Is SLC19A3 p.Gln267= (c.801A>G) pathogenic?

SLC19A3 p.Gln267= (c.801A>G) is classified Conflicting classifications of pathogenicity in SLC19A3 (ClinVar, Conflicting submitters, 9 submitters; last evaluated 2026-01-28). Ultra-rare (popmax 0.0856%, nfe); Associated with biotin-responsive basal ganglia disease.

What condition is associated with SLC19A3 p.Gln267= (c.801A>G)?

SLC19A3 p.Gln267= (c.801A>G) is associated with biotin-responsive basal ganglia disease (ClinVar).

How common is SLC19A3 p.Gln267= (c.801A>G) in the general population?

SLC19A3 p.Gln267= (c.801A>G) is ultra-rare (popmax 0.0856%, nfe) (gnomAD).

How is Thiamine-responsive encephalopathy inherited?

Typically Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

SLC19A3 p.Gln267=

c.801A>G · rs147205930 · VCV281501

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 9 submitters

gnomAD v4.1

Rare

ultra-rare (popmax 0.0856%, nfe)

Conditions

biotin-responsive basal ganglia disease

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI	<0.2	no splice effect predicted · four deltas, not one · how we know
Constraint at this position
Conservation	phyloP -1.1	GERP -3.8
Overall
CADD	2.982	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0856% European (non-Finnish) · 1,010/1,179,978 alleles

Filtering AF 0.0811% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0794%

Overall 0.0797% 1,286/1,614,102 alleles · ultra-rare exomes 1,182/1,461,786 · genomes 104/152,316 · joint denominator

Ancestry group	Frequency	1 in
Finnishnot grpmax-eligible	0.162%	616
European (non-Finnish)grpmax	0.0856%	1,168
Remaining individualsnot grpmax-eligible	0.0816%	1,226
Ashkenazi Jewishnot grpmax-eligible	0.0811%	1,233
South Asian	0.0747%	1,339
Middle Eastern	0.0495%	2,021
Admixed American	0.0267%	3,751
African / African-American	0.0133%	7,505

Finnish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene: SLC19A3
Protein: p.Gln267=
Coding: c.801A>G
MANE Select: NM_025243
dbSNP: rs147205930
Type: single nucleotide variant
Location: chr2:227698914 (GRCh38)
Gene constraint: LOEUF 0.968 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 81.96 · 19 PDB
Residue 267: an α-helix

Full SLC19A3 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

biotin-responsive basal ganglia disease — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Thiamine-responsive encephalopathy (Orphanet):

Inheritance: Autosomal recessive
Onset: Adolescent

Similar variants

SLC19A3 c.1172+1G>A Pathogenic/Likely pathogenic ★★ same condition
SLC19A3 c.1172+2T>G Pathogenic ★★ same condition
SLC19A3 c.1173-1G>A Pathogenic/Likely pathogenic ★★ same condition
SLC19A3 c.151-1G>C Likely pathogenic ★★ same condition
SLC19A3 c.980-14A>G Pathogenic/Likely pathogenic ★★ same condition
SLC19A3 p.Gly23Val Pathogenic/Likely pathogenic ★★ same condition
SLC19A3 p.Met1Leu Likely pathogenic ★★ same condition
SLC19A3 p.Ser181Pro Pathogenic ★★ same condition

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/slc19a3-p-gln267 (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown