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Living with Aminoacylase 1 deficiency

An inherited condition that can cause delayed development and other nervous system problems, though some people have no health problems.

Understanding Aminoacylase 1 deficiency

Aminoacylase 1 deficiency is an inherited disorder that can cause neurological problems, with a wide range of severity.

People typically have delayed mental and motor skills, movement problems, low muscle tone, mild intellectual disability, and seizures. Some people have no health problems from it. A key feature in everyone with it is high levels of modified amino acids (N-acetylated amino acids) in the urine.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Delayed development
  • Low muscle tone (hypotonia)
  • Generalized muscle weakness
  • Brain dysfunction (encephalopathy)
  • Seizures
  • Mild intellectual disability

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Consider genetic testing

    Changes in ACY1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is genetic testing for ACY1 available for our family?
Does a urine test for N-acetylated amino acids confirm the diagnosis?
Which therapies can support development?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Recessive
GenesACY1

Changes in the ACY1 gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalInherited Metabolic

Also known as: acy1d; deficiency of aminoacylase 1; n-acyl-l-amino acid amidohydrolase deficiency; neurological conditions associated with aminoacylase 1 deficiency

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Aminoacylase 1 deficiencyGARD ID 9741 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Aminoacylase 1 deficiency.

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Explore actively recruiting Aminoacylase 1 deficiency studies with HealthSpark.

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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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