GATM

UniProt ID: P50440
Organism: Homo sapiens
Review Status: COMPLETE
📝 Provide Detailed Feedback

Gene Description

GATM (AGAT; L-arginine:glycine amidinotransferase, EC 2.1.4.1) is the first and rate-limiting enzyme of creatine biosynthesis. It catalyzes the transfer of the amidino group of L-arginine onto the amino group of glycine to yield guanidinoacetate and L-ornithine; guanidinoacetate is subsequently methylated by GAMT to form creatine. The mature enzyme is a homodimer with a five-fold pseudosymmetric basket fold and a buried active site that uses a Cys-His-Asp catalytic triad and an amidino-cysteine covalent intermediate (ping-pong mechanism). Although glycine is the strongly preferred acceptor, the enzyme is promiscuous and can also amidinate GABA, beta-alanine and taurine to produce guanidinobutyrate, guanidinopropionate and taurocyamine. The canonical mitochondrial isoform carries a cleavable N-terminal transit peptide and localizes to the mitochondrial intermembrane space, attached to the intermembrane side of the inner membrane; an alternatively spliced isoform is cytoplasmic. GATM is expressed broadly with highest levels in kidney, and is also abundant in liver, pancreas (exocrine acinar cells), heart, brain and skeletal muscle, supplying creatine to high-energy-demand tissues for ATP buffering. Loss-of-function variants cause autosomal-recessive cerebral creatine deficiency syndrome 3 (AGAT deficiency), a treatable disorder of brain creatine depletion presenting with intellectual disability, speech delay and myopathy, whereas distinct dominant aggregation-prone variants cause Fanconi renotubular syndrome 1.

Existing Annotations Review

GO Term Evidence Action Reason
GO:0005758 mitochondrial intermembrane space
IBA
GO_REF:0000033
ACCEPT
Summary: Phylogenetic (IBA) propagation of the mitochondrial intermembrane space localization, consistent with the experimentally determined human localization and the conserved mitochondrial targeting of the amidinotransferase family.
Reason: The canonical isoform is a mitochondrial enzyme localized to the intermembrane space (attached to the intermembrane side of the inner membrane). This is the correct core location and is independently supported by an IDA annotation (PMID:9218780).
GO:0006601 creatine biosynthetic process
IBA
GO_REF:0000033
ACCEPT
Summary: Phylogenetic (IBA) propagation of involvement in creatine biosynthesis, the canonical and best-established biological role of GATM/AGAT.
Reason: GATM catalyzes the committed, rate-limiting step of creatine biosynthesis (formation of guanidinoacetate). This is a core biological process for the gene.
Supporting Evidence:
PMID:9218780
L-arginine:glycine amidinotransferase (AT) catalyses the committed step in creatine biosynthesis by formation of guanidinoacetic acid, the immediate precursor of creatine.
GO:0015068 glycine amidinotransferase activity
IBA
GO_REF:0000033
ACCEPT
Summary: Phylogenetic (IBA) propagation of glycine amidinotransferase activity, the defining catalytic activity of GATM.
Reason: This is the core molecular function of GATM, directly demonstrated experimentally in human enzyme (EXP/IDA in multiple references) and conserved across the family.
GO:0005737 cytoplasm
IEA
GO_REF:0000044
KEEP AS NON CORE
Summary: Cytoplasmic location derived by UniProt subcellular-location mapping, reflecting the cytoplasmic splice isoform (P50440-2) rather than the canonical mitochondrial enzyme.
Reason: UniProt annotates isoform 2 as cytoplasmic, so this term is not wrong, but the core, catalytically characterized form is the mitochondrial intermembrane-space enzyme. Retain as non-core (isoform-specific) localization.
GO:0005743 mitochondrial inner membrane
IEA
GO_REF:0000044
ACCEPT
Summary: Mitochondrial inner membrane location from UniProt subcellular-location mapping; the enzyme is a peripheral membrane protein on the intermembrane side of the inner membrane.
Reason: Consistent with the UniProt subcellular location (Mitochondrion inner membrane; Peripheral membrane protein; Intermembrane side). The functionally most specific term is mitochondrial intermembrane space; this inner-membrane term is an accurate, slightly different facet of the same location.
GO:0015067 amidinotransferase activity
IEA
GO_REF:0000002
ACCEPT
Summary: Parent amidinotransferase activity assigned via InterPro2GO from the amidinotransferase family signature.
Reason: Accurate but less specific than glycine amidinotransferase activity. The broader parent is genuinely appropriate because GATM is promiscuous, also amidinating GABA, beta-alanine and taurine. Retained; the specific GO:0015068 term is the primary core function.
GO:0015068 glycine amidinotransferase activity
IEA
GO_REF:0000120
ACCEPT
Summary: Glycine amidinotransferase activity inferred electronically from Rhea/EC:2.1.4.1 mapping.
Reason: Correct core molecular function, redundant with the experimental annotations for the same term but valid as an automated EC/Rhea-based assignment.
GO:0005515 protein binding
IPI
PMID:32814053
Interactome Mapping Provides a Network of Neurodegenerative ...
MARK AS OVER ANNOTATED
Summary: Generic protein binding annotations from a large-scale neurodegenerative-disease interactome/Y2H screen, covering 13 prey partners.
Reason: Protein binding (GO:0005515) is uninformative and does not capture a defined molecular function. These IPI calls come from a high-throughput interactome map and none of the listed partners corresponds to an established, functionally meaningful GATM complex. Per curation guidelines, bare protein binding should not be carried as a core function.
GO:0120162 positive regulation of cold-induced thermogenesis
IEA
GO_REF:0000107
KEEP AS NON CORE
Summary: Positive regulation of cold-induced thermogenesis transferred electronically from the mouse ortholog (Gatm), based on adipocyte-specific knockout phenotypes.
Reason: This reflects a genuine but tissue- and context-specific downstream consequence of adipocyte creatine synthesis demonstrated in mouse (fat-specific Gatm knockout impairs diet-induced/adaptive thermogenesis). It is a physiological role of creatine energetics, not a core molecular/biological function of the human enzyme; retain as non-core.
Supporting Evidence:
PMID:28844881
we have inactivated the first and rate-limiting enzyme of creatine biosynthesis, glycine amidinotransferase (GATM), selectively in fat (Adipo-Gatm KO).
GO:0006601 creatine biosynthetic process
IEA
GO_REF:0000041
ACCEPT
Summary: Creatine biosynthetic process inferred electronically from UniPathway mapping.
Reason: Correct core biological process, consistent with the curated and experimental annotations for the same term.
GO:0005739 mitochondrion
IDA
GO_REF:0000052
ACCEPT
Summary: Mitochondrial localization from immunofluorescence (HPA), a broader but accurate compartment assignment.
Reason: Directly observed mitochondrial localization. Less specific than mitochondrial intermembrane space but correct; retained as supporting localization evidence.
GO:0005758 mitochondrial intermembrane space
TAS
Reactome:R-HSA-71275
ACCEPT
Summary: Mitochondrial intermembrane space localization asserted by Reactome (creatine metabolism pathway).
Reason: Same core location as the IDA and IBA annotations; traceable author statement consistent with the experimentally established localization.
GO:0015068 glycine amidinotransferase activity
EXP
PMID:36543883
Guanidino acid hydrolysis by the human enzyme annotated as a...
ACCEPT
Summary: Experimental demonstration that purified recombinant human GATM amidinates glycine (and, less efficiently, GABA/beta-alanine/taurine), with glycine as the preferred acceptor.
Reason: Direct experimental support for the defining catalytic activity; this is the core molecular function of the gene.
Supporting Evidence:
PMID:36543883
human GATM had the highest activity with glycine, but also GABA, β-alanine and taurine were accepted as substrates with decreasing preference
GO:0015068 glycine amidinotransferase activity
EXP
PMID:3800397
The purification and characterization of human kidney L-argi...
ACCEPT
Summary: Purification and biochemical characterization of human kidney transamidinase establishing its amidinotransferase activity and dimeric structure.
Reason: Classic experimental support for the core catalytic activity of human AGAT.
Supporting Evidence:
PMID:3800397
Human kidney transamidinase is a dimer with a molecular mass of 89,000 Da and subunit masses of 44,000 Da. The Km for arginine and glycine were both 2.5 mM
GO:0015068 glycine amidinotransferase activity
EXP
PMID:9266688
Substrate binding and catalysis by L-arginine:glycine amidin...
ACCEPT
Summary: Mutagenesis and crystallographic study confirming the catalytic activity and active-site residues of human AGAT.
Reason: Direct experimental and structural support for the core glycine amidinotransferase activity, including identification of catalytic residues whose mutation abolishes activity.
GO:0005739 mitochondrion
HTP
PMID:34800366
Quantitative high-confidence human mitochondrial proteome an...
ACCEPT
Summary: Mitochondrial localization from a high-throughput high-confidence human mitochondrial proteome study.
Reason: Consistent with the established mitochondrial localization; high-throughput evidence corroborating the more specific intermembrane-space assignment.
GO:0015067 amidinotransferase activity
IDA
PMID:36543883
Guanidino acid hydrolysis by the human enzyme annotated as a...
ACCEPT
Summary: Direct experimental demonstration of broader amidinotransferase activity, since human GATM amidinates multiple acceptors (glycine, GABA, beta-alanine, taurine).
Reason: The parent term is justified by the experimentally observed substrate promiscuity. The most specific core activity is glycine amidinotransferase activity (GO:0015068); this broader term legitimately captures the side reactions.
Supporting Evidence:
PMID:36543883
human GATM had the highest activity with glycine, but also GABA, β-alanine and taurine were accepted as substrates with decreasing preference
GO:0120162 positive regulation of cold-induced thermogenesis
ISS
PMID:28844881
Genetic Depletion of Adipocyte Creatine Metabolism Inhibits ...
KEEP AS NON CORE
Summary: Positive regulation of cold-induced thermogenesis inferred by sequence/orthology from the mouse Gatm adipocyte-knockout phenotype.
Reason: Same context-specific downstream role as the IEA annotation for this term: adipocyte creatine synthesis supports adaptive/diet-induced thermogenesis in mouse. A legitimate physiological consequence of creatine energetics, but not a core function of the enzyme; retain as non-core.
Supporting Evidence:
PMID:28844881
these data suggest that adipose tissue Gatm and creatine energetics support adaptive thermogenesis in response to environmental cold.
GO:0007611 learning or memory
IMP
PMID:26490222
Arginine:glycine amidinotransferase (AGAT) deficiency: Clini...
MARK AS OVER ANNOTATED
Summary: Learning or memory assigned (CAFA) from the cognitive impairment seen in AGAT-deficiency patients.
Reason: The clinical phenotype is intellectual disability/developmental delay arising from severe brain creatine depletion. Annotating GATM directly to learning or memory over-reaches from a distal, secondary consequence of loss of creatine and does not reflect a molecular or cellular role of the enzyme in this process. The core process is creatine biosynthesis.
Supporting Evidence:
PMID:26490222
15 patients diagnosed between 16 months and 25 years of life had intellectual disability/developmental delay (IDD).
GO:0014889 muscle atrophy
IMP
PMID:26490222
Arginine:glycine amidinotransferase (AGAT) deficiency: Clini...
MARK AS OVER ANNOTATED
Summary: Muscle atrophy assigned (CAFA) from the myopathy/muscle weakness seen in AGAT-deficiency patients.
Reason: Myopathy/proximal muscle weakness in AGAT deficiency is a downstream consequence of systemic creatine depletion, not evidence that GATM participates in a muscle-atrophy process per se. This is an over-annotation derived from a disease phenotype; the core process is creatine biosynthesis.
Supporting Evidence:
PMID:26490222
8 patients also had myopathy/proximal muscle weakness.
GO:0015068 glycine amidinotransferase activity
IDA
PMID:27233232
Arginine-Glycine Amidinotransferase Deficiency and Functiona...
ACCEPT
Summary: Direct assay of glycine amidinotransferase activity used to functionally characterize pathogenic GATM missense variants (several retaining 0% of wild-type activity).
Reason: Strong experimental support for the core catalytic activity, with variant assays linking loss of this activity to AGAT-deficiency pathogenicity.
Supporting Evidence:
PMID:27233232
We found seven missense variants retaining 0% of wild-type GATM activity indicating putative pathogenicity.
GO:0070062 extracellular exosome
HDA
PMID:23533145
In-depth proteomic analyses of exosomes isolated from expres...
MARK AS OVER ANNOTATED
Summary: Extracellular exosome localization from a high-throughput proteomic study of exosomes in expressed prostatic secretions.
Reason: GATM is a mitochondrial intermembrane-space enzyme; detection in an exosome proteomics dataset is a high-throughput co-purification and does not reflect a functional extracellular/exosomal location. Over-annotation; not a core localization.
GO:0005758 mitochondrial intermembrane space
IDA
PMID:9218780
Crystal structure and mechanism of human L-arginine:glycine ...
ACCEPT
Summary: Direct (IDA) assignment of GATM to the mitochondrial intermembrane space, the core functional location of the enzyme.
Reason: Experimentally supported, most-specific correct localization. This is the core cellular location where the enzyme performs creatine precursor synthesis.
Supporting Evidence:
PMID:9218780
a mitochondrial enzyme involved in creatine biosynthesis
GO:0006601 creatine biosynthetic process
IDA
PMID:9218780
Crystal structure and mechanism of human L-arginine:glycine ...
ACCEPT
Summary: Direct evidence linking GATM activity to creatine biosynthesis (formation of the immediate creatine precursor guanidinoacetate).
Reason: Core biological process for the gene. Captured with the same evidence as the enables/MF and involved_in/BP annotations; the acts_upstream_of_or_within qualifier is acceptable.
Supporting Evidence:
PMID:9218780
L-arginine:glycine amidinotransferase (AT) catalyses the committed step in creatine biosynthesis by formation of guanidinoacetic acid, the immediate precursor of creatine.
GO:0015068 glycine amidinotransferase activity
IDA
PMID:9218780
Crystal structure and mechanism of human L-arginine:glycine ...
ACCEPT
Summary: Direct (IDA) annotation of glycine amidinotransferase activity from the crystal-structure and mechanism study of the human enzyme.
Reason: Core molecular function, supported by structural characterization of the catalytic mechanism (Cys-His-Asp triad, amidino-cysteine intermediate).
Supporting Evidence:
PMID:9218780
A reaction mechanism with a catalytic triad Cys-His-Asp is proposed on the basis of substrate and product bound states.

Core Functions

Glycine amidinotransferase activity: transfers the amidino group of L-arginine to glycine, producing guanidinoacetate and L-ornithine - the committed, rate-limiting step of creatine biosynthesis - acting in the mitochondrial intermembrane space.

Supporting Evidence:
  • PMID:9218780
    L-arginine:glycine amidinotransferase (AT) catalyses the committed step in creatine biosynthesis by formation of guanidinoacetic acid, the immediate precursor of creatine.
  • PMID:36543883
    human GATM had the highest activity with glycine, but also GABA, β-alanine and taurine were accepted as substrates with decreasing preference

Broader amidinotransferase activity reflecting the enzyme's substrate promiscuity: in addition to glycine, GATM amidinates GABA, beta-alanine and taurine to form guanidinobutyrate, guanidinopropionate and taurocyamine, respectively.

Supporting Evidence:
  • PMID:36543883
    we further show that the identified guanidino acid substrates were produced by the promiscuous action of human glycine amidinotransferase

References

Gene Ontology annotation through association of InterPro records with GO terms
Annotation inferences using phylogenetic trees
Gene Ontology annotation based on UniPathway vocabulary mapping
Gene Ontology annotation based on UniProtKB/Swiss-Prot Subcellular Location vocabulary mapping, accompanied by conservative changes to GO terms applied by UniProt
Gene Ontology annotation based on curation of immunofluorescence data
Automatic transfer of experimentally verified manual GO annotation data to orthologs using Ensembl Compara
Combined Automated Annotation using Multiple IEA Methods
In-depth proteomic analyses of exosomes isolated from expressed prostatic secretions in urine.
Arginine:glycine amidinotransferase (AGAT) deficiency: Clinical features and long term outcomes in 16 patients diagnosed worldwide.
Arginine-Glycine Amidinotransferase Deficiency and Functional Characterization of Missense Variants in GATM.
Genetic Depletion of Adipocyte Creatine Metabolism Inhibits Diet-Induced Thermogenesis and Drives Obesity.
Interactome Mapping Provides a Network of Neurodegenerative Disease Proteins and Uncovers Widespread Protein Aggregation in Affected Brains.
Quantitative high-confidence human mitochondrial proteome and its dynamics in cellular context.
Guanidino acid hydrolysis by the human enzyme annotated as agmatinase.
The purification and characterization of human kidney L-arginine:glycine amidinotransferase.
Crystal structure and mechanism of human L-arginine:glycine amidinotransferase: a mitochondrial enzyme involved in creatine biosynthesis.
Substrate binding and catalysis by L-arginine:glycine amidinotransferase--a mutagenesis and crystallographic study.
Reactome:R-HSA-71275
Creatine metabolism

Suggested Questions for Experts

Q: Is the broad amidinotransferase promiscuity (GABA, beta-alanine, taurine) physiologically significant in vivo, or is it primarily an in vitro side reaction with little flux under normal conditions?

Q: By what mechanism does the FRTS1 aggregation-prone gain-of-toxicity of specific GATM variants cause proximal tubulopathy, and how does it relate (if at all) to loss of catalytic activity?

Suggested Experiments

Experiment: Quantify in vivo flux of GATM toward the non-canonical guanidino acids (guanidinobutyrate, guanidinopropionate, taurocyamine) in human/mouse tissues using stable-isotope tracing, to determine whether the promiscuous activities contribute meaningfully to metabolite pools.

Hypothesis: The non-glycine amidinotransferase side reactions are minor relative to guanidinoacetate synthesis under physiological conditions.

Experiment: Use structure-guided mutants that selectively impair GATM aggregation (FRTS1 variants) while preserving catalytic activity to dissociate the toxic-aggregation phenotype from enzymatic loss of function in proximal tubule cell models.

Hypothesis: FRTS1 pathology is driven by mitochondrial protein aggregation and downstream stress, not by loss of creatine synthesis.

📚 Additional Documentation

Notes

(GATM-notes.md)

GATM (P50440) review notes

Gene: GATM (HGNC:4175), synonym AGAT. UniProt P50440, "Glycine amidinotransferase, mitochondrial".
EC 2.1.4.1. L-arginine:glycine amidinotransferase / transamidinase.

Core catalytic function

  • AGAT catalyzes the committed/rate-limiting step of creatine biosynthesis:
    L-arginine + glycine -> guanidinoacetate (GAA) + L-ornithine (Rhea:13201). GAA is then
    methylated by GAMT to form creatine.
    PMID:9218780
  • Catalytic mechanism: ping-pong, catalytic triad Cys-His-Asp; amidino-cysteine covalent
    intermediate at Cys407 (mature numbering). Active site residues His303, Asp254, Asp305, etc.
    PMID:9218780
  • New fold ("basket") with 5-fold pseudosymmetry of betabeta-alphabeta modules.
    PMID:9218780
  • Purified human kidney enzyme: dimer ~89 kDa, subunits ~44 kDa; Km ~2.5 mM for both arginine
    and glycine (UniProt lists Km 2 uM / 3 uM from later work).
    PMID:3800397
  • Mutagenesis + crystallography confirming catalytic residues and mechanism.
    PMID:9266688 (substrate binding and catalysis; mutagenesis of Asp170, Glu233, Asp254, His303, Asp305, Arg322, Ser355, Cys407, Cys410).

Substrate promiscuity (moonlighting / side reactions)

  • Human GATM also accepts GABA, beta-alanine and taurine as amidino acceptors, producing
    guanidinobutyrate (GBA), guanidinopropionate (GPA) and taurocyamine (TC) respectively, with
    decreasing preference; glycine remains the main substrate.
    PMID:36543883
    PMID:36543883
    These appear as additional CATALYTIC ACTIVITY entries in UniProt (Rhea 75939/75943/75947).
    This justifies the broader parent MF "amidinotransferase activity" (GO:0015067) as IDA in GOA.

Localization

  • Mitochondrial enzyme; canonical isoform 1 has a cleaved N-terminal mitochondrial transit
    peptide (1-43) and localizes to the mitochondrial intermembrane space / inner-membrane
    intermembrane side. IDA placement in intermembrane space (MGI, PMID:9218780).
    UniProt: "Mitochondrion inner membrane; Peripheral membrane protein; Intermembrane side.
    Note=Probably attached to the outer side of the inner membrane." Isoform 2 = cytoplasmic.
  • GOA also has C:mitochondrion (IDA HPA, HTP) - consistent broader location.
  • C:extracellular exosome (HDA, PMID:23533145, prostatic-secretion exosome proteomics) is a
    high-throughput proteomics co-purification; not a site of catalytic function. Over-annotation
    / non-core.

Tissue expression and regulation

  • Expressed broadly; highest in kidney; also liver, pancreas (exocrine acinar cells), heart,
    brain, lung, salivary gland, skeletal muscle. HPA group-enriched kidney/liver/pancreas.
    [UniProt TISSUE SPECIFICITY: "highest expression in kidney"]
    PMID:28844881
  • Feedback repression of AGAT by creatine (classic; not directly in cached abstracts but a
    well-established regulatory feature). Induction: elevated in failing myocardium (PMID:16820567),
    decreased in IUGR placenta (PMID:16125225). Not GO-annotated; record as biology only.

Disease

  • Cerebral creatine deficiency syndrome 3 (CCDS3 / AGAT deficiency, MIM:612718): autosomal
    recessive; intellectual disability/developmental delay, speech delay, severe brain creatine
    depletion; many develop myopathy. Treatable with oral creatine.
    PMID:26490222
    PMID:26490222
    PMID:27233232
    Many loss-of-activity missense variants characterized in PMID:27233232 (IDA glycine
    amidinotransferase activity supported by variant assays).
  • Fanconi renotubular syndrome 1 (FRTS1, MIM:134600): autosomal DOMINANT; a distinct,
    gain-of-toxicity mechanism - specific GATM missense variants (e.g. P320S, T336A/I, P341L)
    cause GATM protein AGGREGATION in mitochondria, abnormal/elongated mitochondria, ROS,
    NLRP3 inflammasome activation, proximal tubulopathy and progressive kidney failure
    (PMID:29654216). This is a toxic-aggregation gain of function, NOT loss of catalytic activity.

GO annotation assessment summary

Core:
- MF: glycine amidinotransferase activity (GO:0015068) - EXP/IDA, multiple papers. ACCEPT (core).
- BP: creatine biosynthetic process (GO:0006601) - IDA/IBA. ACCEPT (core).
- CC: mitochondrial intermembrane space (GO:0005758) - IDA. ACCEPT (core location).

Supporting/peripheral:
- amidinotransferase activity (GO:0015067) parent MF - ACCEPT as accurate parent (promiscuous
side activities). Keep.
- mitochondrial inner membrane (GO:0005743) IEA SubCell - ACCEPT/keep (UniProt subcellular).
- mitochondrion (GO:0005739) IDA/HTP - ACCEPT (broader true location).
- cytoplasm (GO:0005737) IEA SubCell - reflects cytoplasmic isoform 2; KEEP_AS_NON_CORE.
- positive regulation of cold-induced thermogenesis (GO:0120162) ISS/IEA from mouse Adipo-Gatm
KO (PMID:28844881) - real mouse phenotype but a tissue/context-specific downstream consequence
of creatine synthesis, not a core human function. KEEP_AS_NON_CORE.
- learning or memory (GO:0007611) IMP CAFA (PMID:26490222) - downstream of brain creatine
depletion; over-reach from a clinical ID phenotype. MARK_AS_OVER_ANNOTATED.
- muscle atrophy (GO:0014889) IMP CAFA (PMID:26490222) - downstream myopathy consequence;
over-annotation. MARK_AS_OVER_ANNOTATED.
- extracellular exosome (GO:0070062) HDA (PMID:23533145) - HTP co-purification; over-annotation.
- protein binding (GO:0005515) IPI x13 (PMID:32814053) - uninformative; this is the
Haenig/neurodegeneration interactome map. MARK_AS_OVER_ANNOTATED (avoid bare protein binding).
- acts_upstream_of_or_within creatine biosynthetic process (GO:0006601) IDA - same as core BP,
weaker qualifier; ACCEPT.

References to cite: 9218780, 3800397, 9266688, 36543883, 27233232, 26490222, 28844881,
23533145, 32814053, 34800366, plus GO_REFs and Reactome already in stub.

QA re-review 2026-07-23 (conservative)

Re-validated GATM-ai-review.yaml: ai-gene-review validate returns "✓ Valid", no
warnings. Audited all 25 annotations plus core_functions. No changes made — the review is
biologically and curatorially sound.

Checks performed:
- protein binding (GO:0005515, IPI, PMID:32814053) is correctly MARK_AS_OVER_ANNOTATED,
not ACCEPT (bare protein binding from an HT interactome; no defined GATM complex). OK.
- All 10 cited PMIDs are cached; every supporting_text verifies as a verbatim
(whitespace-normalized) substring of its cached publication. Labels match GOA terms.
- No action/reason contradictions found; MARK_AS_OVER_ANNOTATED / KEEP_AS_NON_CORE reasons
each give positive justification (learning-or-memory & muscle-atrophy are distal disease
consequences; cold-induced thermogenesis is tissue/context-specific mouse phenotype;
extracellular exosome is HT co-purification).
- core_functions ids are all in the correct GO aspect: GO:0015068 & GO:0015067 (MF),
GO:0006601 (BP, directly_involved_in), GO:0005758 (CC, locations). Core glycine
amidinotransferase activity → creatine biosynthesis in the mitochondrial IMS is captured
as core and not over-generalized; the parent GO:0015067 as a second core_function is
justified by the experimentally documented promiscuity (PMID:36543883).
- Left alone (conservative): all EXP/IDA/IMP experimental annotations retained per their
authors; no REMOVE issued; no existing-annotation term ids rewritten.

📄 View Raw YAML

id: P50440
gene_symbol: GATM
product_type: PROTEIN
status: COMPLETE
taxon:
  id: NCBITaxon:9606
  label: Homo sapiens
description: >-
  GATM (AGAT; L-arginine:glycine amidinotransferase, EC 2.1.4.1) is the first and
  rate-limiting enzyme of creatine biosynthesis. It catalyzes the transfer of the
  amidino group of L-arginine onto the amino group of glycine to yield guanidinoacetate
  and L-ornithine; guanidinoacetate is subsequently methylated by GAMT to form creatine.
  The mature enzyme is a homodimer with a five-fold pseudosymmetric basket fold and a
  buried active site that uses a Cys-His-Asp catalytic triad and an amidino-cysteine
  covalent intermediate (ping-pong mechanism). Although glycine is the strongly preferred
  acceptor, the enzyme is promiscuous and can also amidinate GABA, beta-alanine and taurine
  to produce guanidinobutyrate, guanidinopropionate and taurocyamine. The canonical
  mitochondrial isoform carries a cleavable N-terminal transit peptide and localizes to the
  mitochondrial intermembrane space, attached to the intermembrane side of the inner
  membrane; an alternatively spliced isoform is cytoplasmic. GATM is expressed broadly with
  highest levels in kidney, and is also abundant in liver, pancreas (exocrine acinar cells),
  heart, brain and skeletal muscle, supplying creatine to high-energy-demand tissues for
  ATP buffering. Loss-of-function variants cause autosomal-recessive cerebral creatine
  deficiency syndrome 3 (AGAT deficiency), a treatable disorder of brain creatine depletion
  presenting with intellectual disability, speech delay and myopathy, whereas distinct
  dominant aggregation-prone variants cause Fanconi renotubular syndrome 1.
alternative_products:
- name: 1 (Mitochondrial)
  id: P50440-1
- name: 2 (Cytoplasmic)
  id: P50440-2
  sequence_note: VSP_000235
- name: '3'
  id: P50440-3
  sequence_note: VSP_039871
existing_annotations:
- term:
    id: GO:0005758
    label: mitochondrial intermembrane space
  evidence_type: IBA
  original_reference_id: GO_REF:0000033
  qualifier: is_active_in
  review:
    summary: >-
      Phylogenetic (IBA) propagation of the mitochondrial intermembrane space localization,
      consistent with the experimentally determined human localization and the conserved
      mitochondrial targeting of the amidinotransferase family.
    action: ACCEPT
    reason: >-
      The canonical isoform is a mitochondrial enzyme localized to the intermembrane space
      (attached to the intermembrane side of the inner membrane). This is the correct core
      location and is independently supported by an IDA annotation (PMID:9218780).
- term:
    id: GO:0006601
    label: creatine biosynthetic process
  evidence_type: IBA
  original_reference_id: GO_REF:0000033
  qualifier: involved_in
  review:
    summary: >-
      Phylogenetic (IBA) propagation of involvement in creatine biosynthesis, the canonical
      and best-established biological role of GATM/AGAT.
    action: ACCEPT
    reason: >-
      GATM catalyzes the committed, rate-limiting step of creatine biosynthesis (formation of
      guanidinoacetate). This is a core biological process for the gene.
    supported_by:
    - reference_id: PMID:9218780
      supporting_text: >-
        L-arginine:glycine amidinotransferase (AT) catalyses the committed step in creatine
        biosynthesis by formation of guanidinoacetic acid, the immediate precursor of creatine.
- term:
    id: GO:0015068
    label: glycine amidinotransferase activity
  evidence_type: IBA
  original_reference_id: GO_REF:0000033
  qualifier: enables
  review:
    summary: >-
      Phylogenetic (IBA) propagation of glycine amidinotransferase activity, the defining
      catalytic activity of GATM.
    action: ACCEPT
    reason: >-
      This is the core molecular function of GATM, directly demonstrated experimentally in
      human enzyme (EXP/IDA in multiple references) and conserved across the family.
- term:
    id: GO:0005737
    label: cytoplasm
  evidence_type: IEA
  original_reference_id: GO_REF:0000044
  qualifier: located_in
  review:
    summary: >-
      Cytoplasmic location derived by UniProt subcellular-location mapping, reflecting the
      cytoplasmic splice isoform (P50440-2) rather than the canonical mitochondrial enzyme.
    action: KEEP_AS_NON_CORE
    reason: >-
      UniProt annotates isoform 2 as cytoplasmic, so this term is not wrong, but the core,
      catalytically characterized form is the mitochondrial intermembrane-space enzyme.
      Retain as non-core (isoform-specific) localization.
- term:
    id: GO:0005743
    label: mitochondrial inner membrane
  evidence_type: IEA
  original_reference_id: GO_REF:0000044
  qualifier: located_in
  review:
    summary: >-
      Mitochondrial inner membrane location from UniProt subcellular-location mapping; the
      enzyme is a peripheral membrane protein on the intermembrane side of the inner membrane.
    action: ACCEPT
    reason: >-
      Consistent with the UniProt subcellular location (Mitochondrion inner membrane;
      Peripheral membrane protein; Intermembrane side). The functionally most specific term
      is mitochondrial intermembrane space; this inner-membrane term is an accurate, slightly
      different facet of the same location.
- term:
    id: GO:0015067
    label: amidinotransferase activity
  evidence_type: IEA
  original_reference_id: GO_REF:0000002
  qualifier: enables
  review:
    summary: >-
      Parent amidinotransferase activity assigned via InterPro2GO from the amidinotransferase
      family signature.
    action: ACCEPT
    reason: >-
      Accurate but less specific than glycine amidinotransferase activity. The broader parent
      is genuinely appropriate because GATM is promiscuous, also amidinating GABA, beta-alanine
      and taurine. Retained; the specific GO:0015068 term is the primary core function.
- term:
    id: GO:0015068
    label: glycine amidinotransferase activity
  evidence_type: IEA
  original_reference_id: GO_REF:0000120
  qualifier: enables
  review:
    summary: >-
      Glycine amidinotransferase activity inferred electronically from Rhea/EC:2.1.4.1 mapping.
    action: ACCEPT
    reason: >-
      Correct core molecular function, redundant with the experimental annotations for the same
      term but valid as an automated EC/Rhea-based assignment.
- term:
    id: GO:0005515
    label: protein binding
  evidence_type: IPI
  original_reference_id: PMID:32814053
  qualifier: enables
  review:
    summary: >-
      Generic protein binding annotations from a large-scale neurodegenerative-disease
      interactome/Y2H screen, covering 13 prey partners.
    action: MARK_AS_OVER_ANNOTATED
    reason: >-
      Protein binding (GO:0005515) is uninformative and does not capture a defined molecular
      function. These IPI calls come from a high-throughput interactome map and none of the
      listed partners corresponds to an established, functionally meaningful GATM complex.
      Per curation guidelines, bare protein binding should not be carried as a core function.
- term:
    id: GO:0120162
    label: positive regulation of cold-induced thermogenesis
  evidence_type: IEA
  original_reference_id: GO_REF:0000107
  qualifier: involved_in
  review:
    summary: >-
      Positive regulation of cold-induced thermogenesis transferred electronically from the
      mouse ortholog (Gatm), based on adipocyte-specific knockout phenotypes.
    action: KEEP_AS_NON_CORE
    reason: >-
      This reflects a genuine but tissue- and context-specific downstream consequence of
      adipocyte creatine synthesis demonstrated in mouse (fat-specific Gatm knockout impairs
      diet-induced/adaptive thermogenesis). It is a physiological role of creatine energetics,
      not a core molecular/biological function of the human enzyme; retain as non-core.
    supported_by:
    - reference_id: PMID:28844881
      supporting_text: >-
        we have inactivated the first and rate-limiting enzyme of creatine biosynthesis,
        glycine amidinotransferase (GATM), selectively in fat (Adipo-Gatm KO).
- term:
    id: GO:0006601
    label: creatine biosynthetic process
  evidence_type: IEA
  original_reference_id: GO_REF:0000041
  qualifier: involved_in
  review:
    summary: >-
      Creatine biosynthetic process inferred electronically from UniPathway mapping.
    action: ACCEPT
    reason: >-
      Correct core biological process, consistent with the curated and experimental
      annotations for the same term.
- term:
    id: GO:0005739
    label: mitochondrion
  evidence_type: IDA
  original_reference_id: GO_REF:0000052
  qualifier: located_in
  review:
    summary: >-
      Mitochondrial localization from immunofluorescence (HPA), a broader but accurate
      compartment assignment.
    action: ACCEPT
    reason: >-
      Directly observed mitochondrial localization. Less specific than mitochondrial
      intermembrane space but correct; retained as supporting localization evidence.
- term:
    id: GO:0005758
    label: mitochondrial intermembrane space
  evidence_type: TAS
  original_reference_id: Reactome:R-HSA-71275
  qualifier: located_in
  review:
    summary: >-
      Mitochondrial intermembrane space localization asserted by Reactome (creatine
      metabolism pathway).
    action: ACCEPT
    reason: >-
      Same core location as the IDA and IBA annotations; traceable author statement consistent
      with the experimentally established localization.
- term:
    id: GO:0015068
    label: glycine amidinotransferase activity
  evidence_type: EXP
  original_reference_id: PMID:36543883
  qualifier: enables
  review:
    summary: >-
      Experimental demonstration that purified recombinant human GATM amidinates glycine
      (and, less efficiently, GABA/beta-alanine/taurine), with glycine as the preferred acceptor.
    action: ACCEPT
    reason: >-
      Direct experimental support for the defining catalytic activity; this is the core
      molecular function of the gene.
    supported_by:
    - reference_id: PMID:36543883
      supporting_text: >-
        human GATM had the highest activity with glycine, but also GABA, β-alanine and taurine
        were accepted as substrates with decreasing preference
- term:
    id: GO:0015068
    label: glycine amidinotransferase activity
  evidence_type: EXP
  original_reference_id: PMID:3800397
  qualifier: enables
  review:
    summary: >-
      Purification and biochemical characterization of human kidney transamidinase establishing
      its amidinotransferase activity and dimeric structure.
    action: ACCEPT
    reason: >-
      Classic experimental support for the core catalytic activity of human AGAT.
    supported_by:
    - reference_id: PMID:3800397
      supporting_text: >-
        Human kidney transamidinase is a dimer with a molecular mass of 89,000 Da and subunit
        masses of 44,000 Da. The Km for arginine and glycine were both 2.5 mM
- term:
    id: GO:0015068
    label: glycine amidinotransferase activity
  evidence_type: EXP
  original_reference_id: PMID:9266688
  qualifier: enables
  review:
    summary: >-
      Mutagenesis and crystallographic study confirming the catalytic activity and active-site
      residues of human AGAT.
    action: ACCEPT
    reason: >-
      Direct experimental and structural support for the core glycine amidinotransferase
      activity, including identification of catalytic residues whose mutation abolishes activity.
- term:
    id: GO:0005739
    label: mitochondrion
  evidence_type: HTP
  original_reference_id: PMID:34800366
  qualifier: located_in
  review:
    summary: >-
      Mitochondrial localization from a high-throughput high-confidence human mitochondrial
      proteome study.
    action: ACCEPT
    reason: >-
      Consistent with the established mitochondrial localization; high-throughput evidence
      corroborating the more specific intermembrane-space assignment.
- term:
    id: GO:0015067
    label: amidinotransferase activity
  evidence_type: IDA
  original_reference_id: PMID:36543883
  qualifier: enables
  review:
    summary: >-
      Direct experimental demonstration of broader amidinotransferase activity, since human
      GATM amidinates multiple acceptors (glycine, GABA, beta-alanine, taurine).
    action: ACCEPT
    reason: >-
      The parent term is justified by the experimentally observed substrate promiscuity. The
      most specific core activity is glycine amidinotransferase activity (GO:0015068); this
      broader term legitimately captures the side reactions.
    supported_by:
    - reference_id: PMID:36543883
      supporting_text: >-
        human GATM had the highest activity with glycine, but also GABA, β-alanine and taurine
        were accepted as substrates with decreasing preference
- term:
    id: GO:0120162
    label: positive regulation of cold-induced thermogenesis
  evidence_type: ISS
  original_reference_id: PMID:28844881
  qualifier: involved_in
  review:
    summary: >-
      Positive regulation of cold-induced thermogenesis inferred by sequence/orthology from the
      mouse Gatm adipocyte-knockout phenotype.
    action: KEEP_AS_NON_CORE
    reason: >-
      Same context-specific downstream role as the IEA annotation for this term: adipocyte
      creatine synthesis supports adaptive/diet-induced thermogenesis in mouse. A legitimate
      physiological consequence of creatine energetics, but not a core function of the enzyme;
      retain as non-core.
    supported_by:
    - reference_id: PMID:28844881
      supporting_text: >-
        these data suggest that adipose tissue Gatm and creatine energetics support adaptive
        thermogenesis in response to environmental cold.
- term:
    id: GO:0007611
    label: learning or memory
  evidence_type: IMP
  original_reference_id: PMID:26490222
  qualifier: involved_in
  review:
    summary: >-
      Learning or memory assigned (CAFA) from the cognitive impairment seen in AGAT-deficiency
      patients.
    action: MARK_AS_OVER_ANNOTATED
    reason: >-
      The clinical phenotype is intellectual disability/developmental delay arising from severe
      brain creatine depletion. Annotating GATM directly to learning or memory over-reaches
      from a distal, secondary consequence of loss of creatine and does not reflect a molecular
      or cellular role of the enzyme in this process. The core process is creatine biosynthesis.
    supported_by:
    - reference_id: PMID:26490222
      supporting_text: >-
        15 patients diagnosed between 16 months and 25 years of life had intellectual
        disability/developmental delay (IDD).
- term:
    id: GO:0014889
    label: muscle atrophy
  evidence_type: IMP
  original_reference_id: PMID:26490222
  qualifier: involved_in
  review:
    summary: >-
      Muscle atrophy assigned (CAFA) from the myopathy/muscle weakness seen in AGAT-deficiency
      patients.
    action: MARK_AS_OVER_ANNOTATED
    reason: >-
      Myopathy/proximal muscle weakness in AGAT deficiency is a downstream consequence of
      systemic creatine depletion, not evidence that GATM participates in a muscle-atrophy
      process per se. This is an over-annotation derived from a disease phenotype; the core
      process is creatine biosynthesis.
    supported_by:
    - reference_id: PMID:26490222
      supporting_text: >-
        8 patients also had myopathy/proximal muscle weakness.
- term:
    id: GO:0015068
    label: glycine amidinotransferase activity
  evidence_type: IDA
  original_reference_id: PMID:27233232
  qualifier: enables
  review:
    summary: >-
      Direct assay of glycine amidinotransferase activity used to functionally characterize
      pathogenic GATM missense variants (several retaining 0% of wild-type activity).
    action: ACCEPT
    reason: >-
      Strong experimental support for the core catalytic activity, with variant assays linking
      loss of this activity to AGAT-deficiency pathogenicity.
    supported_by:
    - reference_id: PMID:27233232
      supporting_text: >-
        We found seven missense variants retaining 0% of wild-type GATM activity indicating
        putative pathogenicity.
- term:
    id: GO:0070062
    label: extracellular exosome
  evidence_type: HDA
  original_reference_id: PMID:23533145
  qualifier: located_in
  review:
    summary: >-
      Extracellular exosome localization from a high-throughput proteomic study of exosomes in
      expressed prostatic secretions.
    action: MARK_AS_OVER_ANNOTATED
    reason: >-
      GATM is a mitochondrial intermembrane-space enzyme; detection in an exosome proteomics
      dataset is a high-throughput co-purification and does not reflect a functional
      extracellular/exosomal location. Over-annotation; not a core localization.
- term:
    id: GO:0005758
    label: mitochondrial intermembrane space
  evidence_type: IDA
  original_reference_id: PMID:9218780
  qualifier: located_in
  review:
    summary: >-
      Direct (IDA) assignment of GATM to the mitochondrial intermembrane space, the core
      functional location of the enzyme.
    action: ACCEPT
    reason: >-
      Experimentally supported, most-specific correct localization. This is the core cellular
      location where the enzyme performs creatine precursor synthesis.
    supported_by:
    - reference_id: PMID:9218780
      supporting_text: >-
        a mitochondrial enzyme involved in creatine biosynthesis
- term:
    id: GO:0006601
    label: creatine biosynthetic process
  evidence_type: IDA
  original_reference_id: PMID:9218780
  qualifier: acts_upstream_of_or_within
  review:
    summary: >-
      Direct evidence linking GATM activity to creatine biosynthesis (formation of the immediate
      creatine precursor guanidinoacetate).
    action: ACCEPT
    reason: >-
      Core biological process for the gene. Captured with the same evidence as the enables/MF
      and involved_in/BP annotations; the acts_upstream_of_or_within qualifier is acceptable.
    supported_by:
    - reference_id: PMID:9218780
      supporting_text: >-
        L-arginine:glycine amidinotransferase (AT) catalyses the committed step in creatine
        biosynthesis by formation of guanidinoacetic acid, the immediate precursor of creatine.
- term:
    id: GO:0015068
    label: glycine amidinotransferase activity
  evidence_type: IDA
  original_reference_id: PMID:9218780
  qualifier: enables
  review:
    summary: >-
      Direct (IDA) annotation of glycine amidinotransferase activity from the crystal-structure
      and mechanism study of the human enzyme.
    action: ACCEPT
    reason: >-
      Core molecular function, supported by structural characterization of the catalytic
      mechanism (Cys-His-Asp triad, amidino-cysteine intermediate).
    supported_by:
    - reference_id: PMID:9218780
      supporting_text: >-
        A reaction mechanism with a catalytic triad Cys-His-Asp is proposed on the basis of
        substrate and product bound states.
core_functions:
- description: >-
    Glycine amidinotransferase activity: transfers the amidino group of L-arginine to glycine,
    producing guanidinoacetate and L-ornithine - the committed, rate-limiting step of creatine
    biosynthesis - acting in the mitochondrial intermembrane space.
  molecular_function:
    id: GO:0015068
    label: glycine amidinotransferase activity
  directly_involved_in:
  - id: GO:0006601
    label: creatine biosynthetic process
  locations:
  - id: GO:0005758
    label: mitochondrial intermembrane space
  substrates:
  - id: CHEBI:32682
    label: L-arginine
  - id: CHEBI:57305
    label: glycine
  supported_by:
  - reference_id: PMID:9218780
    supporting_text: >-
      L-arginine:glycine amidinotransferase (AT) catalyses the committed step in creatine
      biosynthesis by formation of guanidinoacetic acid, the immediate precursor of creatine.
  - reference_id: PMID:36543883
    supporting_text: >-
      human GATM had the highest activity with glycine, but also GABA, β-alanine and taurine
      were accepted as substrates with decreasing preference
- description: >-
    Broader amidinotransferase activity reflecting the enzyme's substrate promiscuity: in
    addition to glycine, GATM amidinates GABA, beta-alanine and taurine to form guanidinobutyrate,
    guanidinopropionate and taurocyamine, respectively.
  molecular_function:
    id: GO:0015067
    label: amidinotransferase activity
  locations:
  - id: GO:0005758
    label: mitochondrial intermembrane space
  supported_by:
  - reference_id: PMID:36543883
    supporting_text: >-
      we further show that the identified guanidino acid substrates were produced by the
      promiscuous action of human glycine amidinotransferase
suggested_questions:
- question: >-
    Is the broad amidinotransferase promiscuity (GABA, beta-alanine, taurine) physiologically
    significant in vivo, or is it primarily an in vitro side reaction with little flux under
    normal conditions?
- question: >-
    By what mechanism does the FRTS1 aggregation-prone gain-of-toxicity of specific GATM variants
    cause proximal tubulopathy, and how does it relate (if at all) to loss of catalytic activity?
suggested_experiments:
- description: >-
    Quantify in vivo flux of GATM toward the non-canonical guanidino acids (guanidinobutyrate,
    guanidinopropionate, taurocyamine) in human/mouse tissues using stable-isotope tracing, to
    determine whether the promiscuous activities contribute meaningfully to metabolite pools.
  hypothesis: >-
    The non-glycine amidinotransferase side reactions are minor relative to guanidinoacetate
    synthesis under physiological conditions.
- description: >-
    Use structure-guided mutants that selectively impair GATM aggregation (FRTS1 variants) while
    preserving catalytic activity to dissociate the toxic-aggregation phenotype from enzymatic
    loss of function in proximal tubule cell models.
  hypothesis: >-
    FRTS1 pathology is driven by mitochondrial protein aggregation and downstream stress, not by
    loss of creatine synthesis.
references:
- id: GO_REF:0000002
  title: Gene Ontology annotation through association of InterPro records with GO terms
  findings: []
- id: GO_REF:0000033
  title: Annotation inferences using phylogenetic trees
  findings: []
- id: GO_REF:0000041
  title: Gene Ontology annotation based on UniPathway vocabulary mapping
  findings: []
- id: GO_REF:0000044
  title: Gene Ontology annotation based on UniProtKB/Swiss-Prot Subcellular Location vocabulary
    mapping, accompanied by conservative changes to GO terms applied by UniProt
  findings: []
- id: GO_REF:0000052
  title: Gene Ontology annotation based on curation of immunofluorescence data
  findings: []
- id: GO_REF:0000107
  title: Automatic transfer of experimentally verified manual GO annotation data to orthologs
    using Ensembl Compara
  findings: []
- id: GO_REF:0000120
  title: Combined Automated Annotation using Multiple IEA Methods
  findings: []
- id: PMID:23533145
  title: In-depth proteomic analyses of exosomes isolated from expressed prostatic secretions
    in urine.
  findings: []
  reference_review:
    relevance: LOW
    correctness: VERIFIED
    review_notes: >-
      High-throughput exosome proteomics; supports only an incidental co-purification, not a
      functional extracellular location for this mitochondrial enzyme.
- id: PMID:26490222
  title: 'Arginine:glycine amidinotransferase (AGAT) deficiency: Clinical features and long term
    outcomes in 16 patients diagnosed worldwide.'
  findings: []
  reference_review:
    relevance: HIGH
    correctness: VERIFIED
    review_notes: >-
      Clinical cohort establishing AGAT deficiency as a treatable creatine-deficiency disorder
      (intellectual disability, myopathy); used (via CAFA) for the learning/memory and muscle
      atrophy annotations, which are downstream disease consequences rather than core functions.
- id: PMID:27233232
  title: Arginine-Glycine Amidinotransferase Deficiency and Functional Characterization of
    Missense Variants in GATM.
  findings: []
  reference_review:
    relevance: HIGH
    correctness: VERIFIED
    review_notes: >-
      Functional assays of GATM missense variants directly measuring glycine amidinotransferase
      activity; supports the core MF annotation and links activity loss to pathogenicity.
- id: PMID:28844881
  title: Genetic Depletion of Adipocyte Creatine Metabolism Inhibits Diet-Induced Thermogenesis
    and Drives Obesity.
  findings: []
  reference_review:
    relevance: MEDIUM
    correctness: VERIFIED
    review_notes: >-
      Mouse adipocyte-specific Gatm knockout; basis for the cold-induced thermogenesis
      annotations. Establishes a tissue-specific physiological role of creatine energetics,
      retained as non-core for the human gene.
- id: PMID:32814053
  title: Interactome Mapping Provides a Network of Neurodegenerative Disease Proteins and Uncovers
    Widespread Protein Aggregation in Affected Brains.
  findings: []
  reference_review:
    relevance: LOW
    correctness: VERIFIED
    review_notes: >-
      Large-scale interactome/Y2H map; source of 13 uninformative protein binding IPI
      annotations. No defined functional GATM complex established.
- id: PMID:34800366
  title: Quantitative high-confidence human mitochondrial proteome and its dynamics in cellular
    context.
  findings: []
  reference_review:
    relevance: MEDIUM
    correctness: VERIFIED
    review_notes: High-confidence mitochondrial proteome; corroborates mitochondrial localization.
- id: PMID:36543883
  title: Guanidino acid hydrolysis by the human enzyme annotated as agmatinase.
  findings: []
  reference_review:
    relevance: HIGH
    correctness: VERIFIED
    review_notes: >-
      Demonstrates purified human GATM amidinates glycine (preferred) plus GABA, beta-alanine and
      taurine; supports both the specific and parent amidinotransferase MF annotations.
- id: PMID:3800397
  title: The purification and characterization of human kidney L-arginine:glycine
    amidinotransferase.
  findings: []
  reference_review:
    relevance: HIGH
    correctness: VERIFIED
    review_notes: >-
      Classic purification/characterization of human AGAT as a dimeric transamidinase; supports
      the core catalytic activity.
- id: PMID:9218780
  title: 'Crystal structure and mechanism of human L-arginine:glycine amidinotransferase: a
    mitochondrial enzyme involved in creatine biosynthesis.'
  findings: []
  reference_review:
    relevance: HIGH
    correctness: VERIFIED
    review_notes: >-
      Crystal structure and mechanism; supports the core MF, the creatine biosynthetic process,
      and the mitochondrial intermembrane space localization.
- id: PMID:9266688
  title: Substrate binding and catalysis by L-arginine:glycine amidinotransferase--a mutagenesis
    and crystallographic study.
  findings: []
  reference_review:
    relevance: HIGH
    correctness: VERIFIED
    review_notes: >-
      Mutagenesis/crystallography defining catalytic residues; supports the core glycine
      amidinotransferase activity.
- id: Reactome:R-HSA-71275
  title: Creatine metabolism
  findings: []