Gene
GCSH
glycine cleavage system protein H
- HGNC 4208↗(opens in a new tab)
- Ensembl gene ENSG00000140905↗(opens in a new tab)
- NCBI Gene 2653↗(opens in a new tab)
Summary
- Cytogenetic location
- 16q23.2
- Coordinates
- Chromosome 16: 81,081,945–81,096,395 (GRCh38)
- Exons
- 5 exons across 14.5 kb
- Protein
- 173 amino acids
- Inheritance
- Autosomal recessive
- MANE Select transcript
- ENST00000315467.9NM_004483.5
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Disorders of Glycine & Serine Metabolism
- Glycine Encephalopathy (Non-Ketotic Hyperglycinemia)Autosomal recessive
Caused by variants in GLDC, AMT or GCSH (and, in an atypical form, SLC6A9), which cause high glycine in the brain and can lead to seizures, low muscle tone and developmental problems.
- ClinGen rates the link definitive
- 4 GenCC submitters rate it definitive or strong
What knowing changes
Knowing allows treatment with sodium benzoate and dextromethorphan, which can reduce seizures in some forms.
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 GCSH 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 1.6 kb of the gene's 14.5 kb; 522 of those bases code for the protein.
How a genome test reads GCSH
8
positions in GCSH where ClinVar classes a change as pathogenic or likely pathogenic
1 of them (13%) falls in a region short reads find hard.
- Low mappability (1 site)Regions where 100 bp or 250 bp reads cannot be placed uniquely.
A whole genome covers all 14.5 kb of GCSH, introns included, not only the 1.6 kb of exons.
Genes linked to the same conditions
Traits linked to GCSH
The Human Phenotype Ontology lists these as features of the rare conditions GCSH can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Abnormal diffusion weighted cerebral MRI morphology
- Absent reflexes
- Agitation
- Autism spectrum disorder
- Coma
- Dystonia
- EEG with burst suppression
- Elevated brain glycine level by MRS
Show 19 more traits
- Elevated brain lactate level by MRS
- Epilepsy
- Exaggerated startle response
- Global developmental delay
- Hallucinations
- Hypsarrhythmia
- Impulsivity
- Increased reflexes
- Infantile spasms
- Irritability
- Jerking
- Lethargy
- More active than typical
- Multifocal seizures
- Myoclonic seizure
- Reduced brain N-acetyl aspartate level by MRS
- Seizure affecting one half of brain
- Thin corpus callosum
- Underdevelopment of part of brain called corpus callosum
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.). GCSH gene: glycine cleavage system protein H. Retrieved 17 October 2026, from https://dantelabs.com/genes/gcsh
Dante Labs. GCSH gene: glycine cleavage system protein H [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/gcsh
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