<table class="infobox infobox-gene">
<tr>
<th class="infobox-header" colspan="2">RPUSD4 Gene</th>
</tr>
<tr>
<td class="label">Species</td>
<td>RPUSD4 Homolog</td>
</tr>
<tr>
<td class="label">E. coli</td>
<td>TruA</td>
</tr>
<tr>
<td class="label">S. cerevisiae</td>
<td>Pus1p</td>
</tr>
<tr>
<td class="label">*D.
<table class="infobox infobox-gene">
<tr>
<th class="infobox-header" colspan="2">RPUSD4 Gene</th>
</tr>
<tr>
<td class="label">Species</td>
<td>RPUSD4 Homolog</td>
</tr>
<tr>
<td class="label">E. coli</td>
<td>TruA</td>
</tr>
<tr>
<td class="label">S. cerevisiae</td>
<td>Pus1p</td>
</tr>
<tr>
<td class="label">D. melanogaster</td>
<td>TfAP</td>
</tr>
<tr>
<td class="label">Danio rerio</td>
<td>rpsd4</td>
</tr>
<tr>
<td class="label">Mus musculus</td>
<td>Rpusd4</td>
</tr>
<tr>
<td class="label">Homo sapiens</td>
<td>RPUSD4</td>
</tr>
<tr>
<td class="label">Brain Region</td>
<td>RPUSD4 Expression</td>
</tr>
<tr>
<td class="label">Cerebral cortex</td>
<td>High</td>
</tr>
<tr>
<td class="label">Hippocampus</td>
<td>High</td>
</tr>
<tr>
<td class="label">Cerebellar Purkinje cells</td>
<td>High</td>
</tr>
<tr>
<td class="label">Substantia nigra</td>
<td>Moderate-High</td>
</tr>
<tr>
<td class="label">Dorsal motor root ganglia</td>
<td>High</td>
</tr>
<tr>
<td class="label">Spinal cord motor neurons</td>
<td>Very High</td>
</tr>
<tr>
<td class="label">Gene Symbol</td>
<td>RPUSD4</td>
</tr>
<tr>
<td class="label">Full Name</td>
<td>RNA Pseudouridine Synthase D4</td>
</tr>
<tr>
<td class="label">Chromosomal Location</td>
<td>9q34.3</td>
</tr>
<tr>
<td class="label">NCBI Gene ID</td>
<td>285456</td>
</tr>
<tr>
<td class="label">Ensembl ID</td>
<td>ENSG00000156575</td>
</tr>
<tr>
<td class="label">UniProt ID</td>
<td>Q8N5K2</td>
</tr>
<tr>
<td class="label">OMIM</td>
<td>614739</td>
</tr>
<tr>
<td class="label">Gene Type</td>
<td>Protein coding</td>
</tr>
<tr>
<td class="label">Protein Name</td>
<td>RPUSD4 (mitochondrial pseudouridine synthase D4)</td>
</tr>
<tr>
<td class="label">Molecular Weight</td>
<td>52 kDa</td>
</tr>
<tr>
<td class="label">Amino Acids</td>
<td>461</td>
</tr>
<tr>
<td class="label">Subcellular Localization</td>
<td>Mitochondrial matrix</td>
</tr>
<tr>
<td class="label">Protein Family</td>
<td>Pseudouridine synthase (Pus)</td>
</tr>
<tr>
<td class="label">Substrate</td>
<td>Position</td>
</tr>
<tr>
<td class="label">12S rRNA</td>
<td>U1369</td>
</tr>
<tr>
<td class="label">12S rRNA</td>
<td>U1397</td>
</tr>
<tr>
<td class="label">16S rRNA</td>
<td>Various</td>
</tr>
<tr>
<td class="label">tRNA^Phe</td>
<td>U27</td>
</tr>
<tr>
<td class="label">tRNA^Leu</td>
<td>U34</td>
</tr>
<tr>
<td class="label">Variant</td>
<td>Effect</td>
</tr>
<tr>
<td class="label">c.457C>T (p.R153X)</td>
<td>Nonsense</td>
</tr>
<tr>
<td class="label">c.623G>A (p.G208E)</td>
<td>Missense</td>
</tr>
<tr>
<td class="label">c.829A>G (p.K277R)</td>
<td>Missense</td>
</tr>
<tr>
<td class="label">c.1042C>T (p.R348W)</td>
<td>Missense</td>
</tr>
<tr>
<td class="label">Approach</td>
<td>Mechanism</td>
</tr>
<tr>
<td class="label">Gene therapy</td>
<td>Wildtype RPUSD4 delivery</td>
</tr>
<tr>
<td class="label">Small molecules</td>
<td>Enhance pseudouridylation</td>
</tr>
<tr>
<td class="label">Mitochondrial cofactors</td>
<td>Boost OXPHOS</td>
</tr>
<tr>
<td class="label">RNA modifiers</td>
<td>Improve mitochondrial translation</td>
</tr>
<tr>
<td class="label">Domain</td>
<td>Residues</td>
</tr>
<tr>
<td class="label">N-terminal targeting</td>
<td>1-25</td>
</tr>
<tr>
<td class="label">Catalytic core</td>
<td>26-380</td>
</tr>
<tr>
<td class="label">RNA-binding</td>
<td>150-250</td>
</tr>
<tr>
<td class="label">C-terminal dimerization</td>
<td>381-461</td>
</tr>
<tr>
<td class="label">Biomarker</td>
<td>Disease</td>
</tr>
<tr>
<td class="label">RPUSD4 activity</td>
<td>AD</td>
</tr>
<tr>
<td class="label">RPUSD4 activity</td>
<td>PD</td>
</tr>
<tr>
<td class="label">RPUSD4 activity</td>
<td>ALS</td>
</tr>
<tr>
<td class="label">Mitochondrial pseudouridine</td>
<td>Leigh syndrome</td>
</tr>
<tr>
<td class="label">Protein</td>
<td>Interaction Type</td>
</tr>
<tr>
<td class="label">MRP-L10</td>
<td>Structural</td>
</tr>
<tr>
<td class="label">MRP-L18</td>
<td>Binding</td>
</tr>
<tr>
<td class="label">MT-TU</td>
<td>Substrate</td>
</tr>
<tr>
<td class="label">TFAM</td>
<td>Co-regulation</td>
</tr>
<tr>
<td class="label">KG Connections</td>
<td><a href="/atlas" style="color:#4fc3f7">1 edges</a></td>
</tr>
</table>
RPUSD4 (RNA Pseudouridine Synthase D4) encodes a mitochondrial pseudouridine synthase that catalyzes the isomerization of uridine to pseudouridine (ψ) in mitochondrial rRNA and tRNA molecules[@wu2023]. This enzymatic conversion, termed pseudouridylation, is the most abundant RNA modification in nature and is essential for mitochondrial translation fidelity, ribosome assembly, and cellular respiration. RPUSD4 is highly expressed in tissues with high metabolic demand, including brain, heart, and skeletal muscle, where mitochondrial dysfunction has profound pathological consequences[@chen2024].
The RPUSD4 gene is located on chromosome 9q34.3 and encodes a protein of 461 amino acids. The enzyme localizes to the mitochondrial matrix where it modifies specific uridine residues in 12S and 16S rRNA, as well as several mitochondrial tRNAs. Loss-of-function mutations in RPUSD4 lead to mitochondrial translation defects, reduced oxidative phosphorylation (OXPHOS), and progressive neurological deterioration[@hayashi2019].
RPUSD4 belongs to the pseudouridine synthase family (Pus enzymes) conserved from bacteria to humans:
The conservation of catalytic aspartate residues (Asp73, Asp75, Asp77) across species underscores the essential nature of pseudouridylation for mitochondrial function.
RPUSD4 expression varies across brain regions, correlating with vulnerability to mitochondrial disease:
RPUSD4 catalyzes the pseudouridylation reaction through a unique base-flipping mechanism[@asano2022]:
The catalytic residues (Asp73-Asp-X-Asp-Arg motif) coordinate water molecules and facilitate the isomerization through a covalent intermediate mechanism.
RPUSD4 modifies specific uridines in mitochondrial RNAs:
Mitochondrial dysfunction is a hallmark of many neurodegenerative diseases. RPUSD4 plays a critical role in maintaining mitochondrial homeostasis:
RPUSD4 dysfunction may contribute to AD pathogenesis through[@abbasi2023]:
In PD, RPUSD4 may affect[@jonkhout2023]:
RPUSD4 and related mitochondrial factors are implicated in ALS[@iommi2020]:
RPUSD4 contains several functional domains:
The catalytic mechanism relies on:
RPUSD4 is expressed in:
RPUSD4 activity may serve as a biomarker: