LIPE

Chr 19AR

lipase E, hormone sensitive type

Also known as: AOMS4, FPLD6, HSL, LHS, REH

This gene encodes hormone-sensitive lipase, which hydrolyzes triglycerides to free fatty acids in adipose tissue and converts cholesteryl esters to free cholesterol for steroid hormone production in steroidogenic tissues. Mutations cause familial partial lipodystrophy type 6, inherited in an autosomal recessive pattern. The gene is not highly constrained against loss-of-function variants.

OMIMResearchSummary from RefSeq, OMIM, UniProt
DNmechanismARLOEUF 0.851 OMIM phenotype
Clinical SummaryLIPE
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Gene-Disease Validity (ClinGen)
LIPE-related familial partial lipodystrophy · 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
0.85LOEUF
pLI 0.000
Z-score 2.30
OE 0.61 (0.440.85)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.95Z-score
OE missense 0.89 (0.830.96)
582 obs / 650.3 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.61 (0.440.85)
00.351.4
Missense OE0.89 (0.830.96)
00.61.4
Synonymous OE0.99
01.21.6
LoF obs/exp: 24 / 39.7Missense obs/exp: 582 / 650.3Syn Z: 0.12
DN
0.6357th %ile
GOF
0.6051th %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

Protein Context — Lollipop Plot

LIPE · 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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