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Table 2 Genes variants associated with late-onset riboflavin-responsive phenotypes

From: New insights into the nutritional genomics of adult-onset riboflavin-responsive diseases

Gene name/Id

Protein

Gene Ontogeny Classification/tissue gene expression

Physiological functions

Clinical Features associated with genetic variants responding to riboflavin supplementation

Variants involved in late onset and riboflavin responsive symptoms

OMIM Phenotype

Riboflavin supplementation

References

Riboflavin transporters

SLC52A1/55065

hRFT1

Membrane transporter/ Placenta and intestine

Riboflavin membrane transport

Transient neonatal riboflavin deficiency/maternal deficiency Transient MADD Phenotype

rs346822, rs2304445,

rs141935493

615,026

50 or 100 mg/day

[7, 18]

SLC52A2/79581

hRFT3

Membrane transporter/ brain and most other tissues

Riboflavin membrane transport

Riboflavin deficency Brown-Vialetto-Van Laere Syndrome (BVVLS)

rs117500243,

rs397514538, rs377740960,

614,707

50 mg/kg/day in paediatric patients and 1500 mg/day in adult patients

[7, 24, 27, 46, 106,107,108]

SLC52A3/113278

hRFT2

Membrane transporter/ testis/ intestine

Riboflavin membrane transport

Riboflavin deficency Brown-Vialetto-Van Laere Syndrome (BVVLS)

Fazio-Londe syndrome Late onset

rs267606, rs140360713, rs1439187603, rs1431398048

211,530

10–25 mg⁄kg⁄day or 200 mg/day

[22, 28, 109]

SLC25A32/81034

MFTC

Ubiquitous

FAD and folate mitochondrial transport

Recurrent exercise intolerance

rs147014855 rs142329098 rs1249586962

616,839

10-30mg/day

[31]

FAD synthesis

FLAD1/80308

FAD synthase

Converting FMN into FAD/ Ubiquitous expression

FAD biosynthesis

lipid storage myopathy and multiple-respiratory-chain deficiency

elevation of multiple acylcarnitines, increased urinary organic acids

rs876661310, rs876661311, rs771466122, rs876661309

255,100

100mg/day

[36]

Flavin dependent enzymes

ETFDH/2110

ETFA/2108

ETFB/2109

Electron transfer flavoprotein-ubiquinone oxidoreductase

Accepts electrons from ETF and reduces ubiquinone

Transport of electrons mitochondrial respiratory chain

MADD (type III)

Exercise intolerance, myalgia, chronic fatigue, metabolic acidosis

rs121964954, rs887871605, rs762928354, rs887871, rs121964955, rs369912835, rs147219158, rs760234838, rs780768015

231,680

100 -300mg/day

[48, 50, 51, 110, 111]

MTHFR/4524

Methylenetetrahydrofolate reductase

Reductase in one-carbon-metabolism/ ubiquitous

Converting 5,10-methylenetetrahydrofolate to 5-methyltetrahydrofolate

Associated with increased incident hypertension and increased circulating homocysteine

rs1801133

236,250

16 mg/day

[80, 82, 83, 112]

ACAD9/28976

Acyl-CoA dehydrogenase 9

Mitochondrial/ubiquitously expressed

Assembly of the mitochondrial CI, Fatty Acid Beta-Oxidation

Growth retardation, Exercise intolerance

rs762521317 rs1057518752

rs779610933, rs863224844,

rs149753643, rs777282696, rs1553732136

611,126

40mg/day

[61, 62]

  1. Genes involved in riboflavin metabolism requiring higher intakes of the vitamin, can be divided in three groups – (i) Riboflavin transporters, (ii) FAD synthesis, (iii) Flavin dependent enzymes