GCSH (Glycine cleavage system H protein, mitochondrial) — review notes

UniProt: P23434 (GCSH_HUMAN), 173 aa precursor, HGNC:4208, chr16.

Core biology

GCSH is the H-protein of the mitochondrial glycine cleavage system (GCS). It is a small,
non-catalytic lipoyl-carrier protein: it bears a covalently attached lipoyl group on a
specific lysine (N6-lipoyllysine at Lys107 in the mature/precursor numbering) that acts as a
swinging arm shuttling the reaction intermediate between the other GCS components.

GCS reaction cycle (P/H/T/L proteins)

From PMID:36190515:
"Glycine is decarboxylated to carbon dioxide and the resulting aminomethyl-group transferred to
lipoyl-H-protein as aminomethyl-lipoate. The T-protein releases ammonia while transferring the
methyl-group to tetrahydrofolate. The L-protein reoxidizes the reduced lipoyl-group."
- P-protein = GLDC (glycine dehydrogenase, decarboxylating)
- T-protein = AMT/GCST (aminomethyltransferase)
- L-protein = DLD (dihydrolipoyl dehydrogenase)
- H-protein = GCSH itself: "the H-protein itself is the lipoate carrier of this enzyme complex."
- "Variants could also affect the reaction of the swinging lipoyl-arm to protect the amino-methyl group, for which Ser67 is important" PMID:36190515.

Moonlighting: lipoate biogenesis / donor

GCSH also acts in lipoate biosynthesis and transfer to other 2-keto-acid dehydrogenases
(DLAT/PDH E2, DLST/2-KGDH E2): apo-H → octanoyl-H (LIPT2) → lipoyl-H (LIAS) → lipoyl donated by
LIPT1 to DLAT/DLST. PMID:36190515: "The H-protein is pivotal in the biosynthesis and transfer of
the cofactor lipoate to several critical cellular energetics enzymes." UniProt FUNCTION: "Has a
pivotal role in the lipoylation of enzymes involved in cellular energetics." This underlies the
protein maturation (GO:0051604) and generation of precursor metabolites and energy (GO:0006091)
TAS annotations from PMID:36190515 — legitimate but non-core moonlighting roles.

Localization

Mitochondrion / mitochondrial matrix. TRANSIT 1..48 = mitochondrial targeting.
- EXP PMID:36190515: colocalization of GCSH (green) with mitochondrial marker cytochrome C (red)
in COS7 cells.
- HTP PMID:34800366: MitoCoP high-confidence mitochondrial proteome (>1,100 proteins).
- Reactome TAS: mitochondrial matrix (GCS + lipoylation reactions occur in matrix).

Disease

Biallelic GCSH variants → variant/combined nonketotic hyperglycinemia (NKH) + lipoate deficiency;
"Multiple mitochondrial dysfunctions syndrome 7" (MMDS7, MIM:620423). [PMID:36190515, PMID:33890291].
NKH = glycine encephalopathy (accumulation of glycine, elevated CSF/plasma ratio, epileptic
encephalopathy). GCSH accounts for <1% of NKH.

Annotation strategy

References status

All cited PMIDs and Reactome entries are cached. PMID:1671321 and PMID:3348809 are abstract-only
(full_text_available: false) — abstracts confirm H-protein/GCS identity and lipoylation/cofactor.
PMID:36190515 full text available (the key functional paper).