FB2026_03 , released September 17, 2026
Human Disease Model Report: pyridoxamine 5'-phosphate oxidase deficiency
Open Close
General Information
Name
pyridoxamine 5'-phosphate oxidase deficiency
FlyBase ID
FBhh0001037
Disease Ontology Term
Parent Disease
Overview

This report describes pyridoxamine 5'-phosphate oxidase deficiency (PNPOD), also known as pyridoxal phosphate-responsive seizures; PNPOD exhibits autosomal recessive inheritance. The human gene implicated in this disease is pyridoxamine 5'-phosphate oxidase (PNPO). There is a high-ranking ortholog of PNPO in Drosophila, sgll, along with two moderately-scoring orthologs, CG31473 and CG15343. Several alleles of sgll have been generated, including a hypomorph, an sgRNA KO construct, and multiple RNAi targeting constructs.

A UAS construct of the wild-type Hsap\PNPO gene been introduced into flies. Functional complementation (heterologous rescue) of the seizure and lethal phenotypes of loss-of-function sgll mutations has been demonstrated. Disease-implicated variants have been assessed, using knock-in constructs of the human gene to replace the fly sgll gene; see the 'Disease-Implicated Variants' table below.

sgll loss-of-function mutants are auxotrophs: they thrive on standard fly food, but die within six days if fed a diet lacking vitamin B6, such as agar with 4% sucrose. Animals carrying loss-of-function sgll mutations exhibit spontaneous seizures before they die. Glucose metabolism phenotypes are also observed: reduced adult body size, hyperglycemia and accumulation of large lipid droplets in the fat body. sgll mutations can be complemented by supplementing the 4% sucrose food with pyridoxine or pyridoxal 5'-phosphate (PLP), both forms of vitamin B6.

[updated Apr. 2022 by FlyBase; FBrf0222196]

Disease Summary Information
Disease Summary: pyridoxamine 5'-phosphate oxidase deficiency
OMIM report

[PYRIDOXAMINE 5-PRIME-PHOSPHATE OXIDASE DEFICIENCY; PNPOD](https://omim.org/entry/610090)

Human gene(s) implicated

[PYRIDOXAMINE 5-PRIME-PHOSPHATE OXIDASE; PNPO](https://omim.org/entry/603287)

Symptoms and phenotype

Vitamin B6 deficiency is a rare but treatable cause of neonatal and infantile seizures and neurodevelopmental disability. Delayed treatment in children with early onset seizures is associated with increased risk of learning difficulties and cerebral palsy. (Ware et al. 2013, pubmed:24266778)

PNPOD is an autosomal recessive inborn error of metabolism resulting in vitamin B6 deficiency that manifests as neonatal-onset severe seizures and subsequent encephalopathy. [from MIM:610090, 2019.05.16, referencing Plecko et al. 2014, pubmed:24658933]

Genetics

Pyridoxamine 5-prime-phosphate oxidase deficiency (PNPOD) is caused by homozygous or compound heterozygous mutation in the PNPO gene. Multiple independent mutations have been documented. [from MIM:610090, 2019.05.16]

Cellular phenotype and pathology
Molecular information

PNPO is a rate-limiting enzyme that converts dietary vitamin B6 such as pyridoxine to its only active form, pyridoxal 5'-phosphate (PLP). Pyridoxine and pyridoxamine are inactive forms of dietary vitamin B6. (Chi et al. 2014, FBrf0225400; Garrido-Franco 2003, pubmed:12686115)

External links
Disease synonyms
epileptic encephalopathy, neonatal, PNPO-related
PNPOD
pyridoxal 5'-phosphate-dependent epilepsy
pyridoxal phosphate-dependent epilepsy
pyridoxal phosphate-responsive seizures
vitamin B6 deficiency
Ortholog Information
Human gene(s) in FlyBase
Human gene (HGNC)
D. melanogaster ortholog (based on DIOPT)
Comments on ortholog(s)

One human gene to many Drosophila genes.

Other mammalian ortholog(s) used
    D. melanogaster Gene Information (1)
    Gene Snapshot
    sugarlethal (sgll) encodes pyridoxine 5'-phosphate oxidase (PNPO). PNPO converts pyridoxine to its active form pyridoxal 5'-phosphate (PLP). PLP is a co-factor required for more than 100 enzymes that function in amino acid metabolism, gluconeogenesis and neurotransmitter synthesis. [Date last reviewed: 2019-03-14]
    Cellular component (GO)
    Gene Groups / Pathways
    Comments on ortholog(s)

    Best score, high-ranking ortholog.

    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 (0 groups)
      Alleles Reported to Model Human Disease (Disease Ontology) (6 alleles)
      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
      References (16)