raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:2102

GTP cyclohydrolase I deficiency

Synonyms: GTPCH deficiency · Hyperphenylalaninemia due to GTP cyclohydrolase deficiency

Type
Clinical subtype
Group
Subtype of disorder
Inheritance
Autosomal recessive
Age of onset
Infancy, Neonatal
Status
active

GTP-cyclohydrolase I deficiency, an autosomal recessive genetic disorder, is one of the causes of malignant hyperphenylalaninemia due to tetrahydrobiopterin deficiency. Not only does tetrahydrobiopterin deficiency cause hyperphenylalaninemia, it is also responsible for defective neurotransmission of monoamines because of malfunctioning tyrosine and tryptophan hydroxylases, both tetrahydrobiopterin-dependent hydroxylases.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGTP cyclohydrolase I deficiencyGTPCH deficiency · Hyperphenylalaninemia due to GTP cyclohydrolase deficiency
frDéficit en GTP cyclohydrolase IDéficit en GTPCH · Hyperphénylalaninémie par déficit en GTP cyclohydrolase
deGTP-Cyclohydrolase I-MangelGTPCH-Mangel · Hyperphenylalaninämie mit Tetrahydrobiopterin-Mangel, B
esDeficiencia de GTP-ciclohidrolasa I
itDeficit di GTP cicloidrolasi 1Deficit di GTPCH · Iperfenilalaninemia da deficit di GTP cicloidrolasi
nlGTP-cyclohydrolase I-deficiëntieGTPCH-deficiëntie · Hyperfenylalaninemie door GTP-cyclohydrolasedeficiëntie
ptDeficiência de GTP cicloidrolase IDeficiência de GTPCH · Hiperfenilalaninemia por deficiência de GTP cicloidrolase
plNiedobór cyklohydrolazy I GTPHiperfenylalaninemia spowodowana niedoborem cyklohydrolazy GTP · Niedobór GTPCH
csDeficit GTP cyklohydrolázy IDeficit GTPCH · Hyperfenylalaninemie způsobená deficitem GTP cyklohydrolázy
ukДефіцит ГТФ-циклогідролази IДефіцит GTPCH · Гіперфенілаланінемія внаслідок дефіциту ГТФ-циклогідролази
zhGTP环化水解酶I缺乏症GTP环化水解酶缺乏致高苯丙氨酸血症
trGTP siklohidrolaz I eksikliğiGTPCH eksikliği · GTP siklohidrolaz eksikliğine bağlı hiperfenilalaninemi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM233910Evalidated
ICD-10E70.1NTBTattributedvalidated
ICD-115C59.01NTBTindexvalidated
MONDO0100186Evalidated
MeSHC562656Evalidated
UMLSC0268467Evalidated
GARD2844Evalidated

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

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
GCH1Disease-causing germline mutation(s) inAssessedHGNC:4193ENSG0000013197960022514q22.2GTP cyclohydrolase 1
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families16 casesWorldwideCase(s)ValidatedORPHANET
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

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

Orphanet has no HPO annotation for this code in this release.

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Sources for this card