“…DHODH is located at chromosome 16q22.2 and contains nine exons encoding dihydroorotate dehydrogenase, which catalyzes the fourth step in de novo pyrimidine biosynthesis (Minet et al, 1992 ). To date, only 21 DHODH variants in nine studies have been reported to cause Miller syndrome ( https://www.hgmd.cf.ac.uk/ ; pro V2021.10; details see Table 1 ), demonstrating a low incidence of this condition and a strong conservatism of DHODH gene (Bukowska‐Olech et al, 2020 ; Duley et al, 2016 ; Fujikura, 2016 ; Hou et al, 2020 ; Kinoshita et al, 2011 ; Ng et al, 2010 ; Orozco Rodriguez et al, 2022 ; Rainger et al, 2012 ; Roach et al, 2010 ); in them, missense variants accounted for the most part (~69.6%, Table 1 ), and the others were base‐level deletion, duplication or frameshift variants. The subjects of previous studies were limited to Caucasian and Japanese populations, and there are no reports on other ethnic groups.…”