The protein is proteolytically processed to generate four saposins (A-D) that localize to lysosomes and facilitate the catabolism of glycosphingolipids with short oligosaccharide groups. Mutations cause autosomal recessive lysosomal storage disorders including combined saposin deficiency, metachromatic leukodystrophy due to saposin B deficiency, and atypical forms of Gaucher and Krabbe diseases, as well as autosomal dominant susceptibility to Parkinson disease. The pathogenic mechanism involves impaired glycosphingolipid degradation due to deficient saposin cofactor function.

OMIMResearchSummary from RefSeq, OMIM, UniProt
LOFmechanismAD/ARLOEUF 0.285 OMIM phenotypes
Clinical SummaryPSAP
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Gene-Disease Validity (ClinGen)
metachromatic leukodystrophy due to saposin B deficiency · ARDefinitive

Definitive — sufficient evidence for diagnostic panels

4 total gene-disease associations curated

Population Constraint (gnomAD)
Highly constrained gene — heterozygous loss-of-function variants are very rare in the population (pLI 0.99). One damaged copy is likely sufficient to cause disease.
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Clinical Trials
3 active or recruiting trials — potential therapeutic options may be available
Some data sources returned errors (1)

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Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

LoF intolerant — likely haploinsufficient
LoF Constraint
0.28LOEUF
pLI 0.991
Z-score 4.30
OE 0.11 (0.050.28)
Highly constrained

Highly LoF-intolerant (top ~10% of genes)

Missense Constraint
-0.52Z-score
OE missense 1.09 (0.991.19)
314 obs / 288.9 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.11 (0.050.28)
00.351.4
Missense OE1.09 (0.991.19)
00.61.4
Synonymous OE1.16
01.21.6
LoF obs/exp: 3 / 27.2Missense obs/exp: 314 / 288.9Syn Z: -1.34
Curated Mechanism (G2P)Gene2Phenotype (DDG2P) ↗
definitivePSAP-related atypical Krabbe diseaseLOFAR

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

DN
0.5476th %ile
GOF
0.6737th %ile
LOF
0.4726th %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. Mechanism ranking also informed by gnomAD constraint, ClinVar, and ClinGen data.

ClinVar Variant Classifications

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

PSAP · 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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