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Living with Inherited glutathione synthetase deficiency

A genetic metabolic condition in which the body can't make enough glutathione, with effects on blood, immunity, and the brain.

Understanding Inherited glutathione synthetase deficiency

Inherited glutathione synthetase deficiency is a genetic metabolic disorder that affects the body's ability to make an important substance called glutathione.

People don't have enough of the enzyme glutathione synthetase. The condition can be mild, moderate, or severe. It can begin in the newborn period.

Signs & symptoms

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

  • Anemia from red blood cells breaking down (hemolytic anemia)
  • Yellow skin and eyes (jaundice)
  • Too much acid in the body (metabolic acidosis)
  • Frequent infections
  • Feeding difficulties in infancy
  • Seizures, intellectual disability, and poor coordination (ataxia)

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 blood and bone marrow specialists, brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); 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 Organic Acidemia Association
  • 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
Can genetic testing for the GSS gene confirm the diagnosis?
How severe is the deficiency in my child?
How will we watch for anemia, acid buildup, and infections?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

Changes (pathogenic variants) in the GSS gene cause this condition. It is inherited in an autosomal recessive pattern, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalBloodInherited Metabolic

Also known as: 5-oxoprolinuria; glutathione synthetase deficiency; gssd; inborn error of glutathione synthase activity; inborn glutathione synthase activity disorder; pyroglutamic aciduria

Patient organizations

Source: NIH GARD · Inherited glutathione synthetase deficiencyGARD ID 10047 · 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 Inherited glutathione synthetase deficiency.

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