SLC25A15 Gene

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This entry is adapted from the peer-reviewed paper https://medlineplus.gov/genetics/gene/slc25a15

solute carrier family 25 member 15

genes

1. Normal Function

The SLC25A15 gene provides instructions for making a protein called mitochondrial ornithine transporter 1. This protein participates in the urea cycle, which is a sequence of biochemical reactions that occurs in liver cells. The urea cycle breaks down excess nitrogen, made when protein is broken down by the body, to make a compound called urea that is excreted by the kidneys in urine. Excreting the excess nitrogen prevents it from accumulating in the form of ammonia, which is toxic, especially to the nervous system.

Mitochondrial ornithine transporter 1 is needed to move a molecule called ornithine within the mitochondria (the energy-producing centers in cells). Specifically, this protein transports ornithine across the inner membrane of mitochondria to the region called the mitochondrial matrix, where it participates in the urea cycle.

2. Health Conditions Related to Genetic Changes

2.1. Ornithine translocase deficiency

At least 35 mutations in the SLC25A15 gene have been identified in individuals affected by ornithine translocase deficiency, which is characterized by abnormally high levels of ammonia in the blood. This condition can cause extreme tiredness (lethargy), difficulty feeding, problems controlling breathing or body temperature, and seizures in infancy. Affected adults can have episodes of vomiting, difficulty with movements, liver problems, or neurological problems.

The most common mutation found in people with ornithine translocase deficiency deletes the protein building block (amino acid) phenylalanine at position 188 (written as Phe188del or F188del). This mutation is seen in 30 to 50 percent of affected individuals and most commonly occurs in the French-Canadian population. Another common mutation replaces the amino acid arginine with a premature stop signal in the instructions for making the protein (written as Arg179Ter or R179X). This mutation is found in about 15 percent of affected individuals and most commonly occurs in Japanese and Middle Eastern populations.

Mutations in the SLC25A15 gene cause the production of a mitochondrial ornithine transporter 1 with reduced or absent function. As a result, ornithine transport is impaired and the urea cycle cannot proceed normally. Without a normally functioning urea cycle, nitrogen accumulates in the bloodstream in the form of toxic ammonia instead of being converted to less toxic urea and being excreted. Ammonia is especially damaging to the brain, and excess ammonia causes neurological problems and other signs and symptoms of ornithine translocase deficiency.

3. Other Names for This Gene

D13S327
HHH
ORC1
ornithine transporter 1
ORNT1
ORNT1_HUMAN
OTTHUMP00000042249
solute carrier family 25 (mitochondrial carrier; ornithine transporter) member 15

References

Camacho JA, Mardach R, Rioseco-Camacho N, Ruiz-Pesini E, Derbeneva O, Andrade D, Zaldivar F, Qu Y, Cederbaum SD. Clinical and functional characterization of a human ORNT1 mutation (T32R) in thehyperornithinemia-hyperammonemia-homocitrullinuria (HHH) syndrome. Pediatr Res.2006 Oct;60(4):423-9.
Camacho JA, Obie C, Biery B, Goodman BK, Hu CA, Almashanu S, Steel G, Casey R,Lambert M, Mitchell GA, Valle D.Hyperornithinaemia-hyperammonaemia-homocitrullinuria syndrome is caused bymutations in a gene encoding a mitochondrial ornithine transporter. Nat Genet.1999 Jun;22(2):151-8.
Camacho JA, Rioseco-Camacho N, Andrade D, Porter J, Kong J. Cloning andcharacterization of human ORNT2: a second mitochondrial ornithine transporterthat can rescue a defective ORNT1 in patients with thehyperornithinemia-hyperammonemia-homocitrullinuria syndrome, a urea cycledisorder. Mol Genet Metab. 2003 Aug;79(4):257-71.
Martinelli D, Diodato D, Ponzi E, Monné M, Boenzi S, Bertini E, Fiermonte G,Dionisi-Vici C. The hyperornithinemia-hyperammonemia-homocitrullinuria syndrome. Orphanet J Rare Dis. 2015 Mar 11;10:29. doi: 10.1186/s13023-015-0242-9. Review.
Miyamoto T, Kanazawa N, Kato S, Kawakami M, Inoue Y, Kuhara T, Inoue T,Takeshita K, Tsujino S. Diagnosis of Japanese patients with HHH syndrome bymolecular genetic analysis: a common mutation, R179X. J Hum Genet.2001;46(5):260-2.
Palmieri F. The mitochondrial transporter family (SLC25): physiological andpathological implications. Pflugers Arch. 2004 Feb;447(5):689-709.
Waisbren SE, Gropman AL; Members of the Urea Cycle Disorders Consortium(UCDC), Batshaw ML. Improving long term outcomes in urea cycle disorders-reportfrom the Urea Cycle Disorders Consortium. J Inherit Metab Dis. 2016Jul;39(4):573-84. doi: 10.1007/s10545-016-9942-0.

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Karina Chen

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Entry Collection: MedlinePlus

Update Date: 24 Dec 2020

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