raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:976

Adenine phosphoribosyltransferase deficiency

Synonyms: 2,8-dihydroxyadenine urolithiasis · APRT deficiency

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Adolescent, Adult, Childhood, Elderly, Infancy
Status
active

A rare genetic nephropathy secondary to a disorder of purine metabolism characterized by the formation and hyperexcretion of 2,8-dihydroxyadenine (2,8-DHA) in urine, causing urolithiasis and crystalline nephropathy.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAdenine phosphoribosyltransferase deficiency2,8-dihydroxyadenine urolithiasis · APRT deficiency
frDéficit en adénosine phosphoribosyltransféraseDéficit en APRT · Lithiase urinaire par la 2,8-dihydroxyadénine
deAdenin-Phosphoribosyl-Transferase-Mangel
esDeficiencia de adenina fosforribosiltransferasa
itDeficit di adenina fosforibosiltrasferasi2,8-diidrossiadenina urolitiasi · Deficit di APRT
nlAdeninefosforibosyltransferasedeficiëntie2,8-dihydroxyadenine-urolithiasis · APRT-deficiëntie
ptDeficiência de adenina fosforribosiltransferaseUrolitíase 2,8-diidroxi-adenina · Urolitíase 2,8-diidroxiadenina
plNiedobór fosforybozylotransferazy adeninyKamica 2,8 dihydroksyadeninowa · Kamica 2,8 dihydroksyadeninowa · Niedobór APRT · Niedobór fosforybozylotransferazy adeninowej · Kamica 2,8 dihydroksyadeninowa
csDeficit adeninfosforibosyltransferázy2,8-dihydroxyadeninová urolitiáza · Deficit APRT
ukДефіцит аденінфосфорибозилтрансферази2,8-дигідроксиаденін сечокамяна хвороба · Дефіцит APRT
zh腺嘌呤磷酸核糖基转移酶缺乏症2,8-二羟基腺嘌呤尿路结石症
trAdenin fosforibosiltransferaz eksikliğiAPRT eksikliği · 2,8-dihidroksiadenin ürolitiyazis

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM614723Evalidated
ICD-10E79.8NTBTattributedvalidated
ICD-115C55.0YNTBTindexvalidated
MONDO0013869Evalidated
MeSHC538228Evalidated
UMLSC0268120Evalidated
GARD546Evalidated
MedDRA10072609Evalidated

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
APRTDisease-causing germline mutation(s) (loss of function) inAssessedHGNC:626ENSG0000019893110260016q24.3adenine phosphoribosyltransferase22934314[PMID]_22700886[PMID]
5

Prevalence and incidence

4 records
TypeClassValueAreaQualificationValidationSource
Point prevalence1-9 / 100 000—EuropeClass onlyNot yet validatedORPHANET
Point prevalence1-9 / 100 0001.5 / 100 000Specific populationValue and classValidated[EXPERT]
Point prevalence1-9 / 100 0003.7 / 100 000JapanValue and classValidated[EXPERT]
Point prevalence1-9 / 100 0006.7 / 100 000IcelandValue and classValidated[EXPERT]

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

18 annotations · validated 2020-02-10
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0012379Abnormal enzyme/coenzyme activity
Frequent (79-30%)
HP:0001919Acute kidney injury
HP:0012622Chronic kidney disease
HP:0100518Dysuria
HP:0000822Hypertension
HP:0000787Nephrolithiasis
HP:0000093Proteinuria
HP:0000083Renal insufficiency
Occasional (29-5%)
HP:0011848Abdominal colic
HP:0005110Atrial fibrillation
HP:0030157Flank pain
HP:0012587Macroscopic hematuria
HP:0100520Oliguria
HP:0000010Recurrent urinary tract infections
HP:0003774Stage 5 chronic kidney disease
HP:0000791Uric acid nephrolithiasis
HP:0000019Urinary hesitancy
HP:0000016Urinary retention

Run the differential on the 1 obligate / very frequent terms

Annotation source: 22934314[PMID]_30993240[PMID]_31440706[PMID]_31378568[PMID]

7

Sources for this card