Citrullinemia: genes and variants
Citrullinemia is linked to 1 analyzed protein (ASS1). 69 DNA variants are known to cause it; 128 more are uncertain, and 8 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Also known as: citrullinemia type I
Genes linked to Citrullinemia
ASS1: Argininosuccinate synthase
It catalyzes formation of argininosuccinate from citrulline and aspartate in the urea cycle, enabling nitrogen disposal and arginine synthesis. Biallelic loss-of-function variants cause citrullinemia type I, which can lead to severe hyperammonemia.
69 disease-causing and 128 uncertain variants in ASS1 are linked to Citrullinemia.
Known disease-causing variants in Citrullinemia
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| ASS1 G117D | 117 | Disease-causing (★★) | |
| ASS1 R127L | 127 | Disease-causing (★★) | |
| ASS1 E191Q | 191 | Disease-causing (★★) | |
| ASS1 R265H | 265 | Disease-causing (★★) | |
| ASS1 R265C | 265 | Disease-causing (★★) | |
| ASS1 G324V | 324 | Disease-causing (★★) | |
| ASS1 Y359H | 359 | Disease-causing (★★) | |
| ASS1 G117S | 117 | Disease-causing (★★) | |
| ASS1 D124N | 124 | Disease-causing (★★) | |
| ASS1 R127W | 127 | Disease-causing (★★) | |
| ASS1 R127Q | 127 | Disease-causing (★★) | |
| ASS1 S180I | 180 | Disease-causing (★★) | |
| ASS1 S180N | 180 | Disease-causing (★★) | |
| ASS1 E191K | 191 | Disease-causing (★★) | |
| ASS1 R272L | 272 | Disease-causing (★★) | |
| ASS1 R272H | 272 | Disease-causing (★★) | |
| ASS1 R272C | 272 | Disease-causing (★★) | |
| ASS1 R304Q | 304 | Disease-causing (★★) | |
| ASS1 R304W | 304 | Disease-causing (★★) | |
| ASS1 K310Q | 310 | Disease-causing (★★) | |
| ASS1 K310R | 310 | Disease-causing (★★) | |
| ASS1 G324S | 324 | Disease-causing (★★) | |
| ASS1 R363Q | 363 | Disease-causing (★★) | |
| ASS1 R363W | 363 | Disease-causing (★★) | |
| ASS1 R86H | 86 | Disease-causing (★★) | |
| ASS1 T91P | 91 | Disease-causing (★★) | |
| ASS1 P96T | 96 | Disease-causing (★★) | |
| ASS1 T119I | 119 | Disease-causing (★★) | |
| ASS1 R127G | 127 | Disease-causing (★★) | |
| ASS1 E270Q | 270 | Disease-causing (★★) | |
| ASS1 T284I | 284 | Disease-causing (★★) | |
| ASS1 E298K | 298 | Disease-causing (★★) | |
| ASS1 G362V | 362 | Disease-causing (★★) | |
| ASS1 G14S | 14 | Disease-causing (★★) | |
| ASS1 S18L | 18 | Disease-causing (★★) | |
| ASS1 R86C | 86 | Disease-causing (★★) | |
| ASS1 A118T | 118 | Disease-causing (★★) | |
| ASS1 W179R | 179 | Disease-causing (★★) | |
| ASS1 V263M | 263 | Disease-causing (★★) | |
| ASS1 R279Q | 279 | Disease-causing (★★) | |
| ASS1 E283K | 283 | Disease-causing (★★) | |
| ASS1 G390R | 390 | Disease-causing (★★) | |
| ASS1 A258V | 258 | Disease-causing (★★) | |
| ASS1 Y291S | 291 | Disease-causing (★★) | |
| ASS1 R307S | 307 | Disease-causing (★★) | |
| ASS1 F391L | 391 | Disease-causing (★★) | |
| ASS1 L82P | 82 | Disease-causing (★★) | |
| ASS1 R157C | 157 | Disease-causing (★★) | |
| ASS1 G230A | 230 | Disease-causing (★★) | |
| ASS1 D124E | 124 | Disease-causing (★) | |
| ASS1 G90D | 90 | Disease-causing (★) | |
| ASS1 L160P | 160 | Disease-causing (★) | |
| ASS1 A164P | 164 | Disease-causing (★) | |
| ASS1 I297T | 297 | Disease-causing (★) | |
| ASS1 V306G | 306 | Disease-causing (★) | |
| ASS1 Y359D | 359 | Disease-causing (★) | |
| ASS1 R363L | 363 | Disease-causing (★) | |
| ASS1 P285Q | 285 | Disease-causing (★) | |
| ASS1 F72I | 72 | Disease-causing (★) | |
| ASS1 N184K | 184 | Disease-causing (★) |
Showing 60 of 69.
Uncertain variants in Citrullinemia that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| ASS1 E298G | 298 | Conflicting reports (★) | +7: 3 other pathogenic changes within 3 positions; E298K at the same position is pathogenic; seen in 6.2e-06 of gnomAD DNA copies; REVEL 0.980 | |
| ASS1 P285S | 285 | Uncertain (★) | +7: 3 other pathogenic changes within 3 positions; P285Q at the same position is pathogenic; seen in 2.7e-06 of gnomAD DNA copies; REVEL 0.975 | |
| ASS1 W179C | 179 | Uncertain (★) | +7: 3 other pathogenic changes within 3 positions; W179R at the same position is pathogenic; seen in 1.4e-06 of gnomAD DNA copies; REVEL 0.933 | |
| ASS1 A258E | 258 | Uncertain (★) | +7: in a 3D region that tolerates change poorly (4R); A258V at the same position is pathogenic; seen in 6.6e-06 of gnomAD DNA copies; REVEL 0.774 | |
| ASS1 R157H | 157 | Conflicting reports (★) | +6: 2 other pathogenic changes within 3 positions; R157C at the same position is pathogenic; REVEL 0.930 | |
| ASS1 R307H | 307 | Conflicting reports (★) | +6: 6 other pathogenic changes within 3 positions; R307S at the same position is pathogenic; REVEL 0.784 | |
| ASS1 R307C | 307 | Conflicting reports (★) | +6: 6 other pathogenic changes within 3 positions; R307S at the same position is pathogenic; REVEL 0.889 | |
| ASS1 A164T | 164 | Uncertain (★★) | +6: in a 3D region that tolerates change poorly (1R); A164P at the same position is pathogenic; REVEL 0.877 |
Diseases related to Citrullinemia
- Cardiac arrhythmia, also linked to ASS1
- Glycogen storage disease due to glucose-6-phosphatase deficiency, also linked to ASS1
Frequently asked questions
Which genes are linked to Citrullinemia?
In CATVariant, Citrullinemia is linked to 1 analyzed protein: ASS1 (Argininosuccinate synthase).
How many genetic variants are linked to Citrullinemia?
231 variants: 69 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 128 are of uncertain significance or have conflicting reports.
Which uncertain variants in Citrullinemia look disease-causing?
8 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example ASS1 E298G, ASS1 P285S, ASS1 W179C, ASS1 A258E and ASS1 R157H. These are leads for expert review, not diagnoses.
About this data
Variant–disease links come from ClinVar, Open Targets and UniProt, pooled from the latest public CATVariant analysis of each human protein. Evidence scores use the ACMG/AMP Bayesian points scale with computable criteria only (position among known disease variants, rarity in gnomAD, calibrated predictors, deep mutational scanning); there is no family or patient data, so they prioritise variants for expert review and never classify them.
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