Gene
GCH1
GTP cyclohydrolase 1
- HGNC 4193↗(opens in a new tab)
- Ensembl gene ENSG00000131979↗(opens in a new tab)
- NCBI Gene 2643↗(opens in a new tab)
Summary
- Cytogenetic location
- 14q22.2
- Coordinates
- Chromosome 14: 54,842,017–54,902,826 (GRCh38)
- Exons
- 6 exons across 60.8 kb
- Protein
- 250 amino acids
- Inheritance
- Autosomal recessive
- Also known as
- GTPCH1, DYT5a
- Previous symbols
- GCH, DYT5, DYT14
- MANE Select transcript
- ENST00000491895.7NM_000161.3
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Get my Genome TestCurated reports relevant to this gene
BH4 Deficiency & Monoamine Neurotransmitter Disorders
- Hyperphenylalaninemia due to BH4 DeficiencyAutosomal recessive
Caused by variants in PTS, QDPR, PCBD1 or GCH1, which raise phenylalanine and reduce dopamine and serotonin, leading to movement problems, seizures and developmental delay.
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Knowing allows treatment with BH4, neurotransmitter precursors (L-dopa, 5-hydroxytryptophan) and folinic acid where needed.
Dystonia, Myotonia, Paroxysmal Dyskinesia
- Dystonia 5
An autosomal dominant dopa-responsive dystonia in which the cause of the disease is a variation in the GCH1 gene.
- 4 GenCC submitters rate it definitive or strong
- Inherited Dystonia
Umbrella term covering inherited dystonias, including DYT-TOR1A early-onset generalized dystonia, DYT-THAP1, myoclonus-dystonia (SGCE) and KMT2B-related dystonia.
- 4 GenCC submitters rate it definitive or strong
Inheritance
- Autosomal recessive
- It takes a changed copy from each parent. With one, you are a carrier and usually unaffected; when both parents are carriers, each child has a one-in-four chance of inheriting two.
How GCH1 is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 2.9 kb of the gene's 60.8 kb; 753 of those bases code for the protein.
How a genome test reads GCH1
76
positions in GCH1 where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 60.8 kb of GCH1, introns included, not only the 2.9 kb of exons.
Genes linked to the same conditions
- SPRsepiapterin reductaseShares 2 conditions
- ACTBactin betaShares 1 condition
- ANO3anoctamin 3Shares 1 condition
- ARFGEF3ARFGEF family member 3Shares 1 condition
- ATP1A3ATPase Na+/K+ transporting subunit alpha 3Shares 1 condition
- BCAP31B cell receptor associated protein 31Shares 1 condition
- COL6A3collagen type VI alpha 3 chainShares 1 condition
- DCAF17DDB1 and CUL4 associated factor 17Shares 1 condition
- GNALG protein subunit alpha LShares 1 condition
- HPCAhippocalcinShares 1 condition
- KCNJ10potassium inwardly rectifying channel subfamily J member 10Shares 1 condition
- KCTD17potassium channel tetramerization domain containing 17Shares 1 condition
Traits linked to GCH1
The Human Phenotype Ontology lists these as features of the rare conditions GCH1 can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Choreoathetosis
- Dystonia
- Epilepsy
- Global developmental delay
- Increased reflexes
- Parkinsonism with favorable response to dopaminergic medication
- Tremor
- Abnormal substantia nigra morphology
Show 29 more traits
- Abnormality of extrapyramidal motor function
- Anxiety
- Ataxia
- Babinski sign
- Brisk reflexes
- Depression
- Difficulty articulating speech
- Difficulty performing quick and alternating movements
- Difficulty sleeping
- Focal dystonia
- Inability to coordinate movements when walking
- Incoordination
- Jaw hyperreflexia
- Limb dystonia
- Overactive lower leg reflex
- Parkinsonism
- Postural tremor
- Slow movements
- Generalized dystonia
- Impaired distal vibration sensation
- Impaired vibration sensation in the lower limbs
- Obsessive compulsive behavior
- Resting tremor
- Hyperactive movements
- Intellectual disability
- Irritability
- Lethargy
- Worsening neurological symptoms
- Writer's cramp
Abnormality of the musculoskeletal system
- Generalized decreased muscle tone
- Low muscle tone
- Rigidity
- Cogwheel rigidity
- Involuntary muscle stiffness, contraction, or spasm
- Progressive flexion contractures
- Rheumatoid arthritis
- Scoliosis
Show 1 more trait
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). GCH1 gene: GTP cyclohydrolase 1. Retrieved 17 October 2026, from https://dantelabs.com/genes/gch1
Dante Labs. GCH1 gene: GTP cyclohydrolase 1 [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/gch1
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