ST6GALNAC5

Chr 1

ST6 N-acetylgalactosaminide alpha-2,6-sialyltransferase 5

Also known as: SIAT7-E, SIAT7E, ST6GalNAcV

The encoded sialyltransferase catalyzes the biosynthesis of ganglioside GD1alpha from GM1b in the brain by transferring sialic acid to specific glycan structures, with GD1alpha serving as a critical molecule for neuronal cell communication and interactions. Mutations cause autosomal recessive early-onset epileptic encephalopathy and developmental delay, with seizures typically beginning in infancy. The gene shows moderate constraint against loss-of-function variants (LOEUF 0.612), reflecting its importance in normal brain development and function.

Summary from RefSeq, UniProt
Research Assistant →
1
Active trials
5
Pubs (1 yr)
19
P/LP submissions
0%
P/LP missense
0.61
LOEUF
Mechanism
Clinical SummaryST6GALNAC5
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.27) despite low pLI — interpret in context.
📋
ClinVar Variants
19 unique Pathogenic / Likely Pathogenic· 62 VUS of 88 total submissions
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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
0.61LOEUF
pLI 0.170
Z-score 2.62
OE 0.27 (0.130.61)
Tolerant

Typical tolerance to LoF variation

Missense Constraint
0.54Z-score
OE missense 0.89 (0.791.01)
185 obs / 206.9 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.27 (0.130.61)
00.351.4
Missense OE0.89 (0.791.01)
00.61.4
Synonymous OE1.08
01.21.6
LoF obs/exp: 4 / 15.0Missense obs/exp: 185 / 206.9Syn Z: -0.55

ClinVar Variant Classifications

88 submitted variants in ClinVar

Classification Summary

Pathogenic17
Likely Pathogenic2
VUS62
Benign2
17
Pathogenic
2
Likely Pathogenic
62
VUS
2
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
1
0
16
0
17
Likely Pathogenic
0
0
2
0
2
VUS
1
54
7
0
62
Likely Benign
0
0
0
0
0
Benign
0
0
1
1
2
Total25426183

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

View in ClinVar →

Protein Context — Lollipop Plot

ST6GALNAC5 · protein map & ClinVar variants

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

Clinical Literature
Open Research Assistant →
Recent Gene-Specific Literature
Gene in title · MEDLINE · newest first
Europe PMC