SLC25A1

protein-coding

solute carrier family 25 member 1, the group of Solute carrier family 25

Gene summary

This gene encodes a member of the mitochondrial carrier subfamily of solute carrier proteins. Members of this family include nuclear-encoded transporters that translocate small metabolites across the mitochondrial membrane. This protein regulates the movement of citrate across the inner membranes of the mitochondria. Mutations in this gene have been associated with combined D-2- and L-2-hydroxyglutaric aciduria. Pseudogenes of this gene have been identified on chromosomes 7, 11, 16, and 19. Alternative splicing results in multiple transcript variants. [provided by RefSeq, Dec 2013]

Previous symbols:
  • SLC20A3

MANE transcript

NM_005984.5

Inheritance

AR

ClinVar variants

P:24U:91B:46

Top phenotype

Myasthenic syndrome, congenital, 23, presynaptic

gnomAD constraint

pLI —, LoF o/e 0.31

Max pathogenic AF

—

Genomic locus

chr22:19,175,581-19,178,739

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~3.2 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

mitochondrial diseaseDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0044970

Submitter: ClinGen

The relationship between *SLC25A1* and primary mitochondrial disease was evaluated using the ClinGen Clinical Validity Framework as of December 18, 2023. This gene encodes the mitochondrial citrate transporter, an electroneutral antiporter that exports citrate from the mitochondria into the cytosol, in exchange for malate. SLC25A1 also mediates the exchange of citrate for isocitrate, cis-aconitate, phosphoenolpyruvate, and malate (and to a lesser extent maleate and succinate). Citrate exported from the mitochondria is needed for cytosolic production of acetyl-CoA required for synthesis of lipids, sterols, and dolichols . *SLC25A1* was first reported in relation to autosomal recessive primary mitochondrial disease in 2013 (PMID: 23561848), in several individuals with combined D-2- and L-2-hydroxyglutaric aciduria (HGA) and severe neonatal epileptic encephalopathy. While various names have been given to the constellation of features seen in those with *SLC25A1*-related disease, pathogenic variants in this gene cause a primary mitochondrial disease. Therefore, the *SLC25A1* phenotype has been lumped into one disease entity according to the ClinGen Lumping and Splitting Framework. Evidence supporting this gene-disease relationship includes case-level data and experimental data. This curation included 12 unique variants (nine missense, two frameshift, one nonsense) identified in 11 probands from two publications (PMIDs: 23561848, 23393310), although there are more cases reported in the medical literature. Age of onset is within the first year of life and the outcome ranges from an early infantile epileptic encephalopathy without skills development and early death to early infancy-onset nonprogressive myasthenic syndrome. Affected individuals typically present with combined D-2- and L-2-hydroxyglutaric aciduria (HGA) or a congenital myasthenia syndrome phenotype. Clinical features observed in affected individuals include profound developmental delay, intellectual disability, learning disabilities, irritability, infantile epileptic encephalopathy, seizures, dystonia, myasthenic syndrome, muscle weakness, easy fatigability, distal and proximal weakness, hypotonia, optic nerve atrophy, ptosis, cortical blindness, poor eye contact, central apnea, and respiratory insufficiency. Muscle biopsies were not routinely performed in the reported cases. Brain imaging has shown agenesis of the corpus callosum, delayed brain development and gyration, ventriculomegaly, caudate cysts, and cerebellar hypoplasia. This gene-disease association is also supported by its known biochemical function (PMID: 33340416), functional alteration in patient cells (PMID: 23561848), zebrafish model (PMID: 26870663), drosophila model (PMID: 30108060), and rescue in patient cells (PMID: 29238895). In summary, there is definitive evidence to support the relationship between *SL25A1* and primary mitochondrial disease. This has been repeatedly demonstrated and upheld over time, and no convincing evidence has emerged that contradicts this gene-disease relationship. This classification was approved by the NICHD/NINDS U24 ClinGen Mitochondrial Disease Gene Curation Expert Panel on December 18, 2023 (SOP Version 10).

D,L-2-hydroxyglutaric aciduriaDEFINITIVE

Inheritance Pattern: AR

Disease ID:MONDO:0014072

Submitter: G2P

D,L-2-hydroxyglutaric aciduriaLIMITED

Inheritance Pattern: AR

Disease ID:MONDO:0014072

Submitter: Ambry Genetics

D,L-2-hydroxyglutaric aciduriaSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014072

Submitter: PanelApp Australia

D,L-2-hydroxyglutaric aciduriaSUPPORTIVE

Inheritance Pattern: AR

Disease ID:MONDO:0014072

Submitter: Orphanet

D,L-2-hydroxyglutaric aciduriaSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0014072

Submitter: Labcorp Genetics (formerly Invitae)

myasthenic syndrome, congenital, 23, presynapticSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0032596

Submitter: Genomics England PanelApp

myasthenic syndrome, congenital, 23, presynapticSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0032596

Submitter: Labcorp Genetics (formerly Invitae)

myasthenic syndrome, congenital, 23, presynapticSTRONG

Inheritance Pattern: AR

Disease ID:MONDO:0032596

Submitter: PanelApp Australia

Clinical Genomic Database (CGD)

Myasthenic syndrome, congenital, 23, presynapticAR

Manifestation: Neurologic

Intervention: General

Rationale: Medical management (with 3,4-DAP) has been reported as beneficial

Refs: 10963100; 23393310; 23561848; 26870663; 31527857; 31808147Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SLC25A1 variants in ClinVar

7 Conditions Cataloged
not providedTotal: 179
not specifiedTotal: 52
Inborn genetic diseasesTotal: 31
SLC25A1-related disorderTotal: 15
Myasthenic syndrome, congenital, 23, presynapticTotal: 9
2-hydroxyglutaric aciduriaTotal: 8
D,L-2-hydroxyglutaric aciduriaTotal: 6

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_005984.5. Only rare variants are included.

We include only reliable ClinVar variants with their consequences to MANE Select, MANE Plus Clinical transcripts, or transcripts with TSL equal to 1. Click a count to filter the variants table below.

Slight differences between displayed counts and ClinVar may occur due to a different transcript/consequence chosen by our variant effect predictor, or because we classify Benign/Likely benign as Likely benign and Pathogenic/Likely pathogenic as Likely pathogenic.

EffectPLPVUSLBBSum
synonymous
4
clinvar
46
clinvar
50
missense
1
clinvar
9
clinvar
81
clinvar
91
nonsense
1
clinvar
1
clinvar
2
clinvar
4
start loss
0
frameshift
5
clinvar
3
clinvar
2
clinvar
10
splice donor/acceptor (+/-2bp)
2
clinvar
2
clinvar
2
clinvar
6
Total91591460161

Highest pathogenic variant AF is 0.000066957145

Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 38 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_005984.5RefSeqNP_005975.19MANE Select
ENST00000215882.10EnsemblENSP00000215882.59MANE Select
NM_001256534.2RefSeqNP_001243463.18Standard
NM_001287387.2RefSeqNP_001274316.16Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
slc25a1aDanio rerio

Structure: intestine

Quality: decreased size

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • miR-targeted genes in epithelium - TarBase
  • miR-targeted genes in leukocytes - TarBase
  • miR-targeted genes in lymphocytes - TarBase
  • miR-targeted genes in muscle cell - TarBase
  • Metabolism of carbohydrates

Biological Process

  • gluconeogenesis
  • mitochondrial citrate transmembrane transport
  • fatty-acyl-CoA biosynthetic process

Molecular Function

  • citrate transmembrane transporter activity
  • tricarboxylic acid transmembrane transporter activity

Cellular Component

  • nucleus
  • mitochondrial inner membrane
  • integral component of membrane
  • extracellular exosome

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000215882
Coding exons
9
Length
3249
Individuals with no LoFs
125720
Homozygous LoFs
0
Heterozygous LoFs
24
Defined
125744
p
0.0000954
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.241281740.7360.00001051967
Missense (PolyPhen)3453.9750.62992555
Synonymous-1.018372.11.150.00000428644
Loss of Function2.58516.20.3098.80e-7171

Population LoF Frequency

PopulationCAFp-valueStatus
African00.0absent
Latino/Admixed American0.000140.00014rare
Ashkenazi Jewish00.0absent
East Asian0.0000560.000054rare
Finnish00.0absent
European (Non-Finnish)0.000140.00014rare
South Asian0.0000330.000033rare
Other0.000160.00016rare

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Involved in citrate-H(+)/malate exchange. Important for the bioenergetics of hepatic cells as it provides a carbon source for fatty acid and sterol biosyntheses, and NAD(+) for the glycolytic pathway.;
Disease
DISEASE: Combined D-2- and L-2-hydroxyglutaric aciduria (D2L2AD) [MIM:615182]: An autosomal recessive neurometabolic disorder characterized by neonatal-onset encephalopathy with severe muscular weakness, intractable seizures, respiratory distress, and lack of psychomotor development resulting in early death. Brain imaging shows abnormalities including enlarged ventricles, delayed myelination, and germinal layer cysts. {ECO:0000269|PubMed:23561848, ECO:0000269|PubMed:27306203}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Recessive Scores

pRec
0.321

Intolerance Scores

LoFtool
0.330
RVIS EVS
-0.52
RVIS percentile EVS
21.2

Essentials

Essential (CRISPR)
E
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
E
Indispensability score
0.999

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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