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Aliases for TMLHE Gene

Aliases for TMLHE Gene

  • Trimethyllysine Hydroxylase, Epsilon 2 3 5
  • Butyrobetaine (Gamma), 2-Oxoglutarate Dioxygenase (Gamma-Butyrobetaine Hydroxylase) 2 2 3
  • Epsilon-Trimethyllysine 2-Oxoglutarate Dioxygenase 3 4
  • Epsilon-Trimethyllysine Hydroxylase 3 4
  • TML-Alpha-Ketoglutarate Dioxygenase 3 4
  • TML Hydroxylase 3 4
  • EC 4 58
  • TMLD 3 4
  • TMLH 3 4
  • Trimethyllysine Dioxygenase, Mitochondrial 3
  • TML Dioxygenase 4
  • AUTSX6 3
  • TMLHED 3
  • XAP130 3
  • BBOX2 3

External Ids for TMLHE Gene

Previous GeneCards Identifiers for TMLHE Gene

  • GC0XM148537
  • GC0XM150855
  • GC0XP152095
  • GC0XM153151
  • GC0XM154283
  • GC0XM154372
  • GC0XM154719
  • GC0XP143121

Summaries for TMLHE Gene

Entrez Gene Summary for TMLHE Gene

  • This gene encodes the protein trimethyllysine dioxygenase which is the first enzyme in the carnitine biosynthesis pathway. Carnitine play an essential role in the transport of activated fatty acids across the inner mitochondrial membrane. The encoded protein converts trimethyllysine into hydroxytrimethyllysine. A pseudogene of this gene is found on chromosome X. Alternate splicing results in multiple transcript variants.[provided by RefSeq, May 2010]

GeneCards Summary for TMLHE Gene

TMLHE (Trimethyllysine Hydroxylase, Epsilon) is a Protein Coding gene. Diseases associated with TMLHE include Autism X-Linked 6 and Pervasive Developmental Disorder. Among its related pathways are Valine, leucine and isoleucine degradation and Metabolism. GO annotations related to this gene include oxidoreductase activity and L-ascorbic acid binding. An important paralog of this gene is BBOX1.

UniProtKB/Swiss-Prot for TMLHE Gene

  • Converts trimethyllysine (TML) into hydroxytrimethyllysine (HTML) (PubMed:11431483, PubMed:23092983).

Gene Wiki entry for TMLHE Gene

Additional gene information for TMLHE Gene

No data available for CIViC summary , Tocris Summary , PharmGKB "VIP" Summary , fRNAdb sequence ontologies and piRNA Summary for TMLHE Gene

Genomics for TMLHE Gene

Regulatory Elements for TMLHE Gene

Enhancers for TMLHE Gene
GeneHancer Identifier Enhancer Score Enhancer Sources Gene-Enhancer Score TSS distance (kb) Number of Genes Away Size (kb) Transcription Factor Binding Sites within enhancer Gene Targets for Enhancer
GH0XH155332 0.9 ENCODE 50.1 +335.8 335773 3.1 HDAC1 TBP ATF1 ARNT YBX1 CHAMP1 TCF12 ZNF766 EGR1 ATF7 TMLHE CLIC2 ENSG00000230491
GH0XH155641 0.7 Ensembl 60.9 +28.1 28144 0.8 HDAC1 LEF1 ETV1 ZBTB40 E2F1 ZSCAN29 TRIM24 SMARCE1 SOX6 L3MBTL2 TMLHE GC0XM155612
GH0XH155611 0.9 ENCODE 46.5 +57.7 57683 2.4 ATF1 SIN3A DMAP1 ZNF2 GLIS2 KLF7 ATF7 SP3 ZNF518A KAT8 TMLHE SPRY3 GC0XM155612
GH0XH155262 0.9 ENCODE 37.6 +406.0 406002 2.3 SIN3A ZNF76 KLF17 BATF ZNF2 ZEB1 GLIS2 ZNF366 ZNF143 FOS TMLHE RAB39B ENSG00000224978
- Elite enhancer and/or Elite enhancer-gene association Download GeneHancer data dump

Enhancers around TMLHE on UCSC Golden Path with GeneCards custom track

Genomic Locations for TMLHE Gene

Genomic Locations for TMLHE Gene
180,934 bases
Minus strand

Genomic View for TMLHE Gene

Genes around TMLHE on UCSC Golden Path with GeneCards custom track

Cytogenetic band:
TMLHE Gene in genomic location: bands according to Ensembl, locations according to GeneLoc (and/or Entrez Gene and/or Ensembl if different)
Genomic Location for TMLHE Gene
GeneLoc Logo Genomic Neighborhood Exon StructureGene Density

RefSeq DNA sequence for TMLHE Gene

Proteins for TMLHE Gene

  • Protein details for TMLHE Gene (UniProtKB/Swiss-Prot)

    Protein Symbol:
    Recommended name:
    Trimethyllysine dioxygenase, mitochondrial
    Protein Accession:
    Secondary Accessions:
    • A8K6M9
    • B4E3R3
    • Q5TZB5
    • Q6IA90
    • Q8TBT0

    Protein attributes for TMLHE Gene

    421 amino acids
    Molecular mass:
    49518 Da
    Name=Fe(2+); Xref=ChEBI:CHEBI:29033;
    Name=L-ascorbate; Xref=ChEBI:CHEBI:38290;
    Quaternary structure:
    • Homodimer.

    Alternative splice isoforms for TMLHE Gene

neXtProt entry for TMLHE Gene

Selected DME Specific Peptides for TMLHE Gene


Post-translational modifications for TMLHE Gene

  • Ubiquitination at Lys135
  • Modification sites at PhosphoSitePlus

Other Protein References for TMLHE Gene

Domains & Families for TMLHE Gene

Gene Families for TMLHE Gene

Human Protein Atlas (HPA):
  • Disease related genes
  • Enzymes
  • Potential drug targets
  • Predicted intracellular proteins

Protein Domains for TMLHE Gene

Suggested Antigen Peptide Sequences for TMLHE Gene

GenScript: Design optimal peptide antigens:

Graphical View of Domain Structure for InterPro Entry



  • Belongs to the gamma-BBH/TMLD family.
  • Belongs to the gamma-BBH/TMLD family.
genes like me logo Genes that share domains with TMLHE: view

Function for TMLHE Gene

Molecular function for TMLHE Gene

UniProtKB/Swiss-Prot CatalyticActivity:
N(6),N(6),N(6)-trimethyl-L-lysine + 2-oxoglutarate + O(2) = 3-hydroxy-N(6),N(6),N(6)-trimethyl-L-lysine + succinate + CO(2).
UniProtKB/Swiss-Prot Function:
Converts trimethyllysine (TML) into hydroxytrimethyllysine (HTML) (PubMed:11431483, PubMed:23092983).

Enzyme Numbers (IUBMB) for TMLHE Gene

Gene Ontology (GO) - Molecular Function for TMLHE Gene

GO ID Qualified GO term Evidence PubMed IDs
GO:0005506 iron ion binding IEA --
GO:0016491 oxidoreductase activity IEA --
GO:0016702 oxidoreductase activity, acting on single donors with incorporation of molecular oxygen, incorporation of two atoms of oxygen IEA --
GO:0046872 metal ion binding IEA --
GO:0050353 trimethyllysine dioxygenase activity EXP,IMP 23092983
genes like me logo Genes that share ontologies with TMLHE: view
genes like me logo Genes that share phenotypes with TMLHE: view

Animal Model Products

CRISPR Products

Inhibitory RNA Products

No data available for Phenotypes From GWAS Catalog , Human Phenotype Ontology , Animal Models , Transcription Factor Targets and HOMER Transcription for TMLHE Gene

Localization for TMLHE Gene

Subcellular locations from UniProtKB/Swiss-Prot for TMLHE Gene

Mitochondrion matrix.

Subcellular locations from

Extracellular space Cytosol Plasma membrane Cytoskeleton Lysosome Endosome Peroxisome ER Golgi Apparatus Nucleus Mitochondrion 0 1 2 3 4 5 Confidence
COMPARTMENTS Subcellular localization image for TMLHE gene
Compartment Confidence
mitochondrion 5
cytosol 3
extracellular 1
cytoskeleton 1
peroxisome 1

Subcellular locations from the

Human Protein Atlas (HPA)

Gene Ontology (GO) - Cellular Components for TMLHE Gene

GO ID Qualified GO term Evidence PubMed IDs
GO:0005739 mitochondrion IEA,IDA --
GO:0005759 mitochondrial matrix TAS --
genes like me logo Genes that share ontologies with TMLHE: view

Pathways & Interactions for TMLHE Gene

genes like me logo Genes that share pathways with TMLHE: view

Pathways by source for TMLHE Gene

1 KEGG pathway for TMLHE Gene

UniProtKB/Swiss-Prot Q9NVH6-TMLH_HUMAN

  • Pathway: Amine and polyamine biosynthesis; carnitine biosynthesis.

Gene Ontology (GO) - Biological Process for TMLHE Gene

GO ID Qualified GO term Evidence PubMed IDs
GO:0045329 carnitine biosynthetic process TAS --
GO:0055114 oxidation-reduction process IEA --
genes like me logo Genes that share ontologies with TMLHE: view

No data available for SIGNOR curated interactions for TMLHE Gene

Drugs & Compounds for TMLHE Gene

(9) Drugs for TMLHE Gene - From: DrugBank, ApexBio, and HMDB

Name Status Disease Links Group Role Mechanism of Action Clinical Trials
Succinic acid Approved Nutra Full agonist, Agonist, Target 0
Vitamin C Approved Nutra Target 560,560
Carbon dioxide Approved, Vet_approved Pharma 0
Oxygen Approved, Vet_approved Pharma 0
spermine Approved Nutra Full agonist, Agonist 0

(6) Additional Compounds for TMLHE Gene - From: HMDB

Name Synonyms Role CAS Number PubChem IDs PubMed IDs
  • 3-Hydroxy-N(6),N(6),N(6)-trimethyl-L-lysine
  • 3-Hydroxy-N(6),N(6),N(6)-trimethyllysine
  • 3-Hydroxy-N6,N6,N6-trimethyl-L-lysin-N6-ium
  • 3-Hydroxy-N6,N6,N6-trimethyl-L-lysine
  • Armco iron
  • Carbonyl iron
  • FE
  • Ferrovac e
  • Hematite
  • N'-Acetylspermine
  • N'-Monoacetylspermine
  • N(1)-Acetylspermine
  • N-(3-((4-((3-Aminopropyl)amino)butyl)amino)propyl)-Acetamide
  • N-Acetylspermine
  • (S)-2-amino-6-(trimethylammonio)hexanoate
  • (S)-2-amino-6-(trimethylammonio)hexanoic acid
  • delta-Trimethyllysine
  • epsilon-N-Trimethyl-L-lysine
  • epsilon-Trimethyl-L-lysine
  • -1,3-propanediamine
  • 1,7-Diamino-4-azaheptane
  • 3, 3'-Diaminodipropylamine
  • 3, {3'-Iminobis[propylamine]}
  • 3,3'-Diamino-Dipropylamine

(1) ApexBio Compounds for TMLHE Gene

Compound Action Cas Number
WWL 70 α/β-hydrolase domain 6 inhibitor 947669-91-2
genes like me logo Genes that share compounds with TMLHE: view

Drug Products

Transcripts for TMLHE Gene

Unigene Clusters for TMLHE Gene

Trimethyllysine hydroxylase, epsilon:
Representative Sequences:

CRISPR Products

Inhibitory RNA Products

Alternative Splicing Database (ASD) splice patterns (SP) for TMLHE Gene

No ASD Table

Relevant External Links for TMLHE Gene

GeneLoc Exon Structure for
ECgene alternative splicing isoforms for

Expression for TMLHE Gene

mRNA expression in normal human tissues from GTEx, Illumina, BioGPS, and CGAP SAGE for TMLHE Gene

mRNA expression in embryonic tissues and stem cells from LifeMap Discovery

Protein differential expression in normal tissues from HIPED for TMLHE Gene

This gene is overexpressed in Bone (13.3), Stomach (7.1), and Salivary gland (6.7).

Integrated Proteomics: protein expression in normal tissues and cell lines from ProteomicsDB, PaxDb, MaxQB, and MOPED for TMLHE Gene

Protein tissue co-expression partners for TMLHE Gene

NURSA nuclear receptor signaling pathways regulating expression of TMLHE Gene:


SOURCE GeneReport for Unigene cluster for TMLHE Gene:


mRNA Expression by UniProt/SwissProt for TMLHE Gene:

Tissue specificity: All isoforms, but isoform 8, are widely expressed in adult and fetal tissues. Isoform 8 is restricted to heart and skeletal muscle.

Evidence on tissue expression from TISSUES for TMLHE Gene

  • Pancreas(4.1)
  • Nervous system(3.4)

Phenotype-based relationships between genes and organs from Gene ORGANizer for TMLHE Gene

Germ Layers:
  • ectoderm
  • nervous
Head and neck:
  • brain
  • head
genes like me logo Genes that share expression patterns with TMLHE: view

No data available for mRNA differential expression in normal tissues for TMLHE Gene

Orthologs for TMLHE Gene

This gene was present in the common ancestor of animals and fungi.

Orthologs for TMLHE Gene

Organism Taxonomy Gene Similarity Type Details
(Pan troglodytes)
Mammalia TMLHE 33 34
  • 99.53 (n)
(Canis familiaris)
Mammalia TMLHE 33 34
  • 93.35 (n)
(Bos Taurus)
Mammalia TMLHE 33 34
  • 92.72 (n)
(Mus musculus)
Mammalia Tmlhe 33 16 34
  • 87.41 (n)
(Rattus norvegicus)
Mammalia Tmlhe 33
  • 85.11 (n)
(Ornithorhynchus anatinus)
Mammalia TMLHE 34
  • 83 (a)
(Monodelphis domestica)
Mammalia TMLHE 34
  • 82 (a)
(Gallus gallus)
Aves TMLHE 33 34
  • 74.88 (n)
(Anolis carolinensis)
Reptilia TMLHE 34
  • 88 (a)
tropical clawed frog
(Silurana tropicalis)
Amphibia tmlhe 33
  • 66.75 (n)
African clawed frog
(Xenopus laevis)
Amphibia MGC68497 33
(Danio rerio)
Actinopterygii tmlhe 33 34
  • 66.41 (n)
rainbow trout
(Oncorhynchus mykiss)
Actinopterygii Omy.9575 33
African malaria mosquito
(Anopheles gambiae)
Insecta AgaP_AGAP005447 33
  • 48.1 (n)
fruit fly
(Drosophila melanogaster)
Insecta CG4335 35 33 34
  • 46.75 (n)
(Caenorhabditis elegans)
Secernentea gbh-2 35 33 34
  • 47.71 (n)
K. lactis yeast
(Kluyveromyces lactis)
Saccharomycetes KLLA0A10945g 33
  • 46.63 (n)
A. gosspyii yeast
(Ashbya gossypii)
Saccharomycetes AGOS_AEL035W 33
  • 45.05 (n)
baker's yeast
(Saccharomyces cerevisiae)
Saccharomycetes AIM17 34 36
  • 17 (a)
bread mold
(Neurospora crassa)
Ascomycetes NCU03802 33
  • 47.09 (n)
Species where no ortholog for TMLHE was found in the sources mined by GeneCards:
  • Actinobacteria (Mycobacterium tuberculosis)
  • Alicante grape (Vitis vinifera)
  • alpha proteobacteria (Wolbachia pipientis)
  • amoeba (Dictyostelium discoideum)
  • Archea (Pyrococcus horikoshii)
  • barley (Hordeum vulgare)
  • beta proteobacteria (Neisseria meningitidis)
  • Chromalveolata (Phytophthora infestans)
  • common water flea (Daphnia pulex)
  • corn (Zea mays)
  • E. coli (Escherichia coli)
  • filamentous fungi (Aspergillus nidulans)
  • Firmicute bacteria (Streptococcus pneumoniae)
  • fission yeast (Schizosaccharomyces pombe)
  • green algae (Chlamydomonas reinhardtii)
  • honey bee (Apis mellifera)
  • loblloly pine (Pinus taeda)
  • malaria parasite (Plasmodium falciparum)
  • medicago trunc (Medicago Truncatula)
  • moss (Physcomitrella patens)
  • orangutan (Pongo pygmaeus)
  • pig (Sus scrofa)
  • rice (Oryza sativa)
  • rice blast fungus (Magnaporthe grisea)
  • schistosome parasite (Schistosoma mansoni)
  • sea anemone (Nematostella vectensis)
  • sea squirt (Ciona intestinalis)
  • sea squirt (Ciona savignyi)
  • sea urchin (Strongylocentrotus purpuratus)
  • sorghum (Sorghum bicolor)
  • soybean (Glycine max)
  • stem rust fungus (Puccinia graminis)
  • sugarcane (Saccharum officinarum)
  • thale cress (Arabidopsis thaliana)
  • tomato (Lycopersicon esculentum)
  • toxoplasmosis (Toxoplasma gondii)
  • Trichoplax (Trichoplax adhaerens)
  • wheat (Triticum aestivum)

Evolution for TMLHE Gene

Gene Tree for TMLHE (if available)
Gene Tree for TMLHE (if available)

Paralogs for TMLHE Gene

Paralogs for TMLHE Gene

(1) SIMAP similar genes for TMLHE Gene using alignment to 1 proteins: Pseudogenes for TMLHE Gene

genes like me logo Genes that share paralogs with TMLHE: view

Variants for TMLHE Gene

Sequence variations from dbSNP and Humsavar for TMLHE Gene

SNP ID Clin Chr 0X pos Sequence Context AA Info Type
rs782001959 other, Autism, X-linked 6 (AUTSX6) [MIM:300872] 155,492,384(+) CAAAA(A/C)TCATT intron-variant, nc-transcript-variant, downstream-variant-500B, reference, missense
rs869320708 other, Autism, X-linked 6 (AUTSX6) [MIM:300872] 155,511,701(-) ACACT(C/G)ACACT nc-transcript-variant, reference, missense
rs781889971 Pathogenic 155,524,585(+) GTCTC(A/G)AAGCC nc-transcript-variant, reference, stop-gained
rs782792356 Pathogenic 155,514,267(+) GGCCC(C/T)TTTAA splice-acceptor-variant
rs886041543 Pathogenic 155,545,272(-) GATGT(A/G)GTACC nc-transcript-variant, upstream-variant-2KB, reference, stop-gained

Structural Variations from Database of Genomic Variants (DGV) for TMLHE Gene

Variant ID Type Subtype PubMed ID
nsv953711 CNV deletion 24416366
nsv829420 CNV loss 20364138
nsv829418 CNV loss 20364138
nsv820472 CNV deletion 20802225
nsv818043 CNV gain 17921354
nsv7470 OTHER inversion 18451855
nsv7163 CNV insertion 18451855
nsv7162 CNV deletion 18451855
nsv520699 CNV gain 19592680
nsv519485 CNV loss 19592680
nsv515187 CNV loss 21397061
nsv512705 CNV loss 21212237
nsv511652 CNV loss 21212237
nsv510869 CNV deletion 20534489
nsv499386 CNV loss 21111241
nsv499361 OTHER inversion 21111241
nsv438162 CNV loss 16468122
nsv1146049 CNV duplication 26484159
nsv1137702 CNV deletion 24896259
nsv1137701 CNV deletion 24896259
nsv1128558 CNV deletion 24896259
nsv1119373 CNV duplication 24896259
nsv1078693 CNV duplication 25765185
esv992364 CNV loss 20482838
esv3575079 CNV loss 25503493
esv3575078 CNV loss 25503493
esv3575076 CNV loss 25503493
esv3575074 CNV loss 25503493
esv3575071 CNV loss 25503493
esv3559520 CNV deletion 23714750
esv3559519 CNV deletion 23714750
esv3559518 CNV deletion 23714750
esv3559517 CNV deletion 23714750
esv3381803 CNV insertion 20981092
esv33784 CNV gain+loss 17666407
esv29972 CNV gain 17803354
esv2994901 CNV deletion 24192839
esv2675898 CNV deletion 23128226
esv2671097 CNV deletion 23128226
esv2670601 CNV deletion 23128226
esv2669858 CNV deletion 23128226
esv2665236 CNV deletion 23128226
esv2660855 CNV deletion 23128226
esv2659146 CNV deletion 23128226
esv24821 CNV gain+loss 19812545
esv24743 CNV loss 19812545
esv1007887 CNV deletion 20482838
dgv2551e212 CNV loss 25503493
dgv2550e212 CNV loss 25503493
dgv2549e212 CNV gain 25503493

Variation tolerance for TMLHE Gene

Residual Variation Intolerance Score: 38.6% of all genes are more intolerant (likely to be disease-causing)
Gene Damage Index Score: 0.61; 13.01% of all genes are more intolerant (likely to be disease-causing)

Relevant External Links for TMLHE Gene

Human Gene Mutation Database (HGMD)
SNPedia medical, phenotypic, and genealogical associations of SNPs for

No data available for Polymorphic Variants from UniProtKB/Swiss-Prot for TMLHE Gene

Disorders for TMLHE Gene

MalaCards: The human disease database

(3) MalaCards diseases for TMLHE Gene - From: HGMD, OMIM, ClinVar, GeneTests, Swiss-Prot, DISEASES, and GeneCards

Disorder Aliases PubMed IDs
autism x-linked 6
  • epsilon-trimethyllysine hydroxylase deficiency
pervasive developmental disorder
  • pervasive development disorder
opitz-gbbb syndrome
  • opitz g/bbb syndrome
- elite association - COSMIC cancer census association via MalaCards
Search TMLHE in MalaCards View complete list of genes associated with diseases


  • Autism, X-linked 6 (AUTSX6) [MIM:300872]: A form of autism, a complex multifactorial, pervasive developmental disorder characterized by impairments in reciprocal social interaction and communication, restricted and stereotyped patterns of interests and activities, and the presence of developmental abnormalities by 3 years of age. Most individuals with autism also manifest moderate mental retardation. AUTSX6 patients may respond favorably to carnitine supplementation. {ECO:0000269 PubMed:21865298, ECO:0000269 PubMed:23092983}. Note=The disease is caused by mutations affecting the gene represented in this entry.

Relevant External Links for TMLHE

Atlas of Genetics and Cytogenetics in Oncology and Haematology:
genes like me logo Genes that share disorders with TMLHE: view

No data available for Genatlas for TMLHE Gene

Publications for TMLHE Gene

  1. Functional analysis of TMLH variants and definition of domains required for catalytic activity and mitochondrial targeting. (PMID: 15754339) Monfregola J … Ursini MV (Journal of cellular physiology 2005) 3 4 22 60
  2. Molecular and Biochemical Characterization of Rat epsilon -N-Trimethyllysine Hydroxylase, the First Enzyme of Carnitine Biosynthesis. (PMID: 11431483) Vaz FM … Wanders RJ (The Journal of biological chemistry 2001) 2 3 4 60
  3. Analysis of the chromosome X exome in patients with autism spectrum disorders identified novel candidate genes, including TMLHE. (PMID: 23092983) Nava C … Depienne C (Translational psychiatry 2012) 3 4 60
  4. Use of array CGH to detect exonic copy number variants throughout the genome in autism families detects a novel deletion in TMLHE. (PMID: 21865298) Celestino-Soper PB … Beaudet AL (Human molecular genetics 2011) 3 4 60
  5. Functional characterization of the TMLH gene: promoter analysis, in situ hybridization, identification and mapping of alternative splicing variants. (PMID: 17408883) Monfregola J … Ursini MV (Gene 2007) 3 4 60

Products for TMLHE Gene

Sources for TMLHE Gene

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