Neopterin

Neopterin is a catabolic product of guanosine triphosphate (GTP), a purine nucleotide.

Neopterin
Names
Preferred IUPAC name
2-Amino-6-(1,2,3-trihydroxypropyl)pteridin-4(1H)-one
Identifiers
CAS Number
3D model (JSmol)
ChemSpider
DrugBank
ECHA InfoCard 100.016.296
MeSH Neopterin
PubChem CID
UNII
InChI
  • InChI=1S/C9H11N5O4/c10-9-13-7-5(8(18)14-9)12-3(1-11-7)6(17)4(16)2-15/h1,4,6,15-17H,2H2,(H3,10,11,13,14,18)/t4-,6+/m1/s1 Y
    Key: BMQYVXCPAOLZOK-XINAWCOVSA-N Y
SMILES
  • O=C2\N=C(/Nc1ncc(nc12)[C@H](O)[C@H](O)CO)N
  • C1=C(N=C2C(=N1)NC(=NC2=O)N)C(C(CO)O)O
Properties
Chemical formula
 C9H11N5O4
Molar mass 253.215 g/mol
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
Y verify (what is YN ?)
Infobox references

Neopterin belongs to the chemical group known as pteridines. It is synthesised by human macrophages upon stimulation with the cytokine interferon-gamma and is indicative of a pro-inflammatory immune status. Neopterin serves as a marker of cellular immune system activation. In humans neopterin follows a circadian and circaseptan rhythm.[1]

Neopterin as disease marker

Measurement of neopterin concentrations in body fluids like blood serum, cerebrospinal fluid or urine provides information about activation of cellular immune activation in humans under the control of T helper cells type 1. High neopterin production is associated with increased production of reactive oxygen species, neopterin concentrations also allow to estimate the extent of oxidative stress elicited by the immune system. [2]

Increased neopterin production is found in, but not limited to, the following diseases:

Neopterin concentrations usually correlate with the extent and activity of the disease, and are also useful to monitor during therapy in these patients. Elevated neopterin concentrations are among the best predictors of adverse outcome in patients with HIV infection, in cardiovascular disease and in various types of cancer.

In the laboratory it is measured by radioimmunoassay (RIA), ELISA, or high-performance liquid chromatography (HPLC). It has a native fluorescence of wavelength excitation at 353 nm and emission at 438 nm, rendering it readily detected.

References
  • Murr C, et al. Neopterin as a marker for immune system activation. Curr Drug Metabol 2002;3:175-187.
  • Fuchs D, et al. The role of neopterin in atherogenesis and cardiovascular risk stratification. Curr Med Chem 2009;16:4644-4653.
  • Sucher R, et al. Neopterin, a prognostic marker in human malignancies. Cancer Lett 2010;287:13-22.
  • Zeng B, et al. Serum neopterin for early assessment of severity of severe acute respiratory syndrome. Clin Immunol 2005;116(1):18-26.
  • Roberston J, et al. Serum neopterin levels in relation to mild and severe COVID-19. BMC Infect Dis 2020;20(1):942.
  1. Seizer L, Cornélissen-Guillaume G, Schiepek GK, Chamson E, Bliem HR and Schubert C (2022) About-Weekly Pattern in the Dynamic Complexity of a Healthy Subject’s Cellular Immune Activity: A Biopsychosocial Analysis. Front. Psychiatry 13:799214. doi: 10.3389/fpsyt.2022.799214
  2. Cavaleri et al. Blood concentrations of neopterin and biopterin in subjects with depression: A systematic review and meta-analysis Progress in Neuro-Psychopharmacology and Biological Psychiatry 2022. http://dx.doi.org/10.1016/j.pnpbp.2022.110633
  3. "Aicardi-Goutières Syndrome". GeneReviews. University of Washington, Seattle. 1993.
  4. Cavaleri et al. Blood concentrations of neopterin and biopterin in subjects with depression: A systematic review and meta-analysis Progress in Neuro-Psychopharmacology and Biological Psychiatry 2022. http://dx.doi.org/10.1016/j.pnpbp.2022.110633


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