Reaction: Defective GSS does not synthesize GSH
- in pathway: Defective GSS causes GSS deficiency 
  In the second step in glutathione formation, gamma-glutamylcysteine (gGluCys) ligates with glycine (Gly) to form glutathione (GSH), catalysed by glutathione synthetase (GSS), a homodimeric enzyme present in the cytosol. Defects in GSS can cause glutathione synthetase deficiency (GSSD aka 5-oxoprolinase deficiency, MIM:266130), a severe, autosomal recessive disorder characterised by an increased rate of haemolysis, 5-oxoprolinuria and defective function of the central nervous system. In this condition, decreased levels of cellular glutathione result in overstimulation of gamma-glutamylcysteine synthesis and its subsequent conversion to 5-oxoproline. Mutations causing severe GSSD include R164Q, R267W, R283C, R125C and P314L (Shi et al. 1996).
Reaction - small molecule participants:
  
  gGluCys [cytosol] 
  
  ATP [cytosol] 
  
  Gly [cytosol] 
  
  Reactome.org reaction link: R-HSA-5602901
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Reaction input - small molecules:
      
    
    L-gamma-glutamyl-L-cysteinate(1-) 
    
      
    
    ATP(4-) 
    
      
    
    glycine zwitterion 
    
  
  Reaction output - small molecules:
  
Reactome.org link: R-HSA-5602901
     
      
    

