Abstract
In this study, we report three cases of nonketotic hyperglycinemia (NKHG) diagnosed
biochemically and molecularly. Clinical exome analysis in two families revealed two
novel mutations in the aminomethyltransferase (AMT) gene, that is, c.14_15insT (p.Ser6LysfsTer22)
and c.259–2A > T, both of them adversely affecting the protein. This is the first
report of AMT gene mutations in NKHG from India. Prenatal diagnosis in the first family
showed an unaffected fetus in the third pregnancy. The role of AMT protein is pivotal
for the synthesis of 5,10-methylene tetrahydrofolate, the first metabolite in one-carbon
metabolism that regulates DNA synthesis, repair, and methylation.
Keywords
aminomethyltransferase gene - clinical exome - nonketotic hyperglycinemia