# Dopamine beta-hydroxylase

Dopamine beta-hydroxylase (DBH), also known as dopamine beta-monooxygenase, is an enzyme (EC 1.14.17.1) that in humans is encoded by the DBH gene. Dopamine beta-hydroxylase catalyzes the conversion of dopamine to norepinephrine.
The three substrates of the enzyme are dopamine, vitamin C (ascorbate), and O$_2$. The products are norepinephrine, dehydroascorbate, and H$_2$O.
DBH is a 290 kDa copper-containing oxygenase consisting of four identical subunits, and its activity requires ascorbate as a cofactor.
It is the only enzyme involved in the synthesis of small-molecule neurotransmitters that is membrane-bound, making norepinephrine the only known transmitter synthesized inside vesicles. It is expressed in noradrenergic neurons of the central nervous system (i.e. locus coeruleus) and peripheral nervous systems (i.e. sympathetic ganglia), as well as in chromaffin cells of the adrenal medulla.

## Mechanism of catalysis

Based on the observations of what happens when there is no substrate, or oxygen, the following steps seem to constitute the hydroxylation reaction.
Although details of DBH mechanism are yet to be confirmed, DBH is homologous to another enzyme, peptidylglycine α-hydroxylating monooxygenase (PHM). Because DBH and PHM share similar structures, it is possible to model DBH mechanism based on what is known about PHM mechanism.

### Substrate specificity

* Biosynthetic pathways for catecholamines and trace amines in the human brain
* L-Phenylalanine
* L-Tyrosine
* L-DOPA
* Epinephrine
* Phenethylamine
* p-Tyramine
* Dopamine
* Norepinephrine
* N-Methylphenethylamine
* N-Methyltyramine
* p-Octopamine
* Synephrine
* 3-Methoxytyramine
* AADC
* AADC
* AADC
* primary pathway
* PNMT
* PNMT
* PNMT
* PNMT
* AAAH
* AAAH
* brain CYP2D6
* minor pathway
* COMT
* DBH
* DBH
* In humans, catecholamines and phenethylaminergic trace amines are derived from the amino acid L-phenylalanine.
Dopamine beta-hydroxylase catalyzes the hydroxylation of not only dopamine but also other phenylethylamine derivatives when available. The minimum requirement seems to be the phenylethylamine skeleton: a benzene ring with a two-carbon side chain that terminates in an amino group.

## Assays for DBH activity in human serum and cerebrospinal fluid

DBH activity in human serum could be estimated by a spectrophotometric method or with the aid of Ultra high performance liquid chromatography with Photo Diode Array detector (UHPLC-PDA). A sensitive assay for the detection of DBH activity in cerebrospinal fluid using High-performance liquid chromatography with Electrochemical detector(HPLC-ECD) was also described earlier.

### Expression quantitative trait loci (eQTLs) at DBH loci

Genetic variants such as single-nucleotide polymorphisms(SNPs) at DBH loci were found to be associated with DBH activity and are well known expression quantitative trait loci. Allele variants at two regulatory SNPs namely rs1611115 and rs1989787 were shown to affect transcription of this gene. Mutations identified in dopamine beta hydroxylase deficiency and non-synonymous SNPs such as rs6271 in this gene were found to cause defective secretion of the protein from the endoplasmic reticulum.

## Clinical significance

DBH primarily contributes to catecholamine and trace amine biosynthesis. It also participates in the metabolism of xenobiotics related to these substances; for example, the human DBH enzyme catalyzes the beta-hydroxylation of amphetamine and para-hydroxyamphetamine, producing norephedrine and para-hydroxynorephedrine respectively.
DBH has been implicated as correlating factor in conditions associated with decision making and addictive drugs, e.g., alcoholism and smoking, attention deficit hyperactivity disorder, schizophrenia, and Alzheimer's disease. Inadequate DBH is called dopamine beta hydroxylase deficiency.
The proximal promoter SNPs rs1989787 and rs1611115 were found to be associated with cognition in schizophrenia subjects. Further these SNPs (rs1989787;rs1611115) and a distal promoter variant 19bp Ins/Del(rs141116007) were associated with scores of Abnormal Involuntary Movement Scale in tardive dyskinesia positive schizophrenia subjects. Of the three variants, the proximal promoter SNP(rs1611115) was associated with Positive and Negative Syndrome Scale(PANSS) scores in tardive dyskinesia positive schizophrenia subjects. The main effect of a putative splice variant in Dopamine beta-hydroxylase namely rs1108580 was found to be associated with Working memory $_{Processingspeed}$ in a north Indian Schizophrenia case control study where the G/G genotype of that single-nucleotide polymorphism(SNP) was found to have lower cognitive scores than those with A/A and A/G genotypes. Furthermore the same SNP was associated with Emotion $_{accuracy}$ in healthy controls.

## Structure

It was difficult to obtain a stable crystal of dopamine beta-hydroxylase. Hence an homology model based on the primary sequence and comparison to PHM is available.
However, a crystal structure was also put forward in 2016.

## Regulation and inhibition

This protein may use the morpheein model of allosteric regulation.

### Inhibitors

Types of dopamine beta-hydroxylase inhibition :
| | HYD | HP | QCA | IQCA | BI | IAA |
| Competitive | Ascorbate | Ascorbate | Ascorbate | Ascorbate | Ascorbate | Ascorbate |
| Uncompetitive | | | Tyramine | Tyramine | | |
| Mixed | Tyramine | Tyramine | | | Tyramine | Tyramine |
| Ascorbate is cofactor; tyramine is substitute for dopamine, DBH's namesake substrate ↑ hydralazine ↑ 2-hydrazinopyridine ↑ 2-quinoline-carboxylic acid ↑ l-isoquinolinecarboxylic acid ↑ 2,2'-biimidazole ↑ imidazole-4-acetic acid |||||||
DBH is inhibited by disulfiram, tropolone, and, most selectively, by nepicastat. It is also inhibited by etamicastat and zamicastat.
DBH is reversibly inhibited by l-2H-Phthalazine hydrazone (hydralazine; HYD), 2-1H-pyridinone hydrazone (2-hydrazinopyridine; HP), 2-quinoline-carboxylic acid (QCA), l-isoquinolinecarboxylic acid (IQCA), 2,2'-bi-lH-imidazole (2,2'-biimidazole; BI), and IH-imidazole-4-acetic acid (imidazole-4-acetic acid; IAA). HYD, QCA, and IAA are allosteric competitive.

## Nomenclature

The systematic name of this enzyme class is 3,4-dihydroxyphenethylamine, ascorbate:oxygen oxidoreductase (beta-hydroxylating).
Other names in common use include:
* dopamine beta-monooxygenase
* dopamine beta-hydroxylase
* membrane-associated dopamine beta-monooxygenase (MDBH)
* soluble dopamine beta-monooxygenase (SDBH)
* dopamine-B-hydroxylase
* 3,4-dihydroxyphenethylamine beta-oxidase
* 4-(2-aminoethyl) pyrocatechol beta-oxidase
* dopa beta-hydroxylase
* dopamine beta-oxidase
* dopamine hydroxylase
* phenylamine beta-hydroxylase
* (3,4-dihydroxyphenethylamine) beta-mono-oxygenase