SLC44A4

protein-coding

solute carrier family 44 member 4, the group of Solute carrier family 44

Gene summary

The protein encoded by this gene may be a sodium-dependent transmembrane transport protein involved in the uptake of choline by cholinergic neurons. Defects in this gene can cause sialidosis, a lysosomal storage disease. Three transcript variants encoding different isoforms have been found for this gene. [provided by RefSeq, May 2010]

Previous symbols:
  • C6orf29

MANE transcript

NM_025257.3

Inheritance

AD

ClinVar variants

U:168B:69

Top phenotype

Deafness, autosomal dominant, 72

gnomAD constraint

pLI —, LoF o/e 0.67

Max pathogenic AF

—

Genomic locus

chr6:31,863,192-31,879,046

External References & Databases

Transcript & Mutation Effects

hg38 • Region Span ~15.9 kb
Loading mutation effect viewer...

GenCC Phenotypes & Disease Associations

Curated gene-disease validity assertions and inheritance patterns

hearing loss, autosomal dominant 72LIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0033259

Submitter: Labcorp Genetics (formerly Invitae)

nonsyndromic genetic hearing lossLIMITED

Inheritance Pattern: AD

Disease ID:MONDO:0019497

Submitter: ClinGen

SLC44A4 was first reported in relation to autosomal dominant nonsyndromic hearing loss in 2017 (Ma et al., PMID: 28013291). One variant (c.466A>G p.M156V) has been reported in one proband in one publication (PMID: 28013291) and is included in this curation. The variant was shown to segregate in the presented kindred with a LOD score of 2.1. The mechanism of pathogenicity is reported to be LOF. This gene-disease relationship is also supported by an animal model and rescue of the phenotype as well as expression level data (PMID: 28013291). In summary, there is limited evidence to support this gene-disease relationship. Although more evidence is needed to support a causal role, no convincing evidence has emerged that contradicts the gene-disease relationship. This gene-disease pair was originally evaluated by the Hearing Loss GCEP on 04/24/2018. It was reevaluated on 11/16/2022. As a result of this reevaluation, the classification did not change from limited (SOP Version 9).

autosomal dominant nonsyndromic hearing lossSUPPORTIVE

Inheritance Pattern: AD

Disease ID:MONDO:0019587

Submitter: Orphanet

Clinical Genomic Database (CGD)

Deafness, autosomal dominant, 72AD

Manifestation: Audiologic/Otolaryngologic

Intervention: General

Rationale: Genetic knowledge may be beneficial related to issues such as selection of optimal supportive care, informed medical decision-making, prognostic considerations, and avoidance of unnecessary testing

Refs: 28013291Source: CGD (NHGRI)

ClinVar Associated Diseases & Phenotypes

Reported disease conditions connected to SLC44A4 variants in ClinVar

6 Conditions Cataloged
not providedTotal: 224
not specifiedTotal: 119
SLC44A4-related disorderTotal: 37
Hearing loss, autosomal dominant 72Total: 5
Nonsyndromic genetic hearing lossTotal: 1
Autosomal recessive proximal renal tubular acidosisTotal: 1

ClinVar Variants & Pathogenicity by Type

Statistics based on transcript NM_025257.3. 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
3
clinvar
42
clinvar
6
clinvar
51
missense
149
clinvar
11
clinvar
7
clinvar
167
nonsense
4
clinvar
4
start loss
1
clinvar
1
frameshift
5
clinvar
5
splice donor/acceptor (+/-2bp)
6
clinvar
3
clinvar
9
Total001685613237
Loading ClinVar variants...

Transcript Catalog

Annotated transcript isoforms across RefSeq and Ensembl databases

Showing 4 of 24 transcripts
Transcript IDSourceProtein IDCoding ExonsMANE Status
NM_025257.3RefSeqNP_079533.221MANE Select
ENST00000229729.11EnsemblENSP00000229729.621MANE Select
NM_001178044.2RefSeqNP_001171515.120Standard
NM_001178045.2RefSeqNP_001171516.118Standard

Model Organisms & Knockout Phenotypes

Observed phenotypic effects in mouse and zebrafish models

Gene / ModelOrganismObserved Phenotype
slc44a4Danio rerio

Structure: neuromast hair cell

Quality: decreased amount

abnormal

Gene Ontology (GO) Annotations & Pathways

Biological processes, molecular functions, cellular components and pathways

Pathways ConsensusPathDB

  • Choline metabolism in cancer - Homo sapiens (human)
  • Metabolism of lipids
  • Amine compound SLC transporters
  • Metabolism
  • Transport of bile salts and organic acids, metal ions and amine compounds

Biological Process

  • phosphatidylcholine biosynthetic process
  • acetylcholine biosynthetic process
  • choline transport
  • positive regulation of cell growth
  • thiamine pyrophosphate transmembrane transport

Molecular Function

  • choline transmembrane transporter activity
  • thiamine pyrophosphate transmembrane transporter activity

Cellular Component

  • plasma membrane
  • integral component of membrane
  • apical plasma membrane
  • extracellular exosome

gnomAD Constraint

Source: gnomAD

Gene type
protein_coding
Transcript type
protein_coding
Transcript
ENST00000229729
Coding exons
21
Length
15855
Individuals with no LoFs
125483
Homozygous LoFs
0
Heterozygous LoFs
265
Defined
125748
p
0.00105
Z-ScoreObservedExpectedObserved/ExpectedMutation RateTotal Possible
Missense1.113444070.8450.00002354559
Missense (PolyPhen)123164.720.746731861
Synonymous1.571451710.8470.00001061419
Loss of Function2.052943.60.6650.00000234453

Population LoF Frequency

PopulationCAFp-valueStatus
African0.00400.0037notable
Latino/Admixed American0.000990.00098rare
Ashkenazi Jewish00.0absent
East Asian0.000330.00033rare
Finnish0.000560.00055rare
European (Non-Finnish)0.000860.00084rare
South Asian0.00150.0014notable
Other0.00210.0021notable

dbNSFP Gene Annotations

Source: dbNSFP

Function
FUNCTION: Choline transporter that plays a role in the choline- acetylcholine system and is required to the efferent innervation of hair cells in the olivocochlear bundle for the maintenance of physiological function of outer hair cells and the protection of hair cells from acoustic injury (By similarity) (PubMed:23651124, PubMed:28013291). Also described as a thiamine pyrophosphate transporter in colon, may mediate the absorption of microbiota- generated thiamine pyrophosphate and contribute to host thiamine (vitamin B1) homeostasis (PubMed:24379411). {ECO:0000250|UniProtKB:Q7T2B0, ECO:0000269|PubMed:23651124, ECO:0000269|PubMed:24379411, ECO:0000269|PubMed:28013291}.;
Disease
DISEASE: Note=An interstitial deletion causing the fusion of exon 10 of CTL4 with the 3'-UTR of NEU has been detected in two patients affected by sialidosis.; DISEASE: Deafness, autosomal dominant, 72 (DFNA72) [MIM:617606]: A form of non-syndromic sensorineural hearing loss. Sensorineural deafness results from damage to the neural receptors of the inner ear, the nerve pathways to the brain, or the area of the brain that receives sound information. DFNA72 primarily affects the middle frequencies. It gradually progresses to whole-frequency hearing loss. {ECO:0000269|PubMed:28013291}. Note=The disease is caused by mutations affecting the gene represented in this entry.;

Intolerance Scores

LoFtool
0.992
RVIS EVS
1.09
RVIS percentile EVS
91.9

Essentials

Essential (CRISPR)
N
Essential (CRISPR2)
N
Essential (gene trap)
N
Indispensability pred.
N
Indispensability score
0.101

Gene Damage Prediction

AllRecessiveDominant
MendelianMediumMediumMedium
Primary ImmunodeficiencyMediumMediumMedium
CancerMediumMediumMedium
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