SLC22A13

Chr 3

solute carrier family 22 member 13

Also known as: OAT10, OCTL1, OCTL3, ORCTL-3, ORCTL3

This transmembrane anion antiporter mediates transport of urate, orotate, and nicotinate across cell membranes, particularly in renal proximal tubule cells where it facilitates urate reabsorption. Mutations cause autosomal recessive hypouricemia, which can present with exercise-induced acute kidney injury and nephrolithiasis. The gene is not highly constrained against loss-of-function variants, consistent with the recessive inheritance pattern of associated disease.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 1.38
Clinical SummarySLC22A13
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.
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ClinVar Variants
11 unique Pathogenic / Likely Pathogenic· 79 VUS of 105 total submissions
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Clinical Trials
1 active or recruiting trial — potential therapeutic options may be available

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.38LOEUF
pLI 0.000
Z-score 0.19
OE 0.96 (0.681.38)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.11Z-score
OE missense 0.98 (0.901.08)
330 obs / 335.6 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.96 (0.681.38)
00.351.4
Missense OE0.98 (0.901.08)
00.61.4
Synonymous OE1.05
01.21.6
LoF obs/exp: 21 / 22.0Missense obs/exp: 330 / 335.6Syn Z: -0.43
DN
0.75top 25%
GOF
0.72top 25%
LOF
0.2190th %ile

This gene has evidence for multiple mechanisms of pathogenicity (dominant-negative and gain-of-function). Both the Badonyi & Marsh prediction and the broader genomic evidence point to dominant-negative as the predominant mechanism. Different variants in this gene may act through different mechanisms — interpret in context of the specific variant.

DNprediction above median
GOFprediction above median

Note: In-silico variant effect predictors (SIFT, PolyPhen, REVEL, CADD) may underestimate pathogenicity of missense variants in genes with GOF or DN mechanisms. Consider functional evidence and clinical context.

Predictions from Badonyi M, Marsh JA. PLoS ONE. 2024;19(8):e0307312.

ClinVar Variant Classifications

105 submitted variants in ClinVar

Classification Summary

Pathogenic10
Likely Pathogenic1
VUS79
Likely Benign12
Benign1
10
Pathogenic
1
Likely Pathogenic
79
VUS
12
Likely Benign
1
Benign

Curated Variants Distribution

Classified variants from ClinVar · 5 ACMG categories

ClassificationLoFMissense + InframeNon-codingSynonymousTotal
Pathogenic
0
0
10
0
10
Likely Pathogenic
0
0
1
0
1
VUS
0
72
7
0
79
Likely Benign
0
9
1
2
12
Benign
0
1
0
0
1
Total082192103

LoF = frameshift, stop gained/lost, canonical splice · Counts from ClinVar esearch · Updated hourly

View in ClinVar →

Protein Context — Lollipop Plot

SLC22A13 · protein map & ClinVar variants

Showing all ClinVar variants across the protein. Search a specific variant to highlight its position.

3D Protein StructureAlphaFold
Clinical Literature
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