AMT Gene (Aminomethyltransferase): Function, Disease Associations, and Clinical Significance

Comprehensive guide to the AMT gene, encoding aminomethyltransferase, its role in glycine cleavage, associated disorders, and genetic variants.

Gene Information Card

Symbol AMT
Full Name Aminomethyltransferase
Gene Type Protein coding
Chromosomal Location 3p21.31
NCBI Gene ID 275 ncbi.nlm.nih.gov/gene/275
Ensembl ID ENSG00000145020
UniProt ID P48728
OMIM ID 238310
HGNC ID 473
Aliases GCVT, NKH

Description

The AMT gene encodes aminomethyltransferase, also known as glycine cleavage system T-protein. This mitochondrial enzyme is a component of the glycine cleavage system, which catalyzes the degradation of glycine. The protein transfers the methylene group from glycine to tetrahydrofolate, producing 5,10-methylenetetrahydrofolate, ammonia, and carbon dioxide. Mutations in AMT cause nonketotic hyperglycinemia (NKH), a severe neurometabolic disorder characterized by accumulation of glycine in body fluids.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Nonketotic hyperglycinemia (NKH) Loss-of-function mutations in AMT impair glycine cleavage, leading to elevated glycine levels in plasma, cerebrospinal fluid, and brain, causing neurological symptoms. ClinVar, OMIM
Glycine encephalopathy Same as NKH; AMT mutations result in defective T-protein, disrupting the glycine cleavage system and causing glycine accumulation. OMIM, PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Liver 12.4 Medium
Kidney 8.1 Low
Brain 6.3 Low
Heart 5.2 Low
Skeletal Muscle 2.1 Not detected
Cell Line Expression
Cell Line nTPM Notes
HepG2 (liver) 15.2 Highest expression
A549 (lung) 4.5 Moderate
MCF7 (breast) 2.3 Low
K562 (leukemia) 1.1 Very low
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1A>G (p.Met1Val) Missense Rare Loss of start codon, likely no protein
c.IVS3+1G>A Splice site Rare Splicing defect, exon skipping
c.742C>T (p.Arg248Ter) Nonsense Rare Premature stop, truncated protein
c.1082delC (p.Pro361LeufsTer5) Frameshift Rare Frameshift, loss of function
Mutation functional classification

Loss of Function (LOF)

Most AMT mutations are loss-of-function, leading to reduced or absent aminomethyltransferase activity, causing glycine accumulation.

Gain of Function (GOF)

No gain-of-function mutations reported for AMT.

Dominant Negative (DN)

No dominant-negative effects described; AMT mutations are typically autosomal recessive.

Gene Ontology (GO)

• aminomethyltransferase activity • glycine cleavage system
• mitochondrion • glycine metabolic process
• one-carbon metabolic process

Pathways

• Glycine cleavage system
• Glycine
• serine and threonine metabolism
• Metabolic pathways

Protein Summary

Aminomethyltransferase (AMT) is a mitochondrial enzyme composed of 403 amino acids. It forms the T-protein component of the glycine cleavage system, a multi-enzyme complex that also includes P-protein (GLDC), H-protein (GCSH), and L-protein (DLD). AMT catalyzes the transfer of the methylene group from glycine-loaded H-protein to tetrahydrofolate, producing 5,10-methylenetetrahydrofolate, ammonia, and CO2. The protein is essential for glycine catabolism; defects lead to glycine accumulation and severe neurological impairment.

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