HADHA

Chr 2AR

hydroxyacyl-CoA dehydrogenase trifunctional multienzyme complex subunit alpha

Also known as: ECHA, GBP, LCEH, LCHAD, MLCL AT, MTPA, TP-ALPHA

The protein catalyzes 3-hydroxyacyl-CoA dehydrogenase and enoyl-CoA hydratase activities as the alpha subunit of mitochondrial trifunctional protein, which performs the last three steps of beta-oxidation of long chain fatty acids. Autosomal recessive mutations cause LCHAD deficiency or mitochondrial trifunctional protein deficiency through loss of function. Maternal carriers may develop acute fatty liver of pregnancy or HELLP syndrome.

GeneReviewsOMIMResearchSummary from RefSeq, OMIM, UniProt, Mechanism
LOFmechanismARLOEUF 0.624 OMIM phenotypes
Clinical SummaryHADHA
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Gene-Disease Validity (ClinGen)
long chain 3-hydroxyacyl-CoA dehydrogenase deficiency · 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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ClinVar Variants
86 unique Pathogenic / Likely Pathogenic· 138 VUS of 500 total submissions
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GeneReview available — HADHA
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
0.62LOEUF
pLI 0.000
Z-score 3.43
OE 0.41 (0.280.62)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.82Z-score
OE missense 0.88 (0.810.97)
355 obs / 401.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.41 (0.280.62)
00.351.4
Missense OE0.88 (0.810.97)
00.61.4
Synonymous OE1.06
01.21.6
LoF obs/exp: 16 / 39.1Missense obs/exp: 355 / 401.3Syn Z: -0.58
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitiveHADHA-related long chain 3-hydroxyacyl-CoA dehydrogenase deficiencyLOFAR

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

DN
0.7325th %ile
GOF
0.5758th %ile
LOF
0.3067th %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

500 submitted variants in ClinVar

Classification Summary

Pathogenic37
Likely Pathogenic49
VUS138
Likely Benign252
Benign2
Conflicting2
37
Pathogenic
49
Likely Pathogenic
138
VUS
252
Likely Benign
2
Benign
2
Conflicting

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
29
0
8
0
37
Likely Pathogenic
43
4
2
0
49
VUS
1
115
13
9
138
Likely Benign
0
2
140
110
252
Benign
0
0
2
0
2
Conflicting
2
Total73121165119480

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

View in ClinVar →

Protein Context — Lollipop Plot

HADHA · 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.

Search ClinicalTrials.gov →
Clinical Literature
Open Research Assistant →