SLC24A2

Chr 9

solute carrier family 24 member 2

Also known as: NCKX2

This gene encodes a calcium, potassium:sodium antiporter that transports calcium and potassium ions in exchange for sodium ions, functioning in retinal cones and brain neurons to regulate intracellular calcium levels essential for synaptic plasticity, learning, and memory. Mutations cause autosomal recessive congenital stationary night blindness affecting vision, and potentially neurodevelopmental disorders given the protein's role in neuronal calcium regulation. The gene shows low constraint against loss-of-function variants, consistent with recessive inheritance patterns.

OMIMResearchSummary from RefSeq, UniProt
MultiplemechanismLOEUF 0.57
Clinical SummarySLC24A2
Population Constraint (gnomAD)
Constrained for loss-of-function variants (OE-LoF 0.33) despite low pLI — interpret in context.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Moderate LoF intolerance
LoF Constraint
0.57LOEUF
pLI 0.006
Z-score 3.26
OE 0.33 (0.200.57)
Moderately constrained

More LoF-intolerant than ~75% of genes

Missense Constraint
-0.21Z-score
OE missense 1.03 (0.951.13)
365 obs / 353.8 exp
Tolerant

Tolerant to missense variation

Observed / Expected Ratios
LoF OE0.33 (0.200.57)
00.351.4
Missense OE1.03 (0.951.13)
00.61.4
Synonymous OE1.22
01.21.6
LoF obs/exp: 9 / 27.4Missense obs/exp: 365 / 353.8Syn Z: -2.02
DN
0.81top 10%
GOF
0.79top 25%
LOF
0.2387th %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

0 submitted variants in ClinVar

Protein Context — Lollipop Plot

SLC24A2 · protein map & ClinVar variants

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

3D Protein StructureAlphaFold

Clinical Trials

Active and recruiting trials from ClinicalTrials.gov

No active trials found for this gene.

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Clinical Literature
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