Gene
HGSNAT
heparan-alpha-glucosaminide N-acetyltransferase
- HGNC 26527↗(opens in a new tab)
- Ensembl gene ENSG00000165102↗(opens in a new tab)
- NCBI Gene 138050↗(opens in a new tab)
Summary
- Cytogenetic location
- 8p11.21-p11.1
- Coordinates
- Chromosome 8: 43,140,464–43,202,855 (GRCh38)
- Exons
- 18 exons across 62.4 kb
- Protein
- 635 amino acids
- Inheritance
- Autosomal recessive
- Also known as
- FLJ32731, HGNAT
- Previous symbols
- TMEM76
- MANE Select transcript
- ENST00000379644.9NM_152419.3
- 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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Get my Genome TestCurated reports relevant to this gene
Mucopolysaccharidosis Type III (Sanfilippo Syndrome)
- Mucopolysaccharidosis type III (Sanfilippo syndrome types A, B, C and D)Autosomal recessive
Deficiency of one of four enzymes that break down heparan sulfate (SGSH in type A, NAGLU in type B, HGSNAT in type C, GNS in type D) causes speech delay, hyperactivity, sleep problems and progressive loss of skills in childhood.
- ClinGen rates the link definitive
- 8 GenCC submitters rate it definitive or strong
What knowing changes
There is no approved disease-modifying therapy yet; a genetic diagnosis guides supportive care, family testing and eligibility for clinical trials.
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
Retinitis Pigmentosa
One of 77 genes linked to it
A group of inherited retinal dystrophies with progressive loss of rod and then cone photoreceptors, causing night blindness and gradual loss of peripheral vision.
- 2 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 HGSNAT 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 5.2 kb of the gene's 62.4 kb; 1,908 of those bases code for the protein.
How a genome test reads HGSNAT
196
positions in HGSNAT 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 62.4 kb of HGSNAT, introns included, not only the 5.2 kb of exons.
Genes linked to the same conditions
- GNSglucosamine (N-acetyl)-6-sulfataseShares 2 conditions
- NAGLUN-acetyl-alpha-glucosaminidaseShares 2 conditions
- SGSHN-sulfoglucosamine sulfohydrolaseShares 2 conditions
- ABCA4ATP binding cassette subfamily A member 4Shares 1 condition
- ABHD5abhydrolase domain containing 5, lysophosphatidic acid acyltransferaseShares 1 condition
- AGAaspartylglucosaminidaseShares 1 condition
- AGBL5AGBL carboxypeptidase 5Shares 1 condition
- AHRaryl hydrocarbon receptorShares 1 condition
- AP5Z1adaptor related protein complex 5 subunit zeta 1Shares 1 condition
- ARHGEF18Rho/Rac guanine nucleotide exchange factor 18Shares 1 condition
- ARL2BPARF like GTPase 2 binding proteinShares 1 condition
- ARL3ARF like GTPase 3Shares 1 condition
Traits linked to HGSNAT
The Human Phenotype Ontology lists these as features of the rare conditions HGSNAT can cause. Each trait's page lists the other genes linked to it.
Abnormality of the eye
- Retinal atrophy
- Rod-cone dystrophy
- Abnormal electroretinogram
- Abnormal retinal pigmentation
- Blindness
- Difficulties with night vision
- Extreme sensitivity of the eyes to light
- Involuntary, rapid, rhythmic eye movements
Show 28 more traits
- Optic atrophy
- Progressive night blindness
- Retina degeneration
- Spicular pigmentation of the retina
- Visual impairment
- Abnormal central response of multifocal electroretinogram
- Abnormal full-field electroretinogram
- Bulging cornea
- Cystoid macular edema
- Decreased clarity of vision
- Eye muscle paralysis
- Glaucoma
- Loss of peripheral vision
- Macular crystals
- Optic disc drusen
- Optic disc pallor
- Photoreceptor outer segment loss on macular OCT
- Posterior subcapsular cataract
- Ring scotoma
- Abnormal color vision
- Blind spot located at fixation point
- Blurred vision
- Epiretinal membrane
- Macular geographic atrophy
- Partial loss of field of vision
- Peripapillary atrophy
- Photopsia
- Limited peripheral vision
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.). HGSNAT gene: heparan-alpha-glucosaminide N-acetyltransferase. Retrieved 17 October 2026, from https://dantelabs.com/genes/hgsnat
Dante Labs. HGSNAT gene: heparan-alpha-glucosaminide N-acetyltransferase [Internet]. [cited 17 October 2026]. Available from: https://dantelabs.com/genes/hgsnat
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