The participation of (6R) 5,6,7,8-tetrahydrobiopterin (6-BH4) in regul
ating the tyrosine supply for melanin biosynthesis was investigated by
the examination of human keratinocytes, melanocytes, and epidermal su
ction blisters from normal human skin and from patients with the depig
mentation disorder vitiligo. Cells, as well as total epidermis, contai
ned high phenylalanine hydroxylase activities and also displayed the c
apacity to synthesize and recycle 6-BH4, the essential cofactor for th
is enzyme. In vitiligo, 4a-hydroxy-BH4 dehydratase activity was extrem
ely low or absent, yielding an accumulation of the nonenzymatic by-pro
duct 7-tetrahydrobiopterin (7-BH4) at concentrations up to 8 x 10(-6)
M in the epidermis. This by-product is a potent competitive inhibitor
in the phenylalanine hydroxylase reaction with an inhibition constant
of 10(-6) M. Thus, 6-BH4 seems to control melanin biosynthesis in the
human epidermis, whereas 7-BH4 may initiate depigmentation in patients
with vitiligo.