Treatable Intellectual Disability

AGAT Deficiency

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DIAGNOSIS

Gene
GATM (AR)

Diagnostic Test
Urine Creatine Metabolites

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SIGNS & SYMPTOMS

Neurological
Epilepsy

Non-Neurological
Growth retardation

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THERAPY

Treatment
Creatine Supplements

Level of Evidence
4

Clinical Practice
Standard of Care

Treatment Effect
Improves psychomotor development/IQ;
stabilizes clinical deterioration



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AGAT Deficiency

is characterised by psychomotor retardation and very low plasma and urine guanidinoacetate and creatine concentrations. Cerebral creatine concentrations are also strongly reduced. GAAT is involved in energetic metabolism at the level of creatine synthesis. The mode of transmission is autosomal recessive. Early diagnosis and administration of creatine prevents onset of the manifestations of this disorder, which include intellectual disability (foremost speech delay), epilepsy, behavioral disturbances / autism. (Source: Orphanet)

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