, depending on whether the enzyme deficiency occurs in red blood cells or in the liver. Familial porphyria cutanea tarda is an autosomal dominant disorder characterized by light-sensitive dermatitis, with onset in later life. It is associated with the excretion of large amounts of uroporphyrin in the urine. Iron overload is often present in association with varying degrees of liver damage. The disease is caused by variants affecting the gene represented in this entry. Hepatoerythropoietic porphyria (HEP) [MIM:176100] A form of porphyria. Porphyrias are inherited defects in the biosynthesis of heme, resulting in the accumulation and increased excretion of porphyrins or porphyrin precursors. They are classified as erythropoietic or hepatic, depending on whether the enzyme deficiency occurs in red blood cells or in the liver. HEP is a cutaneous porphyria that presents in infancy. It is characterized biochemically by excessive excretion of acetate-substituted porphyrins and accumulation of protoporphyrin in erythrocytes. Uroporphyrinogen decarboxylase levels are very low in erythrocytes and cultured skin fibroblasts. The disease is caused by variants affecting the gene represented in this entry.

Pathway. Porphyrin-containing compound metabolism; protoporphyrin-IX biosynthesis; coproporphyrinogen-III from 5-aminolevulinate: step 4/4.

Similarity. Belongs to the uroporphyrinogen decarboxylase family.

RefSeq proteins (1): NP_000365* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000257Uroporphyrinogen_deCOaseDomain
IPR006361Uroporphyrinogen_deCO2ase_HemEFamily
IPR038071UROD/MetE-like_sfHomologous_superfamily

Pfam: PF01208

Enzyme classification (BRENDA):

  • EC 4.1.1.37 — uroporphyrinogen decarboxylase (BRENDA: 18 organisms, 45 substrates, 83 inhibitors, 54 Km, 7 kcat entries)

Substrate kinetics (BRENDA)

15 substrates with measured Km, best-characterized 15. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
UROPORPHYRINOGEN I10
UROPORPHYRINOGEN III9
5-COOH-PORPHYRINOGEN I0.0001–0.00226
7-COOH-PORPHYRINOGEN0.0002–0.00134
5-COOH-PORPHYRINOGEN III0.0001–0.00043
6-COOH-PORPHYRINOGEN I0.0003–0.00293
7-COOH-PORPHYRINOGEN I3
UROPORPHYRINOGEN-I0.0277–0.03813
UROPORPHYRINOGEN-III0.0108–0.01483
8-CARBOXYLPORPHYRINOGEN0.0015–0.01052
8-COOH-PORPHYRINOGEN III0.0003–0.00052
6-COOH-PORPHYRINOGEN III0.00061
7-COOH, PORPHYRINOGEN0.00231
7-COOH-PORPHYRINOGEN III0.00031
8-COOH-PORPHYRINOGEN I0.00081

Catalyzed reactions (Rhea), 2 shown:

  • uroporphyrinogen III + 4 H(+) = coproporphyrinogen III + 4 CO2 (RHEA:19865)
  • uroporphyrinogen I + 4 H(+) = coproporphyrinogen I + 4 CO2 (RHEA:31239)

UniProt features (98 total): sequence variant 41, helix 21, binding site 15, strand 9, mutagenesis site 4, sequence conflict 3, turn 2, chain 1, site 1, modified residue 1

Structure

Experimental structures (PDB)

19 structures.

PDBMethodResolution (Å)
1R3SX-RAY DIFFRACTION1.65
1R3QX-RAY DIFFRACTION1.7
1R3TX-RAY DIFFRACTION1.7
1R3WX-RAY DIFFRACTION1.7
3GW3X-RAY DIFFRACTION1.7
1R3YX-RAY DIFFRACTION1.75
1UROX-RAY DIFFRACTION1.8
1R3RX-RAY DIFFRACTION1.85
1R3VX-RAY DIFFRACTION1.9
2Q71X-RAY DIFFRACTION1.9
2Q6ZX-RAY DIFFRACTION2
3GW0X-RAY DIFFRACTION2
1JPHX-RAY DIFFRACTION2.1
3GVQX-RAY DIFFRACTION2.1
1JPKX-RAY DIFFRACTION2.2
3GVRX-RAY DIFFRACTION2.2
1JPIX-RAY DIFFRACTION2.3
3GVVX-RAY DIFFRACTION2.8
3GVWX-RAY DIFFRACTION2.8

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P06132-F196.900.94

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Catalytic / active sites (1): 86 (transition state stabilizer)

Ligand- & substrate-binding residues (15): 37; 164; 164; 219; 219; 339; 339; 37; 39; 39; 41; 41

Post-translational modifications (1): 1

Mutagenesis-validated functional residues (4):

PositionPhenotype
865-10% of wild-type activity.
86very low activity. binds substrate with similar geometry as wild-type.
86no activity. unable to bind substrate.
16425-30% of wild-type activity.

Function

Pathways and Gene Ontology

Reactome pathways

1 pathways

IDPathway
R-HSA-189451Heme biosynthesis

MSigDB gene sets: 283 (showing top): GNF2_PRDX2, REACTOME_METABOLISM_OF_PORPHYRINS, DITTMER_PTHLH_TARGETS_UP, ACEVEDO_NORMAL_TISSUE_ADJACENT_TO_LIVER_TUMOR_DN, IVANOVA_HEMATOPOIESIS_LATE_PROGENITOR, DACOSTA_UV_RESPONSE_VIA_ERCC3_UP, GOBP_TETRAPYRROLE_BIOSYNTHETIC_PROCESS, GCM_MYCL1, GNF2_ANK1, GOBP_PORPHYRIN_CONTAINING_COMPOUND_METABOLIC_PROCESS, BLALOCK_ALZHEIMERS_DISEASE_UP, chr1p34, GOBP_TETRAPYRROLE_METABOLIC_PROCESS, GOBP_PIGMENT_METABOLIC_PROCESS, GNF2_SPTA1

GO Biological Process (8): porphyrin-containing compound metabolic process (GO:0006778), obsolete protoporphyrinogen IX biosynthetic process (GO:0006782), heme biosynthetic process (GO:0006783), heme A biosynthetic process (GO:0006784), heme B biosynthetic process (GO:0006785), porphyrin-containing compound catabolic process (GO:0006787), porphyrin-containing compound biosynthetic process (GO:0006779), heme metabolic process (GO:0042168)

GO Molecular Function (4): uroporphyrinogen decarboxylase activity (GO:0004853), protein binding (GO:0005515), lyase activity (GO:0016829), carboxy-lyase activity (GO:0016831)

GO Cellular Component (3): nucleoplasm (GO:0005654), cytosol (GO:0005829), cytoplasm (GO:0005737)

Reactome top-level categories

Rollup of top-1 pathways:

CategoryPathways
Metabolism of porphyrins1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
porphyrin-containing compound metabolic process3
cellular anatomical structure3
heme biosynthetic process2
tetrapyrrole metabolic process1
porphyrin-containing compound biosynthetic process1
heme metabolic process1
pigment biosynthetic process1
tetrapyrrole catabolic process1
tetrapyrrole biosynthetic process1
pigment metabolic process1
carboxy-lyase activity1
binding1
catalytic activity1
carbon-carbon lyase activity1
nuclear lumen1
cytoplasm1
intracellular anatomical structure1

Protein interactions and networks

STRING

1818 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
URODCPOXP36551976
URODALADP13716975
URODHMBSP08396965
URODPPOXP50336949
URODUROSP10746918
URODFECHP22830867
URODHFEQ30201856
URODALAS1P13196839
URODALAS2P22557742
URODCYP1A2P05177684
URODTFRCP02786679
URODSLC25A38Q96DW6642
URODABCB6Q9NP58613
URODTDO2P48775573
URODBLVRAP53004545

IntAct

41 interactions, top by confidence:

ABTypeScore
LRATD2URODpsi-mi:“MI:0915”(physical association)0.780
URODLRATD2psi-mi:“MI:0915”(physical association)0.780
URODPOTEFpsi-mi:“MI:0915”(physical association)0.590
PPIDURODpsi-mi:“MI:0915”(physical association)0.590
PILRAURODpsi-mi:“MI:0915”(physical association)0.560
URODTSSK3psi-mi:“MI:0915”(physical association)0.560
URODPHKA2psi-mi:“MI:0915”(physical association)0.560
EGFRURODpsi-mi:“MI:0915”(physical association)0.550
CPNE5RAD21psi-mi:“MI:0914”(association)0.530
URODUrodpsi-mi:“MI:0915”(physical association)0.400
URODCHD3psi-mi:“MI:0915”(physical association)0.370
URODFAF1psi-mi:“MI:0915”(physical association)0.370
HMGXB4URODpsi-mi:“MI:0915”(physical association)0.370
VIMURODpsi-mi:“MI:0915”(physical association)0.370
CPNE5NCK2psi-mi:“MI:0914”(association)0.350
pipB2PSMD12psi-mi:“MI:0914”(association)0.350
DDX28UBA6psi-mi:“MI:0914”(association)0.350
GAB2UBA6psi-mi:“MI:0914”(association)0.350
NPPBACOT7psi-mi:“MI:0914”(association)0.350
TCF4INHApsi-mi:“MI:0914”(association)0.350
TMEM129INHApsi-mi:“MI:0914”(association)0.350
URODC3psi-mi:“MI:0914”(association)0.350
PILRAURODpsi-mi:“MI:0915”(physical association)0.000
URODPHKA2psi-mi:“MI:0915”(physical association)0.000

BioGRID (51): FAM84B (Two-hybrid), UROD (Affinity Capture-RNA), UROD (Affinity Capture-RNA), POTEF (Affinity Capture-MS), WDR45B (Affinity Capture-MS), MYCBP (Co-fractionation), TIPRL (Co-fractionation), UROD (Affinity Capture-MS), POTEF (Affinity Capture-MS), UROD (Affinity Capture-MS), UROD (Biochemical Activity), UROD (Proximity Label-MS), UROD (Affinity Capture-RNA), UROD (Two-hybrid), UROD (Two-hybrid)

ESM2 similar proteins: A1AIG8, A1S2J2, A1VJ58, A2SC07, A4W5C0, A6T450, A6TGQ4, A7MJ78, A8FQD0, B0KN28, B1WVY1, B2J9R9, B2SKP7, B2VG77, B5XYE1, B5Z093, B7LUK5, B7MIY3, B7N2J9, B7NRT0, B7UPF2, C3KBH3, C5BHE8, C5BRJ3, C5CLI6, P06132, P16891, P32362, P54224, P57964, P70697, Q0A4Y2, Q0I5E2, Q12S16, Q1R5W3, Q2JKH3, Q2JX97, Q2NWR2, Q2P6D1, Q31U00

Diamond homologs: A0M6C4, A1AIG8, A1BCW4, A1SZJ4, A3MYI4, A4SGN6, A4W5C0, A4XPQ6, A5FLE7, A5IDL1, A6GVN8, A6VDF5, A6VQT2, A7FNH2, A7N075, A7ZUL3, A8A797, A8AKS6, A8FQD0, A8G8F7, A9KCZ5, A9NB09, B0BS17, B0KN28, B0US07, B1IUQ0, B1J2J9, B1KN91, B1LNU9, B1XC00, B2TWI4, B3EHV5, B3EL29, B3GZV2, B3QL69, B3QXB5, B4EYT8, B4S3W2, B4SGD6, B5FC78

SIGNOR signaling

0 interactions.

Disease & clinical

Clinical variants and AI predictions

ClinVar

202 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic28
Likely pathogenic19
Uncertain significance91
Likely benign20
Benign5

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1353137NM_000374.5(UROD):c.385_386insAGT (p.Ser129Ter)Pathogenic
1455082NM_000374.5(UROD):c.497T>C (p.Val166Ala)Pathogenic
1459078NC_000001.10:g.(?45478583)(45479635_?)delPathogenic
1695444NM_000374.5(UROD):c.430C>T (p.Arg144Ter)Pathogenic
2202750NM_000374.5(UROD):c.238G>T (p.Ala80Ser)Pathogenic
2633059NM_000374.5(UROD):c.943-1G>APathogenic
2733886NM_000374.5(UROD):c.96del (p.Val33fs)Pathogenic
2733887NM_000374.5(UROD):c.239C>G (p.Ala80Gly)Pathogenic
2733891NM_000374.5(UROD):c.874del (p.Arg292fs)Pathogenic
2826063NM_000374.5(UROD):c.635del (p.Gln212fs)Pathogenic
2907277NM_000374.5(UROD):c.812_842del (p.Glu271fs)Pathogenic
3063966NM_000374.5(UROD):c.651dup (p.Glu218Ter)Pathogenic
3370430NM_000374.5(UROD):c.186dup (p.Glu63Ter)Pathogenic
3380963NM_000374.5(UROD):c.398_399del (p.Tyr133fs)Pathogenic
3639318NM_000374.5(UROD):c.89del (p.Tyr30fs)Pathogenic
3664190NM_000374.5(UROD):c.820C>T (p.Gln274Ter)Pathogenic
3720199NM_000374.5(UROD):c.102G>A (p.Trp34Ter)Pathogenic
3910501NM_000374.5(UROD):c.400G>C (p.Val134Leu)Pathogenic
64679NM_000374.5(UROD):c.346C>T (p.Gln116Ter)Pathogenic
66NM_000374.5(UROD):c.842G>A (p.Gly281Glu)Pathogenic
67NM_000374.5(UROD):c.636+1G>CPathogenic
69NM_000374.5(UROD):c.874C>G (p.Arg292Gly)Pathogenic
70NM_000374.5(UROD):c.185C>T (p.Pro62Leu)Pathogenic
74NM_000374.5(UROD):c.583C>T (p.Leu195Phe)Pathogenic
75NM_000374.5(UROD):c.912C>A (p.Asn304Lys)Pathogenic
801474NM_000374.5(UROD):c.904C>T (p.Gln302Ter)Pathogenic
915319NM_000374.5(UROD):c.21-1G>CPathogenic
986911NM_000374.5(UROD):c.203_207dup (p.Leu70Ter)Pathogenic
1067802NM_000374.5(UROD):c.133+1delLikely pathogenic
1298341NM_000374.5(UROD):c.583_611del (p.Leu195fs)Likely pathogenic

SpliceAI

1304 predictions. Top by Δscore:

VariantEffectΔscore
1:45012897:T:TAacceptor_gain1.0000
1:45013018:AGGT:Adonor_loss1.0000
1:45013019:GGT:Gdonor_loss1.0000
1:45013020:GT:Gdonor_loss1.0000
1:45013690:G:GTdonor_gain1.0000
1:45013708:C:Gdonor_gain1.0000
1:45013712:GC:Gdonor_gain1.0000
1:45013713:C:Gdonor_gain1.0000
1:45013757:G:GTdonor_gain1.0000
1:45013757:G:Tdonor_gain1.0000
1:45013792:G:GGdonor_gain1.0000
1:45013907:A:AGacceptor_gain1.0000
1:45013907:AGT:Aacceptor_gain1.0000
1:45013908:G:GGacceptor_gain1.0000
1:45013908:GT:Gacceptor_gain1.0000
1:45013908:GTG:Gacceptor_gain1.0000
1:45014832:GCCCG:Gdonor_gain1.0000
1:45014836:GGTAA:Gdonor_loss1.0000
1:45014837:G:GCdonor_loss1.0000
1:45014837:G:GGdonor_gain1.0000
1:45012894:ACCT:Aacceptor_gain0.9900
1:45013020:G:GGdonor_gain0.9900
1:45013021:T:Gdonor_loss0.9900
1:45013290:A:AGacceptor_gain0.9900
1:45013291:G:GGacceptor_gain0.9900
1:45013350:CCCAG:Cdonor_loss0.9900
1:45013351:CCAG:Cdonor_loss0.9900
1:45013352:CAGGT:Cdonor_loss0.9900
1:45013353:AG:Adonor_loss0.9900
1:45013354:GGTA:Gdonor_loss0.9900

AlphaMissense

2364 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
1:45013335:A:TD86V0.999
1:45013777:T:CF154L0.999
1:45013779:T:AF154L0.999
1:45013779:T:GF154L0.999
1:45013328:T:CF84L0.998
1:45013330:C:AF84L0.998
1:45013330:C:GF84L0.998
1:45012986:T:AW34R0.997
1:45012986:T:CW34R0.997
1:45013138:T:CF46L0.997
1:45013140:T:AF46L0.997
1:45013140:T:GF46L0.997
1:45013335:A:CD86A0.997
1:45013335:A:GD86G0.997
1:45013334:G:CD86H0.995
1:45013336:C:AD86E0.995
1:45013336:C:GD86E0.995
1:45014451:T:CF217L0.995
1:45014453:T:AF217L0.995
1:45014453:T:GF217L0.995
1:45013778:T:CF154S0.994
1:45012995:C:AR37S0.993
1:45013000:G:CQ38H0.993
1:45013000:G:TQ38H0.993
1:45013334:G:TD86Y0.993
1:45013909:T:AW159R0.993
1:45013909:T:CW159R0.993
1:45015402:C:AN336K0.993
1:45015402:C:GN336K0.993
1:45012994:G:AM36I0.992

dbSNP variants (sampled 300 via entrez): RS1000689718 (1:45010979 G>A), RS1001053303 (1:45012627 T>C), RS1001647308 (1:45012776 G>A), RS1001840437 (1:45013217 T>C), RS1001908940 (1:45011268 C>T), RS1001953903 (1:45011740 C>A,G,T), RS1003918163 (1:45011652 A>T), RS1004430579 (1:45011462 C>G), RS1004483818 (1:45011291 C>T), RS1005587216 (1:45012016 C>A,G,T), RS1008269483 (1:45010653 C>A,G,T), RS1009175901 (1:45012670 G>A,C,T), RS1010753271 (1:45012094 C>A,T), RS1010904769 (1:45015652 C>G,T), RS1010988127 (1:45015060 G>A)

Disease associations

OMIM: gene MIM:613521 | disease phenotypes: MIM:176100, MIM:176090

GenCC curated gene-disease

DiseaseClassificationInheritance
UROD-related inherited porphyriaDefinitiveSemidominant
familial porphyria cutanea tardaStrongAutosomal dominant
hepatoerythropoietic porphyriaSupportiveAutosomal recessive

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
UROD-related inherited porphyriaDefinitiveSD

Mondo (5): familial porphyria cutanea tarda (MONDO:0008296), UROD-related inherited porphyria (MONDO:0100498), porphyria cutanea tarda (MONDO:0015104), hepatoerythropoietic porphyria (MONDO:0019799), sporadic porphyria cutanea tarda (MONDO:0008295)

Orphanet (4): Porphyria cutanea tarda (Orphanet:101330), Familial porphyria cutanea tarda (Orphanet:443062), Hepatoerythropoietic porphyria (Orphanet:95159), Sporadic porphyria cutanea tarda (Orphanet:443057)

HPO phenotypes

48 total (30 of 48 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0000618Blindness
HP:0000656Ectropion
HP:0000938Osteopenia
HP:0000939Osteoporosis
HP:0000953Hyperpigmentation of the skin
HP:0000969Edema
HP:0000989Pruritus
HP:0000992Cutaneous photosensitivity
HP:0001010Hypopigmentation of the skin
HP:0001030Fragile skin
HP:0001072Thickened skin
HP:0001096Keratoconjunctivitis
HP:0001394Cirrhosis
HP:0001402Hepatocellular carcinoma
HP:0001560Abnormality of the amniotic fluid
HP:0001596Alopecia
HP:0001744Splenomegaly
HP:0001790Nonimmune hydrops fetalis
HP:0001806Onycholysis
HP:0001878Hemolytic anemia
HP:0001892Abnormal bleeding
HP:0002219Facial hypertrichosis
HP:0002797Osteolysis
HP:0003401Paresthesia
HP:0004552Scarring alopecia of scalp
HP:0005406Recurrent bacterial skin infections
HP:0005586Hyperpigmentation in sun-exposed areas
HP:0007537Severe photosensitivity

GWAS associations

0 associations (top):

MeSH disease descriptors (3)

DescriptorNameTree numbers
D017119Porphyria Cutanea TardaC06.552.830.100; C16.320.850.742.250; C17.800.827.742.250; C18.452.811.400.250
D017121Porphyria, HepatoerythropoieticC06.552.830.437; C16.320.850.742.437; C17.800.827.742.437; C18.452.811.400.437
C566768Porphyria Cutanea Tarda, Type I (supp.)

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (1): CHEMBL1681619 (SINGLE PROTEIN)

PharmGKB: 1 entry (VIP=true, CPIC=false)

CTD chemical–gene interactions

55 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
(+)-JQ1 compounddecreases expression3
bisphenol Adecreases expression, increases expression2
sodium arsenitedecreases expression, increases abundance2
Acetaminophendecreases expression2
aristolochic acid Iincreases expression1
methylmercuric chloridedecreases expression1
decabromobiphenyl etherdecreases expression1
beta-lapachonedecreases expression, increases expression1
arseniteaffects binding, increases reaction1
tetrabromobisphenol Adecreases expression1
ochratoxin Aincreases expression1
coumarinincreases phosphorylation1
perfluorooctane sulfonic acidincreases expression1
CGP 52608affects binding, increases reaction1
chloropicrinincreases expression1
K 7174decreases expression1
scopolinaffects activity, affects binding1
nodakeninaffects activity, affects binding1
bisphenol Bincreases expression1
pentabrominated diphenyl ether 100decreases expression1
hexabrominated diphenyl ether 153decreases expression1
bisphenol Sincreases expression1
jinfukangincreases expression1
isopraeroside IVaffects activity, affects binding1
Resveratrolaffects cotreatment, increases expression1
Sunitinibdecreases expression1
Arsenic Trioxidedecreases expression1
Air Pollutantsincreases abundance, decreases expression1
Alcoholsdecreases activity1
Arsenicdecreases expression, increases abundance1

ChEMBL screening assays

2 unique, capped per target: 2 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL1676175BindingActivity at recombinant URO-D assessed as product formation after 30 minsNormal and abnormal heme biosynthesis. Part 7. Synthesis and metabolism of coproporphyrinogen-III analogues with acetate or butyrate side chains on rings C and D. Development of a modified model for the active site of coproporphyrinogen oxidase. — Bioorg Med Chem

Cellosaurus cell lines

6 cell lines: 6 transformed cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_B0GWLB44Transformed cell lineSex unspecified
CVCL_B0GXLB44-LUDSN11Transformed cell lineSex unspecified
CVCL_B0GYLB45Transformed cell lineSex unspecified
CVCL_B0GZLB45-LUDSN11Transformed cell lineSex unspecified
CVCL_B0H0LB86Transformed cell lineSex unspecified
CVCL_B0H1LB86-LUDSN11Transformed cell lineSex unspecified

Clinical trials (associated diseases)

7 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00599326PHASE3COMPLETEDPilot Trial of Deferasirox in the Treatment of Porphyria Cutanea Tarda
NCT01284946PHASE2UNKNOWNSafety and Efficacy of Oral Deferasirox in Patients With Porphyria Cutanea Tarda
NCT01573754PHASE2COMPLETEDHydroxychloroquine and Phlebotomy for Treating Porphyria Cutanea Tarda
NCT03118674PHASE2COMPLETEDHarvoni Treatment Porphyria Cutanea Tarda
NCT03388944Not specifiedCOMPLETEDPCT Guided Stopping of Antibiotic Therapy in Children With Sepsis
NCT00005103Not specifiedCOMPLETEDStudy of the Pathogenesis of Porphyria Cutanea Tarda
NCT00213772Not specifiedCOMPLETEDRisk Factors of Porphyria Cutanea Tarda (PCT)