ARSB

protein-coding

arylsulfatase B, the group of Sulfatases

Gene summary

Arylsulfatase B encoded by this gene belongs to the sulfatase family. The arylsulfatase B homodimer hydrolyzes sulfate groups of N-Acetyl-D-galactosamine, chondriotin sulfate, and dermatan sulfate. The protein is targeted to the lysozyme. Mucopolysaccharidosis type VI is an autosomal recessive lysosomal storage disorder resulting from a deficiency of arylsulfatase B. Two alternatively spliced transcript variants encoding distinct isoforms have been found for this gene. [provided by RefSeq, Dec 2016]

MANE transcript

NM_000046.5

Inheritance

AR

ClinVar variants

P:288U:226B:256

Top phenotype

Mucopolysaccharidosis type VI (Maroteaux-Lamy)

gnomAD constraint

pLI —, LoF o/e 0.7

Max pathogenic AF

—

Genomic locus

chr5:78,777,209-78,986,087

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~208.9 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

mucopolysaccharidosis type 6STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009661

Submitter: Genomics England PanelApp

mucopolysaccharidosis type 6STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009661

Submitter: PanelApp Australia

mucopolysaccharidosis type 6DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009661

Submitter: ClinGen

The relationship between the ARSB gene and mucopolysaccharidosis type 6 (MPS6), an autosomal recessive lysosomal storage disorder, was evaluated using the ClinGen Clinical Validity Framework as of April 9, 2022. ARSB encodes aryl sulfatase B (ASB), an enzyme that catalyzes the removal of the C4 sulfate ester group from the N-acetylgalactosamine sugar residue at the nonreducing terminus of the glycosaminoglycans (GAGs) dermatan sulfate (DS) and chondroitin sulfate (CS) during lysosomal degradation (as reviewed in PMID: 17458871; PMID: 30118150). Among individuals with MPS6, ASB deficiency results in accumulation of DS and CS, which leads to symptoms including short stature, coarse facies, dysostosis multiplex, hepatosplenomegaly, corneal clouding, and cardiac disease. The disease mechanism of MPS6 is loss of function. MPS6 was first reported in 1963 (PMID: 14091597) and the first report of biallelic variants in ARSB among patients with MPS6 was published in 1991 (PMID: 1718978). Since then, at least 201 unique variants in 478 cases have been identified (PMID: 30118150). Both case-level (genetic) and experimental evidence support the relationship between MPS6 and ARSB. Reported causal variants include missense, nonsense, frameshift, and splice-altering variants, as well as larger deletions and duplications. In total, fourteen variants from nine probands in six publications were curated. Of note, three missense variants, c.454C>T (p.Arg152Trp), c.962T>C (p.Leu321Pro), and c.629A>G (p.Tyr210Cys), are estimated to account for 18.5% of reported cases. Although there is additional published case-level evidence available, the maximum score for genetic evidence (12 points) has already been reached. Experimental evidence for the relationship between ARSB and MPS6 includes the biochemical function of the gene product (the ASB enzyme) being consistent with the clinical and biochemical findings identified individuals with MPS6 (PMID: 20385007; PMID: 4271367), the biochemical and clinical features of a feline animal model homozygous for the p.Leu476Pro variant (PMID: 8910299), and the impact of enzyme replacement therapy among human MPS6 patients (PMID: 16647419). Additional experimental evidence is available, but the maximum score for experimental evidence (6 points) has already been reached. In sum, ARSB is definitively associated with MPS6. The association has been repeatedly demonstrated in both clinical and research settings, and has been upheld over time.

mucopolysaccharidosis type 6STRONG

Inheritance Pattern: AR

Disease ID:MONDO:0009661

Submitter: Labcorp Genetics (formerly Invitae)

mucopolysaccharidosis type 6DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009661

Submitter: Illumina

mucopolysaccharidosis type 6DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009661

Submitter: Natera

mucopolysaccharidosis type 6DEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0009661

Submitter: G2P

Clinical Genomic Database (CGD)

Mucopolysaccharidosis type VI (Maroteaux-Lamy)AR

Manifestation: Biochemical; Cardiovascular; Musculoskeletal; Ophthalmologic

Intervention: Biochemical; Cardiovascular

Rationale: Enzyme replacement therapy is available; The condition can include cardiovascular manifestations, and awareness may allow surveillance and early detection, which may lead to improved management; BMT has been reported

Refs: 14091597; 6767429; 6776877; 6225949; 6150438; 1832719; 1718978; 1550123; 1301949; 1728449; 8651289; 10070618; 10036316; 11668612; 15324318; 15823680; 15690405; 17643332; 17671068; 21637564; 21930407; 21744090; 22127392; 22669363; 22278137; 22704873; 22864057; 21917494; 22938833; 22133300; 22336888; 22971959; 22495825; 22976768; 23023219; 22405600; 22395531; 25864794; 28595941; 33775523; 33678523Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to ARSB variants in ClinVar

12 Conditions Cataloged
Mucopolysaccharidosis type 6Total: 834
not providedTotal: 83
not specifiedTotal: 60
Inborn genetic diseasesTotal: 57
ARSB-related disorderTotal: 39
Mucopolysaccharidosis, type vi, severeTotal: 4
Metachromatic leukodystrophyTotal: 3
See casesTotal: 2

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_000046.5. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
11
clinvar
237
clinvar
6
clinvar
254
missense
13
clinvar
117
clinvar
214
clinvar
12
clinvar
356
nonsense
24
clinvar
25
clinvar
1
clinvar
1
clinvar
51
start loss
0
frameshift
33
clinvar
49
clinvar
82
splice donor/acceptor (+/-2bp)
8
clinvar
19
clinvar
27
Total782102262506770

Highest pathogenic variant AF is 0.00022057795

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 22 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_000046.5RefSeqNP_000037.28MANE Select
ENST00000264914.10EnsemblENSP00000264914.48MANE Select
NM_198709.3RefSeqNP_942002.17Standard
ENST00000396151.7EnsemblENSP00000379455.37Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Lysosome - Homo sapiens (human)
  • Glycosaminoglycan degradation - Homo sapiens (human)
  • Neutrophil degranulation
  • Metabolism of carbohydrates
  • Metabolism of lipids

Biological Process

  • autophagy
  • lysosome organization
  • lysosomal transport
  • central nervous system development
  • response to nutrient

Molecular Function

  • N-acetylgalactosamine-4-sulfatase activity
  • arylsulfatase activity
  • metal ion binding

Cellular Component

  • extracellular region
  • mitochondrion
  • lysosome
  • endoplasmic reticulum lumen
  • rough endoplasmic reticulum

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000264914
Coding exons
8
Length
208879
Individuals with no LoFs
125709
Homozygous LoFs
0
Heterozygous LoFs
39
Defined
125748
p
0.000155
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.6312542840.8950.00001593412
Missense (PolyPhen)95124.550.762721514
Synonymous0.5211081150.9380.000006341105
Loss of Function1.331622.90.6990.00000134259

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000120.00012rare
Latino/Admixed American0.0000580.000058rare
Ashkenazi Jewish00.0absent
East Asian0.000110.00011rare
Finnish0.000180.00018rare
European (Non-Finnish)0.000210.00021rare
South Asian0.0000980.000098rare
Other0.000330.00033rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Removes sulfate groups from chondroitin-4-sulfate (C4S) and regulates its degradation (PubMed:19306108). Involved in the regulation of cell adhesion, cell migration and invasion in colonic epithelium (PubMed:19306108). In the central nervous system, is a regulator of neurite outgrowth and neuronal plasticity, acting through the control of sulfate glycosaminoglycans and neurocan levels (By similarity). {ECO:0000250|UniProtKB:P50430, ECO:0000269|PubMed:19306108}.;
Disease
DISEASE: Mucopolysaccharidosis 6 (MPS6) [MIM:253200]: An autosomal recessive lysosomal storage disease characterized by intracellular accumulation of dermatan sulfate. Clinical features can include abnormal growth, short stature, stiff joints, skeletal malformations, corneal clouding, hepatosplenomegaly, and cardiac abnormalities. A wide variation in clinical severity is observed. {ECO:0000269|PubMed:10036316, ECO:0000269|PubMed:10738004, ECO:0000269|PubMed:11802522, ECO:0000269|PubMed:14974081, ECO:0000269|PubMed:1550123, ECO:0000269|PubMed:1718978, ECO:0000269|PubMed:19259130, ECO:0000269|PubMed:8116615, ECO:0000269|PubMed:8125475, ECO:0000269|PubMed:8541342, ECO:0000269|PubMed:8651289}. Note=The disease is caused by mutations affecting the gene represented in this entry.; DISEASE: Multiple sulfatase deficiency (MSD) [MIM:272200]: A clinically and biochemically heterogeneous disorder caused by the simultaneous impairment of all sulfatases, due to defective post- translational modification and activation. It combines features of individual sulfatase deficiencies such as metachromatic leukodystrophy, mucopolysaccharidosis, chondrodysplasia punctata, hydrocephalus, ichthyosis, neurologic deterioration and developmental delay. {ECO:0000269|PubMed:15146462}. Note=The protein represented in this entry is involved in disease pathogenesis. Arylsulfatase B activity is impaired in multiple sulfatase deficiency due to mutations in SUMF1. SUMF1 mutations result in defective post-translational modification of ARSB at residue Cys-91 that is not converted to 3-oxoalanine.;

Recessive Scores

pRec
0.256

Intolerance Scores

LoFtool
0.0956
RVIS EVS
0.02
RVIS percentile EVS
55.61

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.835

Gene Damage Prediction

AllRecessiveDominant
MendelianHighMediumMedium
Primary ImmunodeficiencyHighHighHigh
CancerHighHighHigh
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