raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:137754

Aminoacylase 1 deficiency

Synonyms: ACY1D · N-acyl-L-amino acid amidohydrolase deficiency · N-acyl-aliphatic-L-amino acid amidohydrolase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Childhood
Status
active

A rare inborn error of metabolism (organic aciduria) characterized by elevated urinary levels of numerous N-acetylated amino acids. A causal relationship with a specific clinical phenotype is uncertain.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAminoacylase 1 deficiencyACY1D · N-acyl-L-amino acid amidohydrolase deficiency · N-acyl-aliphatic-L-amino acid amidohydrolase deficiency
frDéficit en aminoacylase 1ACY1D · Déficit en N-acyl-L-amino acide amidohydrolase · Déficit en N-acyl-aliphatic-L-amino acid amidohydrolase
deAminoacylase 1-MangelACY1D · Aminoacylase 1-Defizienz · N-Acyl-L-Aminosäure Amidohydrolase-Mangel
esDeficiencia de aminoacilasa 1ACY1D · Deficiencia de N-acil-L-aminoácido amidohidrolasa · Deficiencia de N-acil-alifático-L-aminoácido amidohidrolasa
itDeficit di aminoacilasi 1ACY1D · Deficit di N-acil-alifatico-L-aminoacido amidoidrolasi · Deficit di N-acil-L-aminoacido-amidoidrolasi
nlDeficiëntie van aminoacylase 1ACY1D · Deficiëntie van N-acyl-L-aminozuur-amidohydrolase · Deficiëntie van N-acyl-alifatisch-L-aminozuur-amidohydrolase
ptDeficiência de aminoaciclase 1ACY1D · Deficiência de N-acil-L-aminoácido amidohidrolase · Deficiência de N-acil-alifático-L-aminoácido amidohidrolase
plChoroby neurologiczne związane z niedoborem aminoacylazy 1ACY1D · Niedobór amidohydrolazy N-acylo-L-aminokwasów
csNeurologické stavy spojené s deficitem aminoacylázy 1ACY1D · Deficit aminohydrolázy N-acyl-L-aminokyseliny
ukДефіцит аміноацилази 1ACY1D · Дефіцит амідогідролази N-ацил-L-амінокислот
zh氨基酰化酶1缺陷相关神经系统疾病N-酰基-L-氨基酸酰胺水解酶缺陷
trAminoasilaz 1 eksikliği -ilişkili nörolojik durumlarACY1D · N-açil-L-amino asit amidohidrolaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM609924Evalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C50.E1NTBTindexvalidated
MONDO0012368Evalidated
MeSHC538246Evalidated
UMLSC1835922Evalidated
GARD9741Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ACY1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:177ENSG000002439891046203p21.2aminoacylase 116465618[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_29653693[PMID]
Cases/families15 casesWorldwideCase(s)Validated29653693[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

13 annotations · validated 2018-09-24
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0001298Encephalopathy
HP:0003324Generalized muscle weakness
HP:0001252Hypotonia
Occasional (29-5%)
HP:0006817Aplasia/Hypoplasia of the cerebellar vermis
HP:0007370Aplasia/Hypoplasia of the corpus callosum
HP:0002104Apnea
HP:0001263Global developmental delay
HP:0001250Seizure
HP:0003396Syringomyelia
HP:0002013Vomiting
Very rare (<4-1%)
HP:0000316Hypertelorism
HP:0000407Sensorineural hearing impairment
HP:0000445Wide nose

Annotation source: 17562838[PMID]_16465618[PMID]_24117009[PMID]

7

Sources for this card