FB2026_01 , released March 12, 2026
FB2026_01 , released March 12, 2026
Human Disease Model Report: triosephosphate isomerase deficiency
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General Information
Name
triosephosphate isomerase deficiency
FlyBase ID
FBhh0000489
Disease Ontology Term
Parent Disease
Overview

Triosephosphate isomerase deficiency (TPID) is a glucose metabolism disorder falling into the category of disorders described as glycolytic enzymopathies; TPID exhibits autosomal recessive inheritance. It is unique among the glycolytic enzyme defects, most of which manifest clinically as chronic hemolytic anemias, since it is also associated with progressive and severe neurological dysfunction. The human gene implicated in this disease is triosephosphate isomerase (TPI1), which catalyzes the isomerization between dihydroxyacetone phosphate and glyceraldehyde 3-phosphate. There is a single Drosophila ortholog, Dmel\Tpi, for which amorphic and loss-of-function alleles, RNAi-targeting constructs, and alleles caused by insertional mutagenesis have been generated.

The fly gene has been replaced in situ with a wild-type human Hsap\TPI1 gene (with modified codon usage) and with a human variant implicated in TPID. Heterologous rescue (functional complementation) has been demonstrated. Variant(s) implicated in human disease tested (as transgenic human gene, TPI1): the I170V (I208V) variant form of the human gene has been introduced into flies.

Amorphic mutations in the Dmel\Tpi gene are recessive lethals. Animals homozygous or hemizygous for different missense mutations show phenotypes including reduced longevity, progressive locomotor deficiency, induced paralytic phenotypes, and neural degeneration; phenotypes become worse under conditions of oxidative stress; at a cellular level, synaptic vesicle dysfunction is observed. A particular human variant, TPI1:Arg227Gln (referred to in FBrf0242891 as Arg190Gln), was introduced to Drosophila via multiple analogous mutations (Arg changed to Ala, Lys, Ser, and Leu) in the fly gene, and all variants other than Arg187Lys in Dmel\Tpi show defects.

[updated November 2019 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: triosephosphate isomerase deficiency
OMIM report

[TRIOSEPHOSPHATE ISOMERASE DEFICIENCY; TPID](https://omim.org/entry/615512)

Human gene(s) implicated

[TRIOSEPHOSPHATE ISOMERASE 1; TPI1](https://omim.org/entry/190450)

Symptoms and phenotype

Many glycolytic enzymopathies have been described that manifest clinically as chronic hemolytic anemia. Triosephosphate isomerase (TPI) deficiency, is unique among the glycolytic enzyme defects since it is associated with progressive neurological dysfunction and frequently with childhood death. (Orosz et al., 2006; PMID: 17424909)

Triosephosphate isomerase deficiency is characterized by congenital hemolytic anemia, and progressive neuromuscular dysfunction beginning in early childhood. The neurologic syndrome is variable, but usually includes lower motor neuron dysfunction with hypotonia, muscle weakness and atrophy, and hyporeflexia. Many patients die from respiratory failure in childhood. (summary by Fermo et al., 2010; pubmed:20374271) [from MIM:615512; 2017.01.30]

Genetics

Triosephosphate isomerase deficiency (TPID) is caused by homozygous or compound heterozygous mutation in the TPI1 gene (autosomal recessive). [from MIM:615512; 2017.01.30]

Cellular phenotype and pathology

Intracellular accumulation of dihydroxyacetone phosphate (DHAP) is observed, particularly in red blood cells. (summary by Fermo et al., 2010; pubmed:20374271) [from MIM:615512; 2017.01.30]

Molecular information

The TPI1 gene encodes triosephosphate isomerase 1, a homodimeric enzyme that catalyzes the interconversion of dihydroxyacetone phosphate (DHAP) and glyceraldehyde-3-phosphate during glycolysis and gluconeogenesis (summary by Chang et al., 1993; pubmed:8503454). [from MIM:190450; 2017.01.30]

External links
Disease synonyms
hemolytic anemia due to triosephosphate isomerase deficiency
Search term: glycolytic enzymopathy
TPID
TPI deficiency
triose phosphate-isomerase deficiency
Ortholog Information
Human gene(s) in FlyBase
Human gene (HGNC)
D. melanogaster ortholog (based on DIOPT)
Comments on ortholog(s)

One to one (1 human to 1 Drosophila).

Other mammalian ortholog(s) used
    D. melanogaster Gene Information (1)
    Gene Snapshot
    Triose phosphate isomerase (Tpi) encodes a soluble metabolic protein dimer that functions in glycolysis catalyzing the isomerization between dihydroxyacetone phosphate and glyceraldehyde 3-phosphate, which is essential for efficient ATP production. [Date last reviewed: 2019-03-14]
    Cellular component (GO)
    Gene Groups / Pathways
    Comments on ortholog(s)

    High-scoring ortholog of human TPI1 (1 Drosophila to 1 human). Dmel\Tpi shares 63% identity and 74% similarity with human TPI1.

    Orthologs and Alignments from DRSC
    DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
    Other Genes Used: Viral, Bacterial, Synthetic (0)
      Summary of Physical Interactions (11 groups)
      protein-protein
      Interacting group
      Assay
      References
      anti tag coimmunoprecipitation, western blot
      experimental knowledge based
      experimental knowledge based
      experimental knowledge based
      anti bait coimmunoprecipitation, western blot
      anti bait coimmunoprecipitation, western blot
      experimental knowledge based
      experimental knowledge based
      experimental knowledge based
      experimental knowledge based
      experimental knowledge based
      Alleles Reported to Model Human Disease (Disease Ontology) (20 alleles)
      Models Based on Experimental Evidence ( 18 )
      Allele
      Disease
      Evidence
      References
      Modifiers Based on Experimental Evidence ( 3 )
      Models Based on Experimental Evidence ( 2 )
      Modifiers Based on Experimental Evidence ( 0 )
      Allele
      Disease
      Interaction
      References
      Alleles Representing Disease-Implicated Variants
      Genetic Tools, Stocks and Reagents
      Sources of Stocks
      Contact lab of origin for a reagent not available from a public stock center.
      Bloomington Stock Center Disease Page
      Related mammalian, viral, bacterial, or synthetic transgenes
      Allele
      Transgene
      Publicly Available Stocks
      Selected Drosophila transgenes
      Allele
      Transgene
      Publicly Available Stocks
      RNAi constructs available
      Allele
      Transgene
      Publicly Available Stocks
      Selected Drosophila classical alleles
      Allele
      Allele class
      Mutagen
      Publicly Available Stocks
      phiC31 integrase
      phiC31 integrase
      phiC31 integrase
      Delta2-3 transposase
      ethyl methanesulfonate
      phiC31 integrase
      phiC31 integrase
      amorphic allele - molecular evidence
      ends-out gene targeting
      loss of function allele
      phiC31 integrase
      loss of function allele
      phiC31 integrase
      phiC31 integrase
      phiC31 integrase
      phiC31 integrase
      phiC31 integrase
      phiC31 integrase
      phiC31 integrase
      phiC31 integrase
      References (18)