Table 2.

Genetic and enzymatic features of the acute hepatic porphyrias.

Disease (Abbreviation)Inheritance Number‡Deficient Enzymes (Synonyms; Sequence in Pathway)Subcellular LocationsEnzyme Activity% of normalKnown Mutations, n†Gene LocusOMIM
* Acute intermittent porphyria is the most prevalent and 5-aminolevulinic acid-dehydratase deficient porphyria is the least prevalent of these diseases in the United States. 
Abbreviations: ALA, 5-aminolevulinic acid (d-aminolevulinic acid); HMB, hydroxymethylbilane; OMIM, Online Mendelian Inheritance in Man; PBG, porphobilinogen. 
† Human Gene Mutation Database (www.hgmd.org) as of 14 October 2004. 
‡ Online Mendelian Inheritance in Man (for additional information on disease and its genetics) (www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=OMIM
§ Formerly known as uroporphyrinogen I synthase. 
Reprinted with permission from
Anderson KE, Bloomer JR, Bonkovsky HL, et al. Recommendations for the diagnosis and treatment of the acute porphyrias.
Ann Intern Med
.
2005
;
142
:
439
–450.
 
Acute intermittent porphyria (AIP) Autosomal dominant PBG deaminase (HMB synthase; third)§ Cytosolic ~ 50 227 11q23.3 176000 
Hereditary coproporphyria Autosomal dominant Coproporphyrinogen oxidase (sixth) Mitochondrial ~ 50 36 3q12 +121300 
Variegate porphyria (VP) Autosomal dominant Protoporphyrinogen oxidase (seventh) Mitochondrial ~ 50 120 1q22 #176200 
ALA-dehydratase deficient porphyria (ADP) Autosomal recessive ALA dehydratase (porphobilinogen syntase; second) Cytosolic ~ 5 9q34 +125270 
Disease (Abbreviation)Inheritance Number‡Deficient Enzymes (Synonyms; Sequence in Pathway)Subcellular LocationsEnzyme Activity% of normalKnown Mutations, n†Gene LocusOMIM
* Acute intermittent porphyria is the most prevalent and 5-aminolevulinic acid-dehydratase deficient porphyria is the least prevalent of these diseases in the United States. 
Abbreviations: ALA, 5-aminolevulinic acid (d-aminolevulinic acid); HMB, hydroxymethylbilane; OMIM, Online Mendelian Inheritance in Man; PBG, porphobilinogen. 
† Human Gene Mutation Database (www.hgmd.org) as of 14 October 2004. 
‡ Online Mendelian Inheritance in Man (for additional information on disease and its genetics) (www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=OMIM
§ Formerly known as uroporphyrinogen I synthase. 
Reprinted with permission from
Anderson KE, Bloomer JR, Bonkovsky HL, et al. Recommendations for the diagnosis and treatment of the acute porphyrias.
Ann Intern Med
.
2005
;
142
:
439
–450.
 
Acute intermittent porphyria (AIP) Autosomal dominant PBG deaminase (HMB synthase; third)§ Cytosolic ~ 50 227 11q23.3 176000 
Hereditary coproporphyria Autosomal dominant Coproporphyrinogen oxidase (sixth) Mitochondrial ~ 50 36 3q12 +121300 
Variegate porphyria (VP) Autosomal dominant Protoporphyrinogen oxidase (seventh) Mitochondrial ~ 50 120 1q22 #176200 
ALA-dehydratase deficient porphyria (ADP) Autosomal recessive ALA dehydratase (porphobilinogen syntase; second) Cytosolic ~ 5 9q34 +125270 
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