FB2026_03 , released September 17, 2026
Human Disease Model Report: mucopolysaccharidosis type IIIC
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General Information
Name
mucopolysaccharidosis type IIIC
FlyBase ID
FBhh0001572
Disease Ontology Term
Parent Disease
Overview

This report describes mucopolysaccharidosis type IIIC, a subtype of progeria that exhibits autosomal recessive inheritance. The human gene implicated is HGSNAT, which encodes heparan-alpha-glucosaminide N-acetyltransferase, one of several enzymes involved in the lysosomal degradation of heparin sulfate. There is one high-scoring fly ortholog, Dmel\Hgsnat, for which multiple genetic reagents, including classical alleles, RNAi-targeting constructs, and alleles caused by insertional mutagenesis, have been generated.

Human HGSNAT has not been introduced into flies.

Flies mutant for Hgsnat exhibit a progressive accumulation of heparin sulfuate; this is also observed in flies undergoing ubiquitous RNAi-mediated knockdown of Dmel\Hgsnat. Ubiquituous RNAi-mediated knockdown also results in a significantly shortened lifespan. Pan-neuronal RNAi-mediated knockdown of Dmel\Hgsnat results in enlargement of the endolysosomal compartment in the brain, presynaptic abnormalities, and locomotor defects. RNAi-mediated knockdown of Dmel\Hgsnat in cortex and wrapping glia resulted in climbing defects in adult flies, while knockdown in sub-perineurial glia and astrocytes impaired activity in an activity monitor assay.

[updated Apr. 2024 by FlyBase; FBrf0222196]

Disease Summary Information
Parent Disease Summary: mucopolysaccharidoses
Symptoms and phenotype

Lysosomal storage disease that involves the accumulation of glycosaminoglycans in the tissues and their excretion in the urine (DOID:12798)

The mucopolysaccharidoses are a group of inherited disorders caused by a lack of specific lysosomal enzymes involved in the degradation of glycosaminoglycans (GAGs), or mucopolysaccharides. The accumulation of partially degraded GAGs causes interference with cell, tissue, and organ function. [from MIM:607014; 2018.07.20]

Specific Disease Summary: mucopolysaccharidosis type IIIC
OMIM report

[MUCOPOLYSACCHARIDOSIS, TYPE IIIC; MPS3C](https://omim.org/entry/252930)

Human gene(s) implicated

[HEPARAN-ALPHA-GLUCOSAMINIDE N-ACETYLTRANSFERASE; HGSNAT](https://omim.org/entry/610453)

Symptoms and phenotype

Mucopolysaccharidosis type III (MPS III) is a multisystem lysosomal storage disease characterized by progressive central nervous system degeneration manifest as severe intellectual disability (ID), developmental regression, and other neurologic manifestations including autism spectrum disorder (ASD), behavioral problems, and sleep disturbances. Disease onset is typically before age ten years. Disease course may be rapidly or slowly progressive; some individuals with an extremely attenuated disease course present in mid-to-late adulthood with early-onset dementia with or without a history of ID. Systemic manifestations can include musculoskeletal problems (joint stiffness, contractures, scoliosis, and hip dysplasia), hearing loss, respiratory tract and sinopulmonary infections, and cardiac disease (valvular thickening, defects in the cardiac conduction system). Neurologic decline is seen in all affected individuals; however, clinical severity varies within and among the four MPS III subtypes (defined by the enzyme involved) and even among members of the same family. Death usually occurs in the second or third decade of life secondary to neurologic regression or respiratory tract infections. [from GeneReviews, Mucopolysaccharidosis Type III; 2024.04.03]

Sanfilippo syndrome comprises several forms of lysosomal storage diseases due to impaired degradation of heparan sulfate. The deficient enzyme in Sanfilippo syndrome C, or MPS IIIC, is an acetyltransferase that catalyzes the conversion of alpha-glucosaminide residues to N-acetylglucosaminide in the presence of acetyl-CoA. [from MIM:252930; 2024.04.03]

Genetics

Mucopolysaccharidosis type IIIC (MPS3C), also known as Sanfilippo syndrome C, is caused by homozygous or compound heterozygous mutation in the HGSNAT gene, encoding heparan acetyl- CoA:alpha-glucosaminide N-acetyltransferase, on chromosome 8p11. [from MIM:252930; 2024.04.03]

Cellular phenotype and pathology
Molecular information
External links
Disease synonyms
Acetyl-CoA:Alpha-Glucosaminide n-acetyltransferase deficiency
Acetyl-CoA: heparan-alpha-D-glucosaminide N-acetyltransferase deficiency
Heparan-alpha-glucosaminide acetyltransferase deficiency
MPS 3C
MPS3C
MPS III C
MPS IIIC
Mucopoly-saccharidosis type 3C
Mucopolysaccharidosis type IIIC (Sanfilippo C)
Sanfilippo syndrome C
Ortholog Information
Human gene(s) in FlyBase
    Human gene (HGNC)
    D. melanogaster ortholog (based on DIOPT)
    Comments on ortholog(s)

    One to one (1 human to 1 Drosophila); HGSNAT has one high-scoring Drosophila ortholog, Hgsnat.

    Other mammalian ortholog(s) used
      D. melanogaster Gene Information (1)
      Gene Snapshot
      Heparan-alpha-glucosaminide N-acetyltransferase (Hgsnat) encodes a transmembrane lysosomal enzyme that transfers an acetyl group from cytosolic acetyl-CoA to terminal N-glucosamine residues of heparan sulfate within the lysosomes. It is involved in heparan sulfate proteoglycan catabolism. [Date last reviewed: 2024-12-19]
      Cellular component (GO)
      Gene Groups / Pathways
      Comments on ortholog(s)

      High-scoring ortholog of human HGSNAT (1 Drosophila to 1 human).

      Orthologs and Alignments from DRSC
      DIOPT - DRSC Integrative Ortholog Prediction Tool - Click the link below to search for orthologs in Humans
      Other Genes Used: Viral, Bacterial, Synthetic (0)
        Summary of Physical Interactions (0 groups)
        Alleles Reported to Model Human Disease (Disease Ontology) (3 alleles)
        Models Based on Experimental Evidence ( 3 )
        Modifiers Based on Experimental Evidence ( 0 )
        Allele
        Disease
        Interaction
        References
        Alleles Representing Disease-Implicated Variants
        Genetic Tools, Stocks and Reagents
        Sources of Stocks
        Contact lab of origin for a reagent not available from a public stock center.
        Bloomington Stock Center Disease Page
        Related mammalian, viral, bacterial, or synthetic transgenes
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila transgenes
        Allele
        Transgene
        Publicly Available Stocks
        RNAi constructs available
        Allele
        Transgene
        Publicly Available Stocks
        Selected Drosophila classical alleles
        Allele
        Allele class
        Mutagen
        Publicly Available Stocks
        References (6)