raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2066

Gamma-aminobutyric acid transaminase deficiency

Synonyms: GABA transaminase deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

A rare disorder of gamma-aminobutyric acid (GABA) metabolism characterized by a severe neonatal-infantile epileptic encephalopathy (manifesting with symptoms such as seizures, hypotonia, hyperreflexia and developmental delay) and growth acceleration.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGamma-aminobutyric acid transaminase deficiencyGABA transaminase deficiency
frDéficit en transaminase de l'acide gamma-aminobutyriqueDéficit en GABA transaminase
deGamma-Aminobuttersäure-Transaminase-MangelGABA-Transaminase-Mangel
esDeficiencia de ácido gamma aminobutírico transaminasaDeficiencia de GABA transaminasa
itDeficit di acido gamma-aminobutirrico transaminasiDeficit di GABA transaminasi
nlDeficiëntie van gamma-aminoboterzuurtransaminaseDeficiëntie van GABA-transaminase
ptDeficiência de ácido gama-aminobutírico transaminaseDeficiência de GABA transaminase
plNiedobór transaminazy kwasu gamma-aminomasłowegoNiedobór transaminazy GABA
csDeficit transaminázy gamma-aminobutyrátové kyselinyDeficit GABA transaminázy · Deficit GABA-T
ukДефіцит трансамінази гамма-аміномасляної кислотиДефіцит GABA-трансамінази
zhγ-氨基丁酸转氨酶缺乏γ-氨基丁酸转氨酶缺乏
trGama-aminobütirik asit transaminaz eksikliğiGABA transaminaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM613163Evalidated
ICD-10E72.8NTBTattributedvalidated
ICD-115C59.1NTBTindexvalidated
MONDO0013166Evalidated
MONDO13166Evalidated
MeSHC535407Evalidated
UMLSC0342708Evalidated
GARD194Evalidated

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 (4):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ABATDisease-causing germline mutation(s) inAssessedHGNC:23ENSG0000018304413715016p13.24-aminobutyrate aminotransferase9746906[PMID]_10407778[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families3 familiesWorldwideFamily(ies)Validated25738457[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_25738457[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

22 annotations · validated 2025-06-11
HPOTerm (as annotated by Orphanet)Diagnostic
Obligate (100%)
HP:0200134Epileptic encephalopathy
Very frequent (99-80%)
HP:0007266Cerebral dysmyelination
HP:0002353EEG abnormality
HP:0032531Elevated CSF gamma-aminobutyric acid concentration
HP:0410053Elevated circulating gamma-aminobutyric acid concentration
HP:0001252Hypotonia
HP:0500253Increased level of gamma-aminobutyric acid in urine
HP:0011344Severe global developmental delay
Frequent (79-30%)
HP:0002059Cerebral atrophy
HP:0001266Choreoathetosis
HP:0000845Elevated circulating growth hormone concentration
HP:0001508Failure to thrive
HP:0008872Feeding difficulties in infancy
HP:0025430High-pitched cry
HP:0001347Hyperreflexia
HP:0100786Hypersomnia
HP:0007272Progressive psychomotor deterioration
HP:0001250Seizure
HP:0000098Tall stature
Occasional (29-5%)
HP:0001273Abnormal corpus callosum morphology
HP:0001272Cerebellar atrophy
HP:0001254Lethargy

Run the differential on the 8 obligate / very frequent terms

Annotation source: 33768830[PMID]_30644311[PMID]_28411234[PMID]_27376954[PMID]

7

Sources for this card