HEXB

gene
On this page

Summary

HEXB (hexosaminidase subunit beta, HGNC:4879) is a protein-coding gene on chromosome 5q13.3, encoding Beta-hexosaminidase subunit beta (P07686). Hydrolyzes the non-reducing end N-acetyl-D-hexosamine and/or sulfated N-acetyl-D-hexosamine of glycoconjugates, such as the oligosaccharide moieties from proteins and neutral glycolipids, or from certain mucopolysaccharides.

Hexosaminidase B is the beta subunit of the lysosomal enzyme beta-hexosaminidase that, together with the cofactor GM2 activator protein, catalyzes the degradation of the ganglioside GM2, and other molecules containing terminal N-acetyl hexosamines. Beta-hexosaminidase is composed of two subunits, alpha and beta, which are encoded by separate genes. Both beta-hexosaminidase alpha and beta subunits are members of family 20 of glycosyl hydrolases. Mutations in the alpha or beta subunit genes lead to an accumulation of GM2 ganglioside in neurons and neurodegenerative disorders termed the GM2 gangliosidoses. Beta subunit gene mutations lead to Sandhoff disease (GM2-gangliosidosis type II). Alternatively spliced transcript variants encoding different isoforms have been found for this gene.

Source: NCBI Gene 3074 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): Sandhoff disease (Definitive, ClinGen)
  • GWAS associations: 4
  • Clinical variants (ClinVar): 951 total — 108 pathogenic, 95 likely-pathogenic
  • Phenotypes (HPO): 82
  • Druggable target: yes — 1 molecules with ChEMBL bioactivity
  • Dosage sensitivity (ClinGen): haploinsufficiency autosomal recessive, triplosensitivity unscored
  • MANE Select transcript: NM_000521

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:4879
Approved symbolHEXB
Namehexosaminidase subunit beta
Location5q13.3
Locus typegene with protein product
StatusApproved
Ensembl geneENSG00000049860
Ensembl biotypeprotein_coding
OMIM606873
Entrez3074

Gene structure

Transcript identifiers

Ensembl transcripts: 13 — 6 retained_intron, 4 protein_coding, 2 nonsense_mediated_decay, 1 protein_coding_CDS_not_defined

ENST00000261416, ENST00000503312, ENST00000504459, ENST00000505859, ENST00000509579, ENST00000510820, ENST00000511181, ENST00000511621, ENST00000513079, ENST00000513336, ENST00000513539, ENST00000513867, ENST00000515528

RefSeq mRNA: 2 — MANE Select: NM_000521 NM_000521, NM_001292004

CCDS: CCDS4022, CCDS78021

Canonical transcript exons

ENST00000261416 — 14 exons

ExonStartEnd
ENSE000010311357471350674713635
ENSE000010837717468523374685559
ENSE000011716007472111874721288
ENSE000034634717469669374696739
ENSE000034721127468932874689473
ENSE000034876267469363974693704
ENSE000035046417471551074715690
ENSE000035120427472042874720518
ENSE000035494767471658774716673
ENSE000036024717471879774718971
ENSE000036158457471829174718363
ENSE000036734407469699674697106
ENSE000036801207472064374720747
ENSE000036821437470521974705320

Expression profiles

Bgee: expression breadth ubiquitous, 289 present calls, max score 99.26.

FANTOM5 (CAGE): breadth ubiquitous, TPM avg 69.1349 / max 1890.7255, expressed in 1823 samples.

FANTOM5 promoters (6 alternative TSS)

Promoter IDTPM avgSamples expressed
5706532.64271812
5706219.09141803
5706415.12281786
570611.3959947
570630.5155268
570660.3666177

Top tissues by expression

298 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
placentaUBERON:000198799.26gold quality
stromal cell of endometriumCL:000225599.20gold quality
calcaneal tendonUBERON:000370199.01gold quality
deciduaUBERON:000245098.86gold quality
monocyteCL:000057698.83gold quality
islet of LangerhansUBERON:000000698.81gold quality
type B pancreatic cellCL:000016998.77gold quality
mononuclear cellCL:000084298.71gold quality
corpus epididymisUBERON:000435998.67gold quality
tendon of biceps brachiiUBERON:000818898.67gold quality
leukocyteCL:000073898.63gold quality
synovial jointUBERON:000221798.62gold quality
tendonUBERON:000004398.57gold quality
gall bladderUBERON:000211098.50gold quality
visceral pleuraUBERON:000240198.47gold quality
mucosa of transverse colonUBERON:000499198.47gold quality
rectumUBERON:000105298.45gold quality
endocervixUBERON:000045898.42gold quality
oocyteCL:000002398.39gold quality
layer of synovial tissueUBERON:000761698.36gold quality
body of pancreasUBERON:000115098.34gold quality
descending thoracic aortaUBERON:000234598.34gold quality
right lungUBERON:000216798.32gold quality
ascending aortaUBERON:000149698.17gold quality
thoracic aortaUBERON:000151598.17gold quality
minor salivary glandUBERON:000183098.17gold quality
secondary oocyteCL:000065598.16gold quality
upper lobe of left lungUBERON:000895298.15gold quality
olfactory segment of nasal mucosaUBERON:000538698.12gold quality
upper lobe of lungUBERON:000894898.10gold quality

Single-cell (SCXA)

Detected in 6 experiment(s), a significant marker in 5.

ExperimentMarker?Max mean expression
E-CURD-122yes68.98
E-MTAB-6678yes17.77
E-CURD-112yes15.61
E-GEOD-93593yes8.85
E-MTAB-6075no1065.11
E-ANND-3no0.00

Regulation

Is transcription factor: yes

Downstream targets (CollecTRI)

1 targets.

TargetRegulation
CCL3Activation

miRNA regulators (miRDB)

7 targeting HEXB, top 30 by miRDB confidence (max_score; target_count = how many genes the miRNA targets in total — lower means more specific):

miRNAMax scoreAvg scoremiRNA target_count
HSA-MIR-3613-3P100.0076.367965
HSA-MIR-60799.9773.625593
HSA-MIR-95-5P99.8972.173973
HSA-MIR-132-3P99.7370.561424
HSA-MIR-212-3P99.7370.651424
HSA-MIR-4666A-5P99.4169.721887
HSA-MIR-508-3P98.6669.62887

Functional genomics

ClinGen dosage: haploinsufficiency 30 (autosomal recessive), triplosensitivity Not yet evaluated (unscored). ClinGen Gene Dosage Map

Literature-anchored findings (GeneRIF, showing 40)

  • plasma activity of total Hex does not appear to be a reliable marker of erosion and cartilage degradation in rheumatoid arthritis patients; liver function appears to be the major determinant for the plasma Hex activity in these patients (PMID:12413610)
  • The X-ray crystal structure of beta-hexosaminidase B provides new insights into mutations that cause Sandhoff disease. (PMID:12706724)
  • alpha-subunit loop structure is required for GM2 activator protein binding by beta-hexosaminidase A (PMID:15485660)
  • Therefore, our bicistronic lentivector supplying both alpha- and beta-subunits of beta-hexosaminidases may provide a potential therapeutic tool for the treatment of Sandhoff disease. (PMID:15953731)
  • The highest activities of exoglycosidases were observed in high-grade gliomas, and a positive correlation of enzyme activities and degree of malignancy was noted. (PMID:16710745)
  • novel c.1556A>G transition in exon 12 of the HEXB gene associated with chronic Sandhoff’s disease (PMID:17251047)
  • Beta-hexosaminidase is a peptidoglycan hydrolase that surprisingly exerts its mycobactericidal effect at the macrophage plasma membrane during mycobacteria-induced secretion of lysosomes (PMID:18180457)
  • Elevated activity of beta-hexosaminidase observed in subjects with asthma suggests that the beta-hex isozyme could take part in airway inflammation and remodeling in asthma. (PMID:18204279)
  • following HIV infection, there is an increased rate of catabolism of glycoconjugates in saliva resulting from changes in the proportions of the activity of isoenzymes A and B of N-acetyl-beta-hexosaminidase, beta-galactosidase and alpha-fucosidase (PMID:18217416)
  • Lysosome-related genes, such as CLN2, CLN3, and HEXB, may be involved in the pathogenesis of adipose tissue hypertrophy in TED. (PMID:18552385)
  • These results reveal a new aspect of beta-hexosaminidase biology and suggest that a fully processed membrane-associated form of Hex is translocated from the lysosomal membrane to the PM by an as yet unknown mechanism. W (PMID:18588514)
  • Results describe the molecular genetics of Sandhoff disease in Italy and provide new insights into the molecular basis of the disease through HEXB mutation. (PMID:18758829)
  • A new D459A missense HEXB mutation was discovered in six juvenile patients with Sandhoff disease. (PMID:18930675)
  • Gene therapy reduced GM(2) storage and ameliorated neuroinflammation in the brain of HexB(-/-) mice, as well as attenuated behavioral deficits. (PMID:19278737)
  • Data suggest that cigarette smoking can inhibit, by the influence on N-acetyl-beta-hexosaminidase activity, catabolism of oligosaccharide chains in cancer tissues. (PMID:19615986)
  • Urinary NAG (ninefold), NGAL (1.5-fold), and H-FABP (3.5-fold) were significantly elevated in normoalbuminuric diabetic patients compared with nondiabetic control subjects. (PMID:21307379)
  • Plasma beta-hexosaminidase and beta-galactosidase) levels are higher in patients with Alzheimer’s disease-type 2 diabetes mellitus (T2DM) compared to those with T2DM alone. (PMID:21321400)
  • Down-regulation of beta-N-acetyl-D-glucosaminidase increases Akt1 activity in thyroid anaplastic cancer cells (PMID:21637923)
  • The non-random distribution of plasma membrane-associated beta-hexosaminidase and beta-galactosidase and their localization within lipid microdomains, suggest a role of these enzymes in the local reorganization of glycosphingolipid-based signalling units. (PMID:21978926)
  • The absence of beta-N-acetyl-hexosaminidase activity does not alter the differentiation of i-DCs from HSCs, but it is critical for the activation of CD4(+)T cells because knock-down of HEXA or HEXB gene causes a loss of function of i-DCs. (PMID:21997228)
  • We describe a novel HEXB mutation that is shared among 4 patients with Sandhoff disease. (PMID:22191674)
  • identified 27 different mutations, 14 of which were novel, in the HEXA gene and 14 different mutations, 8 of which unreported until now, in the HEXB gene, and attempted to correlate these mutations with the clinical presentation of the patients (PMID:22789865)
  • minigene studies revealed the presence of a novel alternative spliced HEXB mRNA variant also present in normal cells (PMID:22848519)
  • Expression of beta-hexosaminidase in the neurons of Sandhoff disease patients rescues transgenic mice from neurodegeneration. (PMID:22863301)
  • Characterization of seven novel mutations on the HEXB gene in French Sandhoff patients. (PMID:23046579)
  • GM2 gangliosidosis is caused by the gene mutation. (review) (PMID:23370522)
  • A patient with Sandhoff disease also is found to have a compound macro-deletion in HEXB. (PMID:23886397)
  • A highly significant correlation of HEX-7 and %CDT has been found. Because of exclusion of the P isoform, HEX-7 could be a useful supplementary marker for detecting chronic alcohol abuse. (PMID:23906468)
  • Concentration and specific activity of N-acetyl-B-hexosaminidase in palatine tonsils in patients with tonsillar hypertrophy and chronic tonsillitis both in childhood and adulthood significantly increase in comparison to healthy individuals. (PMID:23911049)
  • A total of 19 HEXB variants were found in the 1092 genomes of which 5 are suspected of having a deleterious effect on hexosaminidase activity. (PMID:24461908)
  • DNA from Iranian Tay-Sachs patients reveals a novel mutation in HEXB predicting a termination codon or nonsense mutation. (PMID:24518553)
  • report on the heterogeneity of the mutational spectrum of the HEXB gene in Indian patients with Sandhoff disease (PMID:26582265)
  • a modified human hexosaminidase subunit beta (HexB), which we have termed mod2B, composed of homodimeric beta subunits that contain amino acid sequences from the alpha subunit that confer GM2 ganglioside-degrading activity and protease resistance. (PMID:27018595)
  • Mutations of the HEXB gene is associated with maple syrup urine disease or Sandhoff disease. (PMID:27682710)
  • Reported data present, for the first time, reference values for urinary activities of HEX and its isoenzymes HEX A and HEX B in children and adolescent. (PMID:28846871)
  • Direct sequencing of HEXA and HEXB genes showed recurrent homozygous variants at c.509G>A (p.Arg170Gln) and c.850C>T (p.Arg284Ter) in gangliosidosis, respectively (PMID:29448188)
  • Novel bicistronic lentiviral vectors correct beta-Hexosaminidase deficiency in neural and hematopoietic stem cells and progeny: implications for in vivo and ex vivo gene therapy of GM2 gangliosidosis. (PMID:31682993)
  • identified a homozygous splice site variant (NM_000521:c.445 + 1G > T) in the hexosaminidase B (HEXB) gene confirming a diagnosis of Sandhoff disease (SD; type II GM2-gangliosidosis), an autosomal recessive lysosomal storage disorder caused by deficiency of hexosaminidases in a single family (PMID:31852446)
  • Clinical and Molecular Characteristics of Two Chinese Children with Infantile Sandhoff Disease and Review of the Literature. (PMID:31919734)
  • Infantile onset Sandhoff disease: clinical manifestation and a novel common mutation in Thai patients. (PMID:33407268)

Cross-species orthologs

7 orthologs

OrganismSymbolGene ID
danio_reriohexbENSDARG00000034368
mus_musculusHexbENSMUSG00000021665
rattus_norvegicusHexbENSRNOG00000025274
drosophila_melanogasterHexo2FBGN0041629
drosophila_melanogasterHexo1FBGN0041630
drosophila_melanogasterfdlFBGN0045063
caenorhabditis_elegansWBGENE00020509

Paralogs (1): HEXA (ENSG00000213614)

Protein

Protein identifiers

Beta-hexosaminidase subunit betaP07686 (reviewed: P07686)

Alternative names: Beta-N-acetylhexosaminidase subunit beta, Cervical cancer proto-oncogene 7 protein, N-acetyl-beta-glucosaminidase subunit beta

All UniProt accessions (6): D6REQ8, P07686, H0Y9B6, H0Y9M3, H0YA83, Q5URX0

UniProt curated annotations — full annotation on UniProt →

Function. Hydrolyzes the non-reducing end N-acetyl-D-hexosamine and/or sulfated N-acetyl-D-hexosamine of glycoconjugates, such as the oligosaccharide moieties from proteins and neutral glycolipids, or from certain mucopolysaccharides. The isozyme B does not hydrolyze each of these substrates, however hydrolyzes efficiently neutral oligosaccharide. Only the isozyme A is responsible for the degradation of GM2 gangliosides in the presence of GM2A. During fertilization is responsible, at least in part, for the zona block to polyspermy. Present in the cortical granules of non-activated oocytes, is exocytosed during the cortical reaction in response to oocyte activation and inactivates the sperm galactosyltransferase-binding site, accounting for the block in sperm binding to the zona pellucida.

Subunit / interactions. There are 3 forms of beta-hexosaminidase: hexosaminidase A is a heterodimer composed of one subunit alpha and one subunit beta (chain A and B); hexosaminidase B is a homodimer of two beta subunits (two chains A and B); hexosaminidase S is a homodimer of two alpha subunits. The composition of the dimer (isozyme A versus isozyme S) has a significant effect on the substrate specificity of the alpha subunit active site.

Subcellular location. Lysosome. Cytoplasmic vesicle. Secretory vesicle. Cortical granule.

Post-translational modifications. N-linked glycans at Asn-142 and Asn-190 consist of Man(3)-GlcNAc(2) and Man(5 to 7)-GlcNAc(2), respectively. The beta-A and beta-B chains are produced by proteolytic processing of the precursor beta chain.

Disease relevance. GM2-gangliosidosis 2 (GM2G2) [MIM:268800] An autosomal recessive lysosomal storage disease marked by the accumulation of GM2 gangliosides in the neuronal cells. Clinically indistinguishable from GM2-gangliosidosis type 1, presenting startle reactions, early blindness, progressive motor and mental deterioration, macrocephaly and cherry-red spots on the macula. The disease is caused by variants affecting the gene represented in this entry.

Activity regulation. Addition of GM2A stimulates the hydrolysis of sulfated glycosphingolipid SM2 and the ganglioside GM2.

Similarity. Belongs to the glycosyl hydrolase 20 family.

RefSeq proteins (2): NP_000512, NP_001278933 (=MANE)

Domains & families (InterPro)

IDNameType
IPR015883GH20_catDomain
IPR017853GH_hydrolase_sfHomologous_superfamily
IPR025705GH20Family
IPR029018Hex-like_dom2Homologous_superfamily
IPR029019HEX_eukaryotic_NDomain

Pfam: PF00728, PF14845

Enzyme classification (BRENDA):

  • EC 3.2.1.52 — beta-N-acetylhexosaminidase (BRENDA: 145 organisms, 466 substrates, 704 inhibitors, 351 Km, 150 kcat entries)

Substrate kinetics (BRENDA)

81 substrates with measured Km, best-characterized 15. Km ranges are aggregated across organisms/conditions.

SubstrateKm (mM)Measurements
P-NITROPHENYL-BETA-2-ACETAMIDO-2-DEOXY-D-GLUCOPY0.04–18.859
P-NITROPHENYL-BETA-2-ACETAMIDO-2-DEOXY-D-GALACTO0.04–7.847
4-NITROPHENYL N-ACETYL-BETA-D-GLUCOSAMINE0.026–101.135
4-NITROPHENYL N-ACETYL-BETA-D-GLUCOSAMINIDE0.04–4.1531
4-METHYLUMBELLIFERYL N-ACETYL-BETA-D-GLUCOSAMINI0.07–1.2210
4-NITROPHENYL N-ACETYL-BETA-D-GALACTOSAMINIDE0.0525–3.2910
4-METHYLUMBELLIFERYL-2-ACETAMIDO-2-DEOXY-BETA-D-0.11–19
(N-ACETYL-BETA-D-GLUCOSAMINE)30.05–86
4-NITROPHENYL BETA-N-ACETYL-D-GLUCOSAMINIDE0.0027–4.156
4-NITROPHENYL N-ACETYL-BETA-D-GALACTOSAMINE0.124–0.9756
N-ACETYLGLUCOSAMINYL-BETA-1,2-MAN0.98–1.516
P-NITROPHENYL-N-ACETYL-BETA-D-GLUCOSAMINIDE0.0846–36
(N-ACETYL-BETA-D-GLUCOSAMINE)20.117–4.15
4-NITROPHENYL BETA-N-ACETYL-D-GALACTOSAMINIDE0.25–11.15
4-NITROPHENYL-N-ACETYL-BETA-D-GLUCOSAMINIDE0.025–8.575

Catalyzed reactions (Rhea), 5 shown:

  • a ganglioside GM2 (d18:1(4E)) + H2O = a ganglioside GM3 (d18:1(4E)) + N-acetyl-beta-D-galactosamine (RHEA:47940)
  • a ganglioside GM2 + H2O = a ganglioside GM3 + N-acetyl-beta-D-galactosamine (RHEA:47968)
  • N-acetyl-beta-D-galactosaminyl-(1->4)-beta-D-3-sulfogalactosyl-(1->4)-beta-D-glucosyl-(1<->1’)-ceramide + H2O = a beta-D-3-sulfogalactosyl-(1->4)-beta-D-glucosyl-(1<->1’)-ceramide + N-acetyl-beta-D-galactosamine (RHEA:48276)
  • beta-D-GalNAc-(1->4)-alpha-L-IdoA-(1->3)-beta-D-GalNAc-4-sulfate-(1->4)-alpha-L-IdoA-(1->3)-D-GalNAc-4-sulfate + H2O = alpha-L-IdoA-(1->3)-beta-D-GalNAc-4-sulfate-(1->4)-alpha-L-IdoA-(1->3)-D-GalNAc-4-sulfate + N-acetyl-D-galactosamine (RHEA:64372)
  • N-acetyl-beta-D-6-sulfogalactosaminyl-(1->4)-alpha-L-iduronyl-(1->3)-N-acetyl-D-6-sulfogalactosamine + H2O = alpha-L-iduronyl-(1->3)-N-acetyl-D-6-sulfogalactosamine + N-acetyl-D-6-sulfogalactosamine (RHEA:64384)

UniProt features (73 total): strand 22, helix 20, sequence variant 11, mutagenesis site 5, glycosylation site 4, disulfide bond 3, chain 3, signal peptide 1, propeptide 1, active site 1, site 1, turn 1

Structure

Experimental structures (PDB)

8 structures.

PDBMethodResolution (Å)
1NOWX-RAY DIFFRACTION2.2
1O7AX-RAY DIFFRACTION2.25
1NOUX-RAY DIFFRACTION2.4
5BROX-RAY DIFFRACTION2.4
1NP0X-RAY DIFFRACTION2.5
2GJXX-RAY DIFFRACTION2.8
3LMYX-RAY DIFFRACTION2.8
2GK1X-RAY DIFFRACTION3.25

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P07686-F193.120.85

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): 355 (proton donor); 497 (not glycosylated)

Disulfide bonds (3): 91–137, 309–360, 534–551

Glycosylation sites (4): 327, 84, 142, 190

Mutagenesis-validated functional residues (5):

PositionPhenotype
211does not affect the native conformation of the isozyme a. does not affect hydrolysis of gm2 ganglioside by the isozyme a
2412.7-fold reduction in substrate affinity. 39-fold reduction in catalytic efficiency.
354no effect on substrate affinity. 1750-fold reduction in catalytic efficiency.
3551.5-fold increase in substrate affinity. 2300-fold reduction in catalytic efficiency. reduces optimal ph to 3-3.5.
491no effect on substrate affinity and on catalytic efficiency.

Function

Pathways and Gene Ontology

Reactome pathways

6 pathways

IDPathway
R-HSA-2022857Keratan sulfate degradation
R-HSA-2024101CS/DS degradation
R-HSA-2160916Hyaluronan degradation
R-HSA-3656248Defective HEXB causes GM2G2 (Hyaluronan metabolism)
R-HSA-6798695Neutrophil degranulation
R-HSA-9840310Glycosphingolipid catabolism

MSigDB gene sets: 505 (showing top): GSE45365_NK_CELL_VS_CD8_TCELL_UP, GOBP_SINGLE_FERTILIZATION, GOBP_CERAMIDE_CATABOLIC_PROCESS, GOBP_OLIGOSACCHARIDE_METABOLIC_PROCESS, GOBP_N_GLYCAN_PROCESSING, ZHAN_LATE_DIFFERENTIATION_GENES_UP, GOBP_PHOSPHOLIPID_METABOLIC_PROCESS, REACTOME_INNATE_IMMUNE_SYSTEM, GOBP_BEHAVIOR, GOBP_REGULATION_OF_CELL_MORPHOGENESIS, GOBP_VACUOLE_ORGANIZATION, GOBP_SKELETAL_SYSTEM_DEVELOPMENT, GOBP_SENSORY_PERCEPTION_OF_MECHANICAL_STIMULUS, GOCC_SECRETORY_GRANULE, GOBP_PROTEIN_N_LINKED_GLYCOSYLATION

GO Biological Process (30): skeletal system development (GO:0001501), N-acetylglucosamine metabolic process (GO:0006044), N-glycan processing (GO:0006491), ganglioside catabolic process (GO:0006689), intracellular calcium ion homeostasis (GO:0006874), lysosome organization (GO:0007040), single fertilization (GO:0007338), penetration of zona pellucida (GO:0007341), sensory perception of sound (GO:0007605), locomotory behavior (GO:0007626), male courtship behavior (GO:0008049), regulation of cell shape (GO:0008360), phospholipid biosynthetic process (GO:0008654), oligosaccharide catabolic process (GO:0009313), lipid storage (GO:0019915), glycosaminoglycan metabolic process (GO:0030203), chondroitin sulfate proteoglycan catabolic process (GO:0030207), dermatan sulfate proteoglycan catabolic process (GO:0030209), hyaluronan catabolic process (GO:0030214), myelination (GO:0042552), astrocyte cell migration (GO:0043615), positive regulation of transcription by RNA polymerase II (GO:0045944), oogenesis (GO:0048477), neuromuscular process controlling balance (GO:0050885), neuron cellular homeostasis (GO:0070050), carbohydrate metabolic process (GO:0005975), lipid metabolic process (GO:0006629), glycosphingolipid metabolic process (GO:0006687), neuromuscular process (GO:0050905), carbohydrate derivative metabolic process (GO:1901135)

GO Molecular Function (11): beta-N-acetylhexosaminidase activity (GO:0004563), acetylglucosaminyltransferase activity (GO:0008375), beta-N-acetylglucosaminidase activity (GO:0016231), carbohydrate binding (GO:0030246), identical protein binding (GO:0042802), protein-containing complex binding (GO:0044877), hydrolase activity, hydrolyzing O-glycosyl compounds (GO:0004553), protein binding (GO:0005515), hexosaminidase activity (GO:0015929), hydrolase activity (GO:0016787), hydrolase activity, acting on glycosyl bonds (GO:0016798)

GO Cellular Component (12): acrosomal vesicle (GO:0001669), extracellular region (GO:0005576), lysosome (GO:0005764), membrane (GO:0016020), azurophil granule lumen (GO:0035578), azurophil granule (GO:0042582), lysosomal lumen (GO:0043202), cortical granule (GO:0060473), extracellular exosome (GO:0070062), beta-N-acetylhexosaminidase complex (GO:1905379), obsolete extracellular space (GO:0005615), cytoplasmic vesicle (GO:0031410)

Reactome top-level categories

Rollup of top-6 pathways:

CategoryPathways
Keratan sulfate/keratin metabolism1
Chondroitin sulfate/dermatan sulfate metabolism1
Hyaluronan metabolism1
Diseases associated with glycosaminoglycan metabolism1
Innate Immune System1
Glycosphingolipid metabolism1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
binding3
secretory granule3
proteoglycan catabolic process2
cellular anatomical structure2
vacuolar lumen2
system development1
amino sugar metabolic process1
protein N-linked glycosylation1
glycoprotein biosynthetic process1
ganglioside metabolic process1
glycosphingolipid catabolic process1
ceramide catabolic process1
intracellular monoatomic cation homeostasis1
calcium ion homeostasis1
lytic vacuole organization1
fertilization1
single fertilization1
multi-multicellular organism process1
multicellular organismal reproductive process1
sensory perception of mechanical stimulus1
behavior1
courtship behavior1
male mating behavior1
regulation of cell morphogenesis1
regulation of biological quality1
phospholipid metabolic process1
lipid biosynthetic process1
organophosphate biosynthetic process1
oligosaccharide metabolic process1
carbohydrate catabolic process1
nutrient storage1
aminoglycan metabolic process1
chondroitin sulfate proteoglycan metabolic process1
dermatan sulfate proteoglycan metabolic process1
glycosaminoglycan catabolic process1
hyaluronan metabolic process1
axon ensheathment1
hexosaminidase activity1
UDP-glycosyltransferase activity1
hexosyltransferase activity1

Protein interactions and networks

STRING

1048 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
HEXBENC1O14682912
HEXBOGAO60502814
HEXBGM2AP17900813
HEXBLARS1Q9P2J5492
HEXBGLB1P16278430
HEXBTMEM119Q4V9L6418
HEXBKIAA1191Q96A73412
HEXBRPS14P06366399
HEXBNAGAP17050399
HEXBNEU1Q99519390
HEXBMRPL3P09001373
HEXBFUCA1P04066363
HEXBARSIQ5FYB1349
HEXBARSKQ6UWY0348
HEXBGNPTABQ3T906347
HEXBFUT8Q9BYC5347

IntAct

113 interactions, top by confidence:

ABTypeScore
HEXBHEXApsi-mi:“MI:0407”(direct interaction)0.730
HEXAHEXBpsi-mi:“MI:0407”(direct interaction)0.730
HEXAHEXBpsi-mi:“MI:0914”(association)0.730
HEXAHEXBpsi-mi:“MI:0915”(physical association)0.730
HEXBHOXA1psi-mi:“MI:0915”(physical association)0.560
HEXBFAM210Bpsi-mi:“MI:0915”(physical association)0.560
HEXBTMEM14Bpsi-mi:“MI:0915”(physical association)0.560
XIAPHEXBpsi-mi:“MI:0915”(physical association)0.560
UBL3HEXBpsi-mi:“MI:0915”(physical association)0.560
HEXBCAPN15psi-mi:“MI:0915”(physical association)0.560
HEXBTLE1psi-mi:“MI:0915”(physical association)0.560
UBE2IHEXBpsi-mi:“MI:0915”(physical association)0.560
MKRN3HEXBpsi-mi:“MI:0915”(physical association)0.560
HEXBZBTB16psi-mi:“MI:0915”(physical association)0.560
COPS3HEXBpsi-mi:“MI:0915”(physical association)0.560
HEXBPIAS1psi-mi:“MI:0915”(physical association)0.560
NAE1HEXBpsi-mi:“MI:0915”(physical association)0.560
WWP2HEXBpsi-mi:“MI:0915”(physical association)0.560
RCHY1HEXBpsi-mi:“MI:0915”(physical association)0.560
HEXBUBQLN2psi-mi:“MI:0915”(physical association)0.560
HEXBUBQLN3psi-mi:“MI:0915”(physical association)0.560
ASB3HEXBpsi-mi:“MI:0915”(physical association)0.560
OTUB1HEXBpsi-mi:“MI:0915”(physical association)0.560
NXF2BHEXBpsi-mi:“MI:0915”(physical association)0.560
HEXBKLHL36psi-mi:“MI:0915”(physical association)0.560
HEXBLNX1psi-mi:“MI:0915”(physical association)0.560
HEXBRNF183psi-mi:“MI:0915”(physical association)0.560
HEXBUBQLNLpsi-mi:“MI:0915”(physical association)0.560
UBR1HEXBpsi-mi:“MI:0915”(physical association)0.560

BioGRID (1396): HEXB (Affinity Capture-MS), HEXB (Co-fractionation), STIM1 (Co-fractionation), STIM2 (Co-fractionation), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Affinity Capture-MS), HEXB (Co-crystal Structure)

ESM2 similar proteins: A5D6U8, O23244, O48840, O97860, P06865, P07686, P08236, P09889, P13686, P20060, P29240, P29288, P29416, P49614, P80366, Q05117, Q0V8R6, Q38924, Q53F39, Q5MAU8, Q5R5N6, Q5RC84, Q5RET5, Q5RFI5, Q641X3, Q641Z7, Q687E1, Q6AYS4, Q6TPH1, Q6ZNF0, Q8BX37, Q8H1R2, Q8S340, Q8S341, Q8VYU7, Q8VYZ2, Q93WP4, Q949Y3, Q99KR8, Q9BTY2

Diamond homologs: A7WM73, E9DFH0, P06865, P07686, P13670, P13723, P20060, P29416, P49009, P49010, P49614, Q06GJ0, Q0V8R6, Q22492, Q29548, Q54K55, Q54K56, Q54SC9, Q5RC84, Q619W7, Q641X3, Q6AXR4, Q86M34, Q8J2T0, Q8L7S6, Q8WSF3, Q9HGI3, Q9SYK0, D4AYT4, P43077, B2UPR7, H2A0L6, P86956, Q54468, B2UQG6, P96155, D4AUH6, P53915

SIGNOR signaling

0 interactions.

Enriched among interaction partners

Reactome pathways and GO biological processes over-represented among this gene’s 68 IntAct physical interaction partners (hypergeometric vs the genome-wide background, BH-FDR, gene-set size 15–500, ranked by fold). A functional readout of the neighbourhood — distinct from this gene’s own memberships above, and biased toward well-studied / hub proteins, so read it as themes rather than proof.

Reactome pathways:

PathwayPartnersFoldFDR
SUMOylation of DNA damage response and repair proteins517.4×2e-03

GO biological processes:

GO termPartnersFoldFDR
ubiquitin-dependent protein catabolic process79.1×3e-03
protein ubiquitination107.3×4e-04

Disease & clinical

Clinical variants and AI predictions

ClinVar

951 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic108
Likely pathogenic95
Uncertain significance229
Likely benign386
Benign41

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1012509NM_000521.4(HEXB):c.876del (p.His294fs)Pathogenic
1012510NM_000521.4(HEXB):c.1165dup (p.Gln389fs)Pathogenic
1069640NM_000521.4(HEXB):c.1144A>T (p.Lys382Ter)Pathogenic
1070002NM_000521.4(HEXB):c.1156_1159del (p.Phe386fs)Pathogenic
1070441NM_000521.4(HEXB):c.1017_1018del (p.Glu339fs)Pathogenic
1070612NC_000005.9:g.(?73981066)(74017020_?)delPathogenic
1070645NM_000521.4(HEXB):c.782_785del (p.Ser261fs)Pathogenic
1071217NM_000521.4(HEXB):c.1578T>G (p.Tyr526Ter)Pathogenic
1073343NM_000521.4(HEXB):c.1299_1303del (p.Arg435fs)Pathogenic
1074051NM_000521.4(HEXB):c.1389_1393del (p.Tyr463_Lys465delinsTer)Pathogenic
1074772NM_000521.4(HEXB):c.1586_1589del (p.Leu529fs)Pathogenic
1379520NM_000521.4(HEXB):c.1264dup (p.Glu422fs)Pathogenic
1398058NM_000521.4(HEXB):c.916_917del (p.Leu306fs)Pathogenic
1405131NC_000005.9:g.(?74011325)(74017010_?)delPathogenic
1415401NM_000521.4(HEXB):c.1278_1279del (p.Asp426fs)Pathogenic
1442270NM_000521.4(HEXB):c.731del (p.Phe244fs)Pathogenic
1450108NM_000521.4(HEXB):c.1159_1160insTTTTTTTTTTTTTTTTTTTNNNNNNNNNNTTTTTCTTTTCCTTTTATTTTATTTTTTGAGACGGAGTCTTGCTCTGTTGTCTGGGTGGAGTGCAGTGGTGCAATCTCGGCTCACTGCAACCTCTTCCTCCCAGGTTGAAGCGGAAACTAGAATCTTTCT (p.Tyr387delinsPhePhePhePhePhePheXaaXaaXaaXaaPhePhePheSerPheTyrPheIlePheTer)Pathogenic
1454030NM_000521.4(HEXB):c.1024del (p.Glu342fs)Pathogenic
1455054NC_000005.9:g.(?73985143)(74014806_?)delPathogenic
1458290NM_000521.4(HEXB):c.1303_1304insT (p.Arg435fs)Pathogenic
1459374NM_000521.4(HEXB):c.992_993insAGTATGTA (p.Ser331fs)Pathogenic
1704505NC_000005.9:g.(?73980968)(73992932_74001043)delPathogenic
1878340NM_000521.4(HEXB):c.1640dup (p.Tyr547Ter)Pathogenic
1916265NM_000521.4(HEXB):c.1431_1432del (p.Lys478fs)Pathogenic
1951242NM_000521.4(HEXB):c.1469del (p.Gly490fs)Pathogenic
1971246NM_000521.4(HEXB):c.1216C>T (p.Gln406Ter)Pathogenic
1999812NM_000521.4(HEXB):c.894G>A (p.Trp298Ter)Pathogenic
2022764NM_000521.4(HEXB):c.937C>T (p.Gln313Ter)Pathogenic
2026408NM_000521.4(HEXB):c.875dup (p.Gly293fs)Pathogenic
2089991NM_000521.4(HEXB):c.758del (p.Glu253fs)Pathogenic

SpliceAI

2079 predictions. Top by Δscore:

VariantEffectΔscore
5:74685546:G:GTdonor_gain1.0000
5:74689469:GTCTT:Gdonor_gain1.0000
5:74696740:G:GGdonor_gain1.0000
5:74696991:CATA:Cacceptor_loss1.0000
5:74696992:ATAGT:Aacceptor_loss1.0000
5:74696993:T:Gacceptor_gain1.0000
5:74696994:A:AGacceptor_gain1.0000
5:74696994:A:Tacceptor_loss1.0000
5:74696995:G:GGacceptor_gain1.0000
5:74696995:GTT:Gacceptor_gain1.0000
5:74696995:GTTC:Gacceptor_gain1.0000
5:74696995:GTTCA:Gacceptor_gain1.0000
5:74697102:CTCTG:Cdonor_gain1.0000
5:74697103:TCTG:Tdonor_gain1.0000
5:74697105:TGGTA:Tdonor_loss1.0000
5:74697106:GGT:Gdonor_loss1.0000
5:74697107:G:GAdonor_loss1.0000
5:74697107:G:GGdonor_gain1.0000
5:74697108:T:Adonor_loss1.0000
5:74705321:G:GGdonor_gain1.0000
5:74713505:GGGAA:Gacceptor_gain1.0000
5:74713631:AAAAG:Adonor_loss1.0000
5:74713633:AAGGT:Adonor_loss1.0000
5:74713635:GGTA:Gdonor_loss1.0000
5:74713636:G:Adonor_loss1.0000
5:74713637:T:Adonor_loss1.0000
5:74715505:TCTA:Tacceptor_loss1.0000
5:74715507:TA:Tacceptor_loss1.0000
5:74715508:A:AGacceptor_gain1.0000
5:74715508:A:ATacceptor_loss1.0000

AlphaMissense

3633 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
5:74705255:T:AW236R0.997
5:74705255:T:CW236R0.997
5:74718932:T:AW460R0.996
5:74718932:T:CW460R0.996
5:74718934:G:CW460C0.996
5:74718934:G:TW460C0.996
5:74720517:T:AW503R0.996
5:74720517:T:CW503R0.996
5:74716587:G:CW361C0.995
5:74716587:G:TW361C0.995
5:74720653:A:CS507R0.995
5:74720655:T:AS507R0.995
5:74720655:T:GS507R0.995
5:74713567:C:AA278D0.994
5:74720674:T:AW514R0.994
5:74720674:T:CW514R0.994
5:74705259:A:CH237P0.993
5:74713626:T:AW298R0.993
5:74713626:T:CW298R0.993
5:74718334:T:AW405R0.993
5:74718334:T:CW405R0.993
5:74718899:T:AW449R0.993
5:74718899:T:CW449R0.993
5:74697046:A:CR203S0.992
5:74697046:A:TR203S0.992
5:74697059:G:CD208H0.992
5:74705258:C:GH237D0.992
5:74705291:A:CS248R0.992
5:74705293:C:AS248R0.992
5:74705293:C:GS248R0.992

dbSNP variants (sampled 300 via entrez): RS1000018886 (5:74677867 T>C), RS1000085521 (5:74641939 A>C), RS1000120743 (5:74702289 G>A), RS1000206773 (5:74660018 A>G), RS1000228495 (5:74668971 C>T), RS1000229104 (5:74653223 C>T), RS1000242486 (5:74675109 G>A), RS1000262421 (5:74675449 T>C), RS1000285063 (5:74708919 A>G), RS1000342868 (5:74704849 T>A,C), RS1000385010 (5:74663067 T>C), RS1000394207 (5:74638351 A>G), RS1000472669 (5:74699103 G>A,T), RS1000505114 (5:74699288 T>C), RS1000537965 (5:74681745 A>C)

Disease associations

OMIM: gene MIM:606873 | disease phenotypes: MIM:268800

GenCC curated gene-disease

DiseaseClassificationInheritance
Sandhoff diseaseDefinitiveAutosomal recessive

ClinGen Gene-Disease Validity (1)

Expert-panel classifications — Definitive > Strong > Moderate > Limited > Disputed > Refuted.

DiseaseClassificationInheritance
Sandhoff diseaseDefinitiveAR

Mondo (4): Sandhoff disease (MONDO:0010006), Sandhoff disease, juvenile form (MONDO:0017722), Sandhoff disease, adult form (MONDO:0017723), Sandhoff disease, infantile form (MONDO:0017721)

Orphanet (4): Sandhoff disease (Orphanet:796), Sandhoff disease, juvenile form (Orphanet:309162), Sandhoff disease, adult form (Orphanet:309169), Sandhoff disease, infantile form (Orphanet:309155)

HPO phenotypes

82 total (30 of 82 shown, HPO-id order):

HPOTerm
HP:0000007Autosomal recessive inheritance
HP:0000020Urinary incontinence
HP:0000158Macroglossia
HP:0000256Macrocephaly
HP:0000280Coarse facial features
HP:0000618Blindness
HP:0000729Autistic behavior
HP:0000739Anxiety
HP:0000802Impotence
HP:0000966Hypohidrosis
HP:0000975Hyperhidrosis
HP:0001250Seizure
HP:0001251Ataxia
HP:0001252Hypotonia
HP:0001257Spasticity
HP:0001260Dysarthria
HP:0001262Excessive daytime somnolence
HP:0001268Mental deterioration
HP:0001272Cerebellar atrophy
HP:0001278Orthostatic hypotension
HP:0001288Gait disturbance
HP:0001315Reduced tendon reflexes
HP:0001324Muscle weakness
HP:0001332Dystonia
HP:0001336Myoclonus
HP:0001337Tremor
HP:0001347Hyperreflexia
HP:0001433Hepatosplenomegaly
HP:0001508Failure to thrive
HP:0001634Mitral valve prolapse

GWAS associations

4 associations (top):

StudyTraitp-value
GCST003542_148Night sleep phenotypes8.000000e-06
GCST009391_497Metabolite levels3.000000e-07
GCST009391_608Metabolite levels8.000000e-06
GCST90007004_2Gut microbiota relative abundance (unassigned genus belonging to family Clostridiales)6.000000e-06

EFO canonical traits (3, from GWAS)

EFO IDTrait name
EFO:0010521phosphocreatine measurement
EFO:0010505isocitrate measurement
EFO:0007874gut microbiome measurement

MeSH disease descriptors (1)

DescriptorNameTree numbers
D012497Sandhoff DiseaseC10.228.140.163.100.435.825.300.300.249; C16.320.565.189.435.825.300.300.249; C16.320.565.398.641.803.350.300.700; C16.320.565.595.554.825.300.300.800; C18.452.132.100.435.825.300.300.249; C18.452.584.563.641.803.350.300.700; C18.452.648.189.435.825.300.300.249; C18.452.648.398.641.803.350.300.700; C18.452.648.595.554.825.300.300.800

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (2): CHEMBL3038485 (PROTEIN FAMILY), CHEMBL5877 (SINGLE PROTEIN)

Molecules with ChEMBL bioactivity

1 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 19,344 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL36PYRIMETHAMINE419,344

PharmGKB: 1 entry (VIP=true, CPIC=false)

Binding affinities (BindingDB)

18 measured of 19 human assays (19 total across all organisms); most potent 18 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
N-[1-(7-{bis[(4-methoxyphenyl)methyl]amino}heptyl)-4,5-dihydroxy-6-(hydroxymethyl)piperidin-3-yl]acetamide, 4KI0.69 nM
N-[4,5-dihydroxy-6-(hydroxymethyl)-1-(7-{[(4-methoxyphenyl)methyl]amino}heptyl)piperidin-3-yl]acetamide, 3KI1.2 nM
N-[1-(7-aminoheptyl)-4,5-dihydroxy-6-(hydroxymethyl)piperidin-3-yl]acetamide, 2KI2.1 nM
Iminocyclitol, 4KI24 nM
N-{7-[5-acetamido-3,4-dihydroxy-2-(hydroxymethyl)piperidin-1-yl]heptyl}-5-{2-oxo-hexahydro-1H-thieno[3,4-d]imidazolidin-4-yl}pentanamide, 6KI26.7 nM
Iminocyclitol, 3KI40 nM
Iminocyclitol, 2KI65 nM
Iminocyclitol, 8KI100 nM
Iminocyclitol, 1KI240 nM
Iminocyclitol, 6KI860 nM
2-ACETAMIDO-1,2-DIDEOXYNOJIRMYCINKI1200 nM
[2-[2,3-dihydroxypropyl(methyl)amino]-2-oxoethyl]-dimethyl-tetradecylazaniumIC503100 nMUS-10143668: Hydroxy-substituted amino and ammonium derivatives and their medical use
dimethyl-[2-[methyl-[(2S,3R,4R,5R)-2,3,4,5,6-pentahydroxyhexyl]amino]-2-oxoethyl]-tetradecylazaniumIC503800 nMUS-10143668: Hydroxy-substituted amino and ammonium derivatives and their medical use
n-hexadecylphosphocholineIC504200 nMUS-10143668: Hydroxy-substituted amino and ammonium derivatives and their medical use
N-methyl-2-[methyl(tetradecyl)amino]-N-[(2S,3R,4R,5R)-2,3,4,5,6-pentahydroxyhexyl]acetamideIC504900 nMUS-10143668: Hydroxy-substituted amino and ammonium derivatives and their medical use
Iminocyclitol, 10KI10000 nM
Iminocyclitol, 9KI11000 nM
2-[dodecyl(methyl)amino]-N-methyl-N-[(2S,3R,4R,5R)-2,3,4,5,6-pentahydroxyhexyl]acetamideIC5012300 nMUS-10143668: Hydroxy-substituted amino and ammonium derivatives and their medical use

ChEMBL bioactivities

42 potent at pChembl≥5 of 66 total, top 42 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
7.26Kd54.7nMCHEMBL5653589
7.24ED5057.12nMCHEMBL5653589
7.16Ki70nMCHEMBL4527453
6.72Ki190nMCHEMBL257158
6.54Ki290nMCHEMBL257158
6.20Ki630nMCHEMBL2385922
6.16Ki690nMCHEMBL2385089
6.10Ki790nMCHEMBL4108795
6.03Ki930nMCHEMBL2385933
5.98Ki1040nMCHEMBL2385932
5.97Ki1080nMCHEMBL2385919
5.95Ki1130nMCHEMBL2385935
5.92Ki1200nMCHEMBL4448965
5.91Ki1230nMCHEMBL2385936
5.89Ki1300nMCHEMBL4443587
5.87Ki1350nMCHEMBL2385934
5.80Ki1600nMCHEMBL4452208
5.80Ki1600nMCHEMBL4435797
5.80Ki1600nMCHEMBL4473252
5.75Ki1800nMCHEMBL4454357
5.75Ki1800nMCHEMBL4548064
5.68Ki2090nMCHEMBL42904
5.58Ki2600nMCHEMBL4548738
5.55Ki2810nMCHEMBL20330
5.52Ki3000nMCHEMBL2385939
5.51IC503100nMCHEMBL2333316
5.51IC503100nMPYRIMETHAMINE
5.49Ki3220nMCHEMBL2333316
5.44Ki3600nMCHEMBL4483089
5.41Ki3900nMCHEMBL4113501
5.38Ki4200nMCHEMBL2385941
5.36Ki4390nMCHEMBL2385937
5.36Ki4400nMCHEMBL4555514
5.35IC504500nMPYRIMETHAMINE
5.35Ki4500nMCHEMBL3681909
5.33Ki4630nMCHEMBL2385921
5.30Ki4990nMCHEMBL2385924
5.29Ki5100nMCHEMBL4540913
5.21Ki6220nMCHEMBL2385923
5.09Ki8100nMCHEMBL4112447
5.05IC508900nMPYRIMETHAMINE
5.04IC509100nMPYRIMETHAMINE

PubChem BioAssay actives

54 with measured affinity, of 218 total; 48 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
N-[1-[7-[bis[(4-methoxyphenyl)methyl]amino]heptyl]-4,5-dihydroxy-6-(hydroxymethyl)piperidin-3-yl]acetamide1799431: Enzyme Inhibition Assay from Article 10.1021/cb100011u: “Development of GlcNAc-inspired iminocyclitiols as potent and selective N-acetyl-beta-hexosaminidase inhibitors.”ki0.0007uM
N-[4,5-dihydroxy-6-(hydroxymethyl)-1-[7-[(4-methoxyphenyl)methylamino]heptyl]piperidin-3-yl]acetamide1799431: Enzyme Inhibition Assay from Article 10.1021/cb100011u: “Development of GlcNAc-inspired iminocyclitiols as potent and selective N-acetyl-beta-hexosaminidase inhibitors.”ki0.0012uM
N-[1-(7-aminoheptyl)-4,5-dihydroxy-6-(hydroxymethyl)piperidin-3-yl]acetamide1799431: Enzyme Inhibition Assay from Article 10.1021/cb100011u: “Development of GlcNAc-inspired iminocyclitiols as potent and selective N-acetyl-beta-hexosaminidase inhibitors.”ki0.0021uM
N-[(2S,3R,4R,5R)-3,4-dihydroxy-5-(hydroxymethyl)-1-methylpyrrolidin-2-yl]acetamide1799473: Inhibition Assay from Article 10.1016/S1074-5521(01)00045-X: “Hexosaminidase inhibitors as new drug candidates for the therapy of osteoarthritis.”ki0.0240uM
N-[7-[5-acetamido-3,4-dihydroxy-2-(hydroxymethyl)piperidin-1-yl]heptyl]-5-(2-oxo-1,3,3a,4,6,6a-hexahydrothieno[3,4-d]imidazol-4-yl)pentanamide1799431: Enzyme Inhibition Assay from Article 10.1021/cb100011u: “Development of GlcNAc-inspired iminocyclitiols as potent and selective N-acetyl-beta-hexosaminidase inhibitors.”ki0.0267uM
N-[(2R,3R,4R,5R)-3,4-dihydroxy-5-(hydroxymethyl)pyrrolidin-2-yl]acetamide1799473: Inhibition Assay from Article 10.1016/S1074-5521(01)00045-X: “Hexosaminidase inhibitors as new drug candidates for the therapy of osteoarthritis.”ki0.0400uM
4-methyl-3-[(2-methyl-6-pyridin-3-ylpyrazolo[3,4-d]pyrimidin-4-yl)amino]-N-[3-(trifluoromethyl)phenyl]benzamide2148502: Binding affinity to human HEXB incubated for 45 mins by Kinobead based pull down assaykd0.0547uM
N-[(2R,3R,4R,5R)-3,4-dihydroxy-5-(hydroxymethyl)-1-methylpyrrolidin-2-yl]acetamide1799473: Inhibition Assay from Article 10.1016/S1074-5521(01)00045-X: “Hexosaminidase inhibitors as new drug candidates for the therapy of osteoarthritis.”ki0.0650uM
(3aR,5R,6S,7R,7aR)-5-(hydroxymethyl)-2-(methylamino)-5,6,7,7a-tetrahydro-3aH-pyrano[3,2-d][1,3]thiazole-6,7-diol1558056: Inhibition of human beta hexosaminidase assessed as inhibitory constant using 4-methylumbelliferyl 2-acetamido-2-deoxy-beta-D-glucopyranoside as substrate incubated for 30 mins by fluorescence spectrophotometryki0.0700uM
(3aR,5R,6S,7R,7aR)-5-(hydroxymethyl)-2-methyl-5,6,7,7a-tetrahydro-3aH-pyrano[3,2-d][1,3]thiazole-6,7-diol1533277: Inhibition of human HexBki0.1900uM
N-[(2S,3R,4R,5R)-3,4-dihydroxy-5-(hydroxymethyl)pyrrolidin-2-yl]acetamide1799473: Inhibition Assay from Article 10.1016/S1074-5521(01)00045-X: “Hexosaminidase inhibitors as new drug candidates for the therapy of osteoarthritis.”ki0.2400uM
N-[(3S,4R,5R,6R)-4,5-dihydroxy-6-(hydroxymethyl)piperidin-3-yl]acetamide1799431: Enzyme Inhibition Assay from Article 10.1021/cb100011u: “Development of GlcNAc-inspired iminocyclitiols as potent and selective N-acetyl-beta-hexosaminidase inhibitors.”ki0.5400uM
2-[2-[(4-methoxyphenyl)methylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski0.6300uM
2-[2-[2-(3,4-dimethoxyphenoxy)ethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski0.6900uM
(3aR,5S,6S,7R,7aR)-5-(fluoromethyl)-2-methylimino-1,3a,5,6,7,7a-hexahydropyrano[3,2-d][1,3]thiazole-6,7-diol1558064: Inhibition of human beta hexosaminidase assessed as inhibitory constant using 4-methylumbelliferyl N-acetyl-beta-D-glucosaminide dihydrate as substrate measured every 60 sec for 45 mins by fluorescence spectrophotometryki0.7900uM
N-[4,5-dihydroxy-6-(hydroxymethyl)-1-methylpiperidin-3-yl]acetamide1799473: Inhibition Assay from Article 10.1016/S1074-5521(01)00045-X: “Hexosaminidase inhibitors as new drug candidates for the therapy of osteoarthritis.”ki0.8600uM
2-[2-[2-(3-methoxyphenoxy)ethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski0.9300uM
2-[2-[2-(4-methoxyphenoxy)ethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski1.0400uM
2-[2-[2-(4-methoxyanilino)ethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski1.0800uM
2-[2-[2-(4-methoxyphenyl)sulfanylethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski1.1300uM
N-[(2S,3R,4R,5S,6R)-2-[2-[2-(6-chloro-1,3-dioxobenzo[de]isoquinolin-2-yl)ethylamino]ethylsulfanyl]-4,5-dihydroxy-6-(hydroxymethyl)oxan-3-yl]acetamide1533272: Inhibition of recombinant human His6-tagged HexB expressed in Pichia pastoris using varying levels of 4-Mu-GlcNAc as substrate preincubated for 10 mins followed by substrate addition and measured after 30 mins by dixon plot analysiski1.2000uM
2-[2-[3-(4-methoxyphenoxy)propylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski1.2300uM
(3aR,5S,6S,7R,7aR)-5-(difluoromethyl)-2-(methylamino)-5,6,7,7a-tetrahydro-3aH-pyrano[3,2-d][1,3]thiazole-6,7-diol1558064: Inhibition of human beta hexosaminidase assessed as inhibitory constant using 4-methylumbelliferyl N-acetyl-beta-D-glucosaminide dihydrate as substrate measured every 60 sec for 45 mins by fluorescence spectrophotometryki1.3000uM
2-[2-[2-(2-methoxyphenoxy)ethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski1.3500uM
N-[(2S,3R,4R,5S,6R)-2-[2-[3-(6-chloro-1,3-dioxobenzo[de]isoquinolin-2-yl)propylamino]ethylsulfanyl]-4,5-dihydroxy-6-(hydroxymethyl)oxan-3-yl]acetamide1533272: Inhibition of recombinant human His6-tagged HexB expressed in Pichia pastoris using varying levels of 4-Mu-GlcNAc as substrate preincubated for 10 mins followed by substrate addition and measured after 30 mins by dixon plot analysiski1.6000uM
N-[(2S,3R,4R,5S,6R)-2-[3-[2-(6-chloro-1,3-dioxobenzo[de]isoquinolin-2-yl)ethylamino]propylsulfanyl]-4,5-dihydroxy-6-(hydroxymethyl)oxan-3-yl]acetamide1533272: Inhibition of recombinant human His6-tagged HexB expressed in Pichia pastoris using varying levels of 4-Mu-GlcNAc as substrate preincubated for 10 mins followed by substrate addition and measured after 30 mins by dixon plot analysiski1.6000uM
(3aR,5S,6S,7R,7aR)-2-(dimethylamino)-5-(fluoromethyl)-5,6,7,7a-tetrahydro-3aH-pyrano[3,2-d][1,3]thiazole-6,7-diol1558064: Inhibition of human beta hexosaminidase assessed as inhibitory constant using 4-methylumbelliferyl N-acetyl-beta-D-glucosaminide dihydrate as substrate measured every 60 sec for 45 mins by fluorescence spectrophotometryki1.6000uM
N-[1-(7-azidoheptyl)-4,5-dihydroxy-6-(hydroxymethyl)piperidin-3-yl]acetamide1799431: Enzyme Inhibition Assay from Article 10.1021/cb100011u: “Development of GlcNAc-inspired iminocyclitiols as potent and selective N-acetyl-beta-hexosaminidase inhibitors.”ki1.7000uM
N-[(2S,3R,4R,5S,6R)-2-[3-[3-(6-chloro-1,3-dioxobenzo[de]isoquinolin-2-yl)propylamino]propylsulfanyl]-4,5-dihydroxy-6-(hydroxymethyl)oxan-3-yl]acetamide1533272: Inhibition of recombinant human His6-tagged HexB expressed in Pichia pastoris using varying levels of 4-Mu-GlcNAc as substrate preincubated for 10 mins followed by substrate addition and measured after 30 mins by dixon plot analysiski1.8000uM
N-[(2S,3R,4R,5S,6R)-2-[2-[3-(6-bromo-1,3-dioxobenzo[de]isoquinolin-2-yl)propylamino]ethylsulfanyl]-4,5-dihydroxy-6-(hydroxymethyl)oxan-3-yl]acetamide1533272: Inhibition of recombinant human His6-tagged HexB expressed in Pichia pastoris using varying levels of 4-Mu-GlcNAc as substrate preincubated for 10 mins followed by substrate addition and measured after 30 mins by dixon plot analysiski1.8000uM
2-(2-aminoethyl)benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski2.0900uM
N-[(2S,3R,4R,5S,6R)-2-[2-[2-(6-bromo-1,3-dioxobenzo[de]isoquinolin-2-yl)ethylamino]ethylsulfanyl]-4,5-dihydroxy-6-(hydroxymethyl)oxan-3-yl]acetamide1533272: Inhibition of recombinant human His6-tagged HexB expressed in Pichia pastoris using varying levels of 4-Mu-GlcNAc as substrate preincubated for 10 mins followed by substrate addition and measured after 30 mins by dixon plot analysiski2.6000uM
2-[2-(dimethylamino)ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski2.8100uM
2-[2-[2-(1,3-benzodioxol-5-yloxy)ethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski3.0000uM
2-[2-[2-(1,3-dioxobenzo[de]isoquinolin-2-yl)ethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748368: Competitive inhibition of human beta-N-acetyl-D-hexosaminidase-B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate assessed as release of 4-Methylumbelliferyl fluorophore measured for 7 minsic503.1000uM
Pyrimethamine1227098: Inhibition of human placental HexA using MUGS substrate incubated for 1 to 2 hrs at pH 7.0 by spectrofluorometryic503.1000uM
(3aR,5R,6S,7R,7aR)-2-[ethyl(methyl)amino]-5-(hydroxymethyl)-5,6,7,7a-tetrahydro-3aH-pyrano[3,2-d][1,3]thiazole-6,7-diol1558064: Inhibition of human beta hexosaminidase assessed as inhibitory constant using 4-methylumbelliferyl N-acetyl-beta-D-glucosaminide dihydrate as substrate measured every 60 sec for 45 mins by fluorescence spectrophotometryki3.6000uM
(3aR,5S,6S,7R,7aR)-5-(difluoromethyl)-2-(dimethylamino)-5,6,7,7a-tetrahydro-3aH-pyrano[3,2-d][1,3]thiazole-6,7-diol1558064: Inhibition of human beta hexosaminidase assessed as inhibitory constant using 4-methylumbelliferyl N-acetyl-beta-D-glucosaminide dihydrate as substrate measured every 60 sec for 45 mins by fluorescence spectrophotometryki3.9000uM
methyl 4-[2-[2-(1,3-dioxobenzo[de]isoquinolin-2-yl)ethylamino]ethoxy]benzoate748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski4.2000uM
2-[2-[3-(3-methoxyphenoxy)propylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski4.3900uM
N-[(2S,3R,4R,5S,6R)-2-[3-[3-(6-bromo-1,3-dioxobenzo[de]isoquinolin-2-yl)propylamino]propylsulfanyl]-4,5-dihydroxy-6-(hydroxymethyl)oxan-3-yl]acetamide1533272: Inhibition of recombinant human His6-tagged HexB expressed in Pichia pastoris using varying levels of 4-Mu-GlcNAc as substrate preincubated for 10 mins followed by substrate addition and measured after 30 mins by dixon plot analysiski4.4000uM
(3aR,5R,6S,7R,7aR)-5-(hydroxymethyl)-2-[methyl(prop-2-enyl)amino]-5,6,7,7a-tetrahydro-3aH-pyrano[3,2-d][1,3]thiazole-6,7-diol1558064: Inhibition of human beta hexosaminidase assessed as inhibitory constant using 4-methylumbelliferyl N-acetyl-beta-D-glucosaminide dihydrate as substrate measured every 60 sec for 45 mins by fluorescence spectrophotometryki4.5000uM
2-[2-[2-(2,4-dimethoxyanilino)ethylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski4.6300uM
2-[2-[(3,4-dimethoxyphenyl)methylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski4.9900uM
[(2R,3S,4R,5S)-5-acetamido-3,4-dihydroxy-1-methylpyrrolidin-2-yl] sulfate1799473: Inhibition Assay from Article 10.1016/S1074-5521(01)00045-X: “Hexosaminidase inhibitors as new drug candidates for the therapy of osteoarthritis.”ki5.0000uM
N-[(2S,3R,4R,5S,6R)-2-[3-[2-(6-bromo-1,3-dioxobenzo[de]isoquinolin-2-yl)ethylamino]propylsulfanyl]-4,5-dihydroxy-6-(hydroxymethyl)oxan-3-yl]acetamide1533272: Inhibition of recombinant human His6-tagged HexB expressed in Pichia pastoris using varying levels of 4-Mu-GlcNAc as substrate preincubated for 10 mins followed by substrate addition and measured after 30 mins by dixon plot analysiski5.1000uM
2-[2-[(3-methoxyphenyl)methylamino]ethyl]benzo[de]isoquinoline-1,3-dione748372: Inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate incubated for 10 mins prior to substrate addition by spectrofluorometric analysiski6.2200uM
(3aR,5R,6R,7R,7aR)-7-fluoro-5-(hydroxymethyl)-2-methylimino-1,3a,5,6,7,7a-hexahydropyrano[3,2-d][1,3]thiazol-6-ol1558064: Inhibition of human beta hexosaminidase assessed as inhibitory constant using 4-methylumbelliferyl N-acetyl-beta-D-glucosaminide dihydrate as substrate measured every 60 sec for 45 mins by fluorescence spectrophotometryki8.1000uM

CTD chemical–gene interactions

74 total (human), top 30 by PubMed support.

ChemicalActions (top 5)PubMed papers
Valproic Acidaffects expression, increases expression6
bisphenol Aaffects expression, decreases expression, decreases methylation, increases expression, decreases reaction5
bisphenol Fincreases expression, affects cotreatment2
sodium arseniteincreases expression, increases abundance2
bisphenol Saffects expression, affects cotreatment, increases expression2
Cisplatinaffects expression, increases expression2
Quercetinaffects cotreatment, affects secretion, increases expression2
Rotenoneincreases expression2
Tobacco Smoke Pollutionaffects expression, increases expression2
dicrotophosdecreases expression1
beauvericinaffects cotreatment, decreases expression1
2,4,6-tribromophenoldecreases expression1
triphenyl phosphateaffects expression1
alpha-pineneaffects cotreatment, decreases expression, increases abundance1
trigonellineincreases secretion, decreases reaction1
iopromideincreases secretion1
methacrylaldehydeaffects cotreatment, decreases expression, increases abundance1
iodixanolincreases secretion, decreases reaction1
ioversolincreases secretion1
dinitrophenyl-human serum albumin conjugateaffects cotreatment, affects secretion1
di-n-butylphosphoric acidaffects expression1
yessotoxinincreases expression1
alpha-curcumeneincreases secretion1
enniatinsaffects cotreatment, decreases expression1
deguelinincreases expression1
entinostatincreases expression1
K 7174increases expression1
4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamideaffects cotreatment, increases expression1
pyrimidifenincreases expression1
bisphenol Bincreases expression1

ChEMBL screening assays

53 unique, capped per target: 53 binding

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL2388712BindingCompetitive inhibition of human beta-N-acetyl-D-hexosaminidase-A/B using 4-Methylumbelliferyl N-acetyl-beta-D-glucosaminide as substrate at 0.1 mM incubated for 10 mins prior to substrate addition by Dixon plot analysisDevelopment of Unsymmetrical Dyads As Potent Noncarbohydrate-Based Inhibitors against Human β-N-Acetyl-d-hexosaminidase. — ACS Med Chem Lett

Cellosaurus cell lines

6 cell lines: 5 cancer cell line, 1 embryonic stem cell

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_D5EVHeLa::TMEM192-3xHA HEXB KOCancer cell lineFemale
CVCL_D7R9Ubigene A-549 HEXB KOCancer cell lineMale
CVCL_F0PYH9 AAVS1-TRE3G-NGN2 TMEM192-3xHA (heterozygous) HEXB-/-Embryonic stem cellFemale
CVCL_SR29HAP1 HEXB (-) 1Cancer cell lineMale
CVCL_SR30HAP1 HEXB (-) 2Cancer cell lineMale
CVCL_SR31HAP1 HEXB (-) 3Cancer cell lineMale

Clinical trials (associated diseases)

16 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT02030015PHASE4TERMINATEDSynergistic Enteral Regimen for Treatment of the Gangliosidoses
NCT00672022PHASE3COMPLETEDPharmacokinetics, Safety and Tolerability of Zavesca (Miglustat) in Patients With Infantile Onset Gangliosidosis: Single and Steady State Oral Doses
NCT04221451PHASE3TERMINATEDA Multinational, Randomized, Double-blind, Placebo-controlled Study to Assess the Efficacy, Pharmacodynamics, Pharmacokinetics, and Safety of Venglustat in Late-onset GM2
NCT03759665PHASE2COMPLETEDN-Acetyl-L-Leucine for GM2 Gangliosidosis (Tay-Sachs and Sandhoff Disease)
NCT02254863PHASE1RECRUITINGUCB Transplant of Inherited Metabolic Diseases With Administration of Intrathecal UCB Derived Oligodendrocyte-Like Cells
NCT04669535PHASE1TERMINATEDA Dose-escalation and Safety & Efficacy Study of AXO-AAV-GM2 in Tay-Sachs or Sandhoff Disease
NCT00176904PHASE2/PHASE3COMPLETEDStem Cell Transplant for Inborn Errors of Metabolism
NCT01102686PHASE1/PHASE2COMPLETEDPyrimethamine as a Treatment for Late-Onset GM2-gangliosidosis (Tay-Sachs and Sandhoff Disease)
NCT01372228PHASE1/PHASE2TERMINATEDPhase I/II Pilot Study of Mixed Chimerism to Treat Inherited Metabolic Disorders
NCT00668187Not specifiedRECRUITINGA Natural History Study of the Gangliosidoses
NCT01869270Not specifiedCOMPLETEDGene Therapy for Tay-Sachs Disease
NCT03333200Not specifiedRECRUITINGLongitudinal Study of Neurodegenerative Disorders
NCT04470713Not specifiedCOMPLETEDNatural History Study for Pediatric Patients With Early Onset of Either GM1 Gangliosidosis, GM2 Gangliosidoses, or Gaucher Disease Type 2
NCT04624789Not specifiedUNKNOWNRegistry Gangliosidoses
NCT05109793Not specifiedCOMPLETEDGM1 and GM2 Gangliosidosis PROspective Neurological Disease TrajectOry Study (PRONTO)
NCT06614569Not specifiedACTIVE_NOT_RECRUITINGLong-Term Follow-Up of Subjects Treated With AXO-AAV-GM2 for Tay-Sachs or Sandhoff Disease