Succinate-semialdehyde dehydrogenase deficiency: genes and variants
Succinate-semialdehyde dehydrogenase deficiency is linked to 1 analyzed protein (ALDH5A1). 55 DNA variants are known to cause it; 252 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 Succinate-semialdehyde dehydrogenase deficiency
ALDH5A1: Succinate-semialdehyde dehydrogenase, mitochondrial
55 disease-causing and 252 uncertain variants in ALDH5A1 are linked to Succinate-semialdehyde dehydrogenase deficiency.
Known disease-causing variants in Succinate-semialdehyde dehydrogenase deficiency
| Variant | Position | Protein part | Clinical label |
|---|---|---|---|
| ALDH5A1 C223Y | 223 | Disease-causing (★★) | |
| ALDH5A1 C223R | 223 | Disease-causing (★★) | |
| ALDH5A1 G252V | 252 | Disease-causing (★★) | |
| ALDH5A1 G176R | 176 | Disease-causing (★★) | |
| ALDH5A1 P203L | 203 | Disease-causing (★★) | |
| ALDH5A1 P194L | 194 | Disease-causing (★★) | |
| ALDH5A1 G196D | 196 | Disease-causing (★★) | |
| ALDH5A1 T233M | 233 | Disease-causing (★★) | |
| ALDH5A1 C93F | 93 | Disease-causing (★★) | |
| ALDH5A1 G409D | 409 | Disease-causing (★★) | |
| ALDH5A1 E231K | 231 | Disease-causing (★★) | |
| ALDH5A1 G441R | 441 | Disease-causing (★★) | |
| ALDH5A1 C531Y | 531 | Disease-causing (★★) | |
| ALDH5A1 P229S | 229 | Disease-causing (★★) | |
| ALDH5A1 G268E | 268 | Disease-causing (★★) | |
| ALDH5A1 G533R | 533 | Disease-causing (★★) | |
| ALDH5A1 L425P | 425 | Disease-causing (★★) | |
| ALDH5A1 P203R | 203 | Disease-causing (★) | |
| ALDH5A1 G252C | 252 | Disease-causing (★) | |
| ALDH5A1 C93R | 93 | Disease-causing (★) | |
| ALDH5A1 C223S | 223 | Disease-causing (★) | |
| ALDH5A1 G176E | 176 | Disease-causing (★) | |
| ALDH5A1 P234S | 234 | Disease-causing (★) | |
| ALDH5A1 N255D | 255 | Disease-causing (★) | |
| ALDH5A1 V500E | 500 | Disease-causing (★) | |
| ALDH5A1 G516E | 516 | Disease-causing (★) | |
| ALDH5A1 G520R | 520 | Disease-causing (★) | |
| ALDH5A1 I179N | 179 | Disease-causing (★) | |
| ALDH5A1 R213L | 213 | Disease-causing (★) | |
| ALDH5A1 R213G | 213 | Disease-causing (★) | |
| ALDH5A1 V500L | 500 | Disease-causing (★) | |
| ALDH5A1 D92G | 92 | Disease-causing (★) | |
| ALDH5A1 E156K | 156 | Disease-causing (★) | |
| ALDH5A1 V267G | 267 | Disease-causing (★) | |
| ALDH5A1 E306K | 306 | Disease-causing (★) | |
| ALDH5A1 P382L | 382 | Disease-causing (★) | |
| ALDH5A1 P382Q | 382 | Disease-causing (★) | |
| ALDH5A1 M432L | 432 | Disease-causing (★) | |
| ALDH5A1 V487L | 487 | Disease-causing (★) | |
| ALDH5A1 P503R | 503 | Disease-causing (★) | |
| ALDH5A1 S208R | 208 | Disease-causing (★) | |
| ALDH5A1 N335K | 335 | Disease-causing (★) | |
| ALDH5A1 V487E | 487 | Disease-causing (★) | |
| ALDH5A1 K118N | 118 | Disease-causing (★) | |
| ALDH5A1 L124R | 124 | Disease-causing (★) | |
| ALDH5A1 L138F | 138 | Disease-causing (★) | |
| ALDH5A1 P207L | 207 | Disease-causing (★) | |
| ALDH5A1 A218D | 218 | Disease-causing (★) | |
| ALDH5A1 G284D | 284 | Disease-causing (★) | |
| ALDH5A1 K301E | 301 | Disease-causing (★) | |
| ALDH5A1 F419L | 419 | Disease-causing (★) | |
| ALDH5A1 A139D | 139 | Disease-causing (★) | |
| ALDH5A1 A144D | 144 | Disease-causing (★) | |
| ALDH5A1 R187G | 187 | Disease-causing (★) | |
| ALDH5A1 T423S | 423 | Disease-causing (★) |
Uncertain variants in Succinate-semialdehyde dehydrogenase deficiency that look disease-causing
| Variant | Position | Protein part | Clinical label | Evidence |
|---|---|---|---|---|
| ALDH5A1 E231G | 231 | Conflicting reports (★) | +7: 4 other pathogenic changes within 3 positions; E231K at the same position is pathogenic; seen in 6.6e-06 of gnomAD DNA copies; REVEL 0.871 | |
| ALDH5A1 T423A | 423 | Conflicting reports (★) | +7: 2 other pathogenic changes within 3 positions; T423S at the same position is pathogenic; seen in 2e-06 of gnomAD DNA copies; REVEL 0.926 | |
| ALDH5A1 G520S | 520 | Uncertain (★★) | +6: G520R at the same position is pathogenic; REVEL 0.944 | |
| ALDH5A1 R213Q | 213 | Uncertain (★★) | +6: 2 other pathogenic changes within 3 positions; R213L at the same position is pathogenic; REVEL 0.850 | |
| ALDH5A1 C531R | 531 | Uncertain (★) | +6: 2 other pathogenic changes within 3 positions; C531Y at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.75 | |
| ALDH5A1 P229T | 229 | Uncertain (★) | +6: 2 other pathogenic changes within 3 positions; P229S at the same position is pathogenic; not seen in the gnomAD population database; AlphaMissense 0.68 |
Which prediction tools work for Succinate-semialdehyde dehydrogenase deficiency
How often each tool ranks a disease-causing variant above a harmless one (AUROC × 100).
- REVEL: 95 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- PolyPhen-2: 95 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- CADD: 91 out of 100
- CATVariant: 91 out of 100 (learned from overlapping clinical labels, so this is optimistic)
- SIFT: 82 out of 100
- phyloP: 81 out of 100
Diseases related to Succinate-semialdehyde dehydrogenase deficiency
- Epilepsy, also linked to ALDH5A1
- Likely inborn error of metabolism, also linked to ALDH5A1
Frequently asked questions
Which genes are linked to Succinate-semialdehyde dehydrogenase deficiency?
In CATVariant, Succinate-semialdehyde dehydrogenase deficiency is linked to 1 analyzed protein: ALDH5A1 (Succinate-semialdehyde dehydrogenase, mitochondrial).
How many genetic variants are linked to Succinate-semialdehyde dehydrogenase deficiency?
318 variants: 55 are classified as disease-causing (pathogenic or likely pathogenic) in ClinVar and 252 are of uncertain significance or have conflicting reports.
Which uncertain variants in Succinate-semialdehyde dehydrogenase deficiency look disease-causing?
6 uncertain variants reach the likely-pathogenic range of the ACMG/AMP points scale on computable evidence, for example ALDH5A1 E231G, ALDH5A1 T423A, ALDH5A1 G520S, ALDH5A1 R213Q and ALDH5A1 C531R. These are leads for expert review, not diagnoses.
Which variant effect predictor works best for Succinate-semialdehyde dehydrogenase deficiency?
Among tools not trained on clinical labels, CADD separates this disease's known disease-causing variants from harmless ones best (AUROC 0.91, based on 34 disease-causing and 11 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.
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