HSD10 disease, neonatal type
disease diseaseOn this page
Also known as 2-methyl-3-hydroxybutyric aciduria, neonatal type2-methyl-3-hydroxybutyryl-CoA dehydrogenase deficiency, neonatal typeHSD10 deficiency, neonatal typeMHBD deficiency, neonatal type
Summary
HSD10 disease, neonatal type (MONDO:0018323) is a disease with 1 cohort gene.
At a glance
- Prevalence: <1 / 1 000 000 (Worldwide) [Orphanet-validated]
- Cohort genes: 1
- Phenotypes (HPO): 9
Clinical features
Epidemiology
Prevalence records
2 prevalence record(s), Orphanet:
| Type | Class | Value | Geography | Validation |
|---|---|---|---|---|
| Cases/families | 3 | Worldwide | Validated | |
| Point prevalence | <1 / 1 000 000 | Worldwide | Validated |
Signs & symptoms
Clinical features (HPO)
9 HPO clinical features (Orphanet curated; top 9 by frequency):
| HPO ID | Term | Frequency |
|---|---|---|
| HP:0001250 | Seizure | Very frequent (80-99%) |
| HP:0001263 | Global developmental delay | Very frequent (80-99%) |
| HP:0001639 | Hypertrophic cardiomyopathy | Very frequent (80-99%) |
| HP:0001942 | Metabolic acidosis | Very frequent (80-99%) |
| HP:0003128 | Lactic acidosis | Very frequent (80-99%) |
| HP:0012379 | Abnormal enzyme/coenzyme activity | Very frequent (80-99%) |
| HP:0500170 | Abnormal concentration of acylcarnitine in the urine | Very frequent (80-99%) |
| HP:0001392 | Abnormality of the liver | Occasional (5-29%) |
| HP:0003256 | Abnormality of the coagulation cascade | Occasional (5-29%) |
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | HSD10 disease, neonatal type |
| Mondo ID | MONDO:0018323 |
| Orphanet | 391457 |
| UMLS | C5680026 |
| MedGen | 1842355 |
| GARD | 0017623 |
| Is cancer (heuristic) | no |
Also known as: 2-methyl-3-hydroxybutyric aciduria, neonatal type · 2-methyl-3-hydroxybutyryl-CoA dehydrogenase deficiency, neonatal type · HSD10 deficiency, neonatal type · MHBD deficiency, neonatal type
Data availability: 1 GenCC gene-disease record.
Disease family
Classification path: disease › human disease › disease by developmental or physiological process › metabolic disease › developmental anomaly of metabolic origin › inborn mitochondrial metabolism disorder › HSD10 mitochondrial disease › HSD10 disease, neonatal type
Related subtypes (2): HSD10 disease, infantile type, HSD10 disease, atypical type
Genetics & variants
GWAS landscape
No GWAS associations recorded — common-variant (GWAS) studies don’t cover this disease (typical for Mendelian / rare diseases). See the curated gene cohort and Mendelian overlap below.
Variant details and genetic-evidence tiers
No tiered GWAS variants or ClinVar records for this disease.
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 6 · Orphanet: 3 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| HSD17B10 | Definitive | X-linked | HSD10 mitochondrial disease | 6 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| HSD17B10 | Orphanet:391428 | HSD10 disease, infantile type |
| HSD17B10 | Orphanet:391457 | HSD10 disease, neonatal type |
| HSD17B10 | Orphanet:85295 | HSD10 disease, atypical type |
Cohort genes → proteins
1 cohort genes, 1 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| multi_evidence | 1 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| HSD17B10 | HGNC:4800 | ENSG00000072506 | Q99714 | 3-hydroxyacyl-CoA dehydrogenase type-2 | gencc |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| HSD17B10 | 3-hydroxyacyl-CoA dehydrogenase type-2 | Mitochondrial dehydrogenase involved in pathways of fatty acid, branched-chain amino acid and steroid metabolism. |
Protein-family classification
Druggable: 1 · Difficult: 0 · Unknown: 0 · Druggable fraction: 1.0
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Enzyme (other) | 1 | 12.0× | 0.083 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| HSD17B10 | Enzyme (other) | yes | 1.1.1.135 | SDR_fam, Sc_DH/Rdtase_CS, NAD(P)-bd_dom_sf |
Expression context
Cohort genes with no expression data: 0.
1 cohort gene are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 1 |
| unknown | 0 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| liver | 1 |
| right adrenal gland | 1 |
| right lobe of liver | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| HSD17B10 | 155 | ubiquitous | marker | right lobe of liver, liver, right adrenal gland |
Protein interactions among cohort
Intra-cohort edges: 0.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| HSD17B10 | 2,961 |
Structural data
PDB: 1 · AlphaFold-only: 0 · No structure: 0
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| HSD17B10 | Q99714 | 15 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 5. Enrichment computed across 1 evidence-associated genes (1 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| tRNA processing in the mitochondrion | 1 | 2284.0× | 0.002 | HSD17B10 |
| rRNA processing in the mitochondrion | 1 | 1268.9× | 0.002 | HSD17B10 |
| tRNA modification in the mitochondrion | 1 | 1038.2× | 0.002 | HSD17B10 |
| Branched-chain amino acid catabolism | 1 | 475.8× | 0.003 | HSD17B10 |
| Mitochondrial protein degradation | 1 | 114.2× | 0.009 | HSD17B10 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 1 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| brexanolone metabolic process | 1 | 16852.0× | 8e-04 | HSD17B10 |
| mitochondrial tRNA methylation | 1 | 5617.3× | 8e-04 | HSD17B10 |
| mitochondrial tRNA 5’-end processing | 1 | 5617.3× | 8e-04 | HSD17B10 |
| mitochondrial tRNA 3’-end processing | 1 | 4213.0× | 8e-04 | HSD17B10 |
| C21-steroid hormone metabolic process | 1 | 3370.4× | 8e-04 | HSD17B10 |
| L-isoleucine catabolic process | 1 | 2808.7× | 8e-04 | HSD17B10 |
| androgen metabolic process | 1 | 887.0× | 0.002 | HSD17B10 |
| bile acid biosynthetic process | 1 | 624.1× | 0.002 | HSD17B10 |
| estrogen metabolic process | 1 | 624.1× | 0.002 | HSD17B10 |
| fatty acid beta-oxidation | 1 | 374.5× | 0.004 | HSD17B10 |
| protein homotetramerization | 1 | 237.3× | 0.005 | HSD17B10 |
| fatty acid metabolic process | 1 | 193.7× | 0.006 | HSD17B10 |
| mitochondrion organization | 1 | 151.8× | 0.007 | HSD17B10 |
| lipid metabolic process | 1 | 91.6× | 0.011 | HSD17B10 |
Therapeutics
Drug target analysis
Approved (phase 4): 1 · Phase ≥3: 1 · Phased (≥1): 1 · Undrugged: 0
Druggability breadth: 1 of 1 evidence-associated genes (100%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Genes with an approved drug
The molecule shown is one approved compound that hits the gene — not necessarily a drug of choice or one indicated for this disease.
| Symbol | Example approved molecule |
|---|---|
| HSD17B10 | LEVODOPA |
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| HSD17B10 | 249 | 4 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| LEVODOPA | 4 | HSD17B10 |
| PHENYLBUTAZONE | 4 | HSD17B10 |
| CANDESARTAN CILEXETIL | 4 | HSD17B10 |
| TELMISARTAN | 4 | HSD17B10 |
| DIENESTROL | 4 | HSD17B10 |
| CHOLECALCIFEROL | 4 | HSD17B10 |
| BUMETANIDE | 4 | HSD17B10 |
| SALMETEROL XINAFOATE | 4 | HSD17B10 |
| SULFAPHENAZOLE | 4 | HSD17B10 |
| RALOXIFENE HYDROCHLORIDE | 4 | HSD17B10 |
| DICYCLOMINE | 4 | HSD17B10 |
| CISPLATIN | 4 | HSD17B10 |
| TETRABENAZINE | 4 | HSD17B10 |
| DECAMETHONIUM | 4 | HSD17B10 |
| LABETALOL HYDROCHLORIDE | 4 | HSD17B10 |
| DIMENHYDRINATE | 4 | HSD17B10 |
| HYDROXYZINE PAMOATE | 4 | HSD17B10 |
| MALATHION | 4 | HSD17B10 |
| PYRITHIONE ZINC | 4 | HSD17B10 |
| AVOBENZONE | 4 | HSD17B10 |
| CEFOXITIN SODIUM | 4 | HSD17B10 |
| OXYMETHOLONE | 4 | HSD17B10 |
| FEXOFENADINE HYDROCHLORIDE | 4 | HSD17B10 |
| GEMIFLOXACIN MESYLATE | 4 | HSD17B10 |
| AMPICILLIN SODIUM | 4 | HSD17B10 |
| CHLOROTRIANISENE | 4 | HSD17B10 |
| TRAZODONE HYDROCHLORIDE | 4 | HSD17B10 |
| ETHOPROPAZINE HYDROCHLORIDE | 4 | HSD17B10 |
| PHENAZOPYRIDINE HYDROCHLORIDE | 4 | HSD17B10 |
| ACRISORCIN | 4 | HSD17B10 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 1.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| HSD17B10 | 41 | Binding:39, Functional:2 |
Cohort enzymes (BRENDA EC)
| Symbol | EC numbers | Names |
|---|---|---|
| HSD17B10 | 1.1.1.135, 1.1.1.178, 1.1.1.35, 1.1.1.62 | GDP-6-deoxy-D-talose 4-dehydrogenase, 3-hydroxy-2-methylbutyryl-CoA dehydrogenase, 3-hydroxyacyl-CoA dehydrogenase, 17beta-estradiol 17-dehydrogenase |
Pharmacogenomics
Cohort genes with a PharmGKB record: 1; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
30 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| LEVODOPA | 4 | HSD17B10 |
| PHENYLBUTAZONE | 4 | HSD17B10 |
| CANDESARTAN CILEXETIL | 4 | HSD17B10 |
| TELMISARTAN | 4 | HSD17B10 |
| DIENESTROL | 4 | HSD17B10 |
| CHOLECALCIFEROL | 4 | HSD17B10 |
| BUMETANIDE | 4 | HSD17B10 |
| SALMETEROL XINAFOATE | 4 | HSD17B10 |
| SULFAPHENAZOLE | 4 | HSD17B10 |
| RALOXIFENE HYDROCHLORIDE | 4 | HSD17B10 |
| DICYCLOMINE | 4 | HSD17B10 |
| CISPLATIN | 4 | HSD17B10 |
| TETRABENAZINE | 4 | HSD17B10 |
| DECAMETHONIUM | 4 | HSD17B10 |
| LABETALOL HYDROCHLORIDE | 4 | HSD17B10 |
| DIMENHYDRINATE | 4 | HSD17B10 |
| HYDROXYZINE PAMOATE | 4 | HSD17B10 |
| MALATHION | 4 | HSD17B10 |
| PYRITHIONE ZINC | 4 | HSD17B10 |
| AVOBENZONE | 4 | HSD17B10 |
| CEFOXITIN SODIUM | 4 | HSD17B10 |
| OXYMETHOLONE | 4 | HSD17B10 |
| FEXOFENADINE HYDROCHLORIDE | 4 | HSD17B10 |
| GEMIFLOXACIN MESYLATE | 4 | HSD17B10 |
| AMPICILLIN SODIUM | 4 | HSD17B10 |
| CHLOROTRIANISENE | 4 | HSD17B10 |
| TRAZODONE HYDROCHLORIDE | 4 | HSD17B10 |
| ETHOPROPAZINE HYDROCHLORIDE | 4 | HSD17B10 |
| PHENAZOPYRIDINE HYDROCHLORIDE | 4 | HSD17B10 |
| ACRISORCIN | 4 | HSD17B10 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 1 | HSD17B10 |
| B | Phased (≥1) drug, not yet approved | 0 | |
| C | Druggable family + PDB, no drug | 0 | |
| D | Druggable family + AlphaFold only, no drug | 0 | |
| E | Difficult family or no structure, no drug | 0 |
Undrugged target profiles
0 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
Clinical trials & evidence
Clinical trials
Clinical trials: 0.
Related Atlas pages
- Cohort genes: HSD17B10