“…Intracellular BH4 can be formed via biosynthesis, reproduction, and salvage pathways [4]. BH4 biosynthesis is initiated by GTP cyclohydrolase (GTPCH) in an NADPH-dependent reaction and continues through the production of 2 intermediates, namely, 7, 8-dihydroneopterin triphosphate and 6-pyruvoyl-5,6,7,8-tetrahydropterins, mediated by 6-pyruvoyltetrahydropterin synthase (PTPs) and sepiapterin reductase (SR) [1]. Moreover, BH4 can be reproduced from its oxidized forms, dihydrobiopterin (BH2) and quinoidin-BH2 (qBH2), by two other enzymes, dihydrofolate reductase (DHFR) and dihydrobiopterin reductase (DHPR), respectively [4,5].…”