Fabry disease is an X-linked inborn error of metabolism resulting from the deficient activity of the lysosomal hydrolase, a-galactosidase A (a-Gal A; a-Dgalactoside galactohydrolase, EC 3.2.1.22). To investigate the structure, organization, and expression of a-Gal A, as well as the nature of mutations in Fabry disease, a clone encoding human a-Gal A was isolated from a Agtll human liver cDNA expression library. To facilitate screening, an improved affinity purification procedure was used to obtain sufficient homogeneous enzyme for production of monospecific antibodies and for amino-terminal and peptide microsequencing. On the basis of an amino-terminal sequence of 24 residues, two sets of oligonucleotide mixtures were synthesized corresponding to adjacent, but not overlapping, amino acid sequences. In addition, an oligonucleotide mixture was synthesized based on a sequence derived from an a-Gal A internal tryptic peptide isolated by reversed-phase HPLC. Four positive clones were initially identified by antibody screening of 1.4 X 107 plaques. Of these, only one clone (designated XAG18) demonstrated both antibody binding specificity by competition studies using homogeneous enzyme and specific hybridization to synthetic oligonucleotide mixtures corresponding to amino-terminal and internal amino acid sequences. Nucleotide sequencing of the 5' end of the 1250-base-pair EcoRI insert ofclone XAG18 revealed an exact correspondence between the predicted and known amino-terminal amino acid sequence. The insert of clone XAG18 appears to contain the full-length coding region of the processed, enzymatically active a-Gal A, as well as sequences coding for five amino acids of the amino-terminal propeptide, which is posttranslationally cleaved during enzyme maturation.Fabry disease is an inborn error of glycosphingolipid metabolism that results from the defective activity of the lysosomal hydrolase a-galactosidase A (a-Gal A; a-D-galactoside galactohydrolase, EC 3.2.1.22) (1). The mature, active human enzyme is a homodimeric protein (subunit Mr -49,800) (2, 3), which is encoded by a structural gene localized to a narrow region (q21-q22) on the X chromosome (4). Deficient a-Gal A activity results in the accumulation of its major glycosphingolipid substrate, globotriaosylceramide and related glycolipids with terminal a-galactosidic linkages (1, 5). Progressive substrate deposition, particularly in the plasma and vascular endothelium, leads to ischemia and infarction with early demise due to vascular disease of the heart, kidney, and/or brain (1).Since the availability of a cDNA for a-Gal A would facilitate studies of the molecular basis of the disease, provide specific probes for heterozygote identification, and permit expression of large amounts of the enzyme for further structural characterization and therapeutic trials of enzyme replacement (6, 7), efforts were undertaken to isolate a cDNA encoding human a-Gal A. In this communication, we report the molecular cloning of a cDNA that apparently encodes the entire amino ...