THEM5

protein-coding

thioesterase superfamily member 5, the group of Thioesterase superfamily

Gene summary

Enables long-chain fatty acyl-CoA hydrolase activity. Involved in long-chain fatty-acyl-CoA metabolic process. Located in mitochondrial matrix. [provided by Alliance of Genome Resources, Jul 2025]

MANE transcript

NM_182578.4

Inheritance

—

ClinVar variants

U:28B:4

Top phenotype

—

gnomAD constraint

pLI —, LoF o/e 1.32

Max pathogenic AF

—

Genomic locus

chr1:151,847,101-151,853,712

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~6.6 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

No GenCC data available for this gene.

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to THEM5 variants in ClinVar

1 Conditions Cataloged
not specifiedTotal: 30

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_182578.4. 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
0
missense
27
clinvar
4
clinvar
31
nonsense
0
start loss
0
frameshift
0
splice donor/acceptor (+/-2bp)
1
clinvar
1
Total00284032
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 4 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_182578.4RefSeqNP_872384.26MANE Select
ENST00000368817.10EnsemblENSP00000357807.46MANE Select
ENST00000453881.2EnsemblENSP00000406809.23Standard
XM_011509421.2RefSeqXP_011507723.15Standard

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Fatty acid elongation - Homo sapiens (human)
  • Metabolism of lipids
  • Mitochondrial Fatty Acid Beta-Oxidation
  • Metabolism
  • Fatty acid metabolism

Biological Process

  • fatty acid metabolic process
  • acyl-CoA metabolic process
  • long-chain fatty-acyl-CoA metabolic process
  • cardiolipin acyl-chain remodeling

Molecular Function

  • protein binding
  • palmitoyl-CoA hydrolase activity
  • acyl-CoA hydrolase activity
  • myristoyl-CoA hydrolase activity

Cellular Component

  • mitochondrial matrix

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000368817
Coding exons
6
Length
6435
Individuals with no LoFs
125666
Homozygous LoFs
2
Heterozygous LoFs
80
Defined
125748
p
0.000326
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense0.2341271350.9430.000006941609
Missense (PolyPhen)3131.8590.97303404
Synonymous0.9354654.80.8390.00000309483
Loss of Function-0.9731410.61.324.46e-7134

Population LoF Frequency

PopulationCAFp-valueStatus
African0.000620.00062rare
Latino/Admixed American0.000430.00040rare
Ashkenazi Jewish00.0absent
East Asian0.000160.00016rare
Finnish00.0absent
European (Non-Finnish)0.000280.00028rare
South Asian0.000780.00075rare
Other00.0absent

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Has acyl-CoA thioesterase activity towards long-chain (C16 and C18) fatty acyl-CoA substrates, with a preference for linoleoyl-CoA and other unsaturated long-chain fatty acid-CoA esters. Plays an important role in mitochondrial fatty acid metabolism, and in remodeling of the mitochondrial lipid cardiolipin. Required for normal mitochondrial function. {ECO:0000269|PubMed:22586271}.;

Intolerance Scores

LoFtool
0.799
RVIS EVS
1.01
RVIS percentile EVS
90.84

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
S
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.0000350

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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