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GSS gene
Reviewed by Medicinsk Expert•Last updated: 2026-10-22•Gene

GSS gene

The GSS gene provides instructions for making the enzyme glutathione synthetase, which is necessary for producing the antioxidant glutathione.

Normal Function

The GSS gene provides instructions for making an enzyme called glutathione synthetase. This enzyme participates in the gamma-glutamyl cycle, a sequence of chemical reactions that takes place in most of the body's cells to produce glutathione. Glutathione is an antioxidant that protects cells from damage caused by unstable oxygen-containing molecules produced during energy production. It also helps process medications and carcinogens, and assists in building DNA, proteins, and other important cellular components.

Health Conditions Related to Genetic Changes

Glutathione synthetase deficiency

More than 30 mutations in the GSS gene have been identified in people with glutathione synthetase deficiency. Characteristic features include the abnormal destruction of red blood cells (hemolytic anemia), the release of large amounts of 5-oxoproline in the urine (5-oxoprolinuria), and elevated acidity in the blood and tissues (metabolic acidosis). Severely affected individuals may also have neurological problems.

Most GSS mutations change single amino acids or disrupt the genetic blueprint for the enzyme, resulting in an enzyme that may be unstable, shorter than usual, or the wrong shape. These changes reduce the activity of the enzyme and disrupt the gamma-glutamyl cycle, preventing adequate production of glutathione. Low levels of glutathione lead to the overproduction of 5-oxoproline, which accumulates in tissues and causes the associated symptoms.

Other Names for This Gene

  • gamma-L-Glutamyl-L-cysteine:glycine ligase (ADP-forming)
  • glutathione synthase
  • GSH synthetase
  • GSHB_HUMAN
  • GSHS
  • MGC14098

Frequently Asked Questions

Infants may develop pallor, jaundice, or a rapid heart rate due to hemolytic anemia. They may also exhibit poor feeding, lethargy, or episodes of vomiting. A sudden drop in hemoglobin or an unexplained increase in bilirubin warrants prompt evaluation for a metabolic disorder.
Limiting high‑protein foods that are rich in glutamine can help reduce the substrate that feeds into the gamma‑glutamyl cycle. A dietitian can design a balanced plan that maintains adequate protein for growth while avoiding excess glutamine‑rich proteins, and supplementation with antioxidants such as N‑acetylcysteine may support glutathione synthesis.
comprehensive workup includes a complete blood count showing hemolytic anemia, a metabolic panel revealing metabolic acidosis, and a urine test that detects elevated 5‑oxoproline levels. Enzyme activity assays on cultured fibroblasts or red blood cells can directly measure glutathione synthetase activity, and targeted next‑generation sequencing of the GSS gene identifies pathogenic variants.
Severe, chronic deficiency can lead to developmental delays, seizures, or movement disorders. Regular neurodevelopmental assessments, EEG monitoring if seizures are suspected, and periodic MRI scans can help detect early changes. Early intervention with physical, occupational, and speech therapy improves outcomes.
Source: MedlinePlus, National Library of Medicine

MedlinePlus brings together authoritative health information from the National Library of Medicine (NLM), the National Institutes of Health (NIH), and other government agencies and health-related organizations.

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