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HMGCS2

Chr 1p12

3-hydroxy-3-methylglutaryl-CoA synthase 2

MANE:
ENST00000369406.8

Annotations refreshed 10 hours ago.

Predicted protein structure

Clinical relevance (Genomics England PanelApp)

Diagnostic Grade (Green)

  • DDG2P

    BIALLELIC, autosomal or pseudoautosomal
  • Likely inborn error of metabolism

    BIALLELIC, autosomal or pseudoautosomal
  • Undiagnosed metabolic disorders

    BIALLELIC, autosomal or pseudoautosomal
  • Childhood onset dystonia, chorea or related movement disorder

  • Fetal anomalies

    BIALLELIC, autosomal or pseudoautosomal
  • Hyperammonaemia

    BIALLELIC, autosomal or pseudoautosomal
  • Intellectual disability

    BIALLELIC, autosomal or pseudoautosomal
  • Mitochondrial disorders

    BIALLELIC, autosomal or pseudoautosomal

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Disease associations (Open Targets)

  • 3-hydroxy-3-methylglutaryl-CoA synthase deficiency

    0.84
  • hereditary disease

    0.41
  • hepatocellular carcinoma

    0.11
  • neoplasm

    0.11
  • metabolic dysfunction-associated steatotic liver disease

    0.10
  • colorectal carcinoma

    0.10
  • posterior cortical atrophy

    0.09
  • cancer

    0.09
  • esophageal squamous cell carcinoma

    0.08
  • acute kidney injury

    0.08

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

Protein function (UniProt)

Hydroxymethylglutaryl-CoA synthase, mitochondrial

Catalyzes the first irreversible step in ketogenesis, condensing acetyl-CoA to acetoacetyl-CoA to form HMG-CoA, which is converted by HMG-CoA reductase (HMGCR) into mevalonate

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.