LIAS

Chr 4AR

lipoic acid synthetase

Also known as: HGCLAS, HUSSY-01, LAS, LIP1, LS, PDHLD

The protein encoded by this gene belongs to the biotin and lipoic acid synthetases family. Localized in the mitochondrion, this iron-sulfur enzyme catalyzes the final step in the de novo pathway for the biosynthesis of lipoic acid, a potent antioxidant. The deficient expression of this enzyme has been linked to conditions such as diabetes, atherosclerosis and neonatal-onset epilepsy. Alternative splicing occurs at this locus, and several transcript variants encoding distinct isoforms have been identified. [provided by RefSeq, Aug 2020]

Primary Disease Associations & Inheritance

Hyperglycinemia, lactic acidosis, and seizuresMIM #614462
AR
0
Active trials
0
Pathogenic / LP
0
ClinVar variants
84
Pubs (1 yr)
1.3
Missense Z
0.84
LOEUF
Clinical SummaryLIAS
🧬
Gene-Disease Validity (ClinGen)
Leigh syndrome · ARLimited

Limited evidence — not for standalone diagnostic reporting

2 total gene-disease associations curated

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
0.84LOEUF
pLI 0.000
Z-score 2.11
OE 0.51 (0.320.84)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
1.25Z-score
OE missense 0.75 (0.660.86)
153 obs / 203.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.51 (0.320.84)
00.351.4
Missense OE0.75 (0.660.86)
00.61.4
Synonymous OE0.91
01.21.6
LoF obs/exp: 11 / 21.6Missense obs/exp: 153 / 203.3Syn Z: 0.62
DN
DN
0.75top 25%
GOF
0.4974th %ile
LOF
0.3648th %ile

The highest-scoring mechanism for this gene is dominant-negative.

DNprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

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

ClinVar Variant Classifications

0 submitted variants in ClinVar

LIAS · protein map & ClinVar variants

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

Gene2Phenotype Curations

LIAS-related neonatal-onset epilepsy, defective mitochondrial energy metabolism and glycine elevation

strong
ARUndeterminedAltered Gene Product Structure
Dev. Disorders
G2P ↗
missense variantinframe deletioninframe insertion

Gene2Phenotype curations · DECIPHER consortium patient cohort (public variants) · deciphergenomics.org

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

Search ClinicalTrials.gov →
Clinical Literature
Landmark / reviewRecent case evidence
Full-Text Mentions
NLP-detected gene mentions in article bodies · via PubTator3
PubTator3
Top 5 full-text resultsSearch PubTator3 ↗