{
  "url": "https://dantelabs.com/nl/genes/tsfm",
  "gene": {
    "slug": "tsfm",
    "symbol": "TSFM",
    "name": "Ts translation elongation factor, mitochondrial",
    "hgnc": "HGNC:12367",
    "summary": null,
    "location": "12q14.1",
    "locusType": "gene with protein product",
    "aliases": [
      "EF-Tsmt",
      "EF-TS"
    ],
    "previousSymbols": [],
    "ensemblId": "ENSG00000123297",
    "entrezId": 10102,
    "omim": [
      "604723"
    ],
    "uniprot": [
      "P43897"
    ],
    "model": {
      "build": "GRCh38",
      "release": "v1.5",
      "chrom": "12",
      "start": 57782787,
      "end": 57797587,
      "strand": "+",
      "ensemblTranscript": "ENST00000652027.2",
      "refseqTranscript": "NM_005726.6",
      "ensemblProtein": "ENSP00000499171.2",
      "refseqProtein": "NP_005717.3",
      "exons": [
        {
          "start": 57782787,
          "end": 57782858
        },
        {
          "start": 57783110,
          "end": 57783283
        },
        {
          "start": 57786163,
          "end": 57786291
        },
        {
          "start": 57787040,
          "end": 57787162
        },
        {
          "start": 57792986,
          "end": 57793073
        },
        {
          "start": 57796177,
          "end": 57797587
        }
      ],
      "cds": {
        "start": 57782802,
        "end": 57796583
      }
    },
    "grch37": {
      "build": "GRCh37",
      "release": "87",
      "chrom": "12",
      "start": 58176372,
      "end": 58201854,
      "strand": "+"
    },
    "neighbourhood": {
      "release": "116",
      "start": 57290187,
      "end": 58290186,
      "genes": [
        {
          "symbol": "",
          "ensemblId": "ENSG00000258830",
          "biotype": "protein_coding",
          "start": 57249609,
          "end": 57296484,
          "strand": "-"
        },
        {
          "symbol": "R3HDM2",
          "ensemblId": "ENSG00000179912",
          "biotype": "protein_coding",
          "start": 57253762,
          "end": 57431051,
          "strand": "-",
          "slug": "r3hdm2"
        },
        {
          "symbol": "INHBC",
          "ensemblId": "ENSG00000175189",
          "biotype": "protein_coding",
          "start": 57434700,
          "end": 57452067,
          "strand": "+",
          "slug": "inhbc"
        },
        {
          "symbol": "INHBE",
          "ensemblId": "ENSG00000139269",
          "biotype": "protein_coding",
          "start": 57452323,
          "end": 57459280,
          "strand": "+",
          "slug": "inhbe"
        },
        {
          "symbol": "GLI1",
          "ensemblId": "ENSG00000111087",
          "biotype": "protein_coding",
          "start": 57459783,
          "end": 57472268,
          "strand": "+",
          "slug": "gli1"
        },
        {
          "symbol": "ARHGAP9",
          "ensemblId": "ENSG00000123329",
          "biotype": "protein_coding",
          "start": 57472260,
          "end": 57488831,
          "strand": "-",
          "slug": "arhgap9"
        },
        {
          "symbol": "MARS1",
          "ensemblId": "ENSG00000166986",
          "biotype": "protein_coding",
          "start": 57475445,
          "end": 57517702,
          "strand": "+",
          "slug": "mars1"
        },
        {
          "symbol": "DDIT3",
          "ensemblId": "ENSG00000175197",
          "biotype": "protein_coding",
          "start": 57516584,
          "end": 57523630,
          "strand": "-",
          "slug": "ddit3"
        },
        {
          "symbol": "",
          "ensemblId": "ENSG00000285133",
          "biotype": "protein_coding",
          "start": 57517712,
          "end": 57520480,
          "strand": "-"
        },
        {
          "symbol": "MBD6",
          "ensemblId": "ENSG00000166987",
          "biotype": "protein_coding",
          "start": 57520710,
          "end": 57530614,
          "strand": "+",
          "slug": "mbd6"
        },
        {
          "symbol": "DCTN2",
          "ensemblId": "ENSG00000175203",
          "biotype": "protein_coding",
          "start": 57529567,
          "end": 57547256,
          "strand": "-",
          "slug": "dctn2"
        },
        {
          "symbol": "KIF5A",
          "ensemblId": "ENSG00000155980",
          "biotype": "protein_coding",
          "start": 57546026,
          "end": 57586633,
          "strand": "+",
          "slug": "kif5a"
        },
        {
          "symbol": "PIP4K2C",
          "ensemblId": "ENSG00000166908",
          "biotype": "protein_coding",
          "start": 57591161,
          "end": 57603418,
          "strand": "+",
          "slug": "pip4k2c"
        },
        {
          "symbol": "DTX3",
          "ensemblId": "ENSG00000178498",
          "biotype": "protein_coding",
          "start": 57604484,
          "end": 57609804,
          "strand": "+",
          "slug": "dtx3"
        },
        {
          "symbol": "ARHGEF25",
          "ensemblId": "ENSG00000240771",
          "biotype": "protein_coding",
          "start": 57610111,
          "end": 57617245,
          "strand": "+",
          "slug": "arhgef25"
        },
        {
          "symbol": "",
          "ensemblId": "ENSG00000287908",
          "biotype": "protein_coding",
          "start": 57615280,
          "end": 57626125,
          "strand": "+"
        },
        {
          "symbol": "B4GALNT1",
          "ensemblId": "ENSG00000135454",
          "biotype": "protein_coding",
          "start": 57623409,
          "end": 57633242,
          "strand": "-",
          "slug": "b4galnt1"
        },
        {
          "symbol": "OS9",
          "ensemblId": "ENSG00000135506",
          "biotype": "protein_coding",
          "start": 57693841,
          "end": 57728342,
          "strand": "+",
          "slug": "os9"
        },
        {
          "symbol": "AGAP2",
          "ensemblId": "ENSG00000135439",
          "biotype": "protein_coding",
          "start": 57723761,
          "end": 57742209,
          "strand": "-",
          "slug": "agap2"
        },
        {
          "symbol": "TSPAN31",
          "ensemblId": "ENSG00000135452",
          "biotype": "protein_coding",
          "start": 57738013,
          "end": 57751383,
          "strand": "+",
          "slug": "tspan31"
        },
        {
          "symbol": "CDK4",
          "ensemblId": "ENSG00000135446",
          "biotype": "protein_coding",
          "start": 57746043,
          "end": 57756013,
          "strand": "-",
          "slug": "cdk4"
        },
        {
          "symbol": "MARCHF9",
          "ensemblId": "ENSG00000139266",
          "biotype": "protein_coding",
          "start": 57754940,
          "end": 57760411,
          "strand": "+",
          "slug": "marchf9"
        },
        {
          "symbol": "CYP27B1",
          "ensemblId": "ENSG00000111012",
          "biotype": "protein_coding",
          "start": 57762334,
          "end": 57768986,
          "strand": "-",
          "slug": "cyp27b1"
        },
        {
          "symbol": "METTL1",
          "ensemblId": "ENSG00000037897",
          "biotype": "protein_coding",
          "start": 57768471,
          "end": 57772131,
          "strand": "-",
          "slug": "mettl1"
        },
        {
          "symbol": "EEF1AKMT3",
          "ensemblId": "ENSG00000123427",
          "biotype": "protein_coding",
          "start": 57771492,
          "end": 57782544,
          "strand": "+",
          "slug": "eef1akmt3"
        },
        {
          "symbol": "",
          "ensemblId": "ENSG00000257921",
          "biotype": "protein_coding",
          "start": 57772660,
          "end": 57797554,
          "strand": "+"
        },
        {
          "symbol": "AVIL",
          "ensemblId": "ENSG00000135407",
          "biotype": "protein_coding",
          "start": 57797376,
          "end": 57818734,
          "strand": "-",
          "slug": "avil"
        },
        {
          "symbol": "CTDSP2",
          "ensemblId": "ENSG00000175215",
          "biotype": "protein_coding",
          "start": 57819925,
          "end": 57846976,
          "strand": "-",
          "slug": "ctdsp2"
        },
        {
          "symbol": "ATP23",
          "ensemblId": "ENSG00000166896",
          "biotype": "protein_coding",
          "start": 57906039,
          "end": 57959148,
          "strand": "+",
          "slug": "atp23"
        }
      ],
      "truncated": false
    },
    "reports": [
      {
        "slug": "primary-mitochondrial-disease",
        "name": "Primaire mitochondriële ziekte",
        "diseases": [
          {
            "mondoId": "MONDO:0000732",
            "name": "Gecombineerde deficiëntie van oxidatieve fosforylering",
            "genes": 48,
            "inheritance": null,
            "description": "Aandoeningen, meestal veroorzaakt door nucleaire genen die betrokken zijn bij de productie van mitochondriale eiwitten. Ze verminderen meerdere ademhalingsketencomplexen tegelijk en veroorzaken vaak ernstige ziekte van meerdere organen in de kindertijd.",
            "management": "Weten kan een diagnostisch zoektraject beëindigen en helpt bij controle en ondersteunende zorg.",
            "evidence": {
              "gencc": [
                "Labcorp Genetics (formerly Invitae)",
                "Natera",
                "PanelApp Australia"
              ],
              "acmgSf": false,
              "inheritance": [
                "autosomal-recessive"
              ]
            },
            "sameAsReport": false,
            "broad": false
          }
        ],
        "url": "https://dantelabs.com/nl/conditions/primary-mitochondrial-disease"
      },
      {
        "slug": "leigh-syndrome",
        "name": "Syndroom van Leigh",
        "diseases": [
          {
            "mondoId": "MONDO:0009723",
            "name": "Syndroom van Leigh",
            "genes": 69,
            "inheritance": null,
            "description": "Een progressieve neurologische aandoening, gekenmerkt door specifieke neuropathologische kenmerken waarbij laesies in de hersenstam en de basale ganglia samen voorkomen.",
            "management": null,
            "evidence": {
              "gencc": [],
              "clingen": "Moderate",
              "acmgSf": false,
              "inheritance": [
                "autosomal-recessive"
              ]
            },
            "sameAsReport": true,
            "broad": true
          }
        ],
        "url": "https://dantelabs.com/nl/conditions/leigh-syndrome"
      }
    ],
    "pharmacogenomics": [],
    "traits": [],
    "phenotypes": [
      {
        "slug": "ataxia",
        "name": "Ataxia",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/ataxia"
      },
      {
        "slug": "rhabdomyolysis",
        "name": "Breakdown of skeletal muscle",
        "systems": [
          "abnormality-of-the-musculoskeletal-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/rhabdomyolysis"
      },
      {
        "slug": "dyspnea",
        "name": "Breathing difficulty",
        "systems": [
          "abnormality-of-the-respiratory-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/dyspnea"
      },
      {
        "slug": "cognitive-impairment",
        "name": "Cognitive impairment",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/cognitive-impairment"
      },
      {
        "slug": "concentric-hypertrophic-cardiomyopathy",
        "name": "Concentric hypertrophic cardiomyopathy",
        "systems": [
          "abnormality-of-the-cardiovascular-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/concentric-hypertrophic-cardiomyopathy"
      },
      {
        "slug": "optic-neuropathy",
        "name": "Damaged optic nerve",
        "systems": [
          "abnormality-of-the-eye"
        ],
        "url": "https://dantelabs.com/traits/optic-neuropathy"
      },
      {
        "slug": "decreased-activity-of-mitochondrial-complex-i",
        "name": "Decreased activity of mitochondrial complex I",
        "systems": [
          "abnormal-cellular-phenotype",
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/decreased-activity-of-mitochondrial-complex-i"
      },
      {
        "slug": "decreased-activity-of-mitochondrial-complex-iii",
        "name": "Decreased activity of mitochondrial complex III",
        "systems": [
          "abnormal-cellular-phenotype",
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/decreased-activity-of-mitochondrial-complex-iii"
      },
      {
        "slug": "decreased-activity-of-mitochondrial-complex-iv",
        "name": "Decreased activity of mitochondrial complex IV",
        "systems": [
          "abnormal-cellular-phenotype",
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/decreased-activity-of-mitochondrial-complex-iv"
      },
      {
        "slug": "dystonia",
        "name": "Dystonia",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/dystonia"
      },
      {
        "slug": "elevated-circulating-creatine-kinase-activity",
        "name": "Elevated blood creatine phosphokinase",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/elevated-circulating-creatine-kinase-activity"
      },
      {
        "slug": "elevated-lactate-pyruvate-ratio",
        "name": "Elevated lactate:pyruvate ratio",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/elevated-lactate-pyruvate-ratio"
      },
      {
        "slug": "encephalopathy",
        "name": "Encephalopathy",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/encephalopathy"
      },
      {
        "slug": "hepatomegaly",
        "name": "Enlarged liver",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "url": "https://dantelabs.com/traits/hepatomegaly"
      },
      {
        "slug": "seizure",
        "name": "Epilepsy",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/seizure"
      },
      {
        "slug": "feeding-difficulties-in-infancy",
        "name": "Feeding difficulties in infancy",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "url": "https://dantelabs.com/traits/feeding-difficulties-in-infancy"
      },
      {
        "slug": "generalized-hypotonia",
        "name": "Generalized decreased muscle tone",
        "systems": [
          "abnormality-of-the-musculoskeletal-system"
        ],
        "url": "https://dantelabs.com/traits/generalized-hypotonia"
      },
      {
        "slug": "global-developmental-delay",
        "name": "Global developmental delay",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/global-developmental-delay"
      },
      {
        "slug": "bilateral-tonic-clonic-seizure",
        "name": "Grand mal seizures",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/bilateral-tonic-clonic-seizure"
      },
      {
        "slug": "hyperammonemia",
        "name": "High blood ammonia levels",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/hyperammonemia"
      },
      {
        "slug": "increased-circulating-lactate-concentration",
        "name": "Higher than normal levels of lactate in blood",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/increased-circulating-lactate-concentration"
      },
      {
        "slug": "lactic-acidosis",
        "name": "Increased lactate in body",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "url": "https://dantelabs.com/traits/lactic-acidosis"
      },
      {
        "slug": "apathy",
        "name": "Lack of feeling, emotion, interest",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/apathy"
      },
      {
        "slug": "decreased-fetal-movement",
        "name": "Less than 10 fetal movements in 12 hours",
        "systems": [
          "abnormality-of-prenatal-development-or-birth"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/decreased-fetal-movement"
      },
      {
        "slug": "hyponatremia",
        "name": "Low blood sodium levels",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/hyponatremia"
      },
      {
        "slug": "hypotonia",
        "name": "Low muscle tone",
        "systems": [
          "abnormality-of-the-musculoskeletal-system"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/hypotonia"
      },
      {
        "slug": "neonatal-hypotonia",
        "name": "Low muscle tone, in neonatal onset",
        "systems": [
          "abnormality-of-the-musculoskeletal-system"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/neonatal-hypotonia"
      },
      {
        "slug": "muscle-weakness",
        "name": "Muscle weakness",
        "systems": [
          "abnormality-of-the-musculoskeletal-system"
        ],
        "url": "https://dantelabs.com/traits/muscle-weakness"
      },
      {
        "slug": "optic-atrophy",
        "name": "Optic atrophy",
        "systems": [
          "abnormality-of-the-eye"
        ],
        "url": "https://dantelabs.com/traits/optic-atrophy"
      },
      {
        "slug": "patent-ductus-arteriosus",
        "name": "Patent ductus arteriosus",
        "systems": [
          "abnormality-of-the-cardiovascular-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/patent-ductus-arteriosus"
      },
      {
        "slug": "patent-foramen-ovale",
        "name": "Patent foramen ovale",
        "systems": [
          "abnormality-of-the-cardiovascular-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/patent-foramen-ovale"
      },
      {
        "slug": "poor-suck",
        "name": "Poor suck",
        "systems": [
          "abnormality-of-the-digestive-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/poor-suck"
      },
      {
        "slug": "intrauterine-growth-retardation",
        "name": "Prenatal growth deficiency",
        "systems": [
          "growth-abnormality"
        ],
        "url": "https://dantelabs.com/traits/intrauterine-growth-retardation"
      },
      {
        "slug": "respiratory-failure",
        "name": "Respiratory failure",
        "systems": [
          "abnormality-of-the-respiratory-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/respiratory-failure"
      },
      {
        "slug": "respiratory-insufficiency",
        "name": "Respiratory function loss",
        "systems": [
          "abnormality-of-the-respiratory-system"
        ],
        "url": "https://dantelabs.com/traits/respiratory-insufficiency"
      },
      {
        "slug": "severe-lactic-acidosis",
        "name": "Severe lactic acidosis",
        "systems": [
          "abnormality-of-metabolism-homeostasis"
        ],
        "frequency": "obligate",
        "url": "https://dantelabs.com/traits/severe-lactic-acidosis"
      },
      {
        "slug": "dilated-cardiomyopathy",
        "name": "Stretched and thinned heart muscle",
        "systems": [
          "abnormality-of-the-cardiovascular-system"
        ],
        "frequency": "occasional",
        "url": "https://dantelabs.com/traits/dilated-cardiomyopathy"
      },
      {
        "slug": "tremor",
        "name": "Tremor",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "url": "https://dantelabs.com/traits/tremor"
      },
      {
        "slug": "ventriculomegaly",
        "name": "Ventriculomegaly",
        "systems": [
          "abnormality-of-the-nervous-system"
        ],
        "frequency": "frequent",
        "url": "https://dantelabs.com/traits/ventriculomegaly"
      },
      {
        "slug": "visual-impairment",
        "name": "Visual impairment",
        "systems": [
          "abnormality-of-the-eye"
        ],
        "url": "https://dantelabs.com/traits/visual-impairment"
      }
    ],
    "related": [
      {
        "slug": "aifm1",
        "symbol": "AIFM1",
        "name": "apoptosis inducing factor mitochondria associated 1",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/aifm1"
      },
      {
        "slug": "ears2",
        "symbol": "EARS2",
        "name": "glutamyl-tRNA synthetase 2, mitochondrial",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/ears2"
      },
      {
        "slug": "fars2",
        "symbol": "FARS2",
        "name": "phenylalanyl-tRNA synthetase 2, mitochondrial",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/fars2"
      },
      {
        "slug": "gfm1",
        "symbol": "GFM1",
        "name": "G elongation factor mitochondrial 1",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/gfm1"
      },
      {
        "slug": "gfm2",
        "symbol": "GFM2",
        "name": "GTP dependent ribosome recycling factor mitochondrial 2",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/gfm2"
      },
      {
        "slug": "gtpbp3",
        "symbol": "GTPBP3",
        "name": "GTP binding protein 3, mitochondrial",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/gtpbp3"
      },
      {
        "slug": "mrps34",
        "symbol": "MRPS34",
        "name": "mitochondrial ribosomal protein S34",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/mrps34"
      },
      {
        "slug": "mtfmt",
        "symbol": "MTFMT",
        "name": "mitochondrial methionyl-tRNA formyltransferase",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/mtfmt"
      },
      {
        "slug": "mtrfr",
        "symbol": "MTRFR",
        "name": "mitochondrial translation release factor in rescue",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/mtrfr"
      },
      {
        "slug": "pnpt1",
        "symbol": "PNPT1",
        "name": "polyribonucleotide nucleotidyltransferase 1",
        "shared": 2,
        "url": "https://dantelabs.com/nl/genes/pnpt1"
      },
      {
        "slug": "aars2",
        "symbol": "AARS2",
        "name": "alanyl-tRNA synthetase 2, mitochondrial",
        "shared": 1,
        "url": "https://dantelabs.com/nl/genes/aars2"
      },
      {
        "slug": "atp5f1a",
        "symbol": "ATP5F1A",
        "name": "ATP synthase F1 subunit alpha",
        "shared": 1,
        "url": "https://dantelabs.com/nl/genes/atp5f1a"
      }
    ],
    "sources": {
      "bundleId": "2026.10.16-c6eea6bf",
      "panel": "2026-10-16",
      "acmgSf": "SF v3.2"
    },
    "locusKind": "proteinCoding"
  },
  "variants": {
    "total": 0,
    "url": null,
    "items": []
  }
}