Gene
ARSA
arylsulfatase A
- HGNC 713↗(opens in a new tab)
- Ensembl gene ENSG00000100299↗(opens in a new tab)
- NCBI Gene 410↗(opens in a new tab)
Summary
- Cytogenetic location
- 22q13.33
- Coordinates
- Chromosome 22: 50,622,754–50,628,152 (GRCh38)
- Exons
- 8 exons across 5.4 kb
- Protein
- 509 amino acids
- Inheritance
- Autosomal recessive
- Also known as
- ASA
- MANE Select transcript
- ENST00000216124.10NM_000487.6
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
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Get my Genome TestCurated reports relevant to this gene
Metachromatic Leukodystrophy
- Metachromatic leukodystrophy (ARSA and saposin B deficiency)Autosomal recessive
Loss of arylsulfatase A activity, or of its activator saposin B, causes progressive loss of motor and cognitive skills, with late infantile, juvenile and adult onset forms.
- ClinGen rates the link definitive
- 8 GenCC submitters rate it definitive or strong
What knowing changes
Gene therapy (atidarsagene autotemcel) or stem cell transplantation can help when given before or very early in the course of the disease, so early diagnosis matters.
Broader groupings
Other Inherited Leukodystrophies
- Leukodystrophy (other and unspecified types)
One of 80 genes linked to it
Inherited conditions that damage or prevent the normal formation of myelin, the white matter of the brain and spinal cord. Different types follow autosomal recessive, autosomal dominant or X-linked inheritance depending on the gene involved.
- ClinGen rates the link definitive
- 8 GenCC submitters rate it definitive or strong
What knowing changes
Knowing the specific genetic cause can end a diagnostic search, guide supportive care and surveillance, show whether a specific treatment exists, and allow testing of relatives.
Lysosomal Storage Disease
- Lysosomal storage disease (other and unspecified types)
One of 59 genes linked to it
Covers lysosomal storage diseases without a dedicated report, such as Farber disease and other ASAH1-related disorders, prosaposin (PSAP) deficiencies, multiple sulfatase deficiency, mucopolysaccharidosis types IX and X, and Dorfman-Chanarin disease; inheritance varies by subtype, most often autosomal recessive.
- ClinGen rates the link definitive
- 8 GenCC submitters rate it definitive or strong
Inheritance
- Autosomal recessive
- It takes a changed copy from each parent. With one, you are a carrier and usually unaffected; when both parents are carriers, each child has a one-in-four chance of inheriting two.
How ARSA is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 4.3 kb of the gene's 5.4 kb; 1,530 of those bases code for the protein.
How a genome test reads ARSA
292
positions in ARSA where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 5.4 kb of ARSA, introns included, not only the 4.3 kb of exons.
Genes linked to the same conditions
- PSAPprosaposinShares 3 conditions
- CYP27A1cytochrome P450 family 27 subfamily A member 1Shares 2 conditions
- GALCgalactosylceramidaseShares 2 conditions
- AARS1alanyl-tRNA synthetase 1Shares 1 condition
- AARS2alanyl-tRNA synthetase 2, mitochondrialShares 1 condition
- ABCD1ATP binding cassette subfamily D member 1Shares 1 condition
- ABHD5abhydrolase domain containing 5, lysophosphatidic acid acyltransferaseShares 1 condition
- ACER3alkaline ceramidase 3Shares 1 condition
- ADARadenosine deaminase RNA specificShares 1 condition
- AGAaspartylglucosaminidaseShares 1 condition
- AIMP1aminoacyl tRNA synthetase complex interacting multifunctional protein 1Shares 1 condition
- AIMP2aminoacyl tRNA synthetase complex interacting multifunctional protein 2Shares 1 condition
Traits linked to ARSA
The Human Phenotype Ontology lists these as features of the rare conditions ARSA can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Abnormal gait
- Abnormal social behavior
- Can't control feelings
- Clumsiness
- Decreased nerve conduction velocity
- Decreased reflex response
- Delusions
- Dementia
Show 29 more traits
- Difficulty articulating speech
- Dystonia
- Epilepsy
- Hallucinations
- Inability to coordinate movements when walking
- Leukodystrophy
- Loss of developmental milestones
- Memory impairment
- Progressive gait ataxia
- Progressive peripheral neuropathy
- Punctate periventricular T2 hyperintense foci
- Short attention span
- Toe walking
- Babinski sign
- Bulbar signs
- Chorea
- Depression
- Intention tremor
- Loss of speech
- Progressive psychomotor deterioration
- Schizophrenia
- Vegetative state
- Abnormal cerebral white matter morphology
- Ataxia
- Increased reflexes
- Intellectual disability
- Mental deterioration
- Paralysis of all four limbs
- Peripheral demyelination
Abnormality of the musculoskeletal system
- EMG: chronic denervation signs
- Frequent falls
- Generalized decreased muscle tone
- Muscle weakness
- Involuntary muscle stiffness, contraction, or spasm
- Progressive spastic quadriplegia
- Decerebrate rigidity
- Bulbar palsy
Show 3 more traits
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). ARSA gene: arylsulfatase A. Retrieved 17 October 2026, from https://dantelabs.com/genes/arsa
Dante Labs. ARSA gene: arylsulfatase A [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/arsa
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