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

Known disease-causing variants in Citrullinemia

VariantPositionProtein partClinical label
ASS1 G117D117Disease-causing (★★)
ASS1 R127L127Disease-causing (★★)
ASS1 E191Q191Disease-causing (★★)
ASS1 R265H265Disease-causing (★★)
ASS1 R265C265Disease-causing (★★)
ASS1 G324V324Disease-causing (★★)
ASS1 Y359H359Disease-causing (★★)
ASS1 G117S117Disease-causing (★★)
ASS1 D124N124Disease-causing (★★)
ASS1 R127W127Disease-causing (★★)
ASS1 R127Q127Disease-causing (★★)
ASS1 S180I180Disease-causing (★★)
ASS1 S180N180Disease-causing (★★)
ASS1 E191K191Disease-causing (★★)
ASS1 R272L272Disease-causing (★★)
ASS1 R272H272Disease-causing (★★)
ASS1 R272C272Disease-causing (★★)
ASS1 R304Q304Disease-causing (★★)
ASS1 R304W304Disease-causing (★★)
ASS1 K310Q310Disease-causing (★★)
ASS1 K310R310Disease-causing (★★)
ASS1 G324S324Disease-causing (★★)
ASS1 R363Q363Disease-causing (★★)
ASS1 R363W363Disease-causing (★★)
ASS1 R86H86Disease-causing (★★)
ASS1 T91P91Disease-causing (★★)
ASS1 P96T96Disease-causing (★★)
ASS1 T119I119Disease-causing (★★)
ASS1 R127G127Disease-causing (★★)
ASS1 E270Q270Disease-causing (★★)
ASS1 T284I284Disease-causing (★★)
ASS1 E298K298Disease-causing (★★)
ASS1 G362V362Disease-causing (★★)
ASS1 G14S14Disease-causing (★★)
ASS1 S18L18Disease-causing (★★)
ASS1 R86C86Disease-causing (★★)
ASS1 A118T118Disease-causing (★★)
ASS1 W179R179Disease-causing (★★)
ASS1 V263M263Disease-causing (★★)
ASS1 R279Q279Disease-causing (★★)
ASS1 E283K283Disease-causing (★★)
ASS1 G390R390Disease-causing (★★)
ASS1 A258V258Disease-causing (★★)
ASS1 Y291S291Disease-causing (★★)
ASS1 R307S307Disease-causing (★★)
ASS1 F391L391Disease-causing (★★)
ASS1 L82P82Disease-causing (★★)
ASS1 R157C157Disease-causing (★★)
ASS1 G230A230Disease-causing (★★)
ASS1 D124E124Disease-causing (★)
ASS1 G90D90Disease-causing (★)
ASS1 L160P160Disease-causing (★)
ASS1 A164P164Disease-causing (★)
ASS1 I297T297Disease-causing (★)
ASS1 V306G306Disease-causing (★)
ASS1 Y359D359Disease-causing (★)
ASS1 R363L363Disease-causing (★)
ASS1 P285Q285Disease-causing (★)
ASS1 F72I72Disease-causing (★)
ASS1 N184K184Disease-causing (★)

Showing 60 of 69.

Uncertain variants in Citrullinemia that look disease-causing

VariantPositionProtein partClinical labelEvidence
ASS1 E298G298Conflicting 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 P285S285Uncertain (★)+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 W179C179Uncertain (★)+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 A258E258Uncertain (★)+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 R157H157Conflicting reports (★)+6: 2 other pathogenic changes within 3 positions; R157C at the same position is pathogenic; REVEL 0.930
ASS1 R307H307Conflicting reports (★)+6: 6 other pathogenic changes within 3 positions; R307S at the same position is pathogenic; REVEL 0.784
ASS1 R307C307Conflicting reports (★)+6: 6 other pathogenic changes within 3 positions; R307S at the same position is pathogenic; REVEL 0.889
ASS1 A164T164Uncertain (★★)+6: in a 3D region that tolerates change poorly (1R); A164P at the same position is pathogenic; REVEL 0.877

Diseases related to Citrullinemia

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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