Mucopolysaccharidosis type VI (MPS VI) is a genetic disorder caused by a deficiency of arylsulfatase B (ARSB). In our previous study, we investigated the structural changes in ARSB caused by amino acid substitutions associated with MPS VI, and revealed that such structural changes in ARSB were correlated with the clinical phenotypes. To the best of our knowledge, there is no database containing the structures of mutant ARSBs. Here, we built a database of clinical phenotypes, genotypes and structures of mutant ARSBs (http://mps6-database.org). This database can be accessed via the Internet, and is user friendly being equipped with powerful computational tools. This database will be useful for a better understanding of MPS VI. Keywords: amino acid substitution; arylsulfatase B; database; mucopolysaccharidosis type VI; protein structure Arylsulfatase B (ARSB, N-acetylgalactosamine-4-sulfatase, EC 3.1.6.12) catalyzes the hydrolysis of the sulfate moiety of glycosaminoglycan (GAG) dermatan sulfate. 1,2 A deficiency of ARSB, which is caused by a mutation in the ARSB gene located on chromosome 5 (5q13-5q14), results in the accumulation of the substrate in lysosomes of various types of tissues, leading to an autosomal recessive lysosomal storage disorder, mucopolysaccharidosis type VI (MPS VI; Maroteaux-Lamy syndrome; MIM#253200). MPS VI exhibits a broad spectrum of clinical phenotypes, from severe to attenuated forms, and patients with this disease exhibit growth retardation, a short stature, coarse faces, skeletal deformities, stiff joints, corneal clouding, respiratory difficulty, hepatosplenomegaly and cardiac abnormalities.So far, a large number of ARSB gene mutations, predominantly missense ones, causing MPS VI have been identified, 1,2 and their complexity makes it difficult to understand the disease. To elucidate the mechanism underlying the disease, three-dimensional (3D) structural analysis of ARSB has been performed. For example, Garrido et al. 3 visualized the locations of mutations in the ARSB structure using 3D visualization software. Furthermore, our group revealed that the structural changes in ARSB caused by amino acid substitutions were correlated with the clinical phenotypes; 4 that is, a large structural change in ARSB or a structural change in the core region of ARSB tends to cause a severe form, whereas a small structural change in ARSB or a structural change on the surface of ARSB tends to cause an attenuated form. This suggests that information on structural changes in ARSB will facilitate our understanding of the disease.In this study, we built a database of clinical phenotypes, genotypes and structures of mutant ARSBs. The information on the ARSB gene mutations was mainly obtained from the HGMD database (http:// www.hgmd.org/), 5 and structural models of mutant ARSBs were built according to the method described previously, 4 using the crystal structure of human ARSB as a template (Protein Data Bank (PDB) code: 1FSU). 6 All researchers and clinicians can use this database (http:// mps6-database....