CTSA

Chr 20ADAR

cathepsin A

Also known as: BSVD6, GLB2, GSL, NGBE, PPCA, PPGB

The protein is a lysosomal serine carboxypeptidase with deamidase, esterase and carboxypeptidase activities that serves as a scaffold in the lysosomal multienzyme complex. Mutations cause galactosialidosis through autosomal recessive inheritance and brain small vessel disease 6 with leukoencephalopathy through autosomal dominant inheritance. The predicted mechanism of pathogenicity is dominant negative.

OMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
LOFmechanismAD/ARLOEUF 0.882 OMIM phenotypes
Clinical SummaryCTSA
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Gene-Disease Validity (ClinGen)
galactosialidosis · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
0.88LOEUF
pLI 0.000
Z-score 2.08
OE 0.59 (0.410.88)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.48Z-score
OE missense 0.92 (0.831.02)
250 obs / 272.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.59 (0.410.88)
00.351.4
Missense OE0.92 (0.831.02)
00.61.4
Synonymous OE0.88
01.21.6
LoF obs/exp: 18 / 30.4Missense obs/exp: 250 / 272.3Syn Z: 1.05
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveCTSA-related galactosialidosisLOFAR

Predictions shown for reference only — model trained on dominant genes, not applicable to AR conditions.

DN
0.6840th %ile
GOF
0.6442th %ile
LOF
0.2581th %ile

The Badonyi & Marsh prediction model was trained exclusively on dominant disease genes. Predictions are not reliable for genes with autosomal recessive inheritance and are shown at reduced opacity for reference only.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

CTSA · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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