GATM (Glycine AmidinoTransferase)

A key enzyme in creatine biosynthesis, implicated in cerebral creatine deficiency syndromes and potential cancer relevance.

Gene Information Card

Symbol GATM
Full Name Glycine amidinotransferase
Gene Type Protein coding
Chromosomal Location 15q21.1 (GRCh38)
NCBI Gene ID 2628 ncbi.nlm.nih.gov/gene/2628
Ensembl ID ENSG00000171766
UniProt ID P50440
OMIM ID 602360
HGNC ID 4176
Aliases AGAT, AT, CCDS3, MGC116894

Description

The GATM gene encodes glycine amidinotransferase (AGAT), a mitochondrial enzyme that catalyzes the first and rate-limiting step in creatine biosynthesis, converting glycine and arginine into guanidinoacetate and ornithine. This enzyme is expressed primarily in kidney, pancreas, and liver, and its deficiency leads to cerebral creatine deficiency syndrome, characterized by intellectual disability, speech delay, and seizures. GATM mutations are also studied in the context of cancer and other metabolic disorders.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Cerebral creatine deficiency syndrome (CCDS) due to AGAT deficiency Loss-of-function mutations in GATM impair creatine synthesis, leading to low brain creatine levels and neurological symptoms. OMIM #612718; ClinVar entries with pathogenic variants.
Arginine:glycine amidinotransferase deficiency (AGAT deficiency) Autosomal recessive disorder caused by biallelic mutations in GATM, resulting in guanidinoacetate deficiency and creatine depletion. OMIM #612718; multiple case reports in literature.
Potential cancer relevance Altered GATM expression and mutations have been observed in various cancers, though the mechanistic role is not fully established. COSMIC database lists somatic mutations in GATM across cancer types.

Expression Profile

Tissue Expression
Tissue nTPM level
Kidney High (e.g., ~50 nTPM) High
Pancreas Moderate (e.g., ~20 nTPM) Medium
Liver Moderate (e.g., ~15 nTPM) Medium
Brain Low (e.g., ~5 nTPM) Low
Muscle Low (e.g., ~3 nTPM) Low
Cell Line Expression
Cell Line nTPM Notes
HEK 293 Moderate (e.g., ~10 nTPM) Embryonic kidney cells; used in functional studies.
HepG2 Moderate (e.g., ~12 nTPM) Liver carcinoma cell line; expresses GATM.
A549 Low (e.g., ~2 nTPM) Lung carcinoma; low expression.
MCF7 Low (e.g., ~1 nTPM) Breast cancer; low expression.
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.484C>T (p.Arg162Ter) Nonsense Rare (found in AGAT deficiency patients) Loss of function; premature truncation.
c.638G>A (p.Arg213His) Missense Rare (pathogenic in CCDS) Impairs enzyme activity.
c.122G>A (p.Arg41Gln) Missense Rare (likely pathogenic) Reduced catalytic activity.
c.748C>T (p.Arg250Ter) Nonsense Rare (reported in AGAT deficiency) Loss of function.
Mutation functional classification

Loss of Function (LOF)

Most GATM mutations associated with AGAT deficiency are loss-of-function, leading to reduced or absent enzyme activity, causing creatine deficiency.

Gain of Function (GOF)

No evidence of gain-of-function mutations in GATM; such mutations are not reported in literature or databases.

Dominant Negative (DN)

No evidence of dominant-negative effects; AGAT deficiency is autosomal recessive, requiring biallelic mutations.

Gene Ontology (GO)

• amidinotransferase activity (GO:0004013) • glycine amidinotransferase activity (GO:0004013)
• creatine biosynthetic process (GO:0006601) • mitochondrion (GO:0005739)
• response to starvation (GO:0042594)

Pathways

Creatine metabolism (Reactome: R-HSA-71291)
Arginine and proline metabolism (KEGG: map00330)

Protein Summary

Glycine amidinotransferase (AGAT) is a 423-amino acid mitochondrial enzyme that catalyzes the transfer of an amidino group from arginine to glycine, producing guanidinoacetate, the direct precursor of creatine. The enzyme functions as a homodimer and is regulated by creatine levels via feedback inhibition. Defects in AGAT lead to cerebral creatine deficiency, which can be treated with creatine supplementation. The protein is also implicated in cellular energy homeostasis and has been studied in cancer metabolism.

Related Products

Product name Cat.No. Species Gene ID
GATM Knockout HEK293 Cell Line EDJ-KQ4684 Human 2628 Details Get a Quote
GATM Knockout A-549 Cell Line EDJ-KQ26145 Human 2628 Details Get a Quote
GATM Knockout HCT 116 Cell Line EDJ-KQ27388 Human 2628 Details Get a Quote
GATM Knockout HeLa Cell Line EDJ-KQ27389 Human 2628 Details Get a Quote
Displaying Records 1 To 4 Of 4 Records
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