The DNAJC12 gene is composed of multiple exons and introns, with at least two transcript variants that encode distinct isoforms . These variants result from alternative splicing events that generate functionally different protein products.
DNAJC12 Characteristics | Details |
---|---|
Gene Symbol | DNAJC12 |
Aliases | JDP1, HPANBH4 |
Chromosomal Location | 10q21.3 |
OMIM ID | 606060 |
Genomic Reference | NC_000010.11 |
Transcript Reference | NM_021800.2 |
DNAJC12 belongs to the C subfamily of DnaJ proteins, which are characterized by the presence of a J-domain that mediates interactions with HSP70 chaperones. Unlike other subfamilies, the C subfamily members lack the zinc finger domain found in canonical DnaJ proteins, suggesting specialized functions and protein-protein interactions .
DNAJC12 serves critical functions as a co-chaperone for aromatic amino acid hydroxylases (AAAHs), a group of enzymes essential for neurotransmitter synthesis and amino acid metabolism.
Research has established that DNAJC12 functions as a co-chaperone specifically for the family of aromatic amino acid hydroxylases, which includes:
Phenylalanine hydroxylase (PAH) - converts phenylalanine to tyrosine
Tyrosine hydroxylase (TH) - essential for dopamine synthesis
Tryptophan hydroxylase 1 and 2 (TPH1 and TPH2) - critical for serotonin production
These interactions suggest that DNAJC12 plays a crucial role in maintaining the proper folding, stability, and activity of these enzymes, thereby influencing neurotransmitter synthesis and phenylalanine homeostasis .
DNAJC12 enhances the stability of PAH and prevents its degradation. Studies have demonstrated that DNAJC12 binds to PAH variants and can potentially rescue protein folding, suggesting a quality control mechanism that assists in the proper folding of these enzymes . The fibroblasts of patients with DNAJC12 mutations show reduced PAH protein and activity, confirming this protein-stabilizing role .
DNAJC12 is upregulated during endoplasmic reticulum (ER) stress, indicating its involvement in the cellular stress response. The ER transcription factor AIbZIP increases DNAJC12 protein expression by acting on its promoter . Furthermore, DNAJC12 is a binding partner of BiP/GRP78, a critical ER HSP-70 chaperone that is also upregulated during ER stress .
Mutations in the DNAJC12 gene are associated with a spectrum of clinical manifestations, primarily characterized by hyperphenylalaninemia and neurological symptoms.
Biallelic mutations in DNAJC12 cause a distinctive clinical syndrome initially described in 2017, characterized by:
Mild hyperphenylalaninemia not attributed to PAH mutations or BH4 deficiency
Normal BH4 metabolism
This condition is now recognized as mild non-BH4-deficient hyperphenylalaninemia (HPANBH4), also called DNAJC12-deficient hyperphenylalaninemia or simply DNAJC12 deficiency .
A retrospective genetic analysis identified biallelic variants of DNAJC12 in approximately 8.1% of patients with hyperphenylalaninemia not attributed to PAH mutations or BH4 deficiency . The types of mutations identified include:
Mutation Type | Percentage of Patients |
---|---|
Nonsense | 34.6% |
Splice site | 26.9% |
Frameshift | 11.5% |
Missense | 1.9% |
Compound heterozygous variants | 25.0% |
Most patients (75%) are homozygous for their mutations, while 25% are compound heterozygotes .
The neurological manifestations of DNAJC12 deficiency vary significantly among patients, even within siblings with identical genotypes. The spectrum of neurological features includes:
Neurological Feature | Approximate Prevalence |
---|---|
Global developmental delay | 19.2% |
Intellectual disability | 19.2% |
Axial hypotonia | 15.4% |
Dystonia | 15.4% |
Cognitive deficits | 15.4% |
Speech delays | 15.4% |
Parkinsonism | 13.5% |
ADHD | 13.5% |
Autism | 11.5% |
Psychiatric features | 7.7% |
Notably, DNAJC12 is the fifth member of the DNAJC family implicated in parkinsonism, alongside DNAJC5, DNAJC6, DNAJC13, and DNAJC26 .
The molecular pathogenesis of DNAJC12 deficiency involves disruptions in neurotransmitter synthesis and amino acid metabolism.
In the absence of functional DNAJC12, PAH stability and activity are compromised, leading to:
Reduced conversion of phenylalanine to tyrosine
Accumulation of phenylalanine in the blood (hyperphenylalaninemia)
Potential neurotoxic effects from elevated phenylalanine levels
DNAJC12 deficiency impacts the synthesis of key neurotransmitters:
Reduced stabilization of tyrosine hydroxylase (TH) leads to decreased dopamine synthesis
Impaired function of tryptophan hydroxylase (TPH1/TPH2) results in serotonin deficiency
Cerebrospinal fluid of patients shows decreased levels of dopamine and serotonin metabolites
These neurotransmitter imbalances likely contribute to the neurological and psychiatric manifestations observed in affected individuals.
Recent research has developed and characterized mouse models of DNAJC12 deficiency, providing valuable insights into the in vivo functions of this protein.
A study published in 2024 generated DNAJC12-deficient mice that exhibited:
Reduced levels and activity of PAH in the liver
Decreased TPH2 in the brain
Lower TPH1 in the pineal gland
Hyperphenylalaninemia
These findings confirm the pivotal role of DNAJC12 in the regulation of aromatic amino acid hydroxylases and thereby in neurotransmitter synthesis and phenylalanine homeostasis.
Interestingly, DNAJC12 was found to be downregulated in serotonergic neurons in the brain of mice lacking TPH2, suggesting a potential feedback mechanism between serotonin levels and DNAJC12 expression .
Early diagnosis and intervention are crucial for preventing the neurological complications associated with DNAJC12 deficiency.
DNAJC12 deficiency should be considered in:
Patients with mild hyperphenylalaninemia not explained by PAH mutations
Normal BH4 metabolism (normal urinary pterin metabolites and DHPR activity)
Individuals with unexplained developmental delay, intellectual disability, movement disorders, or neuropsychiatric symptoms
Definitive diagnosis requires genetic testing, typically through whole exome sequencing or targeted gene panels that include DNAJC12 .
Given the preventable nature of the neurological manifestations, some regions have included DNAJC12 in newborn screening programs. Results from Spain have demonstrated the value of early diagnosis and treatment in preventing neurological sequelae .
DNAJC12 deficiency is treatable with a multifaceted approach:
Early initiation of treatment is crucial. One reported case of immediate treatment with neurotransmitter precursors, BH4, and folinic acid prevented neurological deficits entirely .
The literature contains several important case studies that illustrate the clinical spectrum and genotype-phenotype relationships in DNAJC12 deficiency.
The first description of DNAJC12 deficiency involved six affected children from four unrelated consanguineous families from Morocco, Turkey, and Saudi Arabia. Five presented with neonatal/pediatric movement disorder resembling BH4 deficiency syndrome with HPA, infantile dystonia, and progressive neurodevelopmental delay .
A notable feature of DNAJC12 deficiency is the substantial variability in clinical manifestations, even among individuals with identical mutations. The age of onset ranges from 22 months to 59 years . Some individuals with DNAJC12 mutations (approximately 42.3%) have been reported as neurologically asymptomatic, although subtle neurological features may have been missed in some cases .
DNAJC12 mutations have been identified in patients from at least 11 countries across Europe, Asia, the Middle East, and North Africa, indicating that this is a pan-ethnic condition rather than being restricted to specific populations .
Despite significant advances in our understanding of DNAJC12, several important questions remain unanswered and represent directions for future research.
Further investigation is needed to elucidate:
The precise molecular mechanisms by which DNAJC12 stabilizes aromatic amino acid hydroxylases
The full range of protein-protein interactions involving DNAJC12
The role of DNAJC12 in cellular stress responses and quality control pathways
Additional research is required to address:
The full spectrum of neuropsychiatric manifestations associated with DNAJC12 deficiency
Long-term outcomes of early treatment
Development of optimal treatment protocols
The prevalence of DNAJC12 mutations in adults with unexplained movement disorders or psychiatric symptoms
The co-chaperone function of DNAJC12 suggests potential therapeutic strategies:
Development of pharmacological chaperones that could replace or enhance DNAJC12 function
Gene therapy approaches to restore DNAJC12 expression
Small molecules that could stabilize aromatic amino acid hydroxylases in the absence of functional DNAJC12
DNAJC12 is a type III member of the HSP40/DNAJ family that functions as a specific co-chaperone for phenylalanine hydroxylase (PAH) and other aromatic amino acid hydroxylases. It works cooperatively with molecular chaperones of the HSP70 family to facilitate proper protein folding and maintain intracellular stability of its client proteins. DNAJC12 plays a crucial role in preventing misfolding of various proteins involved in neurotransmitter metabolism, including PAH, tyrosine hydroxylase, and tryptophan hydroxylase . Methodologically, the study of DNAJC12 function typically involves co-immunoprecipitation experiments to identify protein-protein interactions and functional assays to assess the activity of its client proteins in the presence or absence of DNAJC12.
DNAJC12 directly interacts with and stabilizes multiple aromatic amino acid hydroxylases, including phenylalanine hydroxylase (PAH), tyrosine hydroxylase (TH), and tryptophan hydroxylase (TPH). Through these interactions, DNAJC12 prevents misfolding of these enzymes and maintains their functional activity . Research approaches to study these interactions include in vitro binding studies with purified proteins, cell-based co-expression systems, and proximity ligation assays to visualize protein interactions in situ. Recent evidence from both human studies and animal models indicates that DNAJC12 also interacts with additional components of the monoamine synthesis pathway, including vesicular monoamine transporter 2 (VMAT2), aromatic L-amino acid decarboxylase (AADC), and heat shock cognate 71 kDa protein (HSC70) .
Pathogenic variants in DNAJC12 are predominantly biallelic autosomal recessive mutations. The first identified pathogenic variant was DNAJC12 c.79-2A>G (p. V27Wfs*14), which results in exon 2 skipping and nonsense-mediated decay . Other pathogenic variants identified include missense mutations, splice site mutations, and frameshift mutations. These mutations typically result in loss of protein function, either through protein instability, altered binding capacity to client proteins, or complete absence of the protein . To identify novel DNAJC12 mutations, researchers typically perform targeted gene sequencing, whole exome sequencing, or whole genome sequencing, followed by in silico prediction and functional validation of variant pathogenicity.
DNAJC12 mutations disrupt the protein quality control system for aromatic amino acid hydroxylases, leading to systemic consequences. At the molecular level, DNAJC12 deficiency results in decreased stability and increased degradation of PAH, causing hyperphenylalaninemia (HPA). Similarly, reduced stability of tyrosine hydroxylase and tryptophan hydroxylase leads to deficiencies in dopamine, norepinephrine, and serotonin synthesis . Research has shown that mutant PAH exhibits increased ubiquitination, instability, and aggregation compared with normal PAH. In mouse models, DNAJC12 has been demonstrated to interact with monoubiquitin-tagged PAH, suggesting a role for DNAJC12 in the processing of misfolded ubiquitinated PAH by the ubiquitin-dependent proteasome/autophagy systems . Advanced experimental approaches to study these mechanisms include pulse-chase experiments to measure protein half-life, ubiquitination assays, and proteasome inhibition studies.
DNAJC12 deficiency is frequently identified through newborn screening programs due to the presence of hyperphenylalaninemia (HPA) after ruling out phenylalanine hydroxylase deficiency and other tetrahydrobiopterin-related disorders . The diagnostic workflow typically involves:
Detection of elevated phenylalanine levels in blood spots during newborn screening
Exclusion of PAH deficiency through genetic testing
Analysis of pterins in dried blood spots and urine
Targeted genetic testing for DNAJC12 variants
Recent literature suggests that DNAJC12 genotyping should be performed in all cases of HPA with unrevealing findings on the PAH gene and BH4 metabolism disorders . It's important to note that some cases with DNAJC12 deficiency may present with normal phenylalanine levels at birth, making clinical suspicion crucial in patients presenting with neurological symptoms without an identified cause .
The clinical manifestations of DNAJC12 deficiency exhibit remarkable heterogeneity, ranging from asymptomatic cases to severe neurological impairment. The neurological phenotypes reported in the literature include:
Infantile dystonia
Developmental delay and intellectual disability
Neuropsychiatric disorders
Young-onset parkinsonism
Speech delay
Attention difficulties
Autistic features
Oculogyric crisis
Research approaches to characterize the neurological phenotypes include standardized neurological examinations, neuropsychological testing, movement disorder assessments, and neuroimaging. Longitudinal studies are particularly valuable for understanding disease progression and the impact of therapeutic interventions on neurological outcomes.
Treatment approaches for DNAJC12 deficiency are primarily based on guidelines established for BH4 deficiencies, though specific protocols for DNAJC12 deficiency are still evolving. Current treatment modalities include:
Dietary phenylalanine restriction to manage hyperphenylalaninemia
Sapropterin dihydrochloride (synthetic BH4) therapy
Neurotransmitter precursor supplementation (L-dopa/carbidopa, 5-hydroxytryptophan)
Supportive therapies for specific neurological manifestations
The optimal treatment regimen remains debatable, particularly for milder phenotypes. Research has documented cases where early treatment with sapropterin dihydrochloride and neurotransmitter precursors has prevented adverse neurological outcomes in patients with severe phenotypes . Methodological approaches to evaluate treatment efficacy include monitoring of blood phenylalanine levels, cerebrospinal fluid neurotransmitter metabolites, and systematic assessment of neurological symptoms before and after treatment initiation.
Research to address this question requires longitudinal studies comparing early versus delayed treatment initiation, standardized neurological outcome measures, and correlation with specific genotypes. Advanced neuroimaging techniques, including functional MRI and DTI, may provide additional insights into the structural and functional consequences of delayed treatment.
Recent advances have established mouse models of DNAJC12 deficiency that recapitulate key features of the human disorder. The Dnajc12 knockout (DKO) mouse model was generated using CRISPR/Cas9 editing to create a conditional knockout allele followed by Cre-mediated recombination to delete exon 2, resulting in a frameshift mutation (p. V27Wfs*44) that mimics a human pathogenic variant . These mice exhibit:
Reduced locomotion and exploratory behavior in automated open-field testing
Elevated plasma phenylalanine levels
Reduced striatal dopamine and serotonin levels and their metabolites
Altered expression of synaptic proteins
Reduced electrically-evoked striatal dopamine release
Enhanced phosphorylation of tyrosine hydroxylase at pSer31 and pSer40 sites
Experimental methodologies for characterizing these models include behavioral testing (open field, grip strength, beam walking), biochemical analyses of neurotransmitter levels using HPLC, western blotting for protein expression and post-translational modifications, and fast-scan cyclic voltammetry (FSCV) to measure electrically-evoked dopamine release in brain slices.
Research into DNAJC12-client protein interactions employs a diverse array of molecular and cellular approaches:
Co-immunoprecipitation and mass spectrometry to identify interaction partners
Fluorescence microscopy to visualize subcellular co-localization
In vitro binding assays with purified proteins
Protein stability assays to assess the impact of DNAJC12 on client protein half-life
Ubiquitination assays to examine the role of DNAJC12 in protein quality control
Cell-based assays measuring enzymatic activity of client proteins
Recent studies have demonstrated that DNAJC12 can be visualized as fluorescent puncta within the soma, dendrites, and axons of tyrosine hydroxylase-positive dopaminergic neurons in the midbrain, suggesting a broad distribution within these neurons . Advanced approaches including proximity ligation assays, FRET-based interaction studies, and single-molecule tracking could provide additional insights into the dynamics of these interactions.
Despite significant progress, several important aspects of DNAJC12 biology remain poorly understood:
The complete spectrum of DNAJC12 client proteins beyond aromatic amino acid hydroxylases
The developmental timing of DNAJC12 expression and its role in neurodevelopment
The mechanisms underlying the phenotypic variability observed in patients with similar DNAJC12 mutations
The potential compensatory mechanisms that may protect some individuals with DNAJC12 deficiency from developing severe neurological manifestations
The precise molecular mechanisms by which DNAJC12 regulates client protein stability and function
Addressing these knowledge gaps will require integrative approaches combining developmental biology, systems neuroscience, and molecular genetics. Single-cell transcriptomics and proteomics could provide valuable insights into cell type-specific functions of DNAJC12 during development and in mature neurons.
DNAJC12 research has significant implications for understanding protein quality control mechanisms in neurodegenerative diseases more broadly. As noted in the literature, a major pathological hallmark of neurodegenerative diseases is the presence of intracellular and extracellular protein inclusions, indicating altered proteostasis . DNAJC12 belongs to the heat shock protein family, which plays a crucial role in maintaining cellular proteome integrity.
Investigation of DNAJC12 function may provide insights into:
How defects in co-chaperone function contribute to protein misfolding and aggregation
The role of chaperone systems in maintaining the stability of enzymes involved in neurotransmitter synthesis
Potential therapeutic approaches targeting chaperone systems to enhance protein quality control in neurodegenerative conditions
The relationship between biogenic amine deficiency and neurological dysfunction
Methodological approaches to explore these connections include comparative studies between DNAJC12 deficiency and other neurodegenerative conditions, screening for small molecules that enhance chaperone function, and investigation of genetic modifiers that influence disease severity in DNAJC12 deficiency.
DnaJ (Hsp40) Homolog, Subfamily C, Member 12, also known as DNAJC12, is a member of the DnaJ/Hsp40 family of proteins. These proteins are molecular chaperones that play a crucial role in protein folding, assembly, and translocation. DNAJC12 is particularly significant due to its involvement in various cellular processes and its association with certain genetic disorders.
DNAJC12 belongs to a subclass of the DnaJ/Hsp40 family characterized by the presence of a J domain and a highly conserved C-terminal domain. Unlike other members of the family, DNAJC12 lacks the glycine/phenylalanine-rich (G/F) domain and the central repeat region (CRR). The J domain is essential for its interaction with Hsp70 proteins, which are critical for protein folding and stress responses .
The DNAJC12 gene is located on chromosome 10q21.3 and consists of five exons . The gene produces two isoforms through alternative polyadenylation sites. The primary isoform encodes a 198-amino acid protein, while the shorter isoform encodes a 107-amino acid protein . Expression of DNAJC12 is highest in the brain, heart, and testis, with lower levels observed in the kidney and stomach .
DNAJC12 interacts with several key proteins, including HSC70 (HSPA8), tyrosine hydroxylase (TH), peripheral tryptophan hydroxylase (TPH1), neuronal TPH2, and phenylalanine hydroxylase (PAH) . These interactions suggest that DNAJC12 plays a role in the regulation of these enzymes, which are involved in neurotransmitter synthesis and metabolic processes.
Mutations in the DNAJC12 gene have been linked to mild non-BH4-deficient hyperphenylalaninemia, a metabolic disorder characterized by elevated levels of phenylalanine in the blood . This condition can lead to neurological symptoms if left untreated. Understanding the function and regulation of DNAJC12 is crucial for developing therapeutic strategies for related disorders.