NAT8L

Chr 4AR

aspartate N-acetyltransferase

Also known as: CML3, NACED, NAT8-LIKE, NAT8L

This gene encodes a membrane-associated N-acetyltransferase that catalyzes the synthesis of N-acetylaspartate (NAA) from aspartate and acetyl-CoA. NAA is abundant in the nervous system where it functions as a key metabolite, playing a role in metabolism and myelination. Outside of the nervous system, this gene is also highly expressed in adipocytes where it has been implicated in lipid synthesis and turnover. Mutations in this gene may be associated with N-acetylaspartate deficiency. [provided by RefSeq, Apr 2026]

OMIMResearchGenerating clinical summary…

Primary Disease Associations & Inheritance

?N-acetylaspartate deficiencyMIM #614063
AR

Clinical highlights

Gene-disease validity (ClinGen)
N-acetylaspartate deficiency · ARLimitednot for standalone diagnostic reporting
Interpreting a novel variant
This gene is strongly intolerant of loss-of-function variation in the population, so LoF variants warrant close attention. No curated mechanism annotation is available — see the mechanism card for the computational prediction and its caveats.Based on population constraint only.
0
Active trials
12
Pubs (1 yr)
P/LP submissions
P/LP missense
0.46
LOEUF
Mechanism

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint?
0.46LOEUF
pLI 0.865
Z-score 2.37
OE 0.00 (0.000.46)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint?
2.15Z-score
OE missense 0.49 (0.400.60)
69 obs / 140.7 exp
Mild constraint

Moderately missense-constrained (top ~2.5%)

Observed / Expected Ratios?
LoF OE?0.00 (0.000.46)
00.351.4
Missense OE?0.49 (0.400.60)
00.61.4
Synonymous OE?1.13
01.21.6
LoF obs/exp: 0 / 6.5Missense obs/exp: 69 / 140.7Syn Z: -0.81

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

NAT8L · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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