GLUT1 deficiency syndrome: genes and variants
GLUT1 deficiency syndrome is linked to 1 analyzed protein (SLC2A1). 53 DNA variants are known to cause it; 226 more are uncertain, and 7 of those already look disease-causing on computable evidence.
Last updated 2026-09-30. Research information, not medical advice.
Also known as: glut1 deficiency syndrome 1, autosomal recessive
Genes linked to GLUT1 deficiency syndrome
SLC2A1: Solute carrier family 2, facilitated glucose transporter member 1
It provides basal glucose uptake in many tissues and is the principal route for glucose entry across the blood-brain barrier. Haploinsufficiency causes GLUT1 deficiency syndrome with epilepsy, developmental impairment, and movement disorders from inadequate brain glucose delivery.
53 disease-causing and 226 uncertain variants in SLC2A1 are linked to GLUT1 deficiency syndrome.
Where GLUT1 deficiency syndrome variants cluster
- SLC2A1 Transmembrane (positions 121–144): 9 of 53 disease-causing changes, 3.5× more than its size predicts.
- SLC2A1 Cytoplasmic (positions 329–334): 4 of 53 disease-causing changes, 6.2× more than its size predicts.
- SLC2A1 Cytoplasmic (positions 145–155): 4 of 53 disease-causing changes, 3.4× more than its size predicts.
- SLC2A1 Transmembrane (positions 402–422): 5 of 53 disease-causing changes, 2.2× more than its size predicts.
- SLC2A1 Extracellular (positions 294–306): 3 of 53 disease-causing changes, 2.1× more than its size predicts.
Known disease-causing variants in GLUT1 deficiency syndrome
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| SLC2A1 R126H | 126 | Transmembrane | Disease-causing (★★) |
| SLC2A1 G130S | 130 | Transmembrane | Disease-causing (★★) |
| SLC2A1 R153C | 153 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 R400L | 400 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 R153H | 153 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 R153S | 153 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 R212C | 212 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 R212H | 212 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 E329K | 329 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 M420T | 420 | Transmembrane | Disease-causing (★★) |
| SLC2A1 V140M | 140 | Transmembrane | Disease-causing (★★) |
| SLC2A1 S324L | 324 | Transmembrane | Disease-causing (★★) |
| SLC2A1 N34D | 34 | Extracellular | Disease-causing (★★) |
| SLC2A1 P211S | 211 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 T295M | 295 | Extracellular | Disease-causing (★★) |
| SLC2A1 G419D | 419 | Transmembrane | Disease-causing (★★) |
| SLC2A1 F422L | 422 | Transmembrane | Disease-causing (★★) |
| SLC2A1 M1T | 1 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 M96V | 96 | Transmembrane | Disease-causing (★★) |
| SLC2A1 L215F | 215 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 R232C | 232 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 G17R | 17 | Transmembrane | Disease-causing (★★) |
| SLC2A1 R93W | 93 | Transmembrane | Disease-causing (★★) |
| SLC2A1 R333W | 333 | Cytoplasmic | Disease-causing (★★) |
| SLC2A1 V165I | 165 | Transmembrane | Disease-causing (★★) |
| SLC2A1 G130C | 130 | Transmembrane | Disease-causing (★) |
| SLC2A1 E329Q | 329 | Cytoplasmic | Disease-causing (★) |
| SLC2A1 R400S | 400 | Cytoplasmic | Disease-causing (★) |
| SLC2A1 G130A | 130 | Transmembrane | Disease-causing (★) |
| SLC2A1 S294A | 294 | Extracellular | Disease-causing (★) |
| SLC2A1 S294P | 294 | Extracellular | Disease-causing (★) |
| SLC2A1 M420V | 420 | Transmembrane | Disease-causing (★) |
| SLC2A1 C133R | 133 | Transmembrane | Disease-causing (★) |
| SLC2A1 V140L | 140 | Transmembrane | Disease-causing (★) |
| SLC2A1 Y293S | 293 | Transmembrane | Disease-causing (★) |
| SLC2A1 V328L | 328 | Transmembrane | Disease-causing (★) |
| SLC2A1 G332D | 332 | Cytoplasmic | Disease-causing (★) |
| SLC2A1 A403V | 403 | Transmembrane | Disease-causing (★) |
| SLC2A1 M1L | 1 | Cytoplasmic | Disease-causing (★) |
| SLC2A1 F72L | 72 | Transmembrane | Disease-causing (★) |
| SLC2A1 G76V | 76 | Transmembrane | Disease-causing (★) |
| SLC2A1 G134C | 134 | Transmembrane | Disease-causing (★) |
| SLC2A1 S148L | 148 | Cytoplasmic | Disease-causing (★) |
| SLC2A1 E243V | 243 | Cytoplasmic | Disease-causing (★) |
| SLC2A1 L278P | 278 | Transmembrane | Disease-causing (★) |
| SLC2A1 G314D | 314 | Transmembrane | Disease-causing (★) |
| SLC2A1 I372N | 372 | Transmembrane | Disease-causing (★) |
| SLC2A1 M180K | 180 | Extracellular | Disease-causing (★) |
| SLC2A1 L228P | 228 | Cytoplasmic | Disease-causing (★) |
| SLC2A1 N317T | 317 | Transmembrane | Disease-causing (★) |
| SLC2A1 M351R | 351 | Transmembrane | Disease-causing (★) |
| SLC2A1 I386M | 386 | Transmembrane | Disease-causing (★) |
| SLC2A1 R126L | 126 | Transmembrane | Disease-causing |
Uncertain variants in GLUT1 deficiency syndrome that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| SLC2A1 Y293H | 293 | Transmembrane | Conflicting reports (★) | +6: 4 other pathogenic changes within 3 positions; Y293S at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.95 |
| SLC2A1 R93Q | 93 | Transmembrane | Conflicting reports (★) | +6: 2 other pathogenic changes within 3 positions; R93W at the same position is pathogenic; seen in 6.6e-06 of gnomAD DNA copies; REVEL 0.704 |
| SLC2A1 M96T | 96 | Transmembrane | Conflicting reports (★) | +6: 2 other pathogenic changes within 3 positions; M96V at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.89 |
| SLC2A1 G332R | 332 | Cytoplasmic | Uncertain (★) | +6: 4 other pathogenic changes within 3 positions; G332D at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.98 |
| SLC2A1 G332S | 332 | Cytoplasmic | Uncertain (★) | +6: 4 other pathogenic changes within 3 positions; G332D at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.98 |
| SLC2A1 P211L | 211 | Cytoplasmic | Uncertain (★★) | +6: 3 other pathogenic changes within 3 positions; P211S at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.97 |
| SLC2A1 S294C | 294 | Extracellular | Uncertain (★) | +6: 4 other pathogenic changes within 3 positions; S294A at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.96 |
Same protein, different disease
- Encephalopathy due to GLUT1 deficiency is also caused by SLC2A1 variants; they fall in the same places as the GLUT1 deficiency syndrome variants (32 disease-causing).
- Childhood onset GLUT1 deficiency syndrome 2 is also caused by SLC2A1 variants; they fall partly in the same places as the GLUT1 deficiency syndrome variants (18 disease-causing).
- Hereditary cryohydrocytosis with reduced stomatin is also caused by SLC2A1 variants; they fall mostly in different places as the GLUT1 deficiency syndrome variants (5 disease-causing).
- Epilepsy, idiopathic generalized, susceptibility to, 13 is also caused by SLC2A1 variants; they fall mostly in different places as the GLUT1 deficiency syndrome variants (4 disease-causing).
Diseases related to GLUT1 deficiency syndrome
- Epilepsy, idiopathic generalized, susceptibility to, 13, also linked to SLC2A1
- Encephalopathy due to GLUT1 deficiency, also linked to SLC2A1
- Idiopathic generalized epilepsy, also linked to SLC2A1
- Childhood onset GLUT1 deficiency syndrome 2, also linked to SLC2A1
- Self-limited epilepsy with centrotemporal spikes, also linked to SLC2A1
- Developmental disorder, also linked to SLC2A1
- Hereditary cryohydrocytosis with reduced stomatin, also linked to SLC2A1
Frequently asked questions
Which genes are linked to GLUT1 deficiency syndrome?
In CATVariant, GLUT1 deficiency syndrome is linked to 1 analyzed protein: SLC2A1 (Solute carrier family 2, facilitated glucose transporter member 1).
How many genetic variants are linked to GLUT1 deficiency syndrome?
307 variants: 53 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 226 are of uncertain significance or have conflicting reports.
Which uncertain variants in GLUT1 deficiency syndrome look disease-causing?
7 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example SLC2A1 Y293H, SLC2A1 R93Q, SLC2A1 M96T, SLC2A1 G332R and SLC2A1 G332S. 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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