GLB1

Chr 3AR

galactosidase beta 1

Also known as: EBP, ELNR1, MPS4B

This gene encodes a member of the glycosyl hydrolase 35 family of proteins. Alternative splicing results in multiple transcript variants, at least one of which encodes a preproprotein that is proteolytically processed to generate the mature lysosomal enzyme. This enzyme catalyzes the hydrolysis of a terminal beta-linked galactose residue from ganglioside substrates and other glycoconjugates. Mutations in this gene may result in GM1-gangliosidosis and Morquio B syndrome. [provided by RefSeq, Nov 2015]

GeneReviewsOMIMResearchGenerating clinical summary…
LOFmechanismARLOEUF 0.864 OMIM phenotypes
Clinical SummaryGLB1
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Gene-Disease Validity (ClinGen)
GM1 gangliosidosis · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

2 total gene-disease associations curated

Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
335 unique Pathogenic / Likely Pathogenic· 327 VUS of 1336 total submissions
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Clinical Trials
6 active or recruiting trials — potential therapeutic options may be available
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GeneReview available — GLB1
Authoritative clinical overview · Recommended first read
Open GeneReview ↗

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint?
0.86LOEUF
pLI 0.000
Z-score 2.20
OE 0.59 (0.420.86)
Tolerant

Typical tolerance to LoF variation

Missense Constraint?
0.79Z-score
OE missense 0.88 (0.810.97)
333 obs / 376.4 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios?
LoF OE?0.59 (0.420.86)
00.351.4
Missense OE?0.88 (0.810.97)
00.61.4
Synonymous OE?0.95
01.21.6
LoF obs/exp: 20 / 33.8Missense obs/exp: 333 / 376.4Syn Z: 0.43
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveGLB1-related GM1-gangliosidosis, type 3LOFAR

This gene — mechanism propensity

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

DN
0.6744th %ile
GOF
0.6053th %ile
LOF
0.2287th %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

1336 submitted variants in ClinVar

Classification Summary

Pathogenic128
Likely Pathogenic207
VUS327
Likely Benign529
Benign65
Conflicting55
128
Pathogenic
207
Likely Pathogenic
327
VUS
529
Likely Benign
65
Benign
55
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
82
33
13
0
128
Likely Pathogenic
86
118
3
0
207
VUS
10
292
24
1
327
Likely Benign
0
26
213
290
529
Benign
0
3
57
5
65
Conflicting
55
Total1784723102961,311

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

19 pathogenic / likely-pathogenic (of 26) ClinVar copy-number / structural variants overlap GLB1 — these span large chromosomal regions, not the gene specifically, and are excluded from the counts above. Explore in CNV tools →

Protein Context — Lollipop Plot

GLB1 · protein map & ClinVar variants

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

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

Obesity & Overweight

Supplementation With Sirtuin Activators in Women With Increased Body Weight

RECRUITING
NCT07245979Phase NAPoznan University of Life SciencesStarted 2025-10-08
Sirtuin activatorsPlacebo
Lactose IntoleranceLactose IntolerantLactase Persistence

Milk for Diabetes Prevention

RECRUITING
NCT06513026Phase NAAlbert Einstein College of MedicineStarted 2026-05-15
Lactose-Containing MilkLactose-Free Milk
Lysosomal DiseasesGangliosidosisGM1

A Phase 1/2 Study of Intravenous Gene Transfer With an AAV9 Vector Expressing Human Beta-galactosidase in Type I and Type II GM1 Gangliosidosis

RECRUITING
NCT03952637Phase PHASE1, PHASE2National Human Genome Research Institute (NHGRI)Started 2019-08-19
AAV9-GLB1Abdominal ultrasoundRituximab
HIV InfectionsAlcohol DrinkingAging

Precision Microbiota Interventions for Senoreduction Trial

NOT YET RECRUITING
NCT07462767Phase PHASE1, PHASE2Louisiana State University Health Sciences Center in New OrleansStarted 2026-04-01
Limosilactobacillus reuteriBlueberry extract
GM1 GangliosidosesGM1 Gangliosidosis, Type IGM1 Gangliosidosis, Type 2

Prenatal Intravenous Gene Transfer With an AAV9 Vector Expressing Human Beta-galactosidase in Type I and Type II GM1 Gangliosidosis Clinical Trial

NOT YET RECRUITING
NCT07479953Phase PHASE1Tippi MackenzieStarted 2026-06-01
Gene Transfer with an AAV9 Vector Expressing Human ß-galactosidase
GM1 GangliosidosisGM1 Gangliosidosis, Type IGM1 Gangliosidosis, Type 2

Study of Safety, Tolerability and Efficacy of PBGM01 in Pediatric Participants With GM1 Gangliosidosis

ACTIVE NOT RECRUITING
NCT04713475Phase PHASE1, PHASE2Gemma BiotherapeuticsStarted 2021-03-17
PBGM01