raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:46

Adenylosuccinate lyase deficiency

Synonyms: ADSL deficiency · Adenylosuccinase deficiency

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

A disorder of purine metabolism characterized by intellectual disability, psychomotor delay and/or regression, seizures, and autistic features.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAdenylosuccinate lyase deficiencyADSL deficiency · Adenylosuccinase deficiency
frDéficit en adénylosuccinate lyaseDéficit en ADSL · Déficit en adénylosuccinase
deAdenylosuccinat-Lyase-MangelAdenylosuccinase-Mangel
esDeficiencia de adenilsuccinato liasa
itDeficit di adenilsuccinato liasiDeficit di adenilsuccinasi
nlDeficiëntie van adenylosuccinaatlyaseADSL-deficiëntie · Deficiëntie van adenylosuccinase
ptDeficiência de adenilossuccinato liaseDeficiência de adenilossuccinase
plDeficyt liazy adenylobursztynianowejNiedobór adenylosukcynazy · Niedobór ADSL
csDeficit adenylosukcinátlyázyDeficit ADSL · Deficit adenylosukcinázy
ukДефіцит аденілосукцинатліазиДефіцит аденілосукцинази · Дефіцит ADSL
zh腺苷酸琥珀酸裂解酶缺乏症腺苷琥珀酸酶缺乏症
trAdenilosukinat liyaz eksikliğiADSL eksikliği · Adenilosüksinaz eksikliği

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM103050Evalidated
ICD-10E79.8NTBTattributedvalidated
ICD-115C55.0YNTBTindexvalidated
MONDO0007068Evalidated
MeSHC538235Evalidated
UMLSC0268126Evalidated
GARD550Evalidated
MedDRA10081681Evalidated

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 (5):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ADSLDisease-causing germline mutation(s) inAssessedHGNC:291ENSG0000023990060822222q13.1adenylosuccinate lyase18524658[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families56 casesWorldwideCase(s)Validated18830228[PMID]
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

17 annotations · validated 2017-02-20
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0001999Abnormal facial shape
HP:0001344Absent speech
HP:0000463Anteverted nares
HP:0000248Brachycephaly
HP:0005469Flat occiput
HP:0001290Generalized hypotonia
HP:0007103Hypointensity of cerebral white matter on MRI
HP:0001249Intellectual disability
HP:0000343Long philtrum
HP:0000369Low-set ears
HP:0000252Microcephaly
HP:0005487Prominent metopic ridge
HP:0001250Seizure
HP:0011344Severe global developmental delay
HP:0003196Short nose
HP:0000319Smooth philtrum
HP:0000219Thin upper lip vermilion

Run the differential on the 12 obligate / very frequent terms

Annotation source: 12070256[PMID]

7

Sources for this card