{
  "url": "https://dantelabs.com/genes/gale",
  "gene": {
    "slug": "gale",
    "symbol": "GALE",
    "name": "UDP-galactose-4-epimerase",
    "hgnc": "HGNC:4116",
    "summary": null,
    "location": "1p36.11",
    "locusType": "gene with protein product",
    "aliases": [
      "SDR1E1"
    ],
    "previousSymbols": [],
    "ensemblId": "ENSG00000117308",
    "entrezId": 2582,
    "omim": [
      "606953"
    ],
    "uniprot": [
      "Q14376"
    ],
    "model": {
      "build": "GRCh38",
      "release": "v1.5",
      "chrom": "1",
      "start": 23795599,
      "end": 23800754,
      "strand": "-",
      "ensemblTranscript": "ENST00000617979.5",
      "refseqTranscript": "NM_001008216.2",
      "ensemblProtein": "ENSP00000483375.1",
      "refseqProtein": "NP_001008217.1",
      "exons": [
        {
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        {
          "start": 23796151,
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        {
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          "end": 23799436
        },
        {
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          "end": 23800754
        }
      ],
      "cds": {
        "start": 23795949,
        "end": 23799007
      }
    },
    "grch37": {
      "build": "GRCh37",
      "release": "87",
      "chrom": "1",
      "start": 24122089,
      "end": 24127271,
      "strand": "-"
    },
    "neighbourhood": {
      "release": "116",
      "start": 23298177,
      "end": 24298176,
      "genes": [
        {
          "symbol": "HNRNPR",
          "ensemblId": "ENSG00000125944",
          "biotype": "protein_coding",
          "start": 23303771,
          "end": 23344658,
          "strand": "-",
          "slug": "hnrnpr"
        },
        {
          "symbol": "ZNF436",
          "ensemblId": "ENSG00000125945",
          "biotype": "protein_coding",
          "start": 23359448,
          "end": 23369960,
          "strand": "-",
          "slug": "znf436"
        },
        {
          "symbol": "TCEA3",
          "ensemblId": "ENSG00000204219",
          "biotype": "protein_coding",
          "start": 23370591,
          "end": 23425169,
          "strand": "-",
          "slug": "tcea3"
        },
        {
          "symbol": "ASAP3",
          "ensemblId": "ENSG00000088280",
          "biotype": "protein_coding",
          "start": 23428560,
          "end": 23484637,
          "strand": "-",
          "slug": "asap3"
        },
        {
          "symbol": "E2F2",
          "ensemblId": "ENSG00000007968",
          "biotype": "protein_coding",
          "start": 23506423,
          "end": 23531241,
          "strand": "-",
          "slug": "e2f2"
        },
        {
          "symbol": "ID3",
          "ensemblId": "ENSG00000117318",
          "biotype": "protein_coding",
          "start": 23557440,
          "end": 23560586,
          "strand": "-",
          "slug": "id3"
        },
        {
          "symbol": "RPL11",
          "ensemblId": "ENSG00000142676",
          "biotype": "protein_coding",
          "start": 23691685,
          "end": 23698426,
          "strand": "+",
          "slug": "rpl11"
        },
        {
          "symbol": "ELOA",
          "ensemblId": "ENSG00000011007",
          "biotype": "protein_coding",
          "start": 23743153,
          "end": 23762059,
          "strand": "+",
          "slug": "eloa"
        },
        {
          "symbol": "PITHD1",
          "ensemblId": "ENSG00000057757",
          "biotype": "protein_coding",
          "start": 23778365,
          "end": 23788232,
          "strand": "+",
          "slug": "pithd1"
        },
        {
          "symbol": "LYPLA2",
          "ensemblId": "ENSG00000011009",
          "biotype": "protein_coding",
          "start": 23791110,
          "end": 23795545,
          "strand": "+",
          "slug": "lypla2"
        },
        {
          "symbol": "HMGCL",
          "ensemblId": "ENSG00000117305",
          "biotype": "protein_coding",
          "start": 23801877,
          "end": 23838620,
          "strand": "-",
          "slug": "hmgcl"
        },
        {
          "symbol": "FUCA1",
          "ensemblId": "ENSG00000179163",
          "biotype": "protein_coding",
          "start": 23845077,
          "end": 23868361,
          "strand": "-",
          "slug": "fuca1"
        },
        {
          "symbol": "CNR2",
          "ensemblId": "ENSG00000188822",
          "biotype": "protein_coding",
          "start": 23870515,
          "end": 23913396,
          "strand": "-",
          "slug": "cnr2"
        },
        {
          "symbol": "PNRC2",
          "ensemblId": "ENSG00000189266",
          "biotype": "protein_coding",
          "start": 23956839,
          "end": 23963776,
          "strand": "+",
          "slug": "pnrc2"
        },
        {
          "symbol": "SRSF10",
          "ensemblId": "ENSG00000188529",
          "biotype": "protein_coding",
          "start": 23962474,
          "end": 23980927,
          "strand": "-",
          "slug": "srsf10"
        },
        {
          "symbol": "MYOM3",
          "ensemblId": "ENSG00000142661",
          "biotype": "protein_coding",
          "start": 24054822,
          "end": 24112190,
          "strand": "-",
          "slug": "myom3"
        },
        {
          "symbol": "IL22RA1",
          "ensemblId": "ENSG00000142677",
          "biotype": "protein_coding",
          "start": 24119769,
          "end": 24143301,
          "strand": "-",
          "slug": "il22ra1"
        },
        {
          "symbol": "IFNLR1",
          "ensemblId": "ENSG00000185436",
          "biotype": "protein_coding",
          "start": 24154168,
          "end": 24187959,
          "strand": "-",
          "slug": "ifnlr1"
        },
        {
          "symbol": "GRHL3",
          "ensemblId": "ENSG00000158055",
          "biotype": "protein_coding",
          "start": 24199558,
          "end": 24364482,
          "strand": "+",
          "slug": "grhl3"
        }
      ],
      "truncated": false
    },
    "reports": [
      {
        "slug": "galactosemia",
        "name": "Galactosemia",
        "diseases": [
          {
            "mondoId": "MONDO:0018116",
            "name": "Galactosemia",
            "genes": 4,
            "inheritance": "autosomal-recessive",
            "description": "Includes classic galactosemia (GALT) and galactokinase (GALK1), epimerase (GALE) and mutarotase (GALM) deficiencies, which can cause life-threatening illness in newborns, liver problems or cataracts; the common Duarte variant on its own usually causes no disease.",
            "management": "Knowing allows prompt removal of galactose from the diet, which prevents the acute newborn illness and, in galactokinase deficiency, cataracts.",
            "evidence": {
              "gencc": [
                "Ambry Genetics",
                "ClinGen",
                "G2P",
                "Labcorp Genetics (formerly Invitae)",
                "PanelApp Australia"
              ],
              "clingen": "Definitive",
              "acmgSf": false,
              "inheritance": [
                "autosomal-recessive"
              ]
            },
            "sameAsReport": true,
            "broad": false
          }
        ],
        "url": "https://dantelabs.com/conditions/galactosemia"
      },
      {
        "slug": "inherited-thrombocytopenias",
        "name": "Inherited Thrombocytopenias",
        "diseases": [
          {
            "mondoId": "MONDO:0100241",
            "name": "Inherited Thrombocytopenia",
            "genes": 33,
            "inheritance": null,
            "description": "A group of conditions causing a lifelong low platelet count, linked to genes such as MYH9, ANKRD26, ETV6, WAS, MPL, RBM8A, GATA1 and MECOM, and inherited in dominant, recessive or X-linked patterns.",
            "management": "A genetic diagnosis avoids misdiagnosis as immune thrombocytopenia, with unnecessary steroids or spleen removal, and guides monitoring for related kidney, hearing or blood problems.",
            "evidence": {
              "gencc": [
                "PanelApp Australia"
              ],
              "acmgSf": false,
              "inheritance": [
                "autosomal-recessive"
              ]
            },
            "sameAsReport": false,
            "broad": false
          }
        ],
        "url": "https://dantelabs.com/conditions/inherited-thrombocytopenias"
      }
    ],
    "pharmacogenomics": [],
    "traits": [],
    "phenotypes": [
      {
        "slug": "aminoaciduria",
        "name": "Abnormal urinary amino-acid findings",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-genitourinary-system"
        ],
        "url": "https://dantelabs.com/traits/aminoaciduria"
      },
      {
        "slug": "gingival-bleeding",
        "name": "Bleeding gums",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues",
          "abnormality-of-head-or-neck"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/gingival-bleeding"
      },
      {
        "slug": "cerebral-hemorrhage",
        "name": "Bleeding in brain",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues",
          "abnormality-of-the-cardiovascular-system",
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/cerebral-hemorrhage"
      },
      {
        "slug": "abnormal-bleeding",
        "name": "Bleeding tendency",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/abnormal-bleeding"
      },
      {
        "slug": "epistaxis",
        "name": "Bloody nose",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues",
          "abnormality-of-head-or-neck"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/epistaxis"
      },
      {
        "slug": "cataract",
        "name": "Clouding of the lens of the eye",
        "systems": [
          "abnormality-of-the-eye"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/cataract"
      },
      {
        "slug": "decreased-total-leukocyte-count",
        "name": "Decreased blood leukocyte number",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues",
          "abnormality-of-the-immune-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/decreased-total-leukocyte-count"
      },
      {
        "slug": "decreased-total-lymphocyte-count",
        "name": "Decreased blood lymphocyte number",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues",
          "abnormality-of-the-immune-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/decreased-total-lymphocyte-count"
      },
      {
        "slug": "delayed-gross-motor-development",
        "name": "Delayed motor skills",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/delayed-gross-motor-development"
      },
      {
        "slug": "delayed-speech-and-language-development",
        "name": "Delayed speech and language development",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/delayed-speech-and-language-development"
      },
      {
        "slug": "hepatomegaly",
        "name": "Enlarged liver",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/hepatomegaly"
      },
      {
        "slug": "failure-to-thrive",
        "name": "Faltering weight",
        "systems": [
          "growth-abnormality"
        ],
        "url": "https://dantelabs.com/traits/failure-to-thrive"
      },
      {
        "slug": "generalized-hypotonia",
        "name": "Generalized decreased muscle tone",
        "systems": [
          "abnormality-of-the-musculoskeletal-system"
        ],
        "url": "https://dantelabs.com/traits/generalized-hypotonia"
      },
      {
        "slug": "giant-platelets",
        "name": "Giant platelets",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/giant-platelets"
      },
      {
        "slug": "global-developmental-delay",
        "name": "Global developmental delay",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/global-developmental-delay"
      },
      {
        "slug": "hypergalactosemia",
        "name": "Hypergalactosemia",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/hypergalactosemia"
      },
      {
        "slug": "reticulocytosis",
        "name": "Increased immature red blood cells",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/reticulocytosis"
      },
      {
        "slug": "splenomegaly",
        "name": "Increased spleen size",
        "systems": [
          "abnormality-of-the-cardiovascular-system",
          "abnormality-of-the-digestive-system",
          "abnormality-of-the-immune-system"
        ],
        "url": "https://dantelabs.com/traits/splenomegaly"
      },
      {
        "slug": "galactosuria",
        "name": "Increased urinary galactose level",
        "systems": [
          "abnormality-of-metabolism-homeostasis",
          "abnormality-of-the-genitourinary-system"
        ],
        "url": "https://dantelabs.com/traits/galactosuria"
      },
      {
        "slug": "intellectual-disability",
        "name": "Intellectual disability",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/intellectual-disability"
      },
      {
        "slug": "jaundice",
        "name": "Jaundice",
        "systems": [
          "abnormality-of-the-digestive-system",
          "abnormality-of-the-integument"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/jaundice"
      },
      {
        "slug": "pancytopenia",
        "name": "Low blood cell count",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/pancytopenia"
      },
      {
        "slug": "decreased-total-neutrophil-count",
        "name": "Low blood neutrophil count",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues",
          "abnormality-of-the-immune-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/decreased-total-neutrophil-count"
      },
      {
        "slug": "hypotonia",
        "name": "Low muscle tone",
        "systems": [
          "abnormality-of-the-musculoskeletal-system"
        ],
        "url": "https://dantelabs.com/traits/hypotonia"
      },
      {
        "slug": "anemia",
        "name": "Low number of red blood cells or hemoglobin",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/anemia"
      },
      {
        "slug": "thrombocytopenia",
        "name": "Low platelet count",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/thrombocytopenia"
      },
      {
        "slug": "macrothrombocytopenia",
        "name": "Macrothrombocytopenia",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/macrothrombocytopenia"
      },
      {
        "slug": "megakaryocyte-dysplasia",
        "name": "Megakaryocyte dysplasia",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/megakaryocyte-dysplasia"
      },
      {
        "slug": "megakaryocyte-nucleus-hypolobulation",
        "name": "Megakaryocyte nucleus hypolobulation",
        "systems": [
          "abnormality-of-blood-and-blood-forming-tissues"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/megakaryocyte-nucleus-hypolobulation"
      },
      {
        "slug": "mitral-valve-prolapse",
        "name": "Mitral valve prolapse",
        "systems": [
          "abnormality-of-the-cardiovascular-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/mitral-valve-prolapse"
      },
      {
        "slug": "pyloric-stenosis",
        "name": "Pyloric stenosis",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/pyloric-stenosis"
      },
      {
        "slug": "sensorineural-hearing-impairment",
        "name": "Sensorineural hearing impairment",
        "systems": [
          "abnormality-of-the-ear"
        ],
        "url": "https://dantelabs.com/traits/sensorineural-hearing-impairment"
      },
      {
        "slug": "tricuspid-valve-prolapse",
        "name": "Tricuspid valve prolapse",
        "systems": [
          "abnormality-of-the-cardiovascular-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/tricuspid-valve-prolapse"
      },
      {
        "slug": "vomiting",
        "name": "Vomiting",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "url": "https://dantelabs.com/traits/vomiting"
      }
    ],
    "related": [
      {
        "slug": "actb",
        "symbol": "ACTB",
        "name": "actin beta",
        "shared": 1,
        "url": "https://dantelabs.com/genes/actb"
      },
      {
        "slug": "actn1",
        "symbol": "ACTN1",
        "name": "actinin alpha 1",
        "shared": 1,
        "url": "https://dantelabs.com/genes/actn1"
      },
      {
        "slug": "adamts13",
        "symbol": "ADAMTS13",
        "name": "ADAM metallopeptidase with thrombospondin type 1 motif 13",
        "shared": 1,
        "url": "https://dantelabs.com/genes/adamts13"
      },
      {
        "slug": "ankrd26",
        "symbol": "ANKRD26",
        "name": "ankyrin repeat domain 26",
        "shared": 1,
        "url": "https://dantelabs.com/genes/ankrd26"
      },
      {
        "slug": "arpc1b",
        "symbol": "ARPC1B",
        "name": "actin related protein 2/3 complex subunit 1B",
        "shared": 1,
        "url": "https://dantelabs.com/genes/arpc1b"
      },
      {
        "slug": "cdc42",
        "symbol": "CDC42",
        "name": "cell division cycle 42",
        "shared": 1,
        "url": "https://dantelabs.com/genes/cdc42"
      },
      {
        "slug": "cycs",
        "symbol": "CYCS",
        "name": "cytochrome c, somatic",
        "shared": 1,
        "url": "https://dantelabs.com/genes/cycs"
      },
      {
        "slug": "diaph1",
        "symbol": "DIAPH1",
        "name": "diaphanous related formin 1",
        "shared": 1,
        "url": "https://dantelabs.com/genes/diaph1"
      },
      {
        "slug": "etv6",
        "symbol": "ETV6",
        "name": "ETS variant transcription factor 6",
        "shared": 1,
        "url": "https://dantelabs.com/genes/etv6"
      },
      {
        "slug": "fli1",
        "symbol": "FLI1",
        "name": "Fli-1 proto-oncogene, ETS transcription factor",
        "shared": 1,
        "url": "https://dantelabs.com/genes/fli1"
      },
      {
        "slug": "fyb1",
        "symbol": "FYB1",
        "name": "FYN binding protein 1",
        "shared": 1,
        "url": "https://dantelabs.com/genes/fyb1"
      },
      {
        "slug": "galk1",
        "symbol": "GALK1",
        "name": "galactokinase 1",
        "shared": 1,
        "url": "https://dantelabs.com/genes/galk1"
      }
    ],
    "sources": {
      "bundleId": "2026.10.17-8666dff2",
      "panel": "2026-10-17",
      "acmgSf": "SF v3.2"
    },
    "locusKind": "proteinCoding"
  },
  "variants": {
    "total": 0,
    "url": null,
    "items": []
  }
}