nih-gov/www.ncbi.nlm.nih.gov/omim/116840

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- *116840 - CATHEPSIN D; CTSD
- OMIM
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<span class="h4">*116840</span>
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<strong>Table of Contents</strong>
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<li role="presentation">
<a href="#title"><strong>Title</strong></a>
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<li role="presentation">
<a href="#geneMap"><strong>Gene-Phenotype Relationships</strong></a>
</li>
<li role="presentation">
<a href="#text"><strong>Text</strong></a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#description">Description</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#cloning">Cloning and Expression</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#mapping">Mapping</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#geneFunction">Gene Function</a>
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<li role="presentation" style="margin-left: 1em">
<a href="#molecularGenetics">Molecular Genetics</a>
</li>
<li role="presentation" style="margin-left: 1em">
<a href="#animalModel">Animal Model</a>
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<li role="presentation">
<a href="#allelicVariants"><strong>Allelic Variants</strong></a>
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<a href="/allelicVariants/116840">Table View</a>
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<a href="#references"><strong>References</strong></a>
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<a href="#contributors"><strong>Contributors</strong></a>
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<li role="presentation">
<a href="#creationDate"><strong>Creation Date</strong></a>
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<span id="mimGenomeLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> Genome
</a>
</span>
</span>
</div>
<div id="mimGenomeLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel" aria-labelledby="genome">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ensembl.org/Homo_sapiens/Location/View?db=core;g=ENSG00000117984;t=ENST00000236671" class="mim-tip-hint" title="Genome databases for vertebrates and other eukaryotic species." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/genome/gdv/browser/gene/?id=1509" class="mim-tip-hint" title="Detailed views of the complete genomes of selected organisms from vertebrates to protozoa." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Genome Viewer', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Genome Viewer</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&hgFind=omimGeneAcc&position=116840" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">UCSC Genome Browser</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimDna">
<span class="panel-title">
<span class="small">
<a href="#mimDnaLinksFold" id="mimDnaLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimDnaLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> DNA
</a>
</span>
</span>
</div>
<div id="mimDnaLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ensembl.org/Homo_sapiens/Transcript/Sequence_cDNA?db=core;g=ENSG00000117984;t=ENST00000236671" class="mim-tip-hint" title="Transcript-based views for coding and noncoding DNA." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl (MANE Select)</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/nuccore/NM_001909" class="mim-tip-hint" title="A collection of genome, gene, and transcript sequence data from several sources, including GenBank, RefSeq." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI RefSeq', 'domain': 'ncbi.nlm.nih'})">NCBI RefSeq</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/nuccore/NM_001909" class="mim-tip-hint" title="A collection of genome, gene, and transcript sequence data from several sources, including GenBank, RefSeq." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI RefSeq (MANE)', 'domain': 'ncbi.nlm.nih'})">NCBI RefSeq (MANE Select)</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&hgFind=omimGeneAcc&position=116840" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">UCSC Genome Browser</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimProtein">
<span class="panel-title">
<span class="small">
<a href="#mimProteinLinksFold" id="mimProteinLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimProteinLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9658;</span> Protein
</a>
</span>
</span>
</div>
<div id="mimProteinLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://hprd.org/summary?hprd_id=00291&isoform_id=00291_1&isoform_name=Isoform_1" class="mim-tip-hint" title="The Human Protein Reference Database; manually extracted and visually depicted information on human proteins." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HPRD', 'domain': 'hprd.org'})">HPRD</a></div>
<div><a href="https://www.proteinatlas.org/search/CTSD" class="mim-tip-hint" title="The Human Protein Atlas contains information for a large majority of all human protein-coding genes regarding the expression and localization of the corresponding proteins based on both RNA and protein data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HumanProteinAtlas', 'domain': 'proteinatlas.org'})">Human Protein Atlas</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/protein/29678,115717,179948,181180,455429,4261568,4261856,4503143,16740920,30582659,48146011,54697170,119622866,119622867,119622868,211947861,957949219,957949222" class="mim-tip-hint" title="NCBI protein data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Protein', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Protein</a></div>
<div><a href="https://www.uniprot.org/uniprotkb/P07339" class="mim-tip-hint" title="Comprehensive protein sequence and functional information, including supporting data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UniProt', 'domain': 'uniprot.org'})">UniProt</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimGeneInfo">
<span class="panel-title">
<span class="small">
<a href="#mimGeneInfoLinksFold" id="mimGeneInfoLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimGeneInfoLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Gene Info</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimGeneInfoLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="http://biogps.org/#goto=genereport&id=1509" class="mim-tip-hint" title="The Gene Portal Hub; customizable portal of gene and protein function information." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'BioGPS', 'domain': 'biogps.org'})">BioGPS</a></div>
<div><a href="https://www.ensembl.org/Homo_sapiens/Gene/Summary?db=core;g=ENSG00000117984;t=ENST00000236671" class="mim-tip-hint" title="Orthologs, paralogs, regulatory regions, and splice variants." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Ensembl', 'domain': 'ensembl.org'})">Ensembl</a></div>
<div><a href="https://www.genecards.org/cgi-bin/carddisp.pl?gene=CTSD" class="mim-tip-hint" title="The Human Genome Compendium; web-based cards integrating automatically mined information on human genes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GeneCards', 'domain': 'genecards.org'})">GeneCards</a></div>
<div><a href="http://amigo.geneontology.org/amigo/search/annotation?q=CTSD" class="mim-tip-hint" title="Terms, defined using controlled vocabulary, representing gene product properties (biologic process, cellular component, molecular function) across species." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GeneOntology', 'domain': 'amigo.geneontology.org'})">Gene Ontology</a></div>
<div><a href="https://www.genome.jp/dbget-bin/www_bget?hsa+1509" class="mim-tip-hint" title="Kyoto Encyclopedia of Genes and Genomes; diagrams of signaling pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'KEGG', 'domain': 'genome.jp'})">KEGG</a></div>
<dd><a href="http://v1.marrvel.org/search/gene/CTSD" class="mim-tip-hint" title="Model organism Aggregated Resources for Rare Variant ExpLoration." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MARRVEL', 'domain': 'marrvel.org'})">MARRVEL</a></dd>
<dd><a href="https://monarchinitiative.org/NCBIGene:1509" class="mim-tip-hint" title="Monarch Initiative." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Monarch', 'domain': 'monarchinitiative.org'})">Monarch</a></dd>
<div><a href="https://www.ncbi.nlm.nih.gov/gene/1509" class="mim-tip-hint" title="Gene-specific map, sequence, expression, structure, function, citation, and homology data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Gene', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Gene</a></div>
<div><a href="https://genome.ucsc.edu/cgi-bin/hgGene?db=hg38&hgg_chrom=chr11&hgg_gene=ENST00000636615.1&hgg_start=1752755&hgg_end=1763927&hgg_type=knownGene" class="mim-tip-hint" title="UCSC Genome Bioinformatics; gene-specific structure and function information with links to other databases." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC', 'domain': 'genome.ucsc.edu'})">UCSC</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimClinicalResources">
<span class="panel-title">
<span class="small">
<a href="#mimClinicalResourcesLinksFold" id="mimClinicalResourcesLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimClinicalResourcesLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Clinical Resources</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimClinicalResourcesLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel" aria-labelledby="clinicalResources">
<div class="panel-body small mim-panel-body">
<div><a href="https://search.clinicalgenome.org/kb/genes/HGNC:2529" class="mim-tip-hint" title="A ClinGen curated resource of ratings for the strength of evidence supporting or refuting the clinical validity of the claim(s) that variation in a particular gene causes disease." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinGen Validity', 'domain': 'search.clinicalgenome.org'})">ClinGen Validity</a></div>
<div><a href="https://medlineplus.gov/genetics/gene/ctsd" class="mim-tip-hint" title="Consumer-friendly information about the effects of genetic variation on human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MedlinePlus Genetics', 'domain': 'medlineplus.gov'})">MedlinePlus Genetics</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/gtr/all/tests/?term=116840[mim]" class="mim-tip-hint" title="Genetic Testing Registry." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GTR', 'domain': 'ncbi.nlm.nih.gov'})">GTR</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimVariation">
<span class="panel-title">
<span class="small">
<a href="#mimVariationLinksFold" id="mimVariationLinksToggle" class=" mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<span id="mimVariationLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5">&#9660;</span> Variation
</a>
</span>
</span>
</div>
<div id="mimVariationLinksFold" class="panel-collapse collapse in mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.ncbi.nlm.nih.gov/clinvar?term=116840[MIM]" class="mim-tip-hint" title="ClinVar aggregates information about sequence variation and its relationship to human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">ClinVar</a></div>
<div><a href="https://gnomad.broadinstitute.org/gene/ENSG00000117984" class="mim-tip-hint" title="The Genome Aggregation Database (gnomAD), Broad Institute." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'gnomAD', 'domain': 'gnomad.broadinstitute.org'})">gnomAD</a></div>
<div><a href="https://www.ebi.ac.uk/gwas/search?query=CTSD" class="mim-tip-hint" title="GWAS Catalog; NHGRI-EBI Catalog of published genome-wide association studies." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GWAS Catalog', 'domain': 'gwascatalog.org'})">GWAS Catalog&nbsp;</a></div>
<div><a href="https://www.gwascentral.org/search?q=CTSD" class="mim-tip-hint" title="GWAS Central; summary level genotype-to-phenotype information from genetic association studies." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'GWAS Central', 'domain': 'gwascentral.org'})">GWAS Central&nbsp;</a></div>
<div><a href="http://www.hgmd.cf.ac.uk/ac/gene.php?gene=CTSD" class="mim-tip-hint" title="Human Gene Mutation Database; published mutations causing or associated with human inherited disease; disease-associated/functional polymorphisms." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HGMD', 'domain': 'hgmd.cf.ac.uk'})">HGMD</a></div>
<div><a href="https://evs.gs.washington.edu/EVS/PopStatsServlet?searchBy=Gene+Hugo&target=CTSD&upstreamSize=0&downstreamSize=0&x=0&y=0" class="mim-tip-hint" title="National Heart, Lung, and Blood Institute Exome Variant Server." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NHLBI EVS', 'domain': 'evs.gs.washington.edu'})">NHLBI EVS</a></div>
<div><a href="https://www.pharmgkb.org/gene/PA27029" class="mim-tip-hint" title="Pharmacogenomics Knowledge Base; curated and annotated information regarding the effects of human genetic variations on drug response." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PharmGKB', 'domain': 'pharmgkb.org'})">PharmGKB</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimAnimalModels">
<span class="panel-title">
<span class="small">
<a href="#mimAnimalModelsLinksFold" id="mimAnimalModelsLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimAnimalModelsLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Animal Models</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimAnimalModelsLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.alliancegenome.org/gene/HGNC:2529" class="mim-tip-hint" title="Search Across Species; explore model organism and human comparative genomics." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'Alliance Genome', 'domain': 'alliancegenome.org'})">Alliance Genome</a></div>
<div><a href="https://flybase.org/reports/FBgn0029093.html" class="mim-tip-hint" title="A Database of Drosophila Genes and Genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'FlyBase', 'domain': 'flybase.org'})">FlyBase</a></div>
<div><a href="https://www.mousephenotype.org/data/genes/MGI:88562" class="mim-tip-hint" title="International Mouse Phenotyping Consortium." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'IMPC', 'domain': 'knockoutmouse.org'})">IMPC</a></div>
<div><a href="http://v1.marrvel.org/search/gene/CTSD#HomologGenesPanel" class="mim-tip-hint" title="Model organism Aggregated Resources for Rare Variant ExpLoration." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MARRVEL', 'domain': 'marrvel.org'})">MARRVEL</a></div>
<div><a href="http://www.informatics.jax.org/marker/MGI:88562" class="mim-tip-hint" title="Mouse Genome Informatics; international database resource for the laboratory mouse, including integrated genetic, genomic, and biological data." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MGI Mouse Gene', 'domain': 'informatics.jax.org'})">MGI Mouse Gene</a></div>
<div><a href="https://www.mmrrc.org/catalog/StrainCatalogSearchForm.php?search_query=" class="mim-tip-hint" title="Mutant Mouse Resource & Research Centers." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'MMRRC', 'domain': 'mmrrc.org'})">MMRRC</a></div>
<div><a href="https://www.ncbi.nlm.nih.gov/gene/1509/ortholog/" class="mim-tip-hint" title="Orthologous genes at NCBI." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'NCBI Orthologs', 'domain': 'ncbi.nlm.nih.gov'})">NCBI Orthologs</a></div>
<div><a href="https://omia.org/OMIA001505/" class="mim-tip-hint" title="Online Mendelian Inheritance in Animals (OMIA) is a database of genes, inherited disorders and traits in 191 animal species (other than human and mouse.)" target="_blank">OMIA</a></div>
<div><a href="https://www.orthodb.org/?ncbi=1509" class="mim-tip-hint" title="Hierarchical catalogue of orthologs." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'OrthoDB', 'domain': 'orthodb.org'})">OrthoDB</a></div>
<div><a href="https://wormbase.org/db/gene/gene?name=WBGene00000217;class=Gene" class="mim-tip-hint" title="Database of the biology and genome of Caenorhabditis elegans and related nematodes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name'{'name': 'Wormbase Gene', 'domain': 'wormbase.org'})">Wormbase Gene</a></div>
<div><a href="https://zfin.org/ZDB-GENE-010131-8" class="mim-tip-hint" title="The Zebrafish Model Organism Database." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ZFin', 'domain': 'zfin.org'})">ZFin</a></div>
</div>
</div>
</div>
<div class="panel panel-default" style="margin-top: 0px; border-radius: 0px">
<div class="panel-heading mim-panel-heading" role="tab" id="mimCellularPathways">
<span class="panel-title">
<span class="small">
<a href="#mimCellularPathwaysLinksFold" id="mimCellularPathwaysLinksToggle" class="collapsed mimSingletonTriangleToggle" role="button" data-toggle="collapse" data-parent="#mimExternalLinksAccordion">
<div style="display: table-row">
<div id="mimCellularPathwaysLinksToggleTriangle" class="small mimSingletonTriangle" style="color: #337CB5; display: table-cell;">&#9658;</div>
&nbsp;
<div style="display: table-cell;">Cellular Pathways</div>
</div>
</a>
</span>
</span>
</div>
<div id="mimCellularPathwaysLinksFold" class="panel-collapse collapse mimLinksFold" role="tabpanel">
<div class="panel-body small mim-panel-body">
<div><a href="https://www.genome.jp/dbget-bin/get_linkdb?-t+pathway+hsa:1509" class="mim-tip-hint" title="Kyoto Encyclopedia of Genes and Genomes; diagrams of signaling pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'KEGG', 'domain': 'genome.jp'})">KEGG</a></div>
<div><a href="https://reactome.org/content/query?q=CTSD&species=Homo+sapiens&types=Reaction&types=Pathway&cluster=true" class="definition" title="Protein-specific information in the context of relevant cellular pathways." target="_blank" onclick="gtag('event', 'mim_outbound', {{'name': 'Reactome', 'domain': 'reactome.org'}})">Reactome</a></div>
</div>
</div>
</div>
</div>
</div>
</div>
<span>
<span class="mim-tip-bottom" qtip_title="<strong>Looking for this gene or this phenotype in other resources?</strong>" qtip_text="Select a related resource from the dropdown menu and click for a targeted link to information directly relevant.">
&nbsp;
</span>
</span>
</div>
<div class="col-lg-8 col-lg-pull-2 col-md-8 col-md-pull-2 col-sm-8 col-sm-pull-2 col-xs-12">
<div>
<a id="title" class="mim-anchor"></a>
<div>
<a id="number" class="mim-anchor"></a>
<div class="text-right">
<a href="#" class="mim-tip-icd" qtip_title="<strong>ICD+</strong>" qtip_text="
<strong>SNOMEDCT:</strong> 720830009<br />
">ICD+</a>
</div>
<div>
<span class="h3">
<span class="mim-font mim-tip-hint" title="Gene description">
<span class="text-danger"><strong>*</strong></span>
116840
</span>
</span>
</div>
</div>
<div>
<a id="preferredTitle" class="mim-anchor"></a>
<h3>
<span class="mim-font">
CATHEPSIN D; CTSD
</span>
</h3>
</div>
<div>
<br />
</div>
</div>
<div>
<a id="approvedGeneSymbols" class="mim-anchor"></a>
<p>
<span class="mim-text-font">
<strong><em>HGNC Approved Gene Symbol: <a href="https://www.genenames.org/tools/search/#!/genes?query=CTSD" class="mim-tip-hint" title="HUGO Gene Nomenclature Committee." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'HGNC', 'domain': 'genenames.org'})">CTSD</a></em></strong>
</span>
</p>
</div>
<div>
<a id="cytogeneticLocation" class="mim-anchor"></a>
<p>
<span class="mim-text-font">
<strong>
<em>
Cytogenetic location: <a href="/geneMap/11/63?start=-3&limit=10&highlight=63">11p15.5</a>
&nbsp;
Genomic coordinates <span class="small">(GRCh38)</span> : <a href="https://genome.ucsc.edu/cgi-bin/hgTracks?db=hg38&position=chr11:1752755-1763927&dgv=pack&knownGene=pack&omimGene=pack" class="mim-tip-hint" title="UCSC Genome Browser; reference sequences and working draft assemblies for a large collection of genomes." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'UCSC Genome Browser', 'domain': 'genome.ucsc.edu'})">11:1,752,755-1,763,927</a> </span>
</em>
</strong>
<a href="https://www.ncbi.nlm.nih.gov/" target="_blank" class="small"> (from NCBI) </a>
</span>
</p>
</div>
<div>
<br />
</div>
<div>
<a id="geneMap" class="mim-anchor"></a>
<div style="margin-bottom: 10px;">
<span class="h4 mim-font">
<strong>Gene-Phenotype Relationships</strong>
</span>
</div>
<div>
<table class="table table-bordered table-condensed table-hover small mim-table-padding">
<thead>
<tr class="active">
<th>
Location
</th>
<th>
Phenotype
</th>
<th>
Phenotype <br /> MIM number
</th>
<th>
Inheritance
</th>
<th>
Phenotype <br /> mapping key
</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="1">
<span class="mim-font">
<a href="/geneMap/11/63?start=-3&limit=10&highlight=63">
11p15.5
</a>
</span>
</td>
<td>
<span class="mim-font">
Ceroid lipofuscinosis, neuronal, 10
</span>
</td>
<td>
<span class="mim-font">
<a href="/entry/610127"> 610127 </a>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="Autosomal recessive">AR</abbr>
</span>
</td>
<td>
<span class="mim-font">
<abbr class="mim-tip-hint" title="3 - The molecular basis of the disorder is known">3</abbr>
</span>
</td>
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<strong>Description</strong>
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<p>Cathepsin D (<a href="https://enzyme.expasy.org/EC/3.4.23.5" target="_blank" onclick="gtag(\'event\', \'mim_outbound\', {\'name\': \'EC\', \'domain\': \'expasy.org\'})">EC 3.4.23.5</a>) is one of the lysosomal proteinases. It is ubiquitously expressed and is involved in proteolytic degradation, cell invasion, and apoptosis (<a href="#9" class="mim-tip-reference" title="Steinfeld, R., Reinhardt, K., Schreiber, K., Hillebrand, M., Kraetzner, R., Bruck, W., Saftig, P., Gartner, J. &lt;strong&gt;Cathepsin D deficiency is associated with a human neurodegenerative disorder.&lt;/strong&gt; Am. J. Hum. Genet. 78: 988-998, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16685649/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16685649&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=16685649[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1086/504159&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16685649">Steinfeld et al., 2006</a>). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16685649" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>Cloning and Expression</strong>
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<p><a href="#2" class="mim-tip-reference" title="Faust, P. L., Kornfeld, S., Chirgwin, J. M. &lt;strong&gt;Cloning and sequence analysis of cDNA for human cathepsin D.&lt;/strong&gt; Proc. Nat. Acad. Sci. 82: 4910-4914, 1985.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/3927292/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;3927292&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1073/pnas.82.15.4910&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="3927292">Faust et al. (1985)</a> cloned human cathepsin D from a kidney cDNA library. The cDNA encodes a 412-amino acid protein with 20 and 44 amino acids in a pre- and prosegment, respectively. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=3927292" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="mapping" class="mim-anchor"></a>
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<strong>Mapping</strong>
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<p>By study of somatic cell hybrids, <a href="#3" class="mim-tip-reference" title="Hasilik, A., von Figura, K., Grzeschik, K.-H. &lt;strong&gt;Assignment of a gene for human cathepsin D to chromosome 11. (Abstract)&lt;/strong&gt; Cytogenet. Cell Genet. 32: 284 only, 1982."None>Hasilik et al. (1982)</a> assigned the structural gene for cathepsin D to chromosome 11 and specifically to the region 11pter-11q12. By somatic cell hybrid deletion mapping and in situ hybridization, <a href="#7" class="mim-tip-reference" title="Qin, S., Nakai, H., Byers, M. G., Eddy, R. L., Haley, L. L., Henry, W. M., Wang, X., Watkins, P. C., Chirgwin, J. M., Shows, T. B. &lt;strong&gt;Mapping FSHB, CAT, and CTSD to specific sites on 11p. (Abstract)&lt;/strong&gt; Cytogenet. Cell Genet. 46: 678 only, 1987."None>Qin et al. (1987)</a> mapped CTSD to 11p15. <a href="#4" class="mim-tip-reference" title="Henry, I., Puech, A., Antignac, C., Couillin, P., Jeanpierre, M., Ahnine, L., Barichard, F., Boehm, T., Augereau, P., Scrable, H., Rabbitts, T. H., Rochefort, H., Cavenee, W., Junien, C. &lt;strong&gt;Subregional mapping of BWS, CTSD, MYOD1, and a T-ALL breakpoint in 11p15. (Abstract)&lt;/strong&gt; Cytogenet. Cell Genet. 51: 1013 only, 1989."None>Henry et al. (1989)</a> likewise mapped CTSD to 11p15 using somatic cell hybrids with specific deletions. CTSD mapped distal to a breakpoint at 11p15.4.</p>
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<p>Proteolytic maturation of cathepsin D takes place during its transport from the trans-Golgi network (TGN) to lysosomes. <a href="#6" class="mim-tip-reference" title="Mardones, G. A., Burgos, P. V., Brooks, D. A., Parkinson-Lawrence, E., Mattera, R., Bonifacino, J. S. &lt;strong&gt;The trans-Golgi network accessory protein p56 promotes long-range movement of GGA/clathrin-containing transport carriers and lysosomal enzyme sorting.&lt;/strong&gt; Molec. Biol. Cell 18: 3486-3501, 2007.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/17596511/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;17596511&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=17596511[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1091/mbc.e07-02-0190&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="17596511">Mardones et al. (2007)</a> found that a protein complex made up of p56 (CCDC91; <a href="/entry/617366">617366</a>) and the clathrin adaptors GGA1 (<a href="/entry/606004">606004</a>), GGA2 (<a href="/entry/606005">606005</a>), and GGA3 (<a href="/entry/606006">606006</a>) participated in clathrin (see <a href="/entry/118955">118955</a>)-dependent movement of transport carrier vesicles between the TGN and lysosomes. Knockdown of any of these components inhibited maturation of cathepsin D from the pro-form, through an intermediate, to the mature enzyme, with knockdown of clathrin having the most dramatic effect. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17596511" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In a mouse model of neuronopathic Gaucher disease (<a href="/entry/230900">230900</a>) in which glucocerebrosidase deficiency is limited to neural and glial progenitor cells, <a href="#11" class="mim-tip-reference" title="Vitner, E. B., Dekel, H., Zigdon, H., Shachar, T., Farfel-Becker, T., Eilam, R., Karlsson, S., Futerman, A. H. &lt;strong&gt;Altered expression and distribution of cathepsins in neuronopathic forms of Gaucher disease and in other sphingolipidoses.&lt;/strong&gt; Hum. Molec. Genet. 19: 3583-3590, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20616152/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20616152&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/ddq273&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20616152">Vitner et al. (2010)</a> showed significant changes in the levels and distribution of cathepsins in brain. Cathepsin mRNA expression, activity, and protein levels were significantly elevated, with the time course of the increase correlating with the progression of disease severity. Significant changes in cathepsin D distribution in the brain were detected, with cathepsin D elevated in areas where neuronal loss, astrogliosis, and microgliosis were observed. Cathepsin D elevation was greatest in microglia and astrocytes, and also in neurons in a manner consistent with its release from the lysosome to the cytosol. Ibubrofen treatment significantly reduced cathepsin D mRNA levels in the cortex of these mice, and cathepsin levels were also altered in mouse models of other sphingolipidoses. <a href="#11" class="mim-tip-reference" title="Vitner, E. B., Dekel, H., Zigdon, H., Shachar, T., Farfel-Becker, T., Eilam, R., Karlsson, S., Futerman, A. H. &lt;strong&gt;Altered expression and distribution of cathepsins in neuronopathic forms of Gaucher disease and in other sphingolipidoses.&lt;/strong&gt; Hum. Molec. Genet. 19: 3583-3590, 2010.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/20616152/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;20616152&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/hmg/ddq273&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="20616152">Vitner et al. (2010)</a> suggested the involvement of cathepsins in the neuropathology of neuronal forms of Gaucher disease and of other lysosomal storage diseases, and hypothesized a crucial role for reactive microglia in neuronal degeneration in these diseases. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20616152" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>Using purified recombinant human HEBP1 (<a href="/entry/605826">605826</a>), <a href="#1" class="mim-tip-reference" title="Devosse, T., Dutoit, R., Migeotte, I., De Nadai, P., Imbault, V., Communi, D., Salmon, I., Parmentier, M. &lt;strong&gt;Processing of HEBP1 by cathepsin D gives rise to F2L, the agonist of formyl peptide receptor 3.&lt;/strong&gt; J. Immun. 187: 1475-1485, 2011.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/21709160/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;21709160&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.4049/jimmunol.1003545&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="21709160">Devosse et al. (2011)</a> found that CTSD cleaved HEBP1 to produce the functional F2L peptide. Microarray analysis of human tissues showed that CTSD and HEBP1 were highly coexpressed in human liver, kidney, and spleen, consistent with a role of CTSD in HEBP1 processing in vivo. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21709160" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p>In mice and sheep, cathepsin D deficiency causes a fatal neurodegenerative disease. <a href="#9" class="mim-tip-reference" title="Steinfeld, R., Reinhardt, K., Schreiber, K., Hillebrand, M., Kraetzner, R., Bruck, W., Saftig, P., Gartner, J. &lt;strong&gt;Cathepsin D deficiency is associated with a human neurodegenerative disorder.&lt;/strong&gt; Am. J. Hum. Genet. 78: 988-998, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16685649/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16685649&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=16685649[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1086/504159&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16685649">Steinfeld et al. (2006)</a> reported a novel disorder in a child with early blindness and progressive psychomotor disability (CLN10; <a href="/entry/610127">610127</a>) who was compound heterozygous for missense mutations in the CTSD gene (F229I, <a href="#0001">116840.0001</a> and W383C, <a href="#0002">116840.0002</a>). The mutations caused markedly reduced proteolytic activity and a diminished amount of cathepsin D in the patient's fibroblasts. Expression of cathepsin D mutants in fibroblasts of Ctsd -/- mice revealed disturbed posttranslational processing and intracellular targeting for W383C and diminished maximal enzyme velocity for F229I. Computer modeling suggested larger structural alterations for W383C than for F229I. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16685649" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In a Pakistani infant with severe congenital CLN10, <a href="#8" class="mim-tip-reference" title="Siintola, E., Partanen, S., Stromme, P., Haapanen, A., Haltia, M., Maehlen, J., Lehesjoki, A.-E., Tyynela, J. &lt;strong&gt;Cathepsin D deficiency underlies congenital human neuronal ceroid-lipofuscinosis.&lt;/strong&gt; Brain 129: 1438-1445, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16670177/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16670177&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/brain/awl107&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16670177">Siintola et al. (2006)</a> identified a homozygous null mutation (<a href="#0003">116840.0003</a>) in the CTSD gene. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16670177" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p><p>In 4 sibs, born of consanguineous Somali parents, with juvenile-onset CLN10, <a href="#5" class="mim-tip-reference" title="Hersheson, J., Burke, D., Clayton, R., Anderson, G., Jacques, T. S., Mills, P., Wood, N. W., Gissen, P., Clayton, P., Fearnley, J., Mole, S. E., Houlden, H. &lt;strong&gt;Cathepsin D deficiency causes juvenile-onset ataxia and distinctive muscle pathology.&lt;/strong&gt; Neurology 83: 1873-1875, 2014.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/25298308/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;25298308&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1212/WNL.0000000000000981&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="25298308">Hersheson et al. (2014)</a> identified a homozygous missense mutation in the CTSD gene (G149V; <a href="#0004">116840.0004</a>). The mutation, which was found by a combination of homozygosity mapping and exome sequencing, segregated with the disorder in the family. An unrelated Somali boy with a similar disorder carried a different homozygous missense mutation (R399H; <a href="#0005">116840.0005</a>). In both families, patient fibroblasts showed significantly decreased cathepsin D activity (11% of control values). <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=25298308" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<p><a href="#10" class="mim-tip-reference" title="Tyynela, J., Sohar, I., Sleat, D. E., Gin, R. M., Donnelly, R. J., Baumann, M., Haltia, M., Lobel, P. &lt;strong&gt;A mutation in the ovine cathepsin D gene causes a congenital lysosomal storage disease with profound neurodegeneration.&lt;/strong&gt; EMBO J. 19: 2786-2792, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10856224/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10856224&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=10856224[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/emboj/19.12.2786&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10856224">Tyynela et al. (2000)</a> identified a mutation in ovine cathepsin D that accounts for congenital ovine neuronal ceroid lipofuscinosis (CONCL). In this disorder, which is transmitted as an autosomal recessive, newborn lambs are weak, trembling, and unable to rise and support their bodies. However, they are able to vocalize, support their heads, and to suckle if bottle-fed. At autopsy, the brains of affected lambs are strikingly small. The deep layers of the cerebral cortex show pronounced neuronal loss, reactive astrocytosis, and infiltration of macrophages. There is severe degeneration of hippocampal pyramidal neurons. The cerebellum is less affected. The basal ganglia, thalamus, and brainstem are relatively spared. Visceral tissues are unaffected. These animals have normal palmitoyl protein thioesterase activity, indicating that the molecular bases of human infantile neuronal ceroid lipofuscinosis (see <a href="/entry/256730">256730</a>) and CONCL are distinct. As the pathology of CONCL suggested a lysosomal storage disease, <a href="#10" class="mim-tip-reference" title="Tyynela, J., Sohar, I., Sleat, D. E., Gin, R. M., Donnelly, R. J., Baumann, M., Haltia, M., Lobel, P. &lt;strong&gt;A mutation in the ovine cathepsin D gene causes a congenital lysosomal storage disease with profound neurodegeneration.&lt;/strong&gt; EMBO J. 19: 2786-2792, 2000.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/10856224/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;10856224&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=10856224[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/emboj/19.12.2786&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="10856224">Tyynela et al. (2000)</a> measured a range of lysosomal enzyme activities and found strikingly deficient cathepsin D activity, which was about 40% of normal in heterozygous lambs. A G-to-A transition at nucleotide 934 was found in homozygosity in all affected animals. This mutation results in a substitution of an asparagine for aspartate at the codon corresponding to human asp295 of cathepsin D and asp215 of pepsin (see <a href="/entry/169700">169700</a>). This residue is conserved among all aspartyl proteinases and represents 1 of the 2 aspartate residues that are essential for catalytic function of these proteins. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10856224" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>ALLELIC VARIANTS (<a href="/help/faq#1_4"></strong>
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<strong>5 Selected Examples</a>):</strong>
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<a href="/allelicVariants/116840" class="btn btn-default" role="button"> Table View </a>
&nbsp;&nbsp;<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=116840[MIM]" class="btn btn-default mim-tip-hint" role="button" title="ClinVar aggregates information about sequence variation and its relationship to human health." target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">ClinVar</a>
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<strong>.0001&nbsp;CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
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CTSD, PHE229ILE
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs121912789 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs121912789;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs121912789?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs121912789" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs121912789" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000019134" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000019134" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000019134</a>
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<p>In a patient with cathepsin D-deficient neuronal ceroid lipofuscinosis (CLN10; <a href="/entry/610127">610127</a>), <a href="#9" class="mim-tip-reference" title="Steinfeld, R., Reinhardt, K., Schreiber, K., Hillebrand, M., Kraetzner, R., Bruck, W., Saftig, P., Gartner, J. &lt;strong&gt;Cathepsin D deficiency is associated with a human neurodegenerative disorder.&lt;/strong&gt; Am. J. Hum. Genet. 78: 988-998, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16685649/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16685649&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=16685649[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1086/504159&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16685649">Steinfeld et al. (2006)</a> found compound heterozygosity for mutations in the CTSD gene. On the maternal allele, a 6517T-A transversion in exon 5 resulted in a phe229-to-ile (F229I) substitution. The paternal allele carried a 10267G-C transversion in exon 9, resulting in a trp383-to-cys substitution (W383C; <a href="#0002">116840.0002</a>). The F229I substitution in the cathepsin D precursor protein corresponds to F165I in the mature protein. Phe229 belongs to a group of 15 amino acids that are strictly conserved among the members of the pepsin family of peptidases. The W383C substitution in the cathepsin D precursor protein corresponds to W319C in the mature protein. Trp383 is conserved among all 12 human pepsin peptidases and nearly all other mammalian members of this family but is not conserved within pepsin peptidases from more distantly related species. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16685649" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>.0002&nbsp;CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
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CTSD, TRP383CYS
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs121912790 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs121912790;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs121912790" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs121912790" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000019135" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000019135" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000019135</a>
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<p>For discussion of the trp383-to-cys (W383C) mutation in the CTSD gene that was found in compound heterozygous state in a patient with cathepsin D-deficient neuronal ceroid lipofuscinosis (CLN10; <a href="/entry/610127">610127</a>) by <a href="#9" class="mim-tip-reference" title="Steinfeld, R., Reinhardt, K., Schreiber, K., Hillebrand, M., Kraetzner, R., Bruck, W., Saftig, P., Gartner, J. &lt;strong&gt;Cathepsin D deficiency is associated with a human neurodegenerative disorder.&lt;/strong&gt; Am. J. Hum. Genet. 78: 988-998, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16685649/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16685649&lt;/a&gt;, &lt;a href=&quot;https://www.ncbi.nlm.nih.gov/pmc/?term=16685649[PMID]&amp;report=imagesdocsum&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed Image&#x27;, &#x27;domain&#x27;: &#x27;ncbi.nlm.nih.gov&#x27;})&quot;&gt;images&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1086/504159&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16685649">Steinfeld et al. (2006)</a>, see <a href="#0001">116840.0001</a>. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16685649" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<strong>.0003&nbsp;CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
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CTSD, 1-BP DUP, 764A
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs786205105 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs786205105;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs786205105" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs786205105" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000019136" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000019136" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000019136</a>
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<p>In a Pakistani infant with congenital neuronal ceroid lipofuscinosis-10 (CLN10; <a href="/entry/610127">610127</a>), <a href="#8" class="mim-tip-reference" title="Siintola, E., Partanen, S., Stromme, P., Haapanen, A., Haltia, M., Maehlen, J., Lehesjoki, A.-E., Tyynela, J. &lt;strong&gt;Cathepsin D deficiency underlies congenital human neuronal ceroid-lipofuscinosis.&lt;/strong&gt; Brain 129: 1438-1445, 2006.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/16670177/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;16670177&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1093/brain/awl107&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="16670177">Siintola et al. (2006)</a> identified homozygosity for a 1-bp duplication (764dupA) in exon 6 of the CTSD gene, resulting in a premature stop codon (tyr255-to-ter; Y255X), truncation of the protein by 158 amino acids, and deletion of the active site aspartic acid residue at position 295. The mutation was not identified in 550 control chromosomes. In vitro functional expression studies in baby hamster kidney cells showed that the mutant protein had no enzymatic activity. The unaffected father was heterozygous for the mutation; DNA from the mother, who was the first cousin of the father, was not available. There were 2 other affected brothers in the same family, but their DNA was also not available. The 3 boys died at ages 10, 1, and 4 days of age, after demonstrating intractable seizures, spasticity, and apnea immediately after birth. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16670177" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="0004" class="mim-anchor"></a>
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<strong>.0004&nbsp;CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
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CTSD, GLY149VAL
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<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown">rs797045137 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs797045137;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs797045137" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs797045137" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
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<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000190882 OR RCV004700577" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000190882, RCV004700577" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000190882...</a>
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<p>In 4 sibs, born of consanguineous Somali parents, with neuronal ceroid lipofuscinosis-10 (CLN10; <a href="/entry/610127">610127</a>), <a href="#5" class="mim-tip-reference" title="Hersheson, J., Burke, D., Clayton, R., Anderson, G., Jacques, T. S., Mills, P., Wood, N. W., Gissen, P., Clayton, P., Fearnley, J., Mole, S. E., Houlden, H. &lt;strong&gt;Cathepsin D deficiency causes juvenile-onset ataxia and distinctive muscle pathology.&lt;/strong&gt; Neurology 83: 1873-1875, 2014.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/25298308/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;25298308&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1212/WNL.0000000000000981&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="25298308">Hersheson et al. (2014)</a> identified a homozygous mutation in exon 4 of the CTSD gene, resulting in a gly149-to-val (G149V) substitution at a highly conserved residue. The mutation, which was found by a combination of homozygosity mapping and exome sequencing, segregated with the disorder in the family. Patient fibroblasts showed significantly decreased cathepsin D activity (11% of control values). The patients presented at around age 15 years with cerebellar ataxia and retinitis pigmentosa, which progressed to significant motor impairment and cognitive decline. Two patients died in their thirties. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=25298308" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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<a id="0005" class="mim-anchor"></a>
<h4>
<span class="mim-font">
<strong>.0005&nbsp;CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
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CTSD, ARG399HIS
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&nbsp;&nbsp;
<div class="btn-group"> <button type="button" class="btn btn-default btn-xs dropdown-toggle mim-font" data-toggle="dropdown"><span class="text-primary">&#x25cf;</span> rs797045138 <span class="caret"></span></button> <ul class="dropdown-menu"> <li><a href="https://www.ensembl.org/Homo_sapiens/Variation/Summary?v=rs797045138;toggle_HGVS_names=open" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'ensembl.org'})">Ensembl</a></li> <li><a href="https://gnomad.broadinstitute.org/variant/rs797045138?dataset=gnomad_r2_1" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'gnomad.broadinstitute.org'})" style="padding-left: 8px;"><span class="text-primary">&#x25cf;</span> gnomAD</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/snp/?term=rs797045138" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'www.ncbi.nlm.nih.gov'})">NCBI</a></li> <li><a href="https://genome.ucsc.edu/cgi-bin/hgTracks?org=Human&db=hg38&clinvar=pack&omimAvSnp=pack&position=rs797045138" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'dbSNP', 'domain': 'genome.ucsc.edu'})">UCSC</a></li> </ul> </div>
<span class="mim-text-font">
<a href="https://www.ncbi.nlm.nih.gov/clinvar?term=RCV000190883 OR RCV001852537" target="_blank" class="btn btn-default btn-xs mim-tip-hint" title="RCV000190883, RCV001852537" onclick="gtag('event', 'mim_outbound', {'name': 'ClinVar', 'domain': 'ncbi.nlm.nih.gov'})">RCV000190883...</a>
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<span class="mim-text-font">
<p>In a boy, born of consanguineous Somali parents, with neuronal ceroid lipofuscinosis-10 (CLN10; <a href="/entry/610127">610127</a>), <a href="#5" class="mim-tip-reference" title="Hersheson, J., Burke, D., Clayton, R., Anderson, G., Jacques, T. S., Mills, P., Wood, N. W., Gissen, P., Clayton, P., Fearnley, J., Mole, S. E., Houlden, H. &lt;strong&gt;Cathepsin D deficiency causes juvenile-onset ataxia and distinctive muscle pathology.&lt;/strong&gt; Neurology 83: 1873-1875, 2014.[PubMed: &lt;a href=&quot;https://pubmed.ncbi.nlm.nih.gov/25298308/&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;name&#x27;: &#x27;PubMed&#x27;, &#x27;domain&#x27;: &#x27;pubmed.ncbi.nlm.nih.gov&#x27;})&quot;&gt;25298308&lt;/a&gt;] [&lt;a href=&quot;https://doi.org/10.1212/WNL.0000000000000981&quot; target=&quot;_blank&quot; onclick=&quot;gtag(&#x27;event&#x27;, &#x27;mim_outbound&#x27;, {&#x27;destination&#x27;: &#x27;Publisher&#x27;})&quot;&gt;Full Text&lt;/a&gt;]" pmid="25298308">Hersheson et al. (2014)</a> identified a homozygous mutation in exon 9 of the CTSD gene, resulting in an arg399-to-his (R399H) substitution at a highly conserved residue. Patient fibroblasts showed significantly decreased cathepsin D activity (11% of control values). The patient had juvenile onset of the disorder at age 8 years. <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=25298308" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})"><span class="glyphicon glyphicon-plus-sign mim-tip-hint" title="Click this 'reference-plus' icon to see articles related to this paragraph in PubMed."></span></a></p>
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</div>
</div>
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</div>
<div>
<a id="references"class="mim-anchor"></a>
<h4 href="#mimReferencesFold" id="mimReferencesToggle" class="mimTriangleToggle" style="cursor: pointer;" data-toggle="collapse">
<span class="mim-font">
<span id="mimReferencesToggleTriangle" class="small mimTextToggleTriangle">&#9660;</span>
<strong>REFERENCES</strong>
</span>
</h4>
<div>
<p />
</div>
<div id="mimReferencesFold" class="collapse in mimTextToggleFold">
<ol>
<li>
<a id="1" class="mim-anchor"></a>
<a id="Devosse2011" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Devosse, T., Dutoit, R., Migeotte, I., De Nadai, P., Imbault, V., Communi, D., Salmon, I., Parmentier, M.
<strong>Processing of HEBP1 by cathepsin D gives rise to F2L, the agonist of formyl peptide receptor 3.</strong>
J. Immun. 187: 1475-1485, 2011.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/21709160/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">21709160</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=21709160" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.4049/jimmunol.1003545" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="2" class="mim-anchor"></a>
<a id="Faust1985" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Faust, P. L., Kornfeld, S., Chirgwin, J. M.
<strong>Cloning and sequence analysis of cDNA for human cathepsin D.</strong>
Proc. Nat. Acad. Sci. 82: 4910-4914, 1985.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/3927292/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">3927292</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=3927292" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1073/pnas.82.15.4910" target="_blank">Full Text</a>]
</p>
</div>
</li>
<li>
<a id="3" class="mim-anchor"></a>
<a id="Hasilik1982" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Hasilik, A., von Figura, K., Grzeschik, K.-H.
<strong>Assignment of a gene for human cathepsin D to chromosome 11. (Abstract)</strong>
Cytogenet. Cell Genet. 32: 284 only, 1982.
</p>
</div>
</li>
<li>
<a id="4" class="mim-anchor"></a>
<a id="Henry1989" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Henry, I., Puech, A., Antignac, C., Couillin, P., Jeanpierre, M., Ahnine, L., Barichard, F., Boehm, T., Augereau, P., Scrable, H., Rabbitts, T. H., Rochefort, H., Cavenee, W., Junien, C.
<strong>Subregional mapping of BWS, CTSD, MYOD1, and a T-ALL breakpoint in 11p15. (Abstract)</strong>
Cytogenet. Cell Genet. 51: 1013 only, 1989.
</p>
</div>
</li>
<li>
<a id="5" class="mim-anchor"></a>
<a id="Hersheson2014" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Hersheson, J., Burke, D., Clayton, R., Anderson, G., Jacques, T. S., Mills, P., Wood, N. W., Gissen, P., Clayton, P., Fearnley, J., Mole, S. E., Houlden, H.
<strong>Cathepsin D deficiency causes juvenile-onset ataxia and distinctive muscle pathology.</strong>
Neurology 83: 1873-1875, 2014.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/25298308/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">25298308</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=25298308" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1212/WNL.0000000000000981" target="_blank">Full Text</a>]
</p>
</div>
</li>
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<a id="6" class="mim-anchor"></a>
<a id="Mardones2007" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Mardones, G. A., Burgos, P. V., Brooks, D. A., Parkinson-Lawrence, E., Mattera, R., Bonifacino, J. S.
<strong>The trans-Golgi network accessory protein p56 promotes long-range movement of GGA/clathrin-containing transport carriers and lysosomal enzyme sorting.</strong>
Molec. Biol. Cell 18: 3486-3501, 2007.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/17596511/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">17596511</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=17596511[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=17596511" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1091/mbc.e07-02-0190" target="_blank">Full Text</a>]
</p>
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<a id="7" class="mim-anchor"></a>
<a id="Qin1987" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Qin, S., Nakai, H., Byers, M. G., Eddy, R. L., Haley, L. L., Henry, W. M., Wang, X., Watkins, P. C., Chirgwin, J. M., Shows, T. B.
<strong>Mapping FSHB, CAT, and CTSD to specific sites on 11p. (Abstract)</strong>
Cytogenet. Cell Genet. 46: 678 only, 1987.
</p>
</div>
</li>
<li>
<a id="8" class="mim-anchor"></a>
<a id="Siintola2006" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Siintola, E., Partanen, S., Stromme, P., Haapanen, A., Haltia, M., Maehlen, J., Lehesjoki, A.-E., Tyynela, J.
<strong>Cathepsin D deficiency underlies congenital human neuronal ceroid-lipofuscinosis.</strong>
Brain 129: 1438-1445, 2006.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16670177/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16670177</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16670177" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/brain/awl107" target="_blank">Full Text</a>]
</p>
</div>
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<a id="9" class="mim-anchor"></a>
<a id="Steinfeld2006" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Steinfeld, R., Reinhardt, K., Schreiber, K., Hillebrand, M., Kraetzner, R., Bruck, W., Saftig, P., Gartner, J.
<strong>Cathepsin D deficiency is associated with a human neurodegenerative disorder.</strong>
Am. J. Hum. Genet. 78: 988-998, 2006.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/16685649/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">16685649</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=16685649[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=16685649" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1086/504159" target="_blank">Full Text</a>]
</p>
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<a id="10" class="mim-anchor"></a>
<a id="Tyynela2000" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Tyynela, J., Sohar, I., Sleat, D. E., Gin, R. M., Donnelly, R. J., Baumann, M., Haltia, M., Lobel, P.
<strong>A mutation in the ovine cathepsin D gene causes a congenital lysosomal storage disease with profound neurodegeneration.</strong>
EMBO J. 19: 2786-2792, 2000.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/10856224/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">10856224</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/?term=10856224[PMID]&report=imagesdocsum" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Image', 'domain': 'ncbi.nlm.nih.gov'})">images</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=10856224" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/emboj/19.12.2786" target="_blank">Full Text</a>]
</p>
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<a id="11" class="mim-anchor"></a>
<a id="Vitner2010" class="mim-anchor"></a>
<div class="">
<p class="mim-text-font">
Vitner, E. B., Dekel, H., Zigdon, H., Shachar, T., Farfel-Becker, T., Eilam, R., Karlsson, S., Futerman, A. H.
<strong>Altered expression and distribution of cathepsins in neuronopathic forms of Gaucher disease and in other sphingolipidoses.</strong>
Hum. Molec. Genet. 19: 3583-3590, 2010.
[PubMed: <a href="https://pubmed.ncbi.nlm.nih.gov/20616152/" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">20616152</a>, <a href="https://pubmed.ncbi.nlm.nih.gov/?cmd=link&linkname=pubmed_pubmed&from_uid=20616152" target="_blank" onclick="gtag('event', 'mim_outbound', {'name': 'PubMed Related', 'domain': 'pubmed.ncbi.nlm.nih.gov'})">related citations</a>]
[<a href="https://doi.org/10.1093/hmg/ddq273" target="_blank">Full Text</a>]
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<div class="col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
Bao Lige - updated : 10/24/2019
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<div class="col-lg-offset-2 col-md-offset-4 col-sm-offset-4 col-xs-offset-2 col-lg-6 col-md-6 col-sm-6 col-xs-6">
<span class="mim-text-font">
George E. Tiller - updated : 06/22/2017<br>Patricia A. Hartz - updated : 02/23/2017<br>Cassandra L. Kniffin - updated : 9/8/2015<br>Cassandra L. Kniffin - updated : 7/14/2006<br>Victor A. McKusick - updated : 5/15/2006<br>Ada Hamosh - updated : 8/14/2000
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Creation Date:
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Victor A. McKusick : 6/4/1986
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mgross : 10/24/2019
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alopez : 06/22/2017<br>mgross : 02/23/2017<br>carol : 09/16/2015<br>ckniffin : 9/8/2015<br>carol : 5/14/2015<br>mcolton : 5/4/2015<br>wwang : 7/31/2006<br>ckniffin : 7/14/2006<br>joanna : 5/31/2006<br>alopez : 5/17/2006<br>terry : 5/15/2006<br>carol : 3/24/2006<br>alopez : 8/18/2000<br>terry : 8/14/2000<br>supermim : 3/16/1992<br>supermim : 3/20/1990<br>supermim : 3/9/1990<br>ddp : 10/26/1989<br>marie : 3/25/1988<br>carol : 2/26/1988
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<h3>
<span class="mim-font">
<strong>*</strong> 116840
</span>
</h3>
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<h3>
<span class="mim-font">
CATHEPSIN D; CTSD
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<span class="mim-text-font">
<strong><em>HGNC Approved Gene Symbol: CTSD</em></strong>
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<span class="mim-text-font">
<strong>SNOMEDCT:</strong> 720830009; &nbsp;
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<span class="mim-text-font">
<strong>
<em>
Cytogenetic location: 11p15.5
&nbsp;
Genomic coordinates <span class="small">(GRCh38)</span> : 11:1,752,755-1,763,927 </span>
</em>
</strong>
<span class="small">(from NCBI)</span>
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<h4>
<span class="mim-font">
<strong>Gene-Phenotype Relationships</strong>
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<div>
<table class="table table-bordered table-condensed small mim-table-padding">
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<th>
Location
</th>
<th>
Phenotype
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<th>
Phenotype <br /> MIM number
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Inheritance
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Phenotype <br /> mapping key
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<tbody>
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<td rowspan="1">
<span class="mim-font">
11p15.5
</span>
</td>
<td>
<span class="mim-font">
Ceroid lipofuscinosis, neuronal, 10
</span>
</td>
<td>
<span class="mim-font">
610127
</span>
</td>
<td>
<span class="mim-font">
Autosomal recessive
</span>
</td>
<td>
<span class="mim-font">
3
</span>
</td>
</tr>
</tbody>
</table>
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<span class="mim-font">
<strong>TEXT</strong>
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<h4>
<span class="mim-font">
<strong>Description</strong>
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<p>Cathepsin D (EC 3.4.23.5) is one of the lysosomal proteinases. It is ubiquitously expressed and is involved in proteolytic degradation, cell invasion, and apoptosis (Steinfeld et al., 2006). </p>
</span>
<div>
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</div>
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<h4>
<span class="mim-font">
<strong>Cloning and Expression</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Faust et al. (1985) cloned human cathepsin D from a kidney cDNA library. The cDNA encodes a 412-amino acid protein with 20 and 44 amino acids in a pre- and prosegment, respectively. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Mapping</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>By study of somatic cell hybrids, Hasilik et al. (1982) assigned the structural gene for cathepsin D to chromosome 11 and specifically to the region 11pter-11q12. By somatic cell hybrid deletion mapping and in situ hybridization, Qin et al. (1987) mapped CTSD to 11p15. Henry et al. (1989) likewise mapped CTSD to 11p15 using somatic cell hybrids with specific deletions. CTSD mapped distal to a breakpoint at 11p15.4.</p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Gene Function</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Proteolytic maturation of cathepsin D takes place during its transport from the trans-Golgi network (TGN) to lysosomes. Mardones et al. (2007) found that a protein complex made up of p56 (CCDC91; 617366) and the clathrin adaptors GGA1 (606004), GGA2 (606005), and GGA3 (606006) participated in clathrin (see 118955)-dependent movement of transport carrier vesicles between the TGN and lysosomes. Knockdown of any of these components inhibited maturation of cathepsin D from the pro-form, through an intermediate, to the mature enzyme, with knockdown of clathrin having the most dramatic effect. </p><p>In a mouse model of neuronopathic Gaucher disease (230900) in which glucocerebrosidase deficiency is limited to neural and glial progenitor cells, Vitner et al. (2010) showed significant changes in the levels and distribution of cathepsins in brain. Cathepsin mRNA expression, activity, and protein levels were significantly elevated, with the time course of the increase correlating with the progression of disease severity. Significant changes in cathepsin D distribution in the brain were detected, with cathepsin D elevated in areas where neuronal loss, astrogliosis, and microgliosis were observed. Cathepsin D elevation was greatest in microglia and astrocytes, and also in neurons in a manner consistent with its release from the lysosome to the cytosol. Ibubrofen treatment significantly reduced cathepsin D mRNA levels in the cortex of these mice, and cathepsin levels were also altered in mouse models of other sphingolipidoses. Vitner et al. (2010) suggested the involvement of cathepsins in the neuropathology of neuronal forms of Gaucher disease and of other lysosomal storage diseases, and hypothesized a crucial role for reactive microglia in neuronal degeneration in these diseases. </p><p>Using purified recombinant human HEBP1 (605826), Devosse et al. (2011) found that CTSD cleaved HEBP1 to produce the functional F2L peptide. Microarray analysis of human tissues showed that CTSD and HEBP1 were highly coexpressed in human liver, kidney, and spleen, consistent with a role of CTSD in HEBP1 processing in vivo. </p>
</span>
<div>
<br />
</div>
<div>
<h4>
<span class="mim-font">
<strong>Molecular Genetics</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>In mice and sheep, cathepsin D deficiency causes a fatal neurodegenerative disease. Steinfeld et al. (2006) reported a novel disorder in a child with early blindness and progressive psychomotor disability (CLN10; 610127) who was compound heterozygous for missense mutations in the CTSD gene (F229I, 116840.0001 and W383C, 116840.0002). The mutations caused markedly reduced proteolytic activity and a diminished amount of cathepsin D in the patient's fibroblasts. Expression of cathepsin D mutants in fibroblasts of Ctsd -/- mice revealed disturbed posttranslational processing and intracellular targeting for W383C and diminished maximal enzyme velocity for F229I. Computer modeling suggested larger structural alterations for W383C than for F229I. </p><p>In a Pakistani infant with severe congenital CLN10, Siintola et al. (2006) identified a homozygous null mutation (116840.0003) in the CTSD gene. </p><p>In 4 sibs, born of consanguineous Somali parents, with juvenile-onset CLN10, Hersheson et al. (2014) identified a homozygous missense mutation in the CTSD gene (G149V; 116840.0004). The mutation, which was found by a combination of homozygosity mapping and exome sequencing, segregated with the disorder in the family. An unrelated Somali boy with a similar disorder carried a different homozygous missense mutation (R399H; 116840.0005). In both families, patient fibroblasts showed significantly decreased cathepsin D activity (11% of control values). </p>
</span>
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<div>
<h4>
<span class="mim-font">
<strong>Animal Model</strong>
</span>
</h4>
</div>
<span class="mim-text-font">
<p>Tyynela et al. (2000) identified a mutation in ovine cathepsin D that accounts for congenital ovine neuronal ceroid lipofuscinosis (CONCL). In this disorder, which is transmitted as an autosomal recessive, newborn lambs are weak, trembling, and unable to rise and support their bodies. However, they are able to vocalize, support their heads, and to suckle if bottle-fed. At autopsy, the brains of affected lambs are strikingly small. The deep layers of the cerebral cortex show pronounced neuronal loss, reactive astrocytosis, and infiltration of macrophages. There is severe degeneration of hippocampal pyramidal neurons. The cerebellum is less affected. The basal ganglia, thalamus, and brainstem are relatively spared. Visceral tissues are unaffected. These animals have normal palmitoyl protein thioesterase activity, indicating that the molecular bases of human infantile neuronal ceroid lipofuscinosis (see 256730) and CONCL are distinct. As the pathology of CONCL suggested a lysosomal storage disease, Tyynela et al. (2000) measured a range of lysosomal enzyme activities and found strikingly deficient cathepsin D activity, which was about 40% of normal in heterozygous lambs. A G-to-A transition at nucleotide 934 was found in homozygosity in all affected animals. This mutation results in a substitution of an asparagine for aspartate at the codon corresponding to human asp295 of cathepsin D and asp215 of pepsin (see 169700). This residue is conserved among all aspartyl proteinases and represents 1 of the 2 aspartate residues that are essential for catalytic function of these proteins. </p>
</span>
<div>
<br />
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>ALLELIC VARIANTS</strong>
</span>
<strong>5 Selected Examples):</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0001 &nbsp; CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
CTSD, PHE229ILE
<br />
SNP: rs121912789,
gnomAD: rs121912789,
ClinVar: RCV000019134
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a patient with cathepsin D-deficient neuronal ceroid lipofuscinosis (CLN10; 610127), Steinfeld et al. (2006) found compound heterozygosity for mutations in the CTSD gene. On the maternal allele, a 6517T-A transversion in exon 5 resulted in a phe229-to-ile (F229I) substitution. The paternal allele carried a 10267G-C transversion in exon 9, resulting in a trp383-to-cys substitution (W383C; 116840.0002). The F229I substitution in the cathepsin D precursor protein corresponds to F165I in the mature protein. Phe229 belongs to a group of 15 amino acids that are strictly conserved among the members of the pepsin family of peptidases. The W383C substitution in the cathepsin D precursor protein corresponds to W319C in the mature protein. Trp383 is conserved among all 12 human pepsin peptidases and nearly all other mammalian members of this family but is not conserved within pepsin peptidases from more distantly related species. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0002 &nbsp; CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
CTSD, TRP383CYS
<br />
SNP: rs121912790,
ClinVar: RCV000019135
</span>
</div>
<div>
<span class="mim-text-font">
<p>For discussion of the trp383-to-cys (W383C) mutation in the CTSD gene that was found in compound heterozygous state in a patient with cathepsin D-deficient neuronal ceroid lipofuscinosis (CLN10; 610127) by Steinfeld et al. (2006), see 116840.0001. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0003 &nbsp; CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
CTSD, 1-BP DUP, 764A
<br />
SNP: rs786205105,
ClinVar: RCV000019136
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a Pakistani infant with congenital neuronal ceroid lipofuscinosis-10 (CLN10; 610127), Siintola et al. (2006) identified homozygosity for a 1-bp duplication (764dupA) in exon 6 of the CTSD gene, resulting in a premature stop codon (tyr255-to-ter; Y255X), truncation of the protein by 158 amino acids, and deletion of the active site aspartic acid residue at position 295. The mutation was not identified in 550 control chromosomes. In vitro functional expression studies in baby hamster kidney cells showed that the mutant protein had no enzymatic activity. The unaffected father was heterozygous for the mutation; DNA from the mother, who was the first cousin of the father, was not available. There were 2 other affected brothers in the same family, but their DNA was also not available. The 3 boys died at ages 10, 1, and 4 days of age, after demonstrating intractable seizures, spasticity, and apnea immediately after birth. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0004 &nbsp; CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
CTSD, GLY149VAL
<br />
SNP: rs797045137,
ClinVar: RCV000190882, RCV004700577
</span>
</div>
<div>
<span class="mim-text-font">
<p>In 4 sibs, born of consanguineous Somali parents, with neuronal ceroid lipofuscinosis-10 (CLN10; 610127), Hersheson et al. (2014) identified a homozygous mutation in exon 4 of the CTSD gene, resulting in a gly149-to-val (G149V) substitution at a highly conserved residue. The mutation, which was found by a combination of homozygosity mapping and exome sequencing, segregated with the disorder in the family. Patient fibroblasts showed significantly decreased cathepsin D activity (11% of control values). The patients presented at around age 15 years with cerebellar ataxia and retinitis pigmentosa, which progressed to significant motor impairment and cognitive decline. Two patients died in their thirties. </p>
</span>
</div>
<div>
<br />
</div>
</div>
<div>
<div>
<h4>
<span class="mim-font">
<strong>.0005 &nbsp; CEROID LIPOFUSCINOSIS, NEURONAL, 10</strong>
</span>
</h4>
</div>
<div>
<span class="mim-text-font">
CTSD, ARG399HIS
<br />
SNP: rs797045138,
gnomAD: rs797045138,
ClinVar: RCV000190883, RCV001852537
</span>
</div>
<div>
<span class="mim-text-font">
<p>In a boy, born of consanguineous Somali parents, with neuronal ceroid lipofuscinosis-10 (CLN10; 610127), Hersheson et al. (2014) identified a homozygous mutation in exon 9 of the CTSD gene, resulting in an arg399-to-his (R399H) substitution at a highly conserved residue. Patient fibroblasts showed significantly decreased cathepsin D activity (11% of control values). The patient had juvenile onset of the disorder at age 8 years. </p>
</span>
</div>
<div>
<br />
</div>
</div>
</div>
<div>
<h4>
<span class="mim-font">
<strong>REFERENCES</strong>
</span>
</h4>
<div>
<p />
</div>
<div>
<ol>
<li>
<p class="mim-text-font">
Devosse, T., Dutoit, R., Migeotte, I., De Nadai, P., Imbault, V., Communi, D., Salmon, I., Parmentier, M.
<strong>Processing of HEBP1 by cathepsin D gives rise to F2L, the agonist of formyl peptide receptor 3.</strong>
J. Immun. 187: 1475-1485, 2011.
[PubMed: 21709160]
[Full Text: https://doi.org/10.4049/jimmunol.1003545]
</p>
</li>
<li>
<p class="mim-text-font">
Faust, P. L., Kornfeld, S., Chirgwin, J. M.
<strong>Cloning and sequence analysis of cDNA for human cathepsin D.</strong>
Proc. Nat. Acad. Sci. 82: 4910-4914, 1985.
[PubMed: 3927292]
[Full Text: https://doi.org/10.1073/pnas.82.15.4910]
</p>
</li>
<li>
<p class="mim-text-font">
Hasilik, A., von Figura, K., Grzeschik, K.-H.
<strong>Assignment of a gene for human cathepsin D to chromosome 11. (Abstract)</strong>
Cytogenet. Cell Genet. 32: 284 only, 1982.
</p>
</li>
<li>
<p class="mim-text-font">
Henry, I., Puech, A., Antignac, C., Couillin, P., Jeanpierre, M., Ahnine, L., Barichard, F., Boehm, T., Augereau, P., Scrable, H., Rabbitts, T. H., Rochefort, H., Cavenee, W., Junien, C.
<strong>Subregional mapping of BWS, CTSD, MYOD1, and a T-ALL breakpoint in 11p15. (Abstract)</strong>
Cytogenet. Cell Genet. 51: 1013 only, 1989.
</p>
</li>
<li>
<p class="mim-text-font">
Hersheson, J., Burke, D., Clayton, R., Anderson, G., Jacques, T. S., Mills, P., Wood, N. W., Gissen, P., Clayton, P., Fearnley, J., Mole, S. E., Houlden, H.
<strong>Cathepsin D deficiency causes juvenile-onset ataxia and distinctive muscle pathology.</strong>
Neurology 83: 1873-1875, 2014.
[PubMed: 25298308]
[Full Text: https://doi.org/10.1212/WNL.0000000000000981]
</p>
</li>
<li>
<p class="mim-text-font">
Mardones, G. A., Burgos, P. V., Brooks, D. A., Parkinson-Lawrence, E., Mattera, R., Bonifacino, J. S.
<strong>The trans-Golgi network accessory protein p56 promotes long-range movement of GGA/clathrin-containing transport carriers and lysosomal enzyme sorting.</strong>
Molec. Biol. Cell 18: 3486-3501, 2007.
[PubMed: 17596511]
[Full Text: https://doi.org/10.1091/mbc.e07-02-0190]
</p>
</li>
<li>
<p class="mim-text-font">
Qin, S., Nakai, H., Byers, M. G., Eddy, R. L., Haley, L. L., Henry, W. M., Wang, X., Watkins, P. C., Chirgwin, J. M., Shows, T. B.
<strong>Mapping FSHB, CAT, and CTSD to specific sites on 11p. (Abstract)</strong>
Cytogenet. Cell Genet. 46: 678 only, 1987.
</p>
</li>
<li>
<p class="mim-text-font">
Siintola, E., Partanen, S., Stromme, P., Haapanen, A., Haltia, M., Maehlen, J., Lehesjoki, A.-E., Tyynela, J.
<strong>Cathepsin D deficiency underlies congenital human neuronal ceroid-lipofuscinosis.</strong>
Brain 129: 1438-1445, 2006.
[PubMed: 16670177]
[Full Text: https://doi.org/10.1093/brain/awl107]
</p>
</li>
<li>
<p class="mim-text-font">
Steinfeld, R., Reinhardt, K., Schreiber, K., Hillebrand, M., Kraetzner, R., Bruck, W., Saftig, P., Gartner, J.
<strong>Cathepsin D deficiency is associated with a human neurodegenerative disorder.</strong>
Am. J. Hum. Genet. 78: 988-998, 2006.
[PubMed: 16685649]
[Full Text: https://doi.org/10.1086/504159]
</p>
</li>
<li>
<p class="mim-text-font">
Tyynela, J., Sohar, I., Sleat, D. E., Gin, R. M., Donnelly, R. J., Baumann, M., Haltia, M., Lobel, P.
<strong>A mutation in the ovine cathepsin D gene causes a congenital lysosomal storage disease with profound neurodegeneration.</strong>
EMBO J. 19: 2786-2792, 2000.
[PubMed: 10856224]
[Full Text: https://doi.org/10.1093/emboj/19.12.2786]
</p>
</li>
<li>
<p class="mim-text-font">
Vitner, E. B., Dekel, H., Zigdon, H., Shachar, T., Farfel-Becker, T., Eilam, R., Karlsson, S., Futerman, A. H.
<strong>Altered expression and distribution of cathepsins in neuronopathic forms of Gaucher disease and in other sphingolipidoses.</strong>
Hum. Molec. Genet. 19: 3583-3590, 2010.
[PubMed: 20616152]
[Full Text: https://doi.org/10.1093/hmg/ddq273]
</p>
</li>
</ol>
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