raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:407

Glycine encephalopathy

Synonyms: NKA · Non-ketotic hyperglycinemia

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

Glycine encephalopathy (GE) is an inborn error of glycine metabolism characterized by accumulation of glycine in body fluids and tissues, including the brain, resulting in neurometabolic symptoms of variable severity.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enGlycine encephalopathyNKA · Non-ketotic hyperglycinemia
frEncéphalopathie glyciniqueHyperglycinémie non cétosique · NKA
deGlycin-EnzephalopathieHyperglycinämie, nicht-ketotische · NKA
esEncefalopatía por glicinaHiperglicinemia no cetósica · NKA
itEncefalopatia da glicinaIperglicinemia non chetotica · NKA
nlGlycine-encefalopathieNKH · Non-ketotische hyperglycinemie
ptEncefalopatia por glicinaHiperglicinemia não-cetótica · NKA
plEncefalopatia glicynowaHiperglicynemia nieketonowa · NKA
csGlycinová encefalopatieNKA · Neketotická hyperglycinémie
ukГліцинова енцефалопатіяNKA · Некетозна гіперглікемія
zh甘氨酸脑病非酮症高甘氨酸血症
trGlisin ensefalopatisiNKA · Ketotik olmayan hiperglisinemi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM605899BTNTvalidated
OMIM620398BTNTvalidated
OMIM620423BTNTvalidated
ICD-10E72.5NTBTinclusionvalidated
ICD-115C50.70Especificvalidated
MONDO0011612Evalidated
MeSHD020158Evalidated
UMLSC0751748Evalidated
GARD7219Evalidated

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):

Children (3):

4

Genes

0 direct · 11 via subtypes

Orphanet records no gene directly on this code.

Recorded by Orphanet on subtypes of this disorder:

GeneSubtypeAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
AMTORPHA:289857Neonatal glycine encephalopathyDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:473ENSG000001450202383103p21.31aminomethyltransferase20301531[PMID]
AMTORPHA:289860Infantile glycine encephalopathyDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:473ENSG000001450202383103p21.31aminomethyltransferase20301531[PMID]
AMTORPHA:289863Atypical glycine encephalopathyDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:473ENSG000001450202383103p21.31aminomethyltransferase20301531[PMID]
GCSHORPHA:289857Neonatal glycine encephalopathyDisease-causing germline mutation(s) inAssessedHGNC:4208ENSG0000014090523833016q23.2glycine cleavage system protein H20301531[PMID]
GCSHORPHA:289860Infantile glycine encephalopathyDisease-causing germline mutation(s) inAssessedHGNC:4208ENSG0000014090523833016q23.2glycine cleavage system protein H20301531[PMID]
GCSHORPHA:289863Atypical glycine encephalopathyDisease-causing germline mutation(s) inAssessedHGNC:4208ENSG0000014090523833016q23.2glycine cleavage system protein H20301531[PMID]
GLDCORPHA:289857Neonatal glycine encephalopathyDisease-causing germline mutation(s) inAssessedHGNC:4313ENSG000001784452383009p24.1glycine decarboxylase20301531[PMID]
GLDCORPHA:289860Infantile glycine encephalopathyDisease-causing germline mutation(s) inAssessedHGNC:4313ENSG000001784452383009p24.1glycine decarboxylase20301531[PMID]
GLDCORPHA:289863Atypical glycine encephalopathyDisease-causing germline mutation(s) inAssessedHGNC:4313ENSG000001784452383009p24.1glycine decarboxylase20301531[PMID]
SLC6A9ORPHA:289860Infantile glycine encephalopathyDisease-causing germline mutation(s) inAssessedHGNC:11056ENSG000001965176010191p34.1solute carrier family 6 member 927481395[PMID]
SLC6A9ORPHA:289863Atypical glycine encephalopathyDisease-causing germline mutation(s) inAssessedHGNC:11056ENSG000001965176010191p34.1solute carrier family 6 member 927773429[PMID]
5

Prevalence and incidence

8 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 1 000 0000.17 / 100 000EuropeValue and classValidatedEuropean Medicines Agency 2002[OTHER]
Prevalence at birth1-9 / 100 0001.8 / 100 000FinlandValue and classValidated20301531[PMID]
Prevalence at birth1-9 / 100 0001.59 / 100 000CanadaValue and classValidated10617747[PMID]
Prevalence at birth1-9 / 100 0001 / 100 000Saudi ArabiaValue and classValidated20622343[PMID]
Prevalence at birth1-9 / 100 0002 / 100 000PortugalValue and classValidated22532538[PMID]
Point prevalence1-9 / 1 000 0000.13 / 100 000PortugalValue and classValidated22532538[PMID]
Prevalence at birth1-9 / 100 0003.8 / 100 000IsraelValue and classValidated33239050[PMID]
Prevalence at birth1-9 / 100 0008 / 100 000Specific populationValue and classValidated33239050[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 2017-02-03
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012705Abnormal metabolic brain imaging by MRS
HP:0002353EEG abnormality
HP:0010851EEG with burst suppression
HP:0002154Hyperglycinemia
HP:0002079Hypoplasia of the corpus callosum
HP:0001252Hypotonia
HP:0100247Recurrent singultus
HP:0001250Seizure
Frequent (79-30%)
HP:0005957Breathing dysregulation
HP:0002123Generalized myoclonic seizure
HP:0001254Lethargy
HP:0002033Poor suck
HP:0005972Respiratory acidosis

Run the differential on the 8 obligate / very frequent terms

Annotation source: 23005907[PMID]

7

Sources for this card