On this page
⚠ Educational content only Not medical or genetic advice. Speak with a healthcare provider or genetic counsellor before acting on anything here.

GNPAT

glyceronephosphate O-acyltransferase

The GNPAT gene provides instructions for an enzyme called glyceronephosphate O-acyltransferase (GNPAT), which plays a key role in the production of specific lipids called plasmalogens within cellular peroxisomes. GNPAT is essential for the first step in synthesising plasmalogens, a type of lipid found in cell membranes and myelin.

Chromosome 1q42.2 HGNC:4416 Tier C
GNPAT 1q42.2 p arm q arm 1

GNPAT is located on the long (q) arm of chromosome 1, at band 1q42.2. Arm ratio per GRCh38 - banding schematic.

Explore chromosome 1 in the library →

Available at Jeen Health

Clinical tests that include this

Overview

The GNPAT gene encodes the enzyme glyceronephosphate O-acyltransferase (GNPAT), also known as dihydroxyacetonephosphate acyltransferase (DHAPAT). This enzyme is located within peroxisomes, which are cellular compartments responsible for breaking down various substances and producing specific fats (lipids). GNPAT is crucial for initiating the synthesis of plasmalogens, a class of lipids important for cell membrane structure and nerve cell insulation.

What the gene does

The GNPAT enzyme, found in peroxisomes, catalyses the initial step in the biosynthesis of plasmalogens. Plasmalogens are unique lipid molecules that are abundant in cell membranes throughout the body, particularly in the myelin sheath that insulates nerve cells. While their precise functions are still under investigation, plasmalogens are thought to contribute to cellular protection against oxidative stress, a process where unstable molecules called free radicals can damage cells. They may also be involved in interactions between lipids and proteins, the transmission of chemical signals within cells, and the fusion of cell membranes. A deficiency in functional GNPAT enzyme disrupts peroxisome activity and significantly reduces cellular plasmalogen levels, impacting these critical cellular processes.

Video: Genetics 101

Chromosome location

The GNPAT gene is located on chromosome 1, specifically at position 1q42.2. This indicates its position on the long arm (q) of chromosome 1, within region 42, band 2.

Protein structure

The GNPAT protein consists of 680 amino acids. It features a HXXXXD motif located between amino acids 162 and 167, which is a conserved sequence often found in acyltransferase enzymes. Additionally, a Microbody targeting signal is present at amino acids 678-680, which is responsible for directing the protein to peroxisomes.

Domain map · 680 amino acids
HXXXXD motif (162–167)Microbody targeting signal (678–680)HXXXXD motif162–167Microbody targeting si678–6801~340680
Motif - short conserved sequence
🧬 Explore 3D structure on AlphaFold
UniProt:O15228Length:680 aaStructure:AlphaFold

Key variants

Genetic variations within the GNPAT gene can lead to altered enzyme function, ranging from reduced activity to a complete loss of function. These changes can disrupt the normal production of plasmalogens and impair peroxisome function.

The table below shows the top 10 pathogenic or likely-pathogenic variants currently classified in ClinVar for GNPAT.
View all on ClinVar →

Sample of pathogenic variants

10 pathogenic / likely-pathogenic variants from ClinVar, ranked by review status (expert-panel-reviewed first). This is a sample; recurrent founder variants in a specific population may not appear here - see the full ClinVar listing via the link above.

Variant (HGVS) Protein change Classification Evidence Associated condition
c.1158G>A
single nucleotide variant
p.Trp386Ter Pathogenic/Likely pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata type 2
c.1429_1430del
Deletion
p.Met477fs Pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata type 2
c.1483del
Deletion
p.Leu494_Val495insTer Pathogenic/Likely pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata type 2
c.1583_1586del
Microsatellite
p.Leu528fs Pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata
c.180T>A
single nucleotide variant
p.Tyr60Ter Pathogenic/Likely pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata type 2
c.487C>T
single nucleotide variant
p.Arg163Ter Pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata type 2
c.569-3T>G
single nucleotide variant
- Pathogenic ★★☆☆ GNPAT-related disorders
c.574del
Deletion
p.Leu192fs Pathogenic/Likely pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata type 2
c.632G>A
single nucleotide variant
p.Arg211His Pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata type 2
c.849_850dup
Duplication
p.Tyr284fs Pathogenic ★★☆☆ Rhizomelic chondrodysplasia punctata type 2

Evidence stars indicate ClinVar review status. Individual variant interpretation should always be performed by a qualified clinical laboratory - many variants remain classified as Variants of Uncertain Significance (VUS) pending more research.

Associated conditions

Pathogenic variants in the GNPAT gene are associated with inherited metabolic disorders, particularly those affecting peroxisome biogenesis and function. These conditions often manifest with a range of symptoms related to impaired lipid metabolism and cellular dysfunction.

No disease links recorded for this gene in our reference set.

UK clinical status

The GNPAT gene is included in several UK NHS national genomic testing panels, indicating its clinical relevance in the UK. It is listed as 'green' (gene has strong evidence of association with the disease) on PanelApp UK for conditions such as Bilateral congenital or childhood onset cataracts, Chondrodysplasia punctata, Foetal anomalies, Intellectual disability, Peroxisomal disorders, Skeletal dysplasia, and Undiagnosed metabolic disorders.

Frequently asked questions

What is the main function of the GNPAT gene?

The GNPAT gene provides instructions for making an enzyme crucial for the first step in synthesising plasmalogens, which are special lipids found in cell membranes and nerve insulation. This enzyme operates within cellular compartments called peroxisomes.

What are plasmalogens and why are they important?

Plasmalogens are a type of lipid molecule found extensively in cell membranes and myelin, the protective sheath around nerve cells. They are thought to help protect cells from damage caused by oxidative stress and play roles in cell signalling and membrane interactions.

What happens if the GNPAT gene doesn't work correctly?

If the GNPAT gene is not functioning properly, it can lead to a shortage of the GNPAT enzyme. This disrupts the production of plasmalogens and impairs the normal function of peroxisomes, which can result in various health conditions affecting lipid metabolism and cellular processes.

References

  1. Liu D, Nagan N, Just WW. Role of dihydroxyacetonephosphate acyltransferase in the biosynthesis of plasmalogens and nonether glycerolipids. Journal of lipid research. 2005. PMID: 15687349
  2. Thai TP, Rodemer C, Jauch A. Impaired membrane traffic in defective ether lipid biosynthesis. Human molecular genetics. 2001. PMID: 11152660
  3. Ofman R, Lajmir S, Wanders RJ. Etherphospholipid biosynthesis and dihydroxyactetone-phosphate acyltransferase: resolution of the genomic organization of the human gnpat gene and its use in the identification of novel mutations. Biochemical and biophysical research communications. 2001. PMID: 11237722
  4. Ofman R, Hettema EH, Hogenhout EM. Acyl-CoA:dihydroxyacetonephosphate acyltransferase: cloning of the human cDNA and resolution of the molecular basis in rhizomelic chondrodysplasia punctata type 2. Human molecular genetics. 1998. PMID: 9536089
  5. Wanders RJ, Schumacher H, Heikoop J. Human dihydroxyacetonephosphate acyltransferase deficiency: a new peroxisomal disorder. Journal of inherited metabolic disease. 1992. PMID: 1405476
Educational content. This page is not medical or genetic advice, is not individually reviewed by a clinician for each reader, and should not replace a consultation with a qualified healthcare professional or genetic counsellor. If you are considering genetic testing or acting on a test result, book a consultation.
Data sources Last updated 11 October 2026. Content compiled from HGNC · MedlinePlus Genetics · ClinGen · Genomics England PanelApp · NHS National Genomic Test Directory · ClinVar · UniProt · AlphaFold .