GALM
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Summary
GALM (galactose mutarotase, HGNC:24063) is a protein-coding gene on chromosome 2p22.1, encoding Galactose mutarotase (Q96C23). Mutarotase that catalyzes the interconversion of beta-D-galactose and alpha-D-galactose during galactose metabolism.
This gene encodes an enzyme that catalyzes the epimerization of hexose sugars such as glucose and galactose. The encoded protein is expressed in the cytoplasm and has a preference for galactose. The encoded protein may be required for normal galactose metabolism by maintaining the equilibrium of alpha and beta anomers of galactose.
Source: NCBI Gene 130589 — RefSeq curated summary.
At a glance
- Gene–disease (curated): galactosemia 4 (Strong, ClinGen)
- GWAS associations: 2
- Clinical variants (ClinVar): 127 total — 7 pathogenic, 1 likely-pathogenic
- Phenotypes (HPO): 14
- MANE Select transcript:
NM_138801
Identifiers
Gene identifiers
| Field | Value |
|---|---|
| HGNC ID | HGNC:24063 |
| Approved symbol | GALM |
| Name | galactose mutarotase |
| Location | 2p22.1 |
| Locus type | gene with protein product |
| Status | Approved |
| Ensembl gene | ENSG00000143891 |
| Ensembl biotype | protein_coding |
| OMIM | 137030 |
| Entrez | 130589 |
Gene structure
Transcript identifiers
Ensembl transcripts: 14 — 12 protein_coding, 1 protein_coding_CDS_not_defined, 1 nonsense_mediated_decay
ENST00000272252, ENST00000410063, ENST00000427858, ENST00000434934, ENST00000444351, ENST00000862588, ENST00000862589, ENST00000862590, ENST00000862591, ENST00000862592, ENST00000862593, ENST00000953224, ENST00000953225, ENST00000953226
RefSeq mRNA: 1 — MANE Select: NM_138801
NM_138801
CCDS: CCDS1797
Canonical transcript exons
ENST00000272252 — 7 exons
| Exon | Start | End |
|---|---|---|
| ENSE00000962504 | 38675912 | 38676066 |
| ENSE00000962505 | 38681280 | 38681486 |
| ENSE00001072353 | 38689813 | 38689894 |
| ENSE00001144695 | 38666114 | 38666351 |
| ENSE00001272212 | 38731735 | 38731909 |
| ENSE00001361889 | 38733488 | 38734765 |
| ENSE00003682562 | 38729556 | 38729697 |
Expression profiles
Bgee: expression breadth ubiquitous, 257 present calls, max score 99.52.
FANTOM5 (CAGE): breadth ubiquitous, TPM avg 12.5143 / max 175.8416, expressed in 1532 samples.
FANTOM5 promoters (2 alternative TSS)
| Promoter ID | TPM avg | Samples expressed |
|---|---|---|
| 19835 | 12.2508 | 1517 |
| 19834 | 0.2635 | 140 |
Top tissues by expression
260 total, by Bgee expression score (0-100, higher = more expressed):
| Tissue | Anatomy ID | Expression score | Quality |
|---|---|---|---|
| kidney epithelium | UBERON:0004819 | 99.52 | gold quality |
| right adrenal gland | UBERON:0001233 | 97.01 | gold quality |
| right adrenal gland cortex | UBERON:0035827 | 96.97 | gold quality |
| pancreatic ductal cell | CL:0002079 | 96.67 | gold quality |
| left adrenal gland | UBERON:0001234 | 96.53 | gold quality |
| adrenal cortex | UBERON:0001235 | 96.42 | gold quality |
| left adrenal gland cortex | UBERON:0035825 | 96.23 | gold quality |
| duodenum | UBERON:0002114 | 95.83 | gold quality |
| right uterine tube | UBERON:0001302 | 95.50 | gold quality |
| adrenal gland | UBERON:0002369 | 95.45 | gold quality |
| renal medulla | UBERON:0000362 | 95.31 | gold quality |
| jejunal mucosa | UBERON:0000399 | 94.68 | gold quality |
| epithelial cell of pancreas | CL:0000083 | 93.62 | silver quality |
| adult mammalian kidney | UBERON:0000082 | 93.41 | gold quality |
| rectum | UBERON:0001052 | 93.39 | gold quality |
| vena cava | UBERON:0004087 | 93.36 | gold quality |
| mucosa of transverse colon | UBERON:0004991 | 93.31 | gold quality |
| ileal mucosa | UBERON:0000331 | 93.13 | gold quality |
| kidney | UBERON:0002113 | 92.83 | gold quality |
| oviduct epithelium | UBERON:0004804 | 92.29 | gold quality |
| liver | UBERON:0002107 | 92.17 | gold quality |
| upper arm skin | UBERON:0004263 | 91.59 | silver quality |
| right lobe of liver | UBERON:0001114 | 91.49 | gold quality |
| cardiac muscle of right atrium | UBERON:0003379 | 91.31 | silver quality |
| adrenal tissue | UBERON:0018303 | 91.16 | gold quality |
| jejunum | UBERON:0002115 | 90.37 | gold quality |
| saphenous vein | UBERON:0007318 | 90.33 | gold quality |
| left ventricle myocardium | UBERON:0006566 | 90.30 | silver quality |
| tendon of biceps brachii | UBERON:0008188 | 90.06 | gold quality |
| pylorus | UBERON:0001166 | 90.01 | gold quality |
Single-cell (SCXA)
Detected in 3 experiment(s), a significant marker in 1.
| Experiment | Marker? | Max mean expression |
|---|---|---|
| E-ANND-3 | yes | 9.39 |
| E-MTAB-6379 | no | 1724.79 |
| E-MTAB-6142 | no | 158.66 |
Regulation
Is transcription factor: no
miRNA regulators (miRDB)
45 targeting GALM, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):
| miRNA | Max score | Avg score | miRNA target_count |
|---|---|---|---|
| HSA-MIR-3689D | 100.00 | 66.14 | 1181 |
| HSA-MIR-6851-5P | 100.00 | 65.63 | 1294 |
| HSA-MIR-205-3P | 99.92 | 69.92 | 3165 |
| HSA-MIR-219A-5P | 99.91 | 73.36 | 735 |
| HSA-MIR-8063 | 99.91 | 69.76 | 3146 |
| HSA-MIR-548E-5P | 99.89 | 72.73 | 4486 |
| HSA-MIR-4782-3P | 99.88 | 73.31 | 735 |
| HSA-MIR-6766-3P | 99.88 | 73.38 | 732 |
| HSA-MIR-6124 | 99.87 | 69.78 | 3551 |
| HSA-MIR-4420 | 99.82 | 70.08 | 1624 |
| HSA-MIR-181B-2-3P | 99.81 | 70.06 | 1646 |
| HSA-MIR-181B-3P | 99.81 | 70.06 | 1646 |
| HSA-MIR-1825 | 99.72 | 68.11 | 1089 |
| HSA-MIR-12124 | 99.68 | 69.17 | 2700 |
| HSA-MIR-29B-2-5P | 99.67 | 68.98 | 1726 |
| HSA-MIR-3975 | 99.62 | 65.97 | 697 |
| HSA-MIR-766-5P | 99.47 | 67.91 | 2225 |
| HSA-MIR-103A-1-5P | 99.39 | 67.78 | 1545 |
| HSA-MIR-103A-2-5P | 99.39 | 67.72 | 1577 |
| HSA-MIR-4999-5P | 99.35 | 69.15 | 926 |
| HSA-MIR-1912-3P | 99.32 | 67.40 | 936 |
| HSA-MIR-485-5P | 99.10 | 64.78 | 1889 |
| HSA-MIR-6884-5P | 99.10 | 64.50 | 1987 |
| HSA-MIR-8066 | 99.05 | 68.66 | 1532 |
| HSA-MIR-670-3P | 99.03 | 68.88 | 2404 |
| HSA-MIR-412-3P | 98.86 | 66.89 | 712 |
| HSA-MIR-6754-3P | 98.84 | 66.60 | 889 |
| HSA-MIR-367-5P | 98.84 | 67.18 | 902 |
| HSA-MIR-3149 | 98.77 | 67.13 | 1639 |
| HSA-MIR-4297 | 98.77 | 66.95 | 2013 |
Literature-anchored findings (GeneRIF, showing 4)
- Gene encodes a functional aldose 1-epimerase (mutarotase). The enzyme exhibits (approx. four-fold) preference for galactose over glucose. Mutation E307A results in no detactable activity. (PMID:12753898)
- Identification and characterisation of human aldose 1-epimerase. (PMID:12753898)
- The enzyme is a monomer and has a similar structure to the Lactococcus lactis mutarotase. (PMID:15026423)
- This study demonistrated that polymorphism in galactose mutarotase (GALM) is associated with serotonin transporter binding potential in the human thalamus. (PMID:21339755)
Cross-species orthologs
10 orthologs
| Organism | Symbol | Gene ID |
|---|---|---|
| danio_rerio | galm | ENSDARG00000057630 |
| mus_musculus | Galm | ENSMUSG00000035473 |
| rattus_norvegicus | Galm | ENSRNOG00000007023 |
| drosophila_melanogaster | CG10996 | FBGN0030525 |
| drosophila_melanogaster | CG4988 | FBGN0032372 |
| drosophila_melanogaster | CG10467 | FBGN0035679 |
| drosophila_melanogaster | CG32444 | FBGN0043783 |
| drosophila_melanogaster | CG32445 | FBGN0052445 |
| caenorhabditis_elegans | WBGENE00015270 | |
| caenorhabditis_elegans | WBGENE00044734 |
Protein
Protein identifiers
Galactose mutarotase — Q96C23 (reviewed: Q96C23)
Alternative names: Aldose 1-epimerase
All UniProt accessions (5): Q96C23, A0A384MDW6, B8ZZ75, H7C1B5, H7C320
UniProt curated annotations — full annotation on UniProt →
Function. Mutarotase that catalyzes the interconversion of beta-D-galactose and alpha-D-galactose during galactose metabolism. Beta-D-galactose is metabolized in the liver into glucose 1-phosphate, the primary metabolic fuel, by the action of four enzymes that constitute the Leloir pathway: GALM, GALK1 (galactokinase), GALT (galactose-1-phosphate uridylyltransferase) and GALE (UDP-galactose-4’-epimerase). Involved in the maintenance of the equilibrium between the beta- and alpha-anomers of galactose, therefore ensuring a sufficient supply of the alpha-anomer for GALK1. Also active on D-glucose although shows a preference for galactose over glucose.
Subunit / interactions. Monomer.
Subcellular location. Cytoplasm.
Disease relevance. Galactosemia 4 (GALAC4) [MIM:618881] A form of galactosemia, an inborn error of galactose metabolism typically manifesting in the neonatal period, after ingestion of galactose, with jaundice, hepatosplenomegaly, hepatocellular insufficiency, food intolerance, hypoglycemia, renal tubular dysfunction, muscle hypotonia, sepsis and cataract. GALAC4 inheritance is autosomal recessive. The disease is caused by variants affecting the gene represented in this entry.
Pathway. Carbohydrate metabolism; hexose metabolism. Carbohydrate metabolism; galactose metabolism.
Similarity. Belongs to the aldose epimerase family.
RefSeq proteins (1): NP_620156* (*=MANE)
Domains & families (InterPro)
| ID | Name | Type |
|---|---|---|
| IPR008183 | Aldose_1/G6P_1-epimerase | Family |
| IPR011013 | Gal_mutarotase_sf_dom | Homologous_superfamily |
| IPR014718 | GH-type_carb-bd | Homologous_superfamily |
| IPR015443 | GALM/Mro | Family |
| IPR018052 | Ald1_epimerase_CS | Conserved_site |
| IPR047215 | Galactose_mutarotase-like | Family |
Pfam: PF01263
Enzyme classification (BRENDA):
- EC 5.1.3.3 — Aldose 1-epimerase (BRENDA: 33 organisms, 41 substrates, 66 inhibitors, 73 Km, 33 kcat entries)
Substrate kinetics (BRENDA)
12 substrates with measured Km, best-characterized 12. Km ranges are aggregated across organisms/conditions.
| Substrate | Km (mM) | Measurements |
|---|---|---|
| ALPHA-D-GLUCOSE | 5–180 | 29 |
| ALPHA-D-GALACTOSE | 4–52 | 14 |
| ALPHA-D-XYLOSE | 8–86 | 7 |
| ALPHA-L-ARABINOSE | 8.3–170 | 6 |
| D-GLUCOSE | 15 | 4 |
| ALPHA-D-FUCOSE | 2–25 | 3 |
| D-FUCOSE | 13 | 3 |
| ALPHA-D-QUINOVOSE | 37 | 1 |
| BETA-D-ARABINOSE | 18 | 1 |
| D-GALACTOSE | 6.5 | 1 |
| D-XYLOSE | 23 | 1 |
| LACTOSE | 475 | 1 |
Catalyzed reactions (Rhea), 2 shown:
- alpha-D-glucose = beta-D-glucose (RHEA:10264)
- alpha-D-galactose = beta-D-galactose (RHEA:28675)
UniProt features (54 total): strand 24, helix 7, binding site 6, sequence variant 5, modified residue 3, mutagenesis site 3, active site 2, turn 2, initiator methionine 1, chain 1
Structure
Experimental structures (PDB)
2 structures.
| PDB | Method | Resolution (Å) |
|---|---|---|
| 1SNZ | X-RAY DIFFRACTION | 2.2 |
| 1SO0 | X-RAY DIFFRACTION | 2.3 |
Predicted structure (AlphaFold)
| Model | pLDDT | Fraction very-high |
|---|---|---|
| AF-Q96C23-F1 | 97.83 | 0.99 |
Functional residue map
Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.
Catalytic / active sites (2): 176 (proton donor); 307 (proton acceptor)
Ligand- & substrate-binding residues (6): 81–82; 107; 176–178; 243; 279; 307
Post-translational modifications (3): 2, 14, 124
Mutagenesis-validated functional residues (3):
| Position | Phenotype |
|---|---|
| 107 | decreased activity by 5-fold. |
| 176 | decreased activity by 300-fold. |
| 307 | loss of activity. |
Function
Pathways and Gene Ontology
Reactome pathways
2 pathways
| ID | Pathway |
|---|---|
| R-HSA-70370 | Galactose catabolism |
| R-HSA-9931929 | Defective GALM causes GALAC4 |
MSigDB gene sets: 188 (showing top):
GRAESSMANN_APOPTOSIS_BY_DOXORUBICIN_UP, GRAESSMANN_RESPONSE_TO_MC_AND_DOXORUBICIN_UP, ACEVEDO_NORMAL_TISSUE_ADJACENT_TO_LIVER_TUMOR_DN, GOBP_CARBOHYDRATE_DERIVATIVE_CATABOLIC_PROCESS, GOBP_MONOSACCHARIDE_CATABOLIC_PROCESS, GOBP_ORGANOPHOSPHATE_METABOLIC_PROCESS, KEGG_GLYCOLYSIS_GLUCONEOGENESIS, GOBP_CARBOHYDRATE_DERIVATIVE_METABOLIC_PROCESS, SHETH_LIVER_CANCER_VS_TXNIP_LOSS_PAM4, GOBP_GALACTOSE_METABOLIC_PROCESS, GOBP_CARBOHYDRATE_METABOLIC_PROCESS, GOBP_ORGANOPHOSPHATE_CATABOLIC_PROCESS, GOBP_GLUCOSE_METABOLIC_PROCESS, GOBP_SMALL_MOLECULE_CATABOLIC_PROCESS, SANSOM_APC_TARGETS_DN
GO Biological Process (5): carbohydrate metabolic process (GO:0005975), glucose metabolic process (GO:0006006), galactose metabolic process (GO:0006012), beta-D-galactose catabolic process via UDP-galactose, Leloir pathway (GO:0033499), hexose metabolic process (GO:0019318)
GO Molecular Function (4): aldose 1-epimerase activity (GO:0004034), carbohydrate binding (GO:0030246), catalytic activity (GO:0003824), isomerase activity (GO:0016853)
GO Cellular Component (3): cytosol (GO:0005829), extracellular exosome (GO:0070062), cytoplasm (GO:0005737)
Reactome top-level categories
Rollup of top-2 pathways:
| Category | Pathways |
|---|---|
| Metabolism of carbohydrates and carbohydrate derivatives | 1 |
| Diseases associated with glycosylation precursor biosynthesis | 1 |
GO top-level categories
Rollup of top GO terms by namespace:
| Category | Terms |
|---|---|
| hexose metabolic process | 2 |
| cellular anatomical structure | 2 |
| primary metabolic process | 1 |
| galactose catabolic process | 1 |
| organophosphate metabolic process | 1 |
| carbohydrate derivative metabolic process | 1 |
| monosaccharide metabolic process | 1 |
| racemase and epimerase activity, acting on carbohydrates and derivatives | 1 |
| binding | 1 |
| molecular_function | 1 |
| catalytic activity | 1 |
| cytoplasm | 1 |
| extracellular vesicle | 1 |
| intracellular anatomical structure | 1 |
Protein interactions and networks
STRING
1598 interactions, top by confidence (×1000):
| Protein A | Protein B | Partner UniProt | Score |
|---|---|---|---|
| GALM | GALK1 | P51570 | 862 |
| GALM | GALE | Q14376 | 849 |
| GALM | GALT | P07902 | 761 |
| GALM | GPI | P06744 | 617 |
| GALM | TMEM147 | Q9BVK8 | 578 |
| GALM | TMEM63A | O94886 | 576 |
| GALM | PCDHA1 | Q9Y5I3 | 576 |
| GALM | XYLB | O75191 | 573 |
| GALM | TPI1 | P00938 | 560 |
| GALM | RPE | Q96AT9 | 536 |
| GALM | FUOM | A2VDF0 | 519 |
| GALM | PGM1 | P36871 | 518 |
| GALM | PCDHAC1 | Q9H158 | 507 |
| GALM | PDHB | P11177 | 507 |
| GALM | RBKS | Q9H477 | 507 |
IntAct
13 interactions, top by confidence:
| A | B | Type | Score |
|---|---|---|---|
| OR5F1 | UBA6 | psi-mi:“MI:0914”(association) | 0.530 |
| DVL2 | VANGL1 | psi-mi:“MI:0914”(association) | 0.530 |
| IL33 | GALM | psi-mi:“MI:0915”(physical association) | 0.400 |
| OCC1 | GALM | psi-mi:“MI:0915”(physical association) | 0.400 |
| COG8 | GALM | psi-mi:“MI:0915”(physical association) | 0.400 |
| UEVLD | GALM | psi-mi:“MI:0915”(physical association) | 0.370 |
| VAMP4 | NBAS | psi-mi:“MI:0914”(association) | 0.350 |
| DTWD1 | ACTA2 | psi-mi:“MI:0914”(association) | 0.350 |
| DNAI3 | GALM | psi-mi:“MI:0914”(association) | 0.350 |
| CFAP263 | SPTBN2 | psi-mi:“MI:0914”(association) | 0.350 |
| AKAP13 | HARS2 | psi-mi:“MI:0914”(association) | 0.350 |
| LARP7 | SBNO1 | psi-mi:“MI:2364”(proximity) | 0.270 |
BioGRID (20): GALM (Affinity Capture-MS), ATOX1 (Co-fractionation), GALK2 (Co-fractionation), GALM (Co-fractionation), GALM (Affinity Capture-MS), GALM (Affinity Capture-MS), GALM (Affinity Capture-MS), GALM (Affinity Capture-RNA), GALM (Affinity Capture-MS), GALM (Affinity Capture-MS), GALM (Affinity Capture-MS), GALM (Affinity Capture-MS), GALM (Affinity Capture-MS), GALM (Affinity Capture-MS), GALM (Affinity Capture-MS)
ESM2 similar proteins: E9Q3E1, J3QMK6, O24496, O54975, P04397, P05149, P0A9C3, P0A9C4, P14550, P19623, P21872, P22102, P30839, P31765, P43353, P47740, P50578, Q03161, Q06AA3, Q15493, Q1JPA0, Q2PFX5, Q3B7M2, Q58EB4, Q59A32, Q5EA79, Q5R5D5, Q5R837, Q5R8U1, Q5RCX5, Q5XI42, Q5ZI23, Q60HH8, Q64374, Q64674, Q64737, Q66HG4, Q6DF62, Q6NYF0, Q6P2I3
Diamond homologs: B0M3E8, E8MF10, O64749, O65780, O65781, O84903, P04397, P09147, P09609, P13226, P18645, P21977, P22715, P24325, P26503, P33119, P35673, P38893, P40801, P45602, P47364, P53757, P55180, P56600, P56985, P56986, P56997, P75517, P96995, Q00053, Q05026, Q14376, Q2FJ87, Q2G0M5, Q2YSA8, Q3T105, Q42605, Q43070, Q45291, Q54L85
SIGNOR signaling
2 interactions.
| A | Effect | B | Mechanism |
|---|---|---|---|
| GALM | “down-regulates quantity” | beta-D-galactose | “chemical modification” |
| GALM | “up-regulates quantity” | alpha-D-galactose | “chemical modification” |
Disease & clinical
Clinical variants and AI predictions
ClinVar
127 variants total. Per-class counts are floors (≥ shown; pagination cap):
| Classification | Count (floor) |
|---|---|
| Pathogenic | 7 |
| Likely pathogenic | 1 |
| Uncertain significance | 62 |
| Likely benign | 22 |
| Benign | 27 |
Top pathogenic / likely-pathogenic (8)
| Variant ID | HGVS | Classification |
|---|---|---|
| 2414354 | NM_138801.3(GALM):c.195C>A (p.Tyr65Ter) | Pathogenic |
| 2427270 | NC_000002.11:g.(?38893304)(38893513_?)del | Pathogenic |
| 2427271 | NC_000002.11:g.(?38893304)(38917056_?)del | Pathogenic |
| 2717597 | NM_138801.3(GALM):c.577G>T (p.Glu193Ter) | Pathogenic |
| 873020 | NM_138801.3(GALM):c.294del (p.Ile99fs) | Pathogenic |
| 873021 | NM_138801.3(GALM):c.244C>T (p.Arg82Ter) | Pathogenic |
| 873024 | NM_138801.3(GALM):c.932G>A (p.Trp311Ter) | Pathogenic |
| 4845671 | NM_138801.3(GALM):c.457del (p.Asp153fs) | Likely pathogenic |
SpliceAI
1200 predictions. Top by Δscore:
| Variant | Effect | Δscore |
|---|---|---|
| 2:38676063:TAAA:T | donor_gain | 1.0000 |
| 2:38676064:AAA:A | donor_gain | 1.0000 |
| 2:38676065:AA:A | donor_gain | 1.0000 |
| 2:38676066:AG:A | donor_loss | 1.0000 |
| 2:38676067:G:GG | donor_gain | 1.0000 |
| 2:38676067:GTAA:G | donor_loss | 1.0000 |
| 2:38676068:TAA:T | donor_loss | 1.0000 |
| 2:38681275:TCCAG:T | acceptor_loss | 1.0000 |
| 2:38681276:CCAG:C | acceptor_loss | 1.0000 |
| 2:38681278:A:AG | acceptor_gain | 1.0000 |
| 2:38681278:A:AT | acceptor_loss | 1.0000 |
| 2:38681279:G:GG | acceptor_gain | 1.0000 |
| 2:38681279:G:GT | acceptor_loss | 1.0000 |
| 2:38681279:GGT:G | acceptor_gain | 1.0000 |
| 2:38681482:GCCAG:G | donor_gain | 1.0000 |
| 2:38681483:CCAG:C | donor_gain | 1.0000 |
| 2:38681484:CAG:C | donor_gain | 1.0000 |
| 2:38681485:AG:A | donor_gain | 1.0000 |
| 2:38681485:AGGT:A | donor_loss | 1.0000 |
| 2:38681486:GG:G | donor_gain | 1.0000 |
| 2:38681486:GGTA:G | donor_loss | 1.0000 |
| 2:38681487:G:GG | donor_gain | 1.0000 |
| 2:38729627:G:GT | donor_gain | 1.0000 |
| 2:38729669:GGATC:G | donor_gain | 1.0000 |
| 2:38731730:ACCAG:A | acceptor_gain | 1.0000 |
| 2:38731732:CAGG:C | acceptor_loss | 1.0000 |
| 2:38731733:A:AG | acceptor_gain | 1.0000 |
| 2:38731733:A:AT | acceptor_loss | 1.0000 |
| 2:38731733:AG:A | acceptor_gain | 1.0000 |
| 2:38731734:G:GG | acceptor_gain | 1.0000 |
AlphaMissense
2215 scored. Top likely-pathogenic:
| Variant | Protein change | am_pathogenicity |
|---|---|---|
| 2:38731873:C:G | C305W | 0.996 |
| 2:38675966:G:C | R82P | 0.994 |
| 2:38666275:C:G | C38W | 0.992 |
| 2:38681286:T:A | W118R | 0.992 |
| 2:38681286:T:C | W118R | 0.992 |
| 2:38731879:G:C | E307D | 0.990 |
| 2:38731879:G:T | E307D | 0.990 |
| 2:38731878:A:T | E307V | 0.989 |
| 2:38681331:A:C | S133R | 0.988 |
| 2:38681333:T:A | S133R | 0.988 |
| 2:38681333:T:G | S133R | 0.988 |
| 2:38681450:C:A | N172K | 0.988 |
| 2:38681450:C:G | N172K | 0.988 |
| 2:38681460:C:G | H176D | 0.988 |
| 2:38681462:T:A | H176Q | 0.988 |
| 2:38681462:T:G | H176Q | 0.988 |
| 2:38731872:G:A | C305Y | 0.988 |
| 2:38675955:G:C | R78S | 0.986 |
| 2:38675955:G:T | R78S | 0.986 |
| 2:38729650:C:A | D243E | 0.985 |
| 2:38729650:C:G | D243E | 0.985 |
| 2:38675939:G:A | G73E | 0.984 |
| 2:38675951:G:A | G77E | 0.984 |
| 2:38676040:C:G | H107D | 0.984 |
| 2:38675954:G:T | R78M | 0.983 |
| 2:38675964:C:A | N81K | 0.983 |
| 2:38675964:C:G | N81K | 0.983 |
| 2:38676042:T:A | H107Q | 0.983 |
| 2:38676042:T:G | H107Q | 0.983 |
| 2:38681446:T:A | V171D | 0.983 |
dbSNP variants (sampled 300 via entrez): RS1000035549 (2:38723665 G>A,T), RS1000047698 (2:38670181 G>A,C), RS1000056321 (2:38705893 A>C), RS1000097824 (2:38724229 T>C), RS1000103332 (2:38665756 C>T), RS1000133924 (2:38679942 G>A), RS1000135832 (2:38665938 T>C), RS1000213584 (2:38699552 T>C), RS1000299059 (2:38711136 A>T), RS1000365618 (2:38733767 T>C), RS1000376009 (2:38722807 G>T), RS1000377727 (2:38670005 G>A), RS1000422162 (2:38727838 A>T), RS1000454165 (2:38688978 A>G), RS1000484687 (2:38728062 T>A)
Disease associations
OMIM: gene MIM:137030 | disease phenotypes: MIM:618881, MIM:181500
GenCC curated gene-disease
| Disease | Classification | Inheritance |
|---|---|---|
| galactosemia 4 | Strong | Autosomal recessive |
ClinGen Gene-Disease Validity (1)
Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.
| Disease | Classification | Inheritance |
|---|---|---|
| galactosemia 4 | Strong | AR |
Mondo (2): galactosemia 4 (MONDO:0030105), schizophrenia (MONDO:0005090)
Orphanet (2): Galactose mutarotase deficiency (Orphanet:570422), NON RARE IN EUROPE: Schizophrenia (Orphanet:3140)
HPO phenotypes
14 total (15 of 14 shown, HPO-id order):
| HPO | Term |
|---|---|
| HP:0000007 | Autosomal recessive inheritance |
| HP:0000518 | Cataract |
| HP:0000707 | Abnormality of the nervous system |
| HP:0001263 | Global developmental delay |
| HP:0001396 | Cholestasis |
| HP:0001410 | Decreased liver function |
| HP:0001508 | Failure to thrive |
| HP:0002240 | Hepatomegaly |
| HP:0003623 | Neonatal onset |
| HP:0004915 | Impairment of galactose metabolism |
| HP:0006579 | Prolonged neonatal jaundice |
| HP:0012024 | Hypergalactosemia |
| HP:0012379 | Abnormal circulating enzyme concentration or activity |
| HP:0100806 | Sepsis |
| HP:0100753 | Schizophrenia |
GWAS associations
2 associations (top):
| Study | Trait | p-value |
|---|---|---|
| GCST000983_1 | 5-HTT brain serotonin transporter levels | 5.000000e-06 |
| GCST006427_21 | Depression in smokers | 4.000000e-06 |
Drugs & pharmacology
Drug and pharmacology data
Is drug target: no
PharmGKB: 1 entry (VIP=true, CPIC=false)
CTD chemical–gene interactions
50 total (human), top 30 by PubMed support.
| Chemical | Actions (top 5) | PubMed papers |
|---|---|---|
| Benzo(a)pyrene | decreases methylation, affects methylation, decreases expression | 4 |
| Tretinoin | decreases reaction, increases expression, affects cotreatment | 4 |
| Cyclosporine | decreases expression | 3 |
| bisphenol A | affects expression, increases expression | 2 |
| sodium arsenite | increases expression | 2 |
| Cisplatin | affects cotreatment, increases expression | 2 |
| Ethinyl Estradiol | affects expression, decreases expression | 2 |
| Nickel | increases expression | 2 |
| Tetrachlorodibenzodioxin | increases expression | 2 |
| Aflatoxin B1 | affects expression, decreases expression | 2 |
| Cadmium Chloride | increases abundance, increases expression | 2 |
| bisphenol F | increases expression | 1 |
| methylmercuric chloride | decreases expression | 1 |
| deoxynivalenol | decreases expression | 1 |
| potassium chromate(VI) | affects cotreatment, decreases expression | 1 |
| nivalenol | decreases expression | 1 |
| S-(1,2-dichlorovinyl)cysteine | decreases expression, affects response to substance, increases expression, affects cotreatment | 1 |
| epigallocatechin gallate | affects cotreatment, decreases expression | 1 |
| di-n-butylphosphoric acid | affects expression | 1 |
| yessotoxin | increases expression | 1 |
| Am 580 | increases expression | 1 |
| CGP 52608 | affects binding, increases reaction | 1 |
| bisphenol B | increases expression | 1 |
| abrine | decreases expression | 1 |
| bisphenol S | increases expression | 1 |
| jinfukang | increases expression, affects cotreatment | 1 |
| (+)-JQ1 compound | decreases expression | 1 |
| PP242 | decreases expression | 1 |
| Sunitinib | decreases expression | 1 |
| Arsenic Trioxide | affects cotreatment, increases expression | 1 |
Clinical trials (associated diseases)
300 trials via MONDO — disease-level, not drug-specific.
| Trial | Phase | Status | Title |
|---|---|---|---|
| NCT00000374 | PHASE4 | COMPLETED | Treatment for First-Episode Schizophrenia |
| NCT00001656 | PHASE4 | COMPLETED | Comparison of Clozapine vs Olanzapine in Childhood-Onset Psychotic Disorders |
| NCT00007774 | PHASE4 | COMPLETED | To Determine if Olanzapine is More Cost Effective Than Haloperidol for the Treatment of Schizophrenia |
| NCT00014001 | PHASE4 | COMPLETED | CATIE- Schizophrenia Trial |
| NCT00018668 | PHASE4 | COMPLETED | Antipsychotic Response in Schizophrenia |
| NCT00034801 | PHASE4 | COMPLETED | Olanzapine Versus Active Comparator in the Treatment of Depression in Patients With Schizophrenia |
| NCT00034905 | PHASE4 | COMPLETED | A Comparison of Seroquel vs. Risperidone in Schizophrenia |
| NCT00036088 | PHASE4 | COMPLETED | Olanzapine Versus An Active Comparator in the Treatment of Schizophrenia |
| NCT00044187 | PHASE4 | COMPLETED | The Assessment of a Weight-Gain Agent for the Treatment of Olanzapine-Associated Anti-Obesity Agent in Patients With Schizophrenia, Schizophreniform Disorder, Schizoaffective Disorder, and Bipolar I Disorder |
| NCT00044655 | PHASE4 | COMPLETED | Switching Medication to Treat Schizophrenia |
| NCT00048828 | PHASE4 | COMPLETED | Treating Drug-Resistant Childhood Schizophrenia |
| NCT00053703 | PHASE4 | COMPLETED | Treatment of Early Onset Schizophrenia Spectrum Disorders (TEOSS) |
| NCT00056498 | PHASE4 | COMPLETED | Risperidone Treatment in Schizophrenia Patients Who Are Currently Taking Clozapine |
| NCT00061802 | PHASE4 | COMPLETED | Efficacy and Safety of Two Atypical Antipsychotics vs. Placebo in Patients With an Acute Exacerbation of Either Schizophrenia or Schizoaffective Disorder |
| NCT00080327 | PHASE4 | COMPLETED | Study of Three Doses of Aripiprazole in Patients With Acute Schizophrenia |
| NCT00088049 | PHASE4 | COMPLETED | Study of Olanzapine vs. Aripiprazole in the Treatment of Schizophrenia |
| NCT00090012 | PHASE4 | COMPLETED | Comparison of Continuing Olanzapine to Switching to Quetiapine in Overweight or Obese Patients With Schizophrenia and Schizoaffective Disorder |
| NCT00100776 | PHASE4 | COMPLETED | Efficacy of High Dose Olanzapine for the Treatment of Schizophrenia and Schizoaffective Disorder |
| NCT00103571 | PHASE4 | COMPLETED | Olanzapine Versus Aripiprazole in the Treatment of Acutely Ill Patients With Schizophrenia |
| NCT00108368 | PHASE4 | COMPLETED | The Effects of Risperidone and Olanzapine on Thinking |
| NCT00114595 | PHASE4 | COMPLETED | Ethyl-Eicosapentaenoic Acid and Tardive Dyskinesia |
| NCT00130923 | PHASE4 | COMPLETED | Risperidone Long-acting Versus Oral Risperidone in Patients With Schizophrenia and Alcohol Use Disorder |
| NCT00137020 | PHASE4 | COMPLETED | Clinical Effect Of Cross Titration Of Antipsychotics With Ziprasidone In Schizophrenia Or Schizoaffective Disorder |
| NCT00140166 | PHASE4 | COMPLETED | Treatment of Acute Schizophrenia With Vitamin Therapy |
| NCT00145847 | PHASE4 | COMPLETED | Naltrexone Treatment of Alcohol Abuse in Schizophrenia |
| NCT00148564 | PHASE4 | COMPLETED | Energy Homeostasis Under Treatment With Atypical Antipsychotics |
| NCT00156715 | PHASE4 | COMPLETED | Efficacy of Quetiapine in the Treatment of Patients With Schizophrenia and a Comorbid Substance Use Disorder |
| NCT00158223 | PHASE4 | COMPLETED | Effectiveness of Pimozide in Augmenting the Effects of Clozapine in the Treatment of Schizophrenia |
| NCT00159081 | PHASE4 | COMPLETED | One Year Drug Treatment in First-Episode Schizophrenia |
| NCT00159120 | PHASE4 | COMPLETED | Maintenance Treatment vs. Stepwise Drug Discontinuation in First-Episode Schizophrenia |
| NCT00159133 | PHASE4 | COMPLETED | Prodrome-Based Early Intervention With Antipsychotics vs. Benzodiazepines in First-Episode Schizophrenia |
| NCT00159757 | PHASE4 | TERMINATED | 12 Week Open, Non-Comparative Switch Study Of Oral Ziprazidone In Previously Treated Schizophrenic Patients |
| NCT00167817 | PHASE4 | COMPLETED | Effect of Switch to Aripiprazole on Health and Smoking Parameters in Patients With Schizophrenia: A Pilot Study |
| NCT00169026 | PHASE4 | TERMINATED | Alcoholism and Schizophrenia: Effects of Clozapine |
| NCT00169039 | PHASE4 | TERMINATED | Clozapine Versus Chlorpromazine for Treatment-Unresponsive Schizophrenia |
| NCT00169065 | PHASE4 | COMPLETED | Effectiveness of Clozapine Versus Olanzapine for Treatment-resistant Schizophrenia |
| NCT00169091 | PHASE4 | TERMINATED | Clozapine Versus Haloperidol for Treating the First Episode of Schizophrenia |
| NCT00176423 | PHASE4 | COMPLETED | Efficacy Study of Galantamine for Cognitive Impairments in Schizophrenia |
| NCT00176436 | PHASE4 | COMPLETED | Atomoxetine for Treatment of Weight Gain in Olanzapine or Clozapine Patients |
| NCT00177008 | PHASE4 | COMPLETED | Aripiprazole for the Treatment of Schizophrenia With Co-Morbid Social Anxiety |
Related Atlas pages
- Associated diseases: galactosemia 4
- Disease cohort memberships (association, not causation — diseases whose associated-gene cohort lists this gene; a subset are also under Associated diseases): galactosemia 4