In the second step in glutathione formation, gamma-glutamylcysteine (gGluCys) ligates with glycine (Gly) to form glutathione (GSH), catalysed by glutathione synthetase (GSS), a homodimeric enzyme present in the cytosol. Defects in GSS can cause glutathione synthetase deficiency (GSSD aka 5-oxoprolinase deficiency, MIM:266130), a severe, autosomal recessive disorder characterised by an increased rate of haemolysis, 5-oxoprolinuria and defective function of the central nervous system. In this condition, decreased levels of cellular glutathione result in overstimulation of gamma-glutamylcysteine synthesis and its subsequent conversion to 5-oxoproline. Mutations causing severe GSSD include R164Q, R267W, R283C, R125C and P314L (Shi et al. 1996).
Habib, GM, Rhead, WJ, He, X, Lieberman, MW, Sazer, S, Shi, ZZ, Gahl, WA
glutathione synthase activity of GSS mutants:GSS mutants:Mg2+:Mg2+ [cytosol]
Loss of function of GSS mutants:GSS mutants:Mg2+:Mg2+ [cytosol]
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