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

PHGDH gene

The PHGDH gene is responsible for the first step in the production of the amino acid serine, which is essential for central nervous system development.

Normal Function

The PHGDH gene provides instructions for making the subunits of the phosphoglycerate dehydrogenase enzyme. This enzyme converts 3-phosphoglycerate into 3-phosphohydroxypyruvate, the initial step in the synthesis of the amino acid serine.

Serine is vital for the development and function of the central nervous system. It is a component of neurotransmitters and is necessary for the formation of cell membranes and the fatty myelin layer that insulates nerves. Because dietary serine cannot cross the blood-brain barrier, brain cells must produce their own serine using this enzyme.

Health Conditions Related to Genetic Changes

Phosphoglycerate dehydrogenase deficiency

Mutations in the PHGDH gene cause phosphoglycerate dehydrogenase deficiency. This condition is characterized by:

  • Microcephaly (unusually small head size)
  • Severe developmental delay
  • Intractable epilepsy (recurrent seizures that are difficult to treat)

These mutations result in an enzyme with decreased function, stalling serine production. The resulting lack of serine impairs the creation of neurotransmitters and proteins necessary for brain development and myelin formation, leading to the severe neurological symptoms observed in affected individuals.

Genomic Location

The PHGDH gene is located on chromosome 1.

Frequently Asked Questions

Seizure control often requires a combination of antiepileptic drugs tailored to the seizure type. In some cases, ketogenic or modified Atkins diets can reduce seizure frequency. Early referral to a pediatric epilepsy center for evaluation of responsive epilepsy therapies (e.g., vagus nerve stimulation) may be beneficial.
Research is exploring gene therapy and enzyme replacement strategies, but these are still in preclinical stages. Families can stay informed by joining patient advocacy groups, checking clinicaltrials.gov for ongoing trials, and consulting metabolic specialists for potential enrollment in investigational studies.
If a child presents with microcephaly, severe developmental delay, and intractable seizures before 12 months, PHGDH deficiency should be considered. A metabolic workup including plasma amino acids, urine organic acids, and a targeted PHGDH gene panel is recommended.
low‑protein, high‑carbohydrate diet supplemented with L‑serine (typically 1–2 g/kg/day) can raise brain serine levels. Supplements should be started under a metabolic specialist’s guidance, and dietary intake should be monitored for growth and tolerance. Regular serum and CSF serine measurements help adjust dosing.
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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