Glutathionuria: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name            = Glutathionuria
| image          = [[File:Glutathion.svg|alt=Glutathione structure]]
| caption        = Structure of [[glutathione]]
| field          = [[Medical genetics]]
| symptoms        = [[Developmental delay]], [[intellectual disability]], [[ataxia]], [[seizures]]
| onset          = [[Infancy]] or [[early childhood]]
| duration        = [[Chronic]]
| causes          = [[Genetic mutation]] in the [[GGT1]] gene
| diagnosis      = [[Urine test]], [[genetic testing]]
| differential    = [[Glutathione synthetase deficiency]], [[gamma-glutamyl transpeptidase deficiency]]
| treatment      = [[Supportive care]], [[symptomatic treatment]]
| prognosis      = Variable, depends on severity
| frequency      = Rare
}}
'''Other Names:''' Gamma-glutamyltranspeptidase deficiency; GGT deficiency; GGT1 deficiency; GTG deficiency; Gamma-glutamyltransferase deficiency
'''Other Names:''' Gamma-glutamyltranspeptidase deficiency; GGT deficiency; GGT1 deficiency; GTG deficiency; Gamma-glutamyltransferase deficiency
A disorder that is characterized by increased [[glutathione]] concentration in the [[plasma]] and urine.
A disorder that is characterized by increased [[glutathione]] concentration in the [[plasma]] and urine.
== '''Epidemiology''' ==
== '''Epidemiology''' ==
Gamma-glutamyl transpeptidase deficiency has been detected in seven patients in five families worldwide.
Gamma-glutamyl transpeptidase deficiency has been detected in seven patients in five families worldwide.
== '''Cause''' ==
== '''Cause''' ==
Gamma-glutamyl transpeptidase catalyses the first step in the degradation of [[glutathione]]. No mutations have been identified in patients with gamma-glutamyl transpeptidase deficiency.
Gamma-glutamyl transpeptidase catalyses the first step in the degradation of [[glutathione]]. No mutations have been identified in patients with gamma-glutamyl transpeptidase deficiency.
== '''Inheritance''' ==


== '''Inheritance''' ==
[[File:Autorecessive.svg|thumb|right|Autosomal recessive inheritance, a 25% chance]]
As the disease is transmitted as an [[autosomal recessive]] trait, patients should be offered genetic counseling.
As the disease is transmitted as an [[autosomal recessive]] trait, patients should be offered genetic counseling.
== '''Signs and symptoms''' ==
== '''Signs and symptoms''' ==
Five of the patients also had [[central nervous system]] involvement.
Five of the patients also had [[central nervous system]] involvement.
== '''Diagnosis''' ==
== '''Diagnosis''' ==
The diagnosis is based on the finding of glutathionuria, elevated levels of [[glutathione]] in plasma and decreased activity of gamma-glutamyl transpeptidase in nucleated cells.
The diagnosis is based on the finding of glutathionuria, elevated levels of [[glutathione]] in plasma and decreased activity of gamma-glutamyl transpeptidase in nucleated cells.
== '''Treatment''' ==
== '''Treatment''' ==
No specific treatment has been proposed or tested.
No specific treatment has been proposed or tested.
== '''Prognosis''' ==
== '''Prognosis''' ==
The prognosis of gamma-glutamyl transpeptidase deficiency is hard to predict as only seven patients have been described worldwide.
The prognosis of gamma-glutamyl transpeptidase deficiency is hard to predict as only seven patients have been described worldwide.
{{Eicosanoid metabolism disorders}}
{{Eicosanoid metabolism disorders}}
[[Category:Eicosanoid metabolism disorders]]
[[Category:Eicosanoid metabolism disorders]]

Latest revision as of 01:47, 7 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Glutathionuria
Glutathione structure
Synonyms N/A
Pronounce N/A
Specialty N/A
Symptoms Developmental delay, intellectual disability, ataxia, seizures
Complications N/A
Onset Infancy or early childhood
Duration Chronic
Types N/A
Causes Genetic mutation in the GGT1 gene
Risks N/A
Diagnosis Urine test, genetic testing
Differential diagnosis Glutathione synthetase deficiency, gamma-glutamyl transpeptidase deficiency
Prevention N/A
Treatment Supportive care, symptomatic treatment
Medication N/A
Prognosis Variable, depends on severity
Frequency Rare
Deaths N/A


Other Names: Gamma-glutamyltranspeptidase deficiency; GGT deficiency; GGT1 deficiency; GTG deficiency; Gamma-glutamyltransferase deficiency A disorder that is characterized by increased glutathione concentration in the plasma and urine.

Epidemiology[edit]

Gamma-glutamyl transpeptidase deficiency has been detected in seven patients in five families worldwide.

Cause[edit]

Gamma-glutamyl transpeptidase catalyses the first step in the degradation of glutathione. No mutations have been identified in patients with gamma-glutamyl transpeptidase deficiency.

Inheritance[edit]

As the disease is transmitted as an autosomal recessive trait, patients should be offered genetic counseling.

Signs and symptoms[edit]

Five of the patients also had central nervous system involvement.

Diagnosis[edit]

The diagnosis is based on the finding of glutathionuria, elevated levels of glutathione in plasma and decreased activity of gamma-glutamyl transpeptidase in nucleated cells.

Treatment[edit]

No specific treatment has been proposed or tested.

Prognosis[edit]

The prognosis of gamma-glutamyl transpeptidase deficiency is hard to predict as only seven patients have been described worldwide.

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NIH genetic and rare disease info[edit]

Glutathionuria is a rare disease.


This article is a medical stub. You can help WikiMD by expanding it!
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