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A very rare inherited retinal dystrophy characterized by progressive chorioretinal atrophy, myopia and early cataract.
Features include always present findings: Nyctalopia, Macular thickening, Hyperornithinemia, and Foveoschisis and others. 11 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Eyes | 4 | Macular thickening, Blindness, Visual impairment |
Muscles | 2 | Proximal muscle weakness, Chorioretinal atrophy |
Lab test results | 1 | Abnormal electrical muscle activity (EMG) (emg abnormality) |
OAT encodes ornithine aminotransferase (439 aa). Catalyzes the reversible interconversion of L-ornithine and 2-oxoglutarate to L-glutamate semialdehyde and L-glutamate Highest expression in Small Intestine Terminal Ileum (165.3 TPM) and Cells Cultured fibroblasts (139.5 TPM).
Ornithine aminotransferase deficiency is caused by mutations in the OAT gene on chromosome 10.
The OAT protein participates in ornithine + alpha-ketoglutarate glutamate + L-glutamate gamma-semialdehyde [OAT], glutamate + L-glutamate gamma-semialdehyde ornithine + alpha-ketoglutarate [OAT], and OAT2 and OAT4 mediate transport of sulphate conjugates pathways.
OAT is classified as a druggable target (Druggable Genome and Enzyme categories) with score 104.4.
Genetic testing for OAT is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for ornithine aminotransferase deficiency has been reported in the published literature.
Phenotype severity distribution: 6 always present features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
3 clinical trials registered, 1 recruiting. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
34 publications have been identified in PubMed for ornithine aminotransferase deficiency. Research spans Basic Science / Preclinical (29%), Case Report / Case Series (26%), and Review / Meta-Analysis (9%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 10 | 29% |
Patient case studies | 9 | 26% |
Research summaries | 3 | 9% |
Clinical study results | 3 | 9% |
Disease patterns and progression | 3 | 9% |
New treatment approaches | 3 | 9% |
Other research | 2 | 6% |
Testing and diagnosis research | 1 | 3% |
Zehar S (2026). [PMID: 41955657](https://pubmed.ncbi.nlm.nih.gov/41955657/). *J Fr Ophtalmol*. [Other]
Fong N (2026). [PMID: 41575622](https://pubmed.ncbi.nlm.nih.gov/41575622/). *Documenta ophthalmologica. Advances in ophthalmology*. [Epidemiology / Natural History]
Sharma SV (2026). [PMID: 40591952](https://pubmed.ncbi.nlm.nih.gov/40591952/). *Retina (Philadelphia, Pa.)*. [Basic Science / Preclinical]
Alferayan YA (2026). [PMID: 41483469](https://pubmed.ncbi.nlm.nih.gov/41483469/). *The American journal of case reports*. [Basic Science / Preclinical]
Aktaşoğlu EÖ (2026). [PMID: 41699715](https://pubmed.ncbi.nlm.nih.gov/41699715/). *Orphanet journal of rare diseases*. [Epidemiology / Natural History]
Floriani F (2026). [PMID: 41887919](https://pubmed.ncbi.nlm.nih.gov/41887919/). *Proteins*. [Review / Meta-Analysis]
Elnahry AG (2026). [PMID: 32491691](https://pubmed.ncbi.nlm.nih.gov/32491691/). *Unknown Journal*. [Case Report / Case Series]
Taniai H (2026). [PMID: 42064147](https://pubmed.ncbi.nlm.nih.gov/42064147/). *Case Rep Ophthalmol Med*. [Case Report / Case Series]
Bierbrier J (2026). [PMID: 42220020](https://pubmed.ncbi.nlm.nih.gov/42220020/). *Ophthalmic Genet*. [Case Report / Case Series]
Summerlin M (2026). [PMID: 42184784](https://pubmed.ncbi.nlm.nih.gov/42184784/). *Mol Genet Metab*. [Other]
Data assembled from 8 of 12 sources · Last updated Sep 19, 2026, 5:54 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning ornithine aminotransferase deficiency
Updated Jul 31, 2026
In 1999, 18-year-old Jesse Gelsinger died in a clinical trial meant to test the safety of an adenovirus vector in support of a potential gene therapy treatment for ornithine transcarbamylase deficiency, a genetic liver disease. A recent tragedy in China reminds us of important lessons for managing drug trials of gene therapies And while fundamental research in support of gene therapies continued, it wasn’t until 2014 that the US ran another clinical trial on a gene therapy. In 2026, we must not let this latest incident set us back. The promise of gene therapy is far too great, and to realize that promise requires a bold leap forward that will protect patients and the science. At their best, gene therapies offer potential one-time, permanent cures for debilitating genetic disease. Gene therapies are not like any other drug. It’s true that death is a, thankfully, rare part of some drug trials. But gene therapy’s greatest advantage—its permanence—is also a great weakness in a clinical trial: you can’t stop once you’ve begun. If a patient has a negative reaction to a more typical drug, the overseeing clinician can stop a subsequent administration. Typical drug trials have also become routine. Institutional review boards generally know what to look for before approving a trial. And often the drugs being tested now are built on several generations of drugs tested before. Our knowledge and experience create a safety net. ... But gene therapy is a new business.
A study identifies two cryptic variants in the OTC gene responsible for ornithine transcarbamylase deficiency in unrelated Chinese male patients. This research enhances understanding of the genetic underpinnings of this rare metabolic disorder.
Ultragenyx reports positive 36-week data from its Phase 3 study of DTX301, an AAV8 gene therapy for ornithine transcarbamylase (OTC) deficiency. This therapy aims to address the unmet needs of over 10,000 patients affected by OTC deficiency, particularly those with late-onset forms of the disease.
PackGene Biotech is advancing AAV gene therapy for rare diseases, focusing on novel capsids for targeted delivery and dual-vector strategies for large genes. Ongoing trials are investigating therapies for glycogen storage diseases, urea cycle disorders like ornithine transcarbamylase deficiency, and phenylketonuria.