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AHCY

adenosylhomocysteinase

The AHCY gene provides instructions for an enzyme essential in metabolising the amino acid methionine and regulating methylation processes within cells. The AHCY gene produces the S-adenosylhomocysteine hydrolase enzyme, which plays a vital role in breaking down methionine.

Chromosome 20q11.22 Autosomal recessive HGNC:343 Tier C
AHCY 20q11.22 p arm q arm 20

AHCY is located on the long (q) arm of chromosome 20, at band 20q11.22. Arm ratio per GRCh38 - banding schematic.

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Overview

The AHCY gene, also known as adenosylhomocysteinase, directs the production of the enzyme S-adenosylhomocysteine hydrolase. This enzyme is a key component in the metabolic pathway responsible for processing methionine, an essential amino acid. Beyond its role in methionine breakdown, the AHCY enzyme is critical for regulating methylation, a biochemical process where methyl groups are added to various molecules, influencing diverse cellular activities.

What the gene does

The AHCY gene's primary function is to produce the S-adenosylhomocysteine hydrolase enzyme. This enzyme participates in the breakdown of methionine, an amino acid obtained through diet. Specifically, it catalyses the conversion of S-adenosylhomocysteine into adenosine and homocysteine. This reaction is pivotal in maintaining appropriate levels of these compounds within the cell. Furthermore, the enzyme's activity directly impacts methylation reactions, which are fundamental for numerous cellular processes. Methylation is involved in controlling which parts of DNA are active, regulating protein and lipid metabolism, and influencing the function of neurotransmitters that transmit signals in the nervous system.

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Chromosome location

The AHCY gene is located on chromosome 20. Its specific position is designated as 20q11.22, which refers to the long (q) arm of chromosome 20, within region 11.22.

Protein structure

The AHCY gene encodes a protein that is 432 amino acids long. Domain architecture has not been experimentally characterised in detail for this protein.

Key variants

Genetic variations within the AHCY gene can alter the normal function of the S-adenosylhomocysteine hydrolase enzyme. These changes can affect the enzyme's efficiency in processing methionine and regulating methylation, leading to potential metabolic disruptions. Most identified variants involve single amino acid substitutions, though others may introduce premature stop signals.

The table below shows the top 9 pathogenic or likely-pathogenic variants currently classified in ClinVar for AHCY.
View all on ClinVar →

Sample of pathogenic variants

9 pathogenic / likely-pathogenic variants from ClinVar, ranked by review status (expert-panel-reviewed first). This is a sample; recurrent founder variants in a specific population may not appear here - see the full ClinVar listing via the link above.

Variant (HGVS) Protein change Classification Evidence Associated condition
c.145C>T
single nucleotide variant
p.Arg49Cys Pathogenic/Likely pathogenic ★★☆☆ Inborn genetic diseases
c.257A>G
single nucleotide variant
p.Asp86Gly Pathogenic/Likely pathogenic ★★☆☆ Inborn genetic diseases
c.293C>T
single nucleotide variant
p.Pro98Leu Pathogenic/Likely pathogenic ★★☆☆ Inborn genetic diseases
c.428A>G
single nucleotide variant
p.Tyr143Cys Pathogenic/Likely pathogenic ★★☆☆ Inborn genetic diseases
c.145del
Deletion
p.Arg49fs Pathogenic ★☆☆☆ Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase
c.882del
Deletion
p.Ile295fs Pathogenic ★☆☆☆ Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase
c.170C>T
single nucleotide variant
p.Thr57Ile Pathogenic - Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase
c.336G>A
single nucleotide variant
p.Trp112Ter Pathogenic - Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase
c.649G>A
single nucleotide variant
p.Val217Met Pathogenic - Hypermethioninemia with deficiency of S-adenosylhomocysteine hydrolase

Evidence stars indicate ClinVar review status. Individual variant interpretation should always be performed by a qualified clinical laboratory - many variants remain classified as Variants of Uncertain Significance (VUS) pending more research.

Associated conditions

Variants in the AHCY gene are associated with hypermethioninemia. This condition is characterised by elevated levels of methionine in the blood, which can arise when the S-adenosylhomocysteine hydrolase enzyme functions less efficiently due to genetic changes. Over ten different variants have been described in individuals with hypermethioninemia.

No disease links recorded for this gene in our reference set.

Inheritance pattern

Conditions caused by pathogenic AHCY variants typically follow autosomal recessive inheritance.

Carrier parent 1 altered copy Carrier parent 1 altered copy Affected Carrier Carrier Unaffected Affected Carrier Unaffected Circles = females · Squares = males

When both parents are carriers, each child has a 25% chance of being affected, 50% of being a carrier, and 25% of being unaffected.

Carrier frequency by population How common is heterozygous AHCY carrier status across ancestry groups?

UK clinical status

The AHCY gene is included in several NHS Genomic Medicine Service national test panels. It is listed as 'green' for conditions such as Foetal anomalies (R21), Foetal hydrops, Intellectual disability, Likely inborn error of metabolism (R98), and Undiagnosed metabolic disorders, indicating that there is strong evidence for its association with these conditions.

Frequently asked questions

What is the AHCY gene responsible for?

The AHCY gene provides instructions for creating the S-adenosylhomocysteine hydrolase enzyme. This enzyme is crucial for breaking down the amino acid methionine and regulating methylation, a vital process for many cellular functions.

What happens if the AHCY gene has a variant?

Variants in the AHCY gene can lead to the enzyme working less effectively. This can result in conditions like hypermethioninemia, characterised by higher than normal levels of methionine in the blood.

What is methylation and why is it important?

Methylation is a biochemical process where small chemical tags (methyl groups) are added to molecules. It is important for controlling gene activity, regulating metabolic reactions involving proteins and fats, and influencing nerve signal transmission.

References

  1. Buist NR, Glenn B, Vugrek O. S-adenosylhomocysteine hydrolase deficiency in a 26-year-old man. Journal of inherited metabolic disease. 2006. PMID: 16736098
  2. Barić I, Cuk M, Fumić K. S-Adenosylhomocysteine hydrolase deficiency: a second patient, the younger brother of the index patient, and outcomes during therapy. Journal of inherited metabolic disease. 2005. PMID: 16435181
  3. Baric I, Fumic K, Glenn B. S-adenosylhomocysteine hydrolase deficiency in a human: a genetic disorder of methionine metabolism. Proceedings of the National Academy of Sciences of the United States of America. 2004. PMID: 15024124
  4. Turner MA, Yang X, Yin D. Structure and function of S-adenosylhomocysteine hydrolase. Cell biochemistry and biophysics. 2000. PMID: 11325033
  5. Smythies JR, Gottfries CG, Regland B. Disturbances of one-carbon metabolism in neuropsychiatric disorders: a review. Biological psychiatry. 1997. PMID: 9018395
Educational content. This page is not medical or genetic advice, is not individually reviewed by a clinician for each reader, and should not replace a consultation with a qualified healthcare professional or genetic counsellor. If you are considering genetic testing or acting on a test result, book a consultation.
Data sources Last updated 6 September 2026. Content compiled from HGNC · MedlinePlus Genetics · ClinGen · Genomics England PanelApp · NHS National Genomic Test Directory · ClinVar · UniProt · AlphaFold .