- AARS2 3
- AASS 3
- ABAT 5
- ABCA1 1
- ABCB11 1
- ABCB4 1
- ABCB7 5
- ABCD1 2
- ABCD4 1
- ABCG5 1
- ABCG8 1
- ABHD12 1
- ABHD5 1
- ACACA 2
- ACAD8 1
- ACAD9 4
- ACADM 3
- ACADS 1
- ACADSB 1
- ACADVL 3
- ACAT1 1
- ACO2 5
- ACOX1 0
- ACSF3 3
- ACY1 1
- ADA 3
- ADAR 1
- ADSL 1
- AFG3L2 4
- AGA 1
- AGK 3
- AGL 1
- AGPS 0
- AGXT 0
- AHCY 2
- AIFM1 2
- AKR1D1 1
- ALAD 1
- ALAS2 1
- ALDH18A1 2
- ALDH3A2 1
- ALDH4A1 1
- ALDH5A1 1
- ALDH6A1 1
- ALDH7A1 2
- ALDOA 1
- ALDOB 0
- ALG1 0
- ALG11 0
- ALG12 0
- ALG14 1
- ALG3 0
- ALG6 0
- ALG8 0
- ALG9 0
- ALPL 1
- AMACR 0
- AMN 1
- AMT 1
- ANO10 3
- APOA1 1
- APOA5 2
- APOB 2
- APOC2 1
- APOE 1
- APOPT1 3
- APRT 1
- APTX 3
- ARG1 0
- ARSA 1
- ARSB 0
- ARSE 1
- ARSG 3
- ARSK 2
- ASAH1 1
- ASL 0
- ASPA 1
- ASS1 0
- ATAD3A 5
- ATIC 2
- ATP13A2 1
- ATP5A1 6
- ATP5D 1
- ATP5E 4
- ATP5G3 5
- ATP5O 4
- ATP6AP1 0
- ATP6V0A2 0
- ATP7A 3
- ATP7B 1
- ATP8B1 1
- ATPAF2 2
- AUH 0
- B3GALNT2 0
- B3GALT6 0
- B3GAT3 0
- B3GLCT 1
- B4GALNT1 2
- B4GALT1 0
- B4GALT7 0
- BAAT 1
- BCAT2 3
- BCKDHA 0
- BCKDHB 0
- BCKDK 1
- BCS1L 2
- BOLA3 3
- BTD 2
- C12orf65 3
- C19orf12 7
- C19orf70 2
- C1QBP 2
- CA5A 2
- CARS2 4
- CAT 0
- CBS 2
- CCDC115 1
- CHCHD10 3
- CHKB 6
- CHST14 0
- CHST3 0
- CHST6 0
- CHSY1 0
- CISD2 1
- CLDN16 1
- CLDN19 1
- CLN3 1
- CLN5 1
- CLN6 1
- CLN8 1
- CLPB 5
- CLPP 2
- CNNM2 1
- COA6 3
- COA7 1
- COG1 0
- COG4 0
- COG5 0
- COG6 0
- COG7 0
- COG8 0
- COQ2 3
- COQ4 2
- COQ6 2
- COQ7 3
- COQ8A 4
- COQ8B 3
- COQ9 2
- COX10 2
- COX14 3
- COX15 2
- COX20 3
- COX5A 3
- COX6A1 2
- COX6B1 1
- COX7B 2
- CP 1
- CPOX 3
- CPS1 0
- CPT1A 1
- CPT2 4
- CREB3L3 4
- CRLS1 2
- CSGALNACT1 3
- CTH 1
- CTNS 1
- CTSA 1
- CTSC 1
- CTSD 1
- CTSF 1
- CTSK 1
- CUBN 1
- CYC1 2
- CYP27A1 1
- CYP7B1 1
- D2HGDH 1
- DARS 7
- DARS2 3
- DBH 2
- DBT 0
- DCXR 2
- DDC 2
- DDOST 2
- DGUOK 2
- DHCR24 1
- DHCR7 2
- DHFR 0
- DHODH 1
- DHRSX 7
- DHTKD1 7
- DLAT 3
- DLD 3
- DNA2 3
- DNAJC12 1
- DNAJC19 3
- DNAJC5 1
- DNM1L 3
- DNM2 3
- DOLK 0
- DPAGT1 0
- DPM1 0
- DPM2 2
- DPM3 2
- DPYD 2
- DPYS 1
- DYM 2
- EARS2 2
- EBP 1
- ECHS1 3
- EDEM3 1
- EHBP1L1 2
- ELAC2 2
- ENO3 2
- EOGT 2
- EPG5 1
- EPM2A 1
- ETFA 2
- ETFB 2
- ETFDH 3
- ETHE1 2
- EXT1 1
- EXT2 0
- FA2H 1
- FAH 1
- FARS2 3
- FASTKD2 2
- FBP1 0
- FBXL4 4
- FDX2 6
- FDXR 2
- FECH 3
- FGFR2 1
- FH 2
- FKRP 0
- FKTN 0
- FLAD1 3
- FMO3 1
- FOLR1 0
- FOXRED1 1
- FTCD 2
- FUCA1 1
- FUK 3
- FUT8 1
- FXN 7
- G6PC 2
- G6PC3 1
- GAA 2
- GABRG2 1
- GALC 1
- GALE 1
- GALK1 1
- GALM 2
- GALNS 0
- GALNT2 3
- GALNT3 0
- GALT 1
- GAMT 2
- GARS 3
- GATM 3
- GBA 1
- GBE1 1
- GCDH 1
- GCH1 1
- GCLC 1
- GCSH 4
- GDAP1 4
- GFER 2
- GFM1 2
- GFM2 3
- GFPT1 0
- GIF 2
- GK 1
- GLA 0
- GLB1 0
- GLDC 1
- GLRA1 1
- GLRX5 3
- GLS 4
- GLUD1 5
- GLUL 1
- GLYCTK 1
- GM2A 1
- GMPPA 2
- GMPPB 0
- GNE 2
- GNMT 1
- GNPAT 0
- GNPTAB 0
- GNPTG 0
- GNS 0
- GORAB 2
- GPD1 1
- GPHN 1
- GPIHBP1 1
- GRHPR 0
- GRN 3
- GSS 1
- GSTZ1 2
- GTPBP3 3
- GUSB 0
- GYG1 2
- GYS1 2
- GYS2 0
- HAAO 1
- HADH 1
- HADHA 2
- HADHB 2
- HAMP 1
- HARS2 5
- HCCS 2
- HCFC1 1
- HEXA 1
- HEXB 1
- HFE 1
- HFE2 2
- HGD 1
- HGSNAT 0
- HIBCH 3
- HLCS 2
- HMBS 3
- HMGCL 4
- HMGCS2 1
- HOGA1 0
- HPD 1
- HPRT1 1
- HPS1 1
- HS2ST1 2
- HSD17B10 2
- HSD17B4 0
- HSD3B7 2
- HSPA9 5
- HSPD1 2
- HTRA2 1
- HYAL1 2
- IARS2 3
- IBA57 2
- IDH2 2
- IDS 0
- IDUA 0
- IER3IP1 6
- ISCA1 1
- ISCA2 5
- ISCU 4
- ISPD 1
- ITPA 1
- IVD 0
- KARS 5
- KYNU 2
- L2HGDH 1
- LAMP2 2
- LARGE1 2
- LARS 3
- LARS2 2
- LBR 1
- LCAT 1
- LCT 1
- LDHA 1
- LDLR 1
- LDLRAP1 1
- LETM1 4
- LFNG 3
- LIAS 3
- LIPA 1
- LIPT1 3
- LIPT2 4
- LMBRD1 1
- LMF1 1
- LONP1 2
- LPIN1 2
- LPL 1
- LRPPRC 3
- LYRM4 4
- LYRM7 3
- MAGT1 1
- MAN1B1 0
- MAN2B1 1
- MANBA 1
- MAOA 1
- MARS2 2
- MAT1A 2
- MCCC1 1
- MCCC2 1
- MCEE 0
- MCOLN1 0
- MDH2 1
- MECR 2
- MFF 2
- MFN2 3
- MFSD8 1
- MGAT2 0
- MGME1 3
- MICU1 2
- MIPEP 1
- MLYCD 0
- MMAA 0
- MMAB 0
- MMACHC 1
- MMADHC 1
- MOCS1 1
- MOCS2 1
- MOGS 1
- MPC1 3
- MPDU1 0
- MPI 0
- MPV17 2
- MRM2 2
- MRPL3 5
- MRPL44 3
- MRPS2 2
- MRPS22 2
- MRPS34 2
- MSMO1 1
- MSTO1 3
- MT-ATP6 3
- MT-ATP8 3
- MT-CO1 3
- MT-CO2 3
- MT-CO3 3
- MT-CYB 3
- MTFMT 4
- MTHFR 0
- MT-ND1 3
- MT-ND2 3
- MT-ND3 3
- MT-ND4 3
- MT-ND4L 3
- MT-ND5 3
- MT-ND6 3
- MTO1 2
- MTPAP 5
- MTR 1
- MT-RNR1 3
- MTRR 1
- MT-TA 3
- MT-TC 3
- MT-TD 3
- MT-TE 3
- MT-TF 3
- MT-TG 3
- MT-TH 3
- MT-TI 3
- MT-TK 3
- MT-TL1 3
- MT-TL2 3
- MT-TM 3
- MT-TN 3
- MTTP 1
- MT-TP 3
- MT-TQ 3
- MT-TR 3
- MT-TS1 3
- MT-TS2 3
- MT-TT 5
- MT-TV 3
- MT-TW 3
- MT-TY 3
- MUT 1
- MVK 1
- NADK2 3
- NAGA 1
- NAGLU 0
- NAGS 0
- NARS2 2
- NAXD 3
- NAXE 2
- NDUFA1 2
- NDUFA10 1
- NDUFA11 1
- NDUFA12 4
- NDUFA13 6
- NDUFA2 1
- NDUFA4 4
- NDUFA6 3
- NDUFA8 5
- NDUFA9 5
- NDUFAF1 1
- NDUFAF2 2
- NDUFAF3 1
- NDUFAF4 1
- NDUFAF5 2
- NDUFAF6 3
- NDUFAF8 1
- NDUFB10 4
- NDUFB11 2
- NDUFB3 2
- NDUFB8 2
- NDUFC2 2
- NDUFS1 1
- NDUFS2 1
- NDUFS3 1
- NDUFS4 1
- NDUFS6 1
- NDUFS7 1
- NDUFS8 1
- NDUFV1 1
- NDUFV2 2
- NEU1 0
- NFS1 6
- NFU1 3
- NGLY1 2
- NHLRC1 1
- NNT 2
- NPC1 1
- NPC2 1
- NSDHL 1
- NSUN3 3
- NT5C3A 1
- NT5E 2
- NUBPL 2
- NUS1 4
- OAT 0
- OCRL 2
- OGDH 5
- OPA1 4
- OPA3 2
- OTC 1
- OXCT1 1
- PAH 1
- PANK2 2
- PARS2 4
- PC 3
- PCBD1 1
- PCCA 0
- PCCB 0
- PCK1 2
- PCSK9 1
- PDHA1 3
- PDHB 3
- PDHX 3
- PDK3 6
- PDP1 3
- PDSS1 2
- PDSS2 2
- PEPD 1
- PET100 4
- PEX1 0
- PEX10 0
- PEX11B 0
- PEX12 0
- PEX13 0
- PEX14 0
- PEX16 0
- PEX19 0
- PEX2 0
- PEX26 0
- PEX3 0
- PEX5 1
- PEX6 2
- PEX7 0
- PFKM 2
- PGAM2 2
- PGAP2 0
- PGAP3 0
- PGK1 2
- PGM1 1
- PGM3 0
- PHGDH 1
- PHKA1 2
- PHKA2 0
- PHKB 1
- PHKG2 0
- PHYH 0
- PIGA 0
- PIGL 0
- PIGM 4
- PIGN 0
- PIGO 0
- PIGS 2
- PIGT 1
- PIGV 0
- PIGW 1
- PINK1 1
- PLA2G6 1
- PMM2 0
- PMPCA 2
- PMPCB 1
- PNP 1
- PNPLA2 3
- PNPLA8 3
- PNPO 1
- PNPT1 2
- POLG 4
- POLG2 4
- POMGNT1 0
- POMGNT2 0
- POMK 2
- POMT1 0
- POMT2 0
- POR 1
- PPA2 1
- PPOX 3
- PPT1 1
- PRKAG2 2
- PRODH 2
- PRPS1 1
- PSAP 0
- PSAT1 1
- PTCD3 2
- PTS 2
- PUS1 4
- PYCR1 3
- PYGL 0
- PYGM 1
- QDPR 1
- QRSL1 3
- RARS2 3
- RBCK1 2
- RBP4 2
- RFT1 0
- RMND1 3
- RNASEH1 3
- RNASEH2A 4
- RNASEH2B 4
- RNASEH2C 4
- RPIA 2
- RPL10 1
- RRM2B 3
- RTN4IP1 2
- SACS 2
- SAMHD1 3
- SAR1B 2
- SARS2 2
- SC5D 2
- SCO1 2
- SCO2 2
- SCP2 0
- SDHA 4
- SDHAF1 2
- SDHB 3
- SDHD 3
- SEC23B 2
- SERAC1 3
- SETX 2
- SFXN4 3
- SGSH 0
- SHMT2 2
- SI 2
- SKIV2L 2
- SLC12A3 2
- SLC13A3 3
- SLC16A1 1
- SLC17A5 1
- SLC18A2 2
- SLC19A2 3
- SLC19A3 3
- SLC22A5 2
- SLC25A1 4
- SLC25A12 4
- SLC25A13 1
- SLC25A15 0
- SLC25A19 3
- SLC25A20 1
- SLC25A22 3
- SLC25A26 2
- SLC25A3 3
- SLC25A32 1
- SLC25A38 2
- SLC25A4 3
- SLC25A42 3
- SLC25A46 2
- SLC2A1 2
- SLC2A2 0
- SLC30A10 1
- SLC35A1 2
- SLC35A2 3
- SLC35C1 0
- SLC35D1 0
- SLC37A4 2
- SLC39A14 1
- SLC39A4 2
- SLC39A8 2
- SLC3A1 2
- SLC40A1 1
- SLC46A1 0
- SLC52A2 2
- SLC52A3 1
- SLC5A1 2
- SLC5A6 2
- SLC6A19 3
- SLC6A3 2
- SLC6A8 2
- SLC7A7 0
- SLC7A9 2
- SMPD1 1
- SPG7 7
- SPR 2
- SPTLC1 3
- SPTLC2 2
- SRD5A3 0
- SSBP1 3
- SSR4 0
- ST3GAL3 2
- ST3GAL5 0
- STS 2
- STT3A 3
- SUCLA2 3
- SUCLG1 2
- SUMF1 1
- SUOX 1
- SURF1 3
- TACO1 2
- TALDO1 1
- TANGO2 5
- TARS2 3
- TAT 2
- TAZ 3
- TCN2 2
- TFAM 3
- TFR2 1
- TH 2
- TIMM50 2
- TIMM8A 2
- TIMMDC1 3
- TK2 3
- TMEM126B 4
- TMEM165 0
- TMEM199 2
- TMEM5 1
- TMEM70 1
- TOP3A 2
- TPK1 3
- TPP1 1
- TRAP1 2
- TREX1 2
- TRIM37 0
- TRIT1 3
- TRMT10C 3
- TRMT5 4
- TRMU 3
- TRNT1 2
- TRPM6 1
- TSFM 3
- TTC19 1
- TTC37 3
- TTPA 2
- TUFM 6
- TUSC3 0
- TWNK 5
- TYMP 3
- UGT1A1 3
- UMOD 2
- UMPS 1
- UPB1 3
- UQCC2 5
- UQCRB 5
- UQCRC2 6
- UQCRFS1 3
- UROD 1
- UROS 2
- VARS2 2
- VIPAS39 2
- VKORC1 2
- VPS16 1
- VPS33A 1
- VPS33B 2
- WARS2 3
- WDR45 1
- WFS1 3
- XDH 1
- XPNPEP3 4
- XYLT1 1
- XYLT2 0
- YARS2 2
- ACOX2 1
- ALG13 1
- ALG2 2
- ATP5B 4
- C2orf69 4
- CD320 2
- CLCN7 1
- CMPK2 3
- COA3 3
- COASY 1
- COG3 2
- COX11 4
- COX18 4
- COX4I1 3
- COX4I2 3
- COX6A2 4
- CSTB 1
- CYCS 5
- DCC 1
- DHDDS 1
- EHHADH 2
- ERAL1 1
- GATC 2
- GUK1 3
- HPDL 3
- HSD11B2 1
- IDH1 2
- IDH3A 3
- KIAA0391 3
- LDHD 2
- LIG3 4
- LIPC 2
- MAN2B2 3
- MRPL39 3
- MRPL49 2
- MRPS14 1
- MRPS16 5
- MRPS7 2
- MT-RNR2 3
- NDUFB7 3
- NDUFB9 4
- OPLAH 2
- PAICS 1
- PDE12 3
- PET117 1
- PITRM1 5
- POLRMT 4
- PSPH 2
- QARS 5
- RANBP2 2
- RNASET2 2
- RYR1 1
- SDHAF2 4
- SDHC 3
- SLC25A24 3
- SLC25A36 3
- SLC31A1 1
- SPATA5 5
- SQOR 3
- SSR3 2
- STAT2 7
- SUPV3L1 2
- TAMM41 3
- TEFM 3
- TKFC 1
- TMEM65 1
- TOMM7 3
- TRAPPC11 1
- TRPM7 1
- UGGT1 2
- UQCC3 3
- UQCRC1 2
- UQCRQ 2
- UROC1 2
- YME1L1 1
- ABCG2 1
- ACAT2 2
- ALDH1B1 2
- ALG10 2
- AMPD1 2
- AOX1 1
- ATAD3B 2
- ATP5C1 3
- ATP5G1 3
- ATP5G2 3
- ATP5I 3
- ATP5J 3
- ATXN7 2
- BCAT1 1
- BOLA1 1
- BOLA2 1
- C1GALT1C1 1
- CAD 0
- CAMLG 1
- CEP89 3
- CETP 1
- CLCN6 1
- CLPS 1
- CNDP1 1
- COA1 2
- COA5 4
- COG2 0
- COX5B 1
- COX6C 1
- COX7A1 1
- COX7A2 1
- COX7B2 1
- COX7C 1
- COX8A 3
- CYP7A1 1
- DHFR2 1
- DLST 3
- DMGDH 1
- DPEP1 1
- DTD1 0
- ECSIT 2
- EGF 1
- ERCC6L2 0
- FAR1 2
- FBP2 1
- FOLR2 1
- FOLR3 1
- FXYD2 1
- GALNT12 1
- GATB 2
- GGT1 2
- HAL 1
- HYKK 1
- IDH3B 2
- KCTD7 1
- KHK 1
- LACTB 1
- LIPI 1
- MRPL12 4
- MRPL40 2
- MRPS23 4
- MTHFD1 1
- NAT8L 1
- NDUFA3 2
- NDUFA5 1
- NDUFA7 1
- NDUFAB1 1
- NDUFB1 1
- NDUFB2 1
- NDUFB4 1
- NDUFB5 1
- NDUFB6 1
- NDUFC1 1
- NDUFS5 2
- NDUFV3 2
- NT5C 1
- NUP62 1
- OSTC 2
- OXA1L 2
- PCYT2 1
- PDK1 3
- PDK2 2
- PDK4 2
- PDP2 4
- PDPR 5
- PDXK 1
- PEX11A 1
- PHKG1 1
- PHYKPL 1
- PNLIP 1
- PNPLA4 1
- POP1 1
- PPM1B 1
- PPM1K 1
- PREPL 2
- PTCD1 1
- PTPRZ1 1
- ROBO3 4
- SARDH 1
- SCARB1 1
- SHPK 1
- SLC22A4 1
- SLC25A2 1
- SLC25A40 1
- SLC26A6 1
- SLC27A5 1
- SLC35A3 0
- SLC36A2 2
- SLC52A1 1
- SLC6A20 2
- SLCO1B1 1
- SLCO1B3 1
- SRRT 2
- STT3B 0
- SUCLG2 2
- SUGCT 1
- TCN1 2
- TDO2 1
- TIMM44 1
- TM6SF2 1
- TMEM126A 3
- TPMT 1
- TREH 1
- TXN2 4
- UQCRH 1
- USF1 1
- VPS13C 5
Likely inborn error of metabolism
Gene: SPTLC2 Green List (high evidence)EnsemblGeneIds (GRCh38): ENSG00000100596
EnsemblGeneIds (GRCh37): ENSG00000100596
OMIM: 605713, Gene2Phenotype
SPTLC2 is in 13 panels
2 reviews
Catherine Snow (Genomics England)
Green List (high evidence)
Promoted from Amber to Green. This gene is associated with a relevant disease on OMIM and Gene2Phenotype and there is enough evidence to support a gene-disease association.
SPTLC2, encodes one of the two subunits of serine palmitoyltransferase (SPT), the enzyme catalyzing the first and rate-limiting step in the de novo synthesis of sphingolipids. PMID: 20920666 reports on three heterozygous missense mutations in the SPTLC2 subunit of SPT in four families and also confirmed cases in Bristol (see review on Hereditary Neuropathy panel https://panelapp.genomicsengland.co.uk/panels/85/)
This gene was part of an initial gene list collated by Emma Ashton on behalf of the London North GLH, for GMS Metabolic Consensus Specialist Test Group. Additional information was not provided, such as mode of inheritance and phenotype.Created: 26 Sep 2019, 8:41 a.m. | Last Modified: 26 Sep 2019, 8:41 a.m.
Panel Version: 1.281
Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, imprinted status unknown
Phenotypes
Neuropathy, hereditary sensory and autonomic, type IC, 613640
Publications
Last Modified: 26 Sep 2019, 8:41 a.m.
Panel version: 1.281
Sarah Leigh (Genomics England Curator)
Amber review assigned as this gene is Green on the V1 panel(s) named as a phenotype(s)Created: 6 Jan 2017, 2:03 p.m.
Amber review assigned as this gene is Green on the V1 panel(s) named as a phenotype(s)Created: 6 Jan 2017, 2:03 p.m.
Amber review assigned as this gene is Green on the V1 panel(s) named as a phenotype(s)Created: 6 Jan 2017, 2:02 p.m.
Amber review assigned as this gene is Green on the V1 panel(s) named as a phenotype(s)Created: 6 Jan 2017, 2:02 p.m.
Mode of inheritance
MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
Phenotypes
Familial dysautonomia
Panel version: Imported from Undiagnosed metabolic disorders panel version 0.15
Details
- Mode of Inheritance
- MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted
- Sources
-
- Expert Review Green
- London North GLH
- NHS GMS
- Phenotypes
-
- Charcot-Marie-Tooth disease
- Serine palmitoyl transferase deficiency (Disorders of complex lipid synthesis)
- Familial dysautonomia
- OMIM
- 605713
- Clinvar variants
- Variants in SPTLC2
- Penetrance
- None
- Publications
- Panels with this gene
-
- Intellectual disability
- Childhood onset dystonia, chorea or related movement disorder
- Likely inborn error of metabolism
- Familial dysautonomia
- Hereditary neuropathy
- Hereditary neuropathy or pain disorder
- Retinal disorders
- DDG2P
- Pain syndromes
- Fetal anomalies
- Paroxysmal central nervous system disorders
- Undiagnosed metabolic disorders
- Adult onset neurodegenerative disorder
History Filter Activity
Entity classified by Genomics England curator
Catherine Snow (Genomics England)Gene: sptlc2 has been classified as Green List (High Evidence).
Set publications
Catherine Snow (Genomics England)Publications for gene: SPTLC2 were set to 27604308; 20920666
Set publications
Catherine Snow (Genomics England)Publications for gene: SPTLC2 were set to 27604308
Added New Source, Added New Source
Ivone Leong (Genomics England Curator)Source NHS GMS was added to SPTLC2. Source London North GLH was added to SPTLC2.
Panel promoted to version 1.0
Ellen McDonagh (Genomics England Curator)Sarah Leigh: Associated with relevant pheno
Created, Added New Source, Set mode of inheritance, Set publications, Set Phenotypes
Ellen McDonagh (Genomics England Curator)gene: SPTLC2 was added gene: SPTLC2 was added to Inborn errors of metabolism. Sources: Expert Review Amber Mode of inheritance for gene: SPTLC2 was set to MONOALLELIC, autosomal or pseudoautosomal, NOT imprinted Publications for gene: SPTLC2 were set to 27604308 Phenotypes for gene: SPTLC2 were set to Charcot-Marie-Tooth disease; Serine palmitoyl transferase deficiency (Disorders of complex lipid synthesis); Familial dysautonomia