Gene
HEXB
hexosaminidase subunit beta
- HGNC 4879↗(opens in a new tab)
- Ensembl gene ENSG00000049860↗(opens in a new tab)
- NCBI Gene 3074↗(opens in a new tab)
Summary
- Cytogenetic location
- 5q13.3
- Coordinates
- Chromosome 5: 74,685,233–74,721,288 (GRCh38)
- Exons
- 14 exons across 36.1 kb
- Protein
- 556 amino acids
- Inheritance
- Autosomal recessive
- MANE Select transcript
- ENST00000261416.12NM_000521.4
- 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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Sandhoff Disease and GM2 Activator Deficiency
- Sandhoff diseaseAutosomal recessive
Deficiency of both hexosaminidase A and B causes progressive neurological decline, exaggerated startle and cherry-red spots in infants, with juvenile and adult forms causing ataxia, weakness or psychiatric symptoms.
- ClinGen rates the link definitive
- 8 GenCC submitters rate it definitive or strong
What knowing changes
Treatment is supportive; carrier testing of relatives is possible once the familial variants are known.
Broader groupings
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 HEXB 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 1.8 kb of the gene's 36.1 kb; 1,671 of those bases code for the protein.
How a genome test reads HEXB
217
positions in HEXB 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 36.1 kb of HEXB, introns included, not only the 1.8 kb of exons.
Genes linked to the same conditions
- ABHD5abhydrolase domain containing 5, lysophosphatidic acid acyltransferaseShares 1 condition
- AGAaspartylglucosaminidaseShares 1 condition
- AP5Z1adaptor related protein complex 5 subunit zeta 1Shares 1 condition
- ARSAarylsulfatase AShares 1 condition
- ARSBarylsulfatase BShares 1 condition
- ARSKarylsulfatase family member KShares 1 condition
- ASAH1N-acylsphingosine amidohydrolase 1Shares 1 condition
- CLCN6Cl-/H+ antiporter 6Shares 1 condition
- CLN3CLN3 lysosomal/endosomal transmembrane protein, batteninShares 1 condition
- CLN5CLN5 lysosomal BMP synthaseShares 1 condition
- CLN6CLN6 transmembrane ER proteinShares 1 condition
- CLN8CLN8 transmembrane ER and ERGIC proteinShares 1 condition
Traits linked to HEXB
The Human Phenotype Ontology lists these as features of the rare conditions HEXB can cause. Each trait's page lists the other genes linked to it.
Abnormality of the nervous system
- Exaggerated startle response
- Increased reflexes
- Loss of developmental milestones
- Ataxia
- Epilepsy
- Neurodevelopmental delay
- Abnormal gait
- Abnormal pyramidal sign
Show 31 more traits
- Abnormal thalamic MRI signal intensity
- Brisk knee jerk
- CNS hypomyelination
- Cognitive impairment
- Decrease in size of the outer layer of the brain due to loss of brain cells
- Degeneration of cerebellum
- Difficulty articulating speech
- Grand mal seizures
- Inability to coordinate movements when walking
- Incoordination
- Jerking
- Mental deterioration
- Myoclonic seizure
- Sensory axonal neuropathy
- Tremor
- Abnormality of extrapyramidal motor function
- Acroparesthesia
- Anxiety
- Degeneration of cerebrum
- Difficulty staying or falling asleep
- Diminished deep tendon reflex
- Dystonia
- Focal dystonia
- Hyperacusis
- Muscle twitch
- Stuttering
- Autism spectrum disorder
- Excessive daytime sleepiness
- Impaired temperature sensation
- Progressive psychomotor deterioration
- Upper motor neuron dysfunction
Abnormality of the musculoskeletal system
- Low muscle tone in trunk
- Involuntary muscle stiffness, contraction, or spasm
- Low muscle tone
- Muscle degeneration
- Proximal neurogenic muscle weakness
- Limb contractures
- Muscle fiber degeneration
- Muscle spasm
Show 2 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.). HEXB gene: hexosaminidase subunit beta. Retrieved 17 October 2026, from https://dantelabs.com/genes/hexb
Dante Labs. HEXB gene: hexosaminidase subunit beta [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/hexb
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