HEXB

Hexosaminidase subunit beta

Also known as: HEXB, Hex B

Biology & Mechanism

HEXB encodes the beta subunit of hexosaminidase, a lysosomal enzyme required for ganglioside catabolism. HEXB deficiency causes Sandhoff disease, a lysosomal storage disorder with progressive neurodegeneration. In the CNS, HEXB is highly expressed in microglia, and its deficiency leads to lysosomal dysfunction and microglial pathology. HEXB is also a marker used to distinguish microglia from other brain myeloid cells in single-cell studies.

Open Questions

  • Does HEXB insufficiency contribute to lysosomal dysfunction in sporadic neurodegeneration beyond Sandhoff disease?
  • Can restoration of HEXB activity in microglia improve lysosomal clearance in AD models?
  • Is HEXB expression a reliable marker distinguishing microglia from CNS-associated macrophages?

Sources

Evidence Status

human geneticshuman tissuesingle-cell RNA-seqanimal model

Disease Links

  • Alzheimer's disease
  • Frontotemporal dementia

Related Targets

Last reviewed: June 1, 2026