SLC37A2

Chr 11

solute carrier family 37 member 2

Also known as: SPX2, pp11662

SLC37A2 encodes an inorganic phosphate and glucose-6-phosphate antiporter that transports cytoplasmic glucose-6-phosphate into the endoplasmic reticulum lumen while moving inorganic phosphate in the opposite direction. Mutations cause glycogen storage disease type II (Pompe disease), which follows autosomal recessive inheritance and primarily affects cardiac and skeletal muscle. The gene shows minimal constraint against loss-of-function variants (pLI near zero), consistent with the recessive inheritance pattern where heterozygous carriers are typically unaffected.

Summary from RefSeq, UniProt
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0
Active trials
7
Pubs (1 yr)
0
P/LP submissions
P/LP missense
1.12
LOEUF
Multiple*
Mechanism· predicted
Clinical SummarySLC37A2
Population Constraint (gnomAD)
Low constraint (pLI 0.00) — loss-of-function variants are relatively tolerated in the population.

Population Genetics & Constraint

gnomAD v4 — loss-of-function & missense intolerance

Tolerant — LoF & missense variants common in population
LoF Constraint
1.12LOEUF
pLI 0.000
Z-score 1.02
OE 0.80 (0.581.12)
Tolerant

Highly tolerant — LoF variants common in population

Missense Constraint
0.67Z-score
OE missense 0.89 (0.810.99)
269 obs / 301.9 exp
Tolerant

Mild missense constraint

Observed / Expected Ratios
LoF OE0.80 (0.581.12)
00.351.4
Missense OE0.89 (0.810.99)
00.61.4
Synonymous OE1.03
01.21.6
LoF obs/exp: 25 / 31.1Missense obs/exp: 269 / 301.9Syn Z: -0.24
DN
0.76top 25%
GOF
0.72top 25%
LOF
0.2680th %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

SLC37A2 · protein map & ClinVar variants

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

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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