GALT (human) — gene review notes

UniProt: P07902. Gene: GALT (galactose-1-phosphate uridylyltransferase). Chr 9p13.

Core biology (verified)

GALT catalyses the third, central step of the Leloir pathway of galactose
catabolism:

alpha-D-galactose 1-phosphate + UDP-alpha-D-glucose <=> alpha-D-glucose 1-phosphate + UDP-alpha-D-galactose
(Rhea:RHEA:13989, EC 2.7.7.12)

Disease (dismech Galactosemia.yaml + literature)

GALT deficiency causes classic galactosemia (type I; OMIM 230400) — autosomal
recessive, ~1/50,000 newborns (US screening). Most severe galactosemia form:
- Neonatal toxicity on milk (lactose->galactose): jaundice, hepatomegaly/liver failure,
cataracts, renal failure, bleeding diathesis, E. coli sepsis, death within days if
untreated.
PMID:22461411
- Driven by accumulation of galactose-1-phosphate (and galactitol); reduced UDP-hexoses
and disturbed glycosylation.
- Treatment = dietary galactose restriction; but long-term complications persist despite
diet: cognitive/IQ deficits, speech dyspraxia, ataxia, premature ovarian insufficiency.
PMID:22461411
- >300 disease mutations; ~60% missense. Most common p.Gln188Arg (Q188R) — active-site
variant, ~10% residual activity, aggregation-prone. p.Ser135Leu common in Africans;
p.Lys285Asn common in Europeans. [PMID:1897530; PMID:27005423]

Annotation-by-annotation reasoning

Deep research

falcon deep-research file did NOT land within the 8-minute poll window; review grounded
in UniProt, GOA, dismech Galactosemia.yaml, and cached PMIDs (structure PMID:27005423,
kinetics PMID:22461411, mutation PMID:1897530, gene PMID:1427861).