Overview
Gamma-glutamyl transpeptidase deficiency (also called GGT deficiency or glutathionuria) is a very rare inherited metabolic disorder. It affects the body's ability to break down a molecule called glutathione, which plays an important role in protecting cells from damage. When the enzyme gamma-glutamyl transpeptidase (GGT) does not work properly, glutathione and related compounds build up in the urine and blood, a condition called glutathionuria. The symptoms of GGT deficiency can vary widely from person to person. Some people have intellectual disability, behavioral problems, or psychiatric symptoms such as mood changes and unusual behavior. Others may have very mild symptoms or none at all, which makes this condition easy to miss. Because so few cases have been reported worldwide, doctors are still learning about the full range of effects this disease can have. There is currently no specific cure for GGT deficiency. Treatment focuses on managing symptoms, particularly any neurological or behavioral issues. People with this condition are usually cared for by a team of specialists including metabolic disease experts and neurologists. Early diagnosis through newborn screening or genetic testing can help families plan appropriate care and support.
Also known as:
Key symptoms:
Intellectual disability or learning difficultiesBehavioral problemsPsychiatric symptoms such as mood changes or unusual behaviorHigh levels of glutathione in the urine (glutathionuria)Elevated glutathione in the bloodNeurological problemsPossible mild physical features in some individuals
Clinical phenotype terms (10)— hover any for plain English
Autosomal recessive
Passed on when both parents carry the same gene change; often skips generations
Variable
Can begin at different ages, from infancy through adulthood
Treatments
No FDA-approved treatments are currently listed for Gamma-glutamyl transpeptidase deficiency.
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Specialists
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Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to Gamma-glutamyl transpeptidase deficiency.
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Caregiver Resources
NORD Caregiver Resources
Support, advocacy, and financial assistance for caregivers of rare disease patients.
Mental Health Support
Rare disease caregiving can be isolating. Connect with counseling and peer support.
Family & Caregiver Grants
Financial assistance programs specifically for caregivers of rare disease patients.
Social Security Disability
Learn how rare disease patients may qualify for SSDI/SSI benefits.
Questions for your doctor
Bring these to your next appointment
- Q1.What does my child's specific GGT1 gene change mean for their long-term health?,Are there any clinical trials or research studies we could join?,What specialists should be part of our care team?,How often should we have follow-up testing to monitor the condition?,What educational or behavioral support services do you recommend?,Should other family members be tested for this condition?,Are there any dietary changes or supplements that might help?
Common questions about Gamma-glutamyl transpeptidase deficiency
What is Gamma-glutamyl transpeptidase deficiency?
Gamma-glutamyl transpeptidase deficiency (also called GGT deficiency or glutathionuria) is a very rare inherited metabolic disorder. It affects the body's ability to break down a molecule called glutathione, which plays an important role in protecting cells from damage. When the enzyme gamma-glutamyl transpeptidase (GGT) does not work properly, glutathione and related compounds build up in the urine and blood, a condition called glutathionuria. The symptoms of GGT deficiency can vary widely from person to person. Some people have intellectual disability, behavioral problems, or psychiatric sy
How is Gamma-glutamyl transpeptidase deficiency inherited?
Gamma-glutamyl transpeptidase deficiency follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.