Abstract

Biotinidase deficiency is an autosomal recessively inherited disorder characterized by neurological and cutaneous abnormalities. Untreated individuals with biotinidase deficiency cannot recycle biotin from biocytin (N-biotinyl-ϵ-lysine), the proteolytic digestion product of protein-bound biotin. Biotin therapy can markedly resolve symptoms, or can prevent the development of symptoms if initiated early. To understand better the pathogenesis of the neurological problems in the disorder in humans, we have compared gene transcription changes during the first week post-birth in the brains of biotinidase-deficient, transgenic, knock-out mice at days 1 and 8 and compared to changes in wildtype mice at the same times. The knockout pups that were not supplemented with unconjugated biotin became symptomatic by day 8 and exhibiting failure to thrive. Wildtype pups remained asymptomatic under the same experimental conditions. We compared all four possible combinations and noted the most significant up- and down-regulated genes in the knockout animals at Day 8 compared to those at Day 1, reflecting the changes in gene expression over the first week of development. These alterations involved neurological development and immunological function pathways and provide some clues to avenues for further research. At this time, these preliminary analyses provide us with limited, but new information. However, with the development of new algorithms and programs examining various mechanisms and pathways in the central nervous system, these analyses may help us to understand better the role of biotinidase and the pathogenesis of biotinidase deficiency.

Highlights

  • Human carboxylases are important for amino acid catabolism, fatty acid synthesis, and gluconeogenesis [1]

  • We developed and characterized a transgenic, knock-out mouse with biotinidase deficiency to various study aspects of the disorder

  • Symptomatic mice with biotinidase deficiency developed neurocutaneous abnormalities similar to the clinical features seen in children with untreated profound biotinidase deficiency [3]

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Summary

Introduction

Human carboxylases are important for amino acid catabolism, fatty acid synthesis, and gluconeogenesis [1]. Biotinidase (EC 3.5.1.12) is responsible for cleaving and recycling biotin from its bound forms, such as biocytin and biotinyl-peptides [2]. Untreated individuals with profound biotinidase deficiency (b 10% of mean normal serum activity) can exhibit neurological symptoms, including hypotonia, seizures, ataxia, optic atrophy, sensorineural hearing loss, spastic paraparesis, and developmental delay [3]. Individuals with profound biotinidase deficiency (OMIM #253260) improve markedly with oral supplementation of free, unconjugated biotin, but usually continue to exhibit irreversible neurological abnormalities [4]. Treatment with biotin can prevent the development of symptoms in enzyme-deficient individuals. This is why biotinidase deficiency has been added to the newborn screening programs of all states in the United States and in many countries [5]

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