Domain Polypeptidea/Nucleotideb Functionc SNPd Exone Allele aa changef pIg
1 27-173 (147 aa)/79-519 (441 bp, exon 2-6) N-terminal Fe-S clusters NoneT85C
A496G
2
6
*9A
-
C29R
M166V
8.20
8.42
8.20
2 174-286 (113 aa)/520-858 (339 bp, exon 6-9)442-524 (83 aa)/ 1324-1572 (249 bp, exon 11-13) FAD bindingFAD binding NoneG623A
A775G
T1391C
6
8
12
New
New
New
R208Q
K259E
V464A
4.85
4.70
4.61
4.85
3 287-441 (155 aa)/ 859-1323 (465 bp, exon 9-11) NADPH binding None G1236A 11 New E412h 7.25
7.25
4 525-847 (323 aa)/ 1573-2541 (969 bp, exon 13-20) FMN/5-FU binding None G1601A
A1627G
T1896C
In 14 G1Ai
G2194A
13
13
14
14
18
*4
*5B
-
*2A
*6
S534N
I543V
F632h
exon 14j
V732I
5.41
5.41
5.41
5.41
6.51
5.41
5 1-26 (26 aa)/1-78 (78 bp, exon 1-2) 848-1025 (178 aa)/ 2542-3075 (534 bp, exon 20-23)
C-terminal Fe-S clusters NoneA2846T
G2858C
22
22
-
New
D949V
C953S
8.038.20
8.08
aAmino acid position; bBase pair numbering based on cDNA sequence: position 1 is A of the start codon ATG; cThe function of the domain; dSNP, single nucleotide polymorphism, on mRNA; eExon containing SNP; fAmino acid substitution on DPD protein; gIsoelectric point (pI) of each domain with or without SNP calculated using EMBOSS program; hSilent mutation; iThe DPYD splicing site mutation; jdeletion of 55 amino acids (residues 581-635).
Table 1: Summary of the human dihydropyrimidine dehydrogenase (DPD) domain structure, function, and SNPs associated with severe 5-FU toxicity (mainly leucopenia and mucositis) reported by the German Clinical Study Group (Appendix Table A7) [2]. With 92% homology to pig liver DPD (NP_999209.1; see Table 2), the human DPD (NP_000101.2) subunit is also composed of five domains and their distinct functions.