Target intelligence / Profile preview

Beta-hexosaminidase subunit alpha (Hex A)

Target
Hex A
Molecular classification
Enzyme, Lysosomal enzyme, Glycosyl hydrolase (Family 20), Hydrolase
01

Overview

Beta-hexosaminidase subunit alpha is the protein product of the HEXA gene in humans, forming part of the lysosomal enzyme beta-hexosaminidase A. The functional enzyme is a heterodimer of one alpha subunit (HEXA) and one beta subunit (HEXB) and is essential for breaking down GM2 ganglioside, a glycolipid found in neuronal membranes. Deficiency or dysfunction of the alpha subunit results in the accumulation of GM2 ganglioside, notably in the central nervous system, leading to the fatal neurodegenerative disorder Tay-Sachs disease. The alpha subunit forms a distinct active site capable of hydrolyzing specific substrates that the beta subunit cannot, and mutations in HEXA can have effects ranging from severe, rapid-onset infantile disease to milder, late-onset forms. The subunit is a member of the glycosyl hydrolase family, is subject to post-translational modification, and is a focus of research for gene therapy and enzyme replacement treatments for lysosomal storage disorders.

Other names
Beta-hexosaminidase Ahexosaminidase A (alpha polypeptide)N-acetyl-beta-glucosaminidaseHEXA_HUMANbeta-N-acetylhexosaminidase A
02

Mechanism of action

Enzyme replacement therapy: supplement functional HexA enzyme to compensate for genetic deficiency; Substrate reduction therapy: reduce levels of ganglioside GM2 to slow disease progression; Gene therapy: delivery of functional HEXA gene for enzyme restoration

03

Biological functions

Hydrolysis of non-reducing end N-acetyl-D-hexosamine residues on glycoconjugatesCatabolism of GM2 ganglioside in lysosomesMaintenance of neuronal healthLysosomal degradation/recycling
04

Disease associations

Neurodegenerative disease (Tay-Sachs disease)Lysosomal storage disordersRare metabolic disease (GM2 gangliosidoses, including Sandhoff disease when beta subunit is affected)
05

Safety considerations

Enzyme replacement faces challenges with CNS delivery (blood-brain barrier)Immunogenicity from exogenous enzyme/gene therapyOff-target effects if substrate reduction therapy is not selectiveDose-dependent toxicity/safety profile unknown for direct targeting
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Interacting drugs

Miglustat
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Biomarkers

Beta-hexosaminidase A enzymatic activity in blood/tissues for diagnosis of Tay-Sachs disease and carrier statusGM2 ganglioside accumulation in cellsHEXA gene mutation analysis

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