AGAT deficiency
Findings
No curated finding names AGAT deficiency yet. Everything below is reference data from Mondo, HPO and GenCC, not evidence about what affects it.
Definition
L-Arginine:glycine amidinotransferase (AGAT) deficiency is a very rare type of creatine deficiency sydrome characterized by global developmental delay, intellectual disability, and myopathy.
Definition from the Mondo Disease Ontology (MONDO:0012996), read 2026-09-29. CC BY 4.0.
- Inheritance
- Autosomal recessive inheritance
- Onset and course
- Infantile onset
HPO, annotations 2026-09-02
Features
23 features
What the disease is reported to present with, and how often among people who have it — never how often a feature means the disease. HPO, annotations 2026-09-02.
- Absent speechHPOHP:0001344
- 2 of 2 reported patients
- Decreased urine guanidinoacetic acid levelHPOHP:0034888
- 2 of 2 reported patients
- Frequent (30% to 79% of cases)
- Delayed ability to walkHPOHP:0031936
- 2 of 2 reported patients
- Intellectual disabilityHPOHP:0001249
- 2 of 2 reported patients
- Reduced brain creatine level by MRSHPOHP:0025051
- 12 of 12 reported patients
- Frequent (30% to 79% of cases)
- Reduced tissue arginine:glycine amidinotransferase activityHPOHP:6000572
- 1 of 1 reported patient
- Very frequent (80% to 99% of cases)
Show the remaining 11
- Delayed speech and language developmentHPOHP:0000750
- Frequent (30% to 79% of cases)
- Muscle weaknessHPOHP:0001324
- Frequent (30% to 79% of cases)
- MyopathyHPOHP:0003198
- Frequent (30% to 79% of cases)
- Reduced circulating creatine concentrationHPOHP:0034292
- Frequent (30% to 79% of cases)
- Decreased circulating guanidinoacetic acid concentrationHPOHP:6001352
- 1 of 2 reported patients
- Simple febrile seizureHPOHP:0011171
- 1 of 2 reported patients
Genes
1 gene
Germline variants in the gene encoding each protein, as classified by GenCC submitters, each in their own words. Limited, disputed and refuted submissions are listed too.
- GATMHGNC:4175
- Definitive · ClinGen · Autosomal recessive · 2019
- Definitive · G2P · Autosomal recessive · 2015
- Definitive · Natera · Autosomal recessive · 2023
- Strong · Labcorp Genetics (formerly Invitae) · Autosomal recessive · 2018
- Strong · PanelApp Australia · Autosomal recessive · 2025
- Moderate · Ambry Genetics · Autosomal recessive · 2018
- Supportive · Orphanet · Autosomal recessive · 2021
Where it sits
Other names
9 names
Resolves to: AGAT deficiency
- Also called
- arginine:glycine amidinotransferase deficiencyCCDS3cerebral creatine deficiency syndrome 3cerebral creatine deficiency syndrome type 3creatine deficiency syndrome due to AGAT deficiencydisorder of glycine amidinotransferase activityGATM deficiencyglycine amidinotransferase activity diseaseL-arginine:glycine amidinotransferase deficiency