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Living with PSAT deficiency

A rare genetic condition that lowers serine and glycine, with seizures, a small head, and developmental delay in infancy.

Understanding PSAT deficiency

PSAT deficiency is a rare genetic condition in which the body lacks an enzyme (phosphoserine aminotransferase) needed to make the amino acids serine and glycine.

Blood and spinal fluid have low levels of serine and glycine. It starts in the newborn or infant period, with seizures that are hard to treat, a small head, stiff muscles, and delayed development. GARD notes that serine and glycine supplements started from birth have been reported to lead to a normal outcome.

Signs & symptoms

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

  • Seizures
  • Small head size (microcephaly)
  • Stiff muscles (hypertonia)
  • Severe delays in development
  • Feeding difficulties
  • Slow growth before and after birth

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 PSAT1 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
Would genetic testing for the PSAT1 gene help our family?
Could serine and glycine supplements help my child?
How can seizures be managed?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesPSAT1

This condition is caused by changes in the PSAT1 gene. GARD lists autosomal dominant inheritance.

GeneticNeurologicalInherited Metabolic

Also known as: deficiency of phosphoserine aminotransferase; phosphoserine aminotransferase deficiency; phosphoserine aminotransferase deficiency, infantile/juvenile form; psat deficiency, infantile/juvenile form

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · PSAT deficiencyGARD ID 13273 · 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 PSAT deficiency.

Explore the PSAT deficiency blog

Explore research for PSAT deficiency

Explore actively recruiting PSAT deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for PSAT deficiency with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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