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CBS

Chr 21q22.3

cystathionine beta-synthase

Aliases:
HIP4
MANE:
ENST00000398165.8

Annotations refreshed 1 month ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • DDG2P

    BIALLELIC, autosomal or pseudoautosomal
  • Ehlers Danlos syndrome with a likely monogenic cause

    BIALLELIC, autosomal or pseudoautosomal
  • Intellectual disability

    BIALLELIC, autosomal or pseudoautosomal
  • Likely inborn error of metabolism

    BIALLELIC, autosomal or pseudoautosomal
  • Structural eye disease

    BIALLELIC, autosomal or pseudoautosomal
  • Thoracic aortic aneurysm or dissection (GMS)

    BIALLELIC, autosomal or pseudoautosomal
  • Undiagnosed metabolic disorders

    BIALLELIC, autosomal or pseudoautosomal
  • Thoracic aortic aneurysm or dissection

    BIALLELIC, autosomal or pseudoautosomal

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Disease associations (Open Targets)

  • classic homocystinuria

    0.87
  • Classical homocystinuria

    0.87
  • homocystinuria

    0.58
  • hyperhomocysteinemia, thrombotic, cbs-related

    0.56
  • familial thoracic aortic aneurysm and aortic dissection

    0.55
  • Marfan syndrome

    0.42
  • connective tissue disorder

    0.41
  • hyperhomocysteinemia

    0.35
  • Abnormality of metabolism/homeostasis

    0.27
  • Rare disease with thoracic aortic aneurysm and aortic dissection

    0.19

Score is the Open Targets composite evidence score (0-1). Higher = stronger gene-disease association.

Protein function (UniProt)

Cystathionine beta-synthase

Hydro-lyase catalyzing the first step of the transsulfuration pathway, where the hydroxyl group of L-serine is displaced by L-homocysteine in a beta-replacement reaction to form L-cystathionine, the precursor of L-cysteine. This catabolic route allows the elimination of L-methionine and the toxic metabolite L-homocysteine (PubMed:20506325, PubMed:23974653, PubMed:23981774). Also involved in the production of hydrogen sulfide, a gasotransmitter with signaling and cytoprotective effects on neurons (By similarity)

Curated MONDO disease pages that list CBS among their top associated genes.

Data sources: HGNC (CC BY 4.0), AlphaFold (CC BY 4.0, Jumper et al. Nature 2021), Genomics England PanelApp (CC BY 4.0), ClinGen, Open Targets (CC0), UniProt.

Not for sole clinical decision-making. Always verify against primary sources.