ETHE1

Chr 19AR

ETHE1 persulfide dioxygenase

Also known as: HSCO, YF13H12

The ETHE1 protein is a sulfur dioxygenase that catalyzes the oxidation of persulfide substrates in the mitochondrial sulfide oxidation pathway, preventing toxic accumulation of hydrogen sulfide that can inhibit cytochrome c oxidase. Mutations cause ethylmalonic encephalopathy, an infantile-onset metabolic disorder affecting the brain, gastrointestinal tract, and peripheral vessels with autosomal recessive inheritance. This gene shows relatively low constraint against loss-of-function variants (pLI near zero, LOEUF 1.46).

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismARLOEUF 1.461 OMIM phenotype
VCEP Guidelines: Mitochondrial DiseaseReleased
View SpecificationsClinGen Panel
Clinical SummaryETHE1
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Gene-Disease Validity (ClinGen)
Leigh syndrome · 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.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.46LOEUF
pLI 0.000
Z-score 0.49
OE 0.84 (0.501.46)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.96Z-score
OE missense 0.77 (0.660.91)
110 obs / 142.1 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.84 (0.501.46)
00.351.4
Missense OE0.77 (0.660.91)
00.61.4
Synonymous OE0.93
01.21.6
LoF obs/exp: 9 / 10.7Missense obs/exp: 110 / 142.1Syn Z: 0.45
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveETHE1-related ethylmalonic encephalopathyLOFAR

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

DN
0.6744th %ile
GOF
0.5857th %ile
LOF
0.4331th %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

ETHE1 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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