HEXA encodes the alpha subunit of lysosomal beta-hexosaminidase, a glycoside
hydrolase family 20 (GH20) enzyme (EC 3.2.1.52). Three isozymes exist, defined by
subunit composition [file:human/HEXA/HEXA-uniprot.txt "isozyme A ... is a heterodimer
composed of one subunit alpha and one subunit beta"; "isozyme S (hexosaminidase S) is
a homodimer of two alpha subunits"]:
- Hex A = alpha-beta heterodimer (HEXA + HEXB)
- Hex B = beta-beta homodimer (HEXB only)
- Hex S = alpha-alpha homodimer (HEXA only)
The enzyme hydrolyses terminal non-reducing beta-linked N-acetyl-D-hexosamine
(beta-GalNAc/GlcNAc, including sulfated hexosamine) residues from glycoconjugates
[file:human/HEXA/HEXA-uniprot.txt "Hydrolyzes the non-reducing end N-acetyl-D-hexosamine
and/or sulfated N-acetyl-D-hexosamine of glycoconjugates"].
The alpha-subunit active site is uniquely able, together with the GM2-activator
protein (GM2A), to hydrolyse the GM2 ganglioside (removing terminal GalNAc to give
GM3). Only Hex A (which contains alpha) does this in vivo
[PMID:16698036 "Only the alpha-subunit active site can hydrolyze GM2 gangliosides";
PMID:8672428 "Heterodimeric hexosaminidase A (alpha beta) is the only isozyme that can
hydrolyze GM2 ganglioside in vivo, requiring the presence of the GM2 activator protein"].
The alpha active site preferentially handles negatively charged/sulfated substrates,
so Hex A/Hex S also degrade sulfated glycosaminoglycan (GAG) fragments (dermatan
sulfate, keratan sulfate) and the sulfated glycosphingolipid SM2
[PMID:11707436 "active on water-soluble and amphiphilic glycoconjugates including
artificial substrates, sulfated GAG fragments, and the sulfated glycosphingolipid SM2";
PMID:6458607 "Incubation of keratan sulfate-derived oligosaccharides with
beta-N-acetylhexosaminidase A analogously resulted in the liberation of
N-acetylglucosamine-6-sulfate"].
Localisation: lysosome / lysosomal lumen (acidic acid-hydrolase compartment)
[file:human/HEXA/HEXA-uniprot.txt "Lysosome"]. The alpha chain requires association with
the beta chain for catalytic maturation and lysosomal transport
PMID:6230359.
Disease: loss of HEXA activity causes GM2-gangliosidosis type 1 (Tay-Sachs disease),
an autosomal-recessive lysosomal storage disorder with neuronal GM2 accumulation
[file:human/HEXA/HEXA-uniprot.txt "GM2-gangliosidosis 1 (GM2G1)"; "accumulation of GM2"].