Epilepsy with myoclonic atonic seizures: genes and variants
Epilepsy with myoclonic atonic seizures is linked to 1 analyzed protein (SLC6A1). 55 DNA variants are known to cause it; 213 more are uncertain, and 6 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Genes linked to Epilepsy with myoclonic atonic seizures
SLC6A1: Sodium- and chloride-dependent GABA transporter 1
It clears GABA from extracellular space into neurons and glial cells, regulating the duration and spatial spread of inhibitory neurotransmission. Haploinsufficiency or dysfunctional variants cause SLC6A1-related neurodevelopmental disorder, commonly with myoclonic-atonic epilepsy, developmental delay, and autism-related features.
55 disease-causing and 213 uncertain variants in SLC6A1 are linked to Epilepsy with myoclonic atonic seizures.
Where Epilepsy with myoclonic atonic seizures variants cluster
- SLC6A1 Extracellular (positions 74–80): 5 of 55 disease-causing changes, 7.8× more than its size predicts.
- SLC6A1 Transmembrane (positions 321–342): 5 of 55 disease-causing changes, 2.5× more than its size predicts.
- SLC6A1 Transmembrane (positions 292–309): 4 of 55 disease-causing changes, 2.4× more than its size predicts.
- SLC6A1 Transmembrane (positions 498–517): 4 of 55 disease-causing changes, 2.2× more than its size predicts.
- SLC6A1 Extracellular (positions 343–374): 5 of 55 disease-causing changes, 1.7× more than its size predicts.
Known disease-causing variants in Epilepsy with myoclonic atonic seizures
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| SLC6A1 A288V | 288 | Extracellular | Disease-causing (★★) |
| SLC6A1 A334T | 334 | Transmembrane | Disease-causing (★★) |
| SLC6A1 G75E | 75 | Extracellular | Disease-causing (★★) |
| SLC6A1 G75R | 75 | Extracellular | Disease-causing (★★) |
| SLC6A1 A334P | 334 | Transmembrane | Disease-causing (★★) |
| SLC6A1 R44W | 44 | Cytoplasmic | Disease-causing (★★) |
| SLC6A1 A357E | 357 | Extracellular | Disease-causing (★★) |
| SLC6A1 G443D | 443 | Extracellular | Disease-causing (★★) |
| SLC6A1 R44Q | 44 | Cytoplasmic | Disease-causing (★★) |
| SLC6A1 A357V | 357 | Extracellular | Disease-causing (★★) |
| SLC6A1 G111R | 111 | Cytoplasmic | Disease-causing (★★) |
| SLC6A1 G307R | 307 | Transmembrane | Disease-causing (★★) |
| SLC6A1 V511M | 511 | Transmembrane | Disease-causing (★★) |
| SLC6A1 G79R | 79 | Extracellular | Disease-causing (★★) |
| SLC6A1 G94E | 94 | Transmembrane | Disease-causing (★★) |
| SLC6A1 Q106R | 106 | Cytoplasmic | Disease-causing (★★) |
| SLC6A1 V125M | 125 | Transmembrane | Disease-causing (★★) |
| SLC6A1 F270S | 270 | Extracellular | Disease-causing (★★) |
| SLC6A1 G297R | 297 | Transmembrane | Disease-causing (★★) |
| SLC6A1 G362R | 362 | Extracellular | Disease-causing (★★) |
| SLC6A1 S459R | 459 | Transmembrane | Disease-causing (★★) |
| SLC6A1 G550R | 550 | Transmembrane | Disease-causing (★★) |
| SLC6A1 V342M | 342 | Transmembrane | Disease-causing (★★) |
| SLC6A1 G75W | 75 | Extracellular | Disease-causing (★) |
| SLC6A1 A288T | 288 | Extracellular | Disease-causing (★) |
| SLC6A1 S331G | 331 | Transmembrane | Disease-causing (★) |
| SLC6A1 M487T | 487 | Cytoplasmic | Disease-causing (★) |
| SLC6A1 V511L | 511 | Transmembrane | Disease-causing (★) |
| SLC6A1 G533R | 533 | Extracellular | Disease-causing (★) |
| SLC6A1 G533D | 533 | Extracellular | Disease-causing (★) |
| SLC6A1 G124S | 124 | Transmembrane | Disease-causing (★) |
| SLC6A1 M487V | 487 | Cytoplasmic | Disease-causing (★) |
| SLC6A1 Y86H | 86 | Transmembrane | Disease-causing (★) |
| SLC6A1 L269P | 269 | Extracellular | Disease-causing (★) |
| SLC6A1 I338F | 338 | Transmembrane | Disease-causing (★) |
| SLC6A1 A367T | 367 | Extracellular | Disease-causing (★) |
| SLC6A1 L408R | 408 | Cytoplasmic | Disease-causing (★) |
| SLC6A1 L436H | 436 | Transmembrane | Disease-causing (★) |
| SLC6A1 S456R | 456 | Extracellular | Disease-causing (★) |
| SLC6A1 C499R | 499 | Transmembrane | Disease-causing (★) |
| SLC6A1 P505T | 505 | Transmembrane | Disease-causing (★) |
| SLC6A1 E101A | 101 | Cytoplasmic | Disease-causing (★) |
| SLC6A1 S145F | 145 | Extracellular | Disease-causing (★) |
| SLC6A1 C173Y | 173 | Extracellular | Disease-causing (★) |
| SLC6A1 P247S | 247 | Transmembrane | Disease-causing (★) |
| SLC6A1 G299V | 299 | Transmembrane | Disease-causing (★) |
| SLC6A1 A305V | 305 | Transmembrane | Disease-causing (★) |
| SLC6A1 L366P | 366 | Extracellular | Disease-causing (★) |
| SLC6A1 F386S | 386 | Transmembrane | Disease-causing (★) |
| SLC6A1 T400I | 400 | Cytoplasmic | Disease-causing (★) |
| SLC6A1 R50L | 50 | Cytoplasmic | Disease-causing (★) |
| SLC6A1 V67I | 67 | Transmembrane | Disease-causing (★) |
| SLC6A1 G78C | 78 | Extracellular | Disease-causing |
| SLC6A1 Y60S | 60 | Transmembrane | Disease-causing |
| SLC6A1 L279P | 279 | Extracellular | Disease-causing |
Uncertain variants in Epilepsy with myoclonic atonic seizures that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| SLC6A1 A334S | 334 | Transmembrane | Conflicting reports (★) | +6: 3 other pathogenic changes within 3 positions; A334P at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 1.00 |
| SLC6A1 S456C | 456 | Extracellular | Conflicting reports (★) | +6: 2 other pathogenic changes within 3 positions; S456R at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.95 |
| SLC6A1 A305T | 305 | Transmembrane | Conflicting reports (★) | +6: 2 other pathogenic changes within 3 positions; A305V at the same position is pathogenic; seen in 2e-06 of gnomAD DNA copies; REVEL 0.725 |
| SLC6A1 R44P | 44 | Cytoplasmic | Uncertain (★) | +6: 2 other pathogenic changes within 3 positions; R44Q at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.99 |
| SLC6A1 G297V | 297 | Transmembrane | Uncertain (★) | +6: 2 other pathogenic changes within 3 positions; G297R at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 1.00 |
| SLC6A1 M487I | 487 | Cytoplasmic | Uncertain (★) | +6: 2 other pathogenic changes within 3 positions; M487T at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 1.00 |
Which prediction tools work for Epilepsy with myoclonic atonic seizures
How often each tool ranks a disease-causing variant above a harmless one (AUROC × 100).
- REVEL: 94 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- CADD: 93 out of 100
- AlphaMissense: 92 out of 100
- MetaLR: 90 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- CATVariant: 89 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- SIFT: 89 out of 100
- PolyPhen-2: 87 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- MutPred2: 85 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- phyloP: 72 out of 100
Diseases related to Epilepsy with myoclonic atonic seizures
- Epilepsy, also linked to SLC6A1
Frequently asked questions
Which genes are linked to Epilepsy with myoclonic atonic seizures?
In CATVariant, Epilepsy with myoclonic atonic seizures is linked to 1 analyzed protein: SLC6A1 (Sodium- and chloride-dependent GABA transporter 1).
How many genetic variants are linked to Epilepsy with myoclonic atonic seizures?
351 variants: 55 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 213 are of uncertain significance or have conflicting reports.
Which uncertain variants in Epilepsy with myoclonic atonic seizures look disease-causing?
6 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example SLC6A1 A334S, SLC6A1 S456C, SLC6A1 A305T, SLC6A1 R44P and SLC6A1 G297V. These are leads for expert review, not diagnoses.
Which variant effect predictor works best for Epilepsy with myoclonic atonic seizures?
Among tools not trained on clinical labels, CADD separates this disease's known disease-causing variants from harmless ones best (AUROC 0.93, based on 13 disease-causing and 44 harmless variants).
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.
Download every variant as CSV · Browse all diseases · Methods · About the Center