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Features include always present findings: Intellectual disability, Absent speech, Global developmental delay, and Secondary microcephaly; and very common findings: Hypertonia, Low muscle tone (hypotonia), Overactive reflexes (hyperreflexia), and Microcephaly and others. 24 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Brain and nerves | 10 | Encephalopathy, Bilateral tonic-clonic seizure, Seizure |
Head and neck | 3 | High palate, Microcephaly, Secondary microcephaly |
Muscles | 2 | Flexion contracture, Low muscle tone (hypotonia) |
Growth and development | 1 | Failure to thrive |
Age of onset: infancy.
GPT2 encodes glutamic--pyruvic transaminase 2 (523 aa). Catalyzes the reversible transamination between alanine and 2-oxoglutarate to form pyruvate and glutamate Highest expression in Esophagus Mucosa (93.0 TPM) and Stomach (87.0 TPM).
Glutamate pyruvate transaminase 2 deficiency is caused by mutations in the GPT2 gene on chromosome 16.
The GPT2 protein participates in PXLP-K341-GPT2 transaminates L-Ala to form PYR and PXLP-K341-GPT2 transaminates PYR to form L-Ala pathways.
GPT2 is classified as a druggable target (Enzyme and Transcription Factor categories) with score 0.0.
Genetic testing for GPT2 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 4 always present features, 6 very common features, 11 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for glutamate pyruvate transaminase 2 deficiency.
48 publications have been identified in PubMed for glutamate pyruvate transaminase 2 deficiency. Kisho has analyzed 25 by research type. Research spans Basic Science / Preclinical (48%), Review / Meta-Analysis (12%), and Case Report / Case Series (12%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 12 | 48% |
Research summaries | 3 | 12% |
Patient case studies | 3 | 12% |
Clinical study results | 3 | 12% |
Disease patterns and progression | 3 | 12% |
New treatment approaches | 1 | 4% |
Li F (2026). [PMID: 42024472](https://pubmed.ncbi.nlm.nih.gov/42024472/). *JCI Insight*. [Basic Science / Preclinical]
Xiong Y (2026). [PMID: 41423158](https://pubmed.ncbi.nlm.nih.gov/41423158/). *J Ethnopharmacol*. [Basic Science / Preclinical]
Arias F (2026). [PMID: 41480893](https://pubmed.ncbi.nlm.nih.gov/41480893/). *J Med Chem*. [Clinical Trial Publication]
Aljama C (2026). [PMID: 41166536](https://pubmed.ncbi.nlm.nih.gov/41166536/). *Respiration*. [Epidemiology / Natural History]
Lewis CJ (2026). [PMID: 41665410](https://pubmed.ncbi.nlm.nih.gov/41665410/). *N Engl J Med*. [Clinical Trial Publication]
Yu S (2025). [PMID: 41465598](https://pubmed.ncbi.nlm.nih.gov/41465598/). *Int J Mol Sci*. [Basic Science / Preclinical]
Rather JI (2025). [PMID: 40182129](https://pubmed.ncbi.nlm.nih.gov/40182129/). *Clin Nephrol Case Stud*. [Case Report / Case Series]
Boffa I (2025). [PMID: 40578401](https://pubmed.ncbi.nlm.nih.gov/40578401/). *Biochim Biophys Acta Mol Basis Dis*. [Basic Science / Preclinical]
Yu W (2025). [PMID: 40773897](https://pubmed.ncbi.nlm.nih.gov/40773897/). *Int Immunopharmacol*. [Basic Science / Preclinical]
Li F (2025). [PMID: 40777505](https://pubmed.ncbi.nlm.nih.gov/40777505/). *bioRxiv*. [Basic Science / Preclinical]
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 6:58 PM UTC
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