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

Known disease-causing variants in Succinate-semialdehyde dehydrogenase deficiency

VariantPositionProtein partClinical label
ALDH5A1 C223Y223Disease-causing (★★)
ALDH5A1 C223R223Disease-causing (★★)
ALDH5A1 G252V252Disease-causing (★★)
ALDH5A1 G176R176Disease-causing (★★)
ALDH5A1 P203L203Disease-causing (★★)
ALDH5A1 P194L194Disease-causing (★★)
ALDH5A1 G196D196Disease-causing (★★)
ALDH5A1 T233M233Disease-causing (★★)
ALDH5A1 C93F93Disease-causing (★★)
ALDH5A1 G409D409Disease-causing (★★)
ALDH5A1 E231K231Disease-causing (★★)
ALDH5A1 G441R441Disease-causing (★★)
ALDH5A1 C531Y531Disease-causing (★★)
ALDH5A1 P229S229Disease-causing (★★)
ALDH5A1 G268E268Disease-causing (★★)
ALDH5A1 G533R533Disease-causing (★★)
ALDH5A1 L425P425Disease-causing (★★)
ALDH5A1 P203R203Disease-causing (★)
ALDH5A1 G252C252Disease-causing (★)
ALDH5A1 C93R93Disease-causing (★)
ALDH5A1 C223S223Disease-causing (★)
ALDH5A1 G176E176Disease-causing (★)
ALDH5A1 P234S234Disease-causing (★)
ALDH5A1 N255D255Disease-causing (★)
ALDH5A1 V500E500Disease-causing (★)
ALDH5A1 G516E516Disease-causing (★)
ALDH5A1 G520R520Disease-causing (★)
ALDH5A1 I179N179Disease-causing (★)
ALDH5A1 R213L213Disease-causing (★)
ALDH5A1 R213G213Disease-causing (★)
ALDH5A1 V500L500Disease-causing (★)
ALDH5A1 D92G92Disease-causing (★)
ALDH5A1 E156K156Disease-causing (★)
ALDH5A1 V267G267Disease-causing (★)
ALDH5A1 E306K306Disease-causing (★)
ALDH5A1 P382L382Disease-causing (★)
ALDH5A1 P382Q382Disease-causing (★)
ALDH5A1 M432L432Disease-causing (★)
ALDH5A1 V487L487Disease-causing (★)
ALDH5A1 P503R503Disease-causing (★)
ALDH5A1 S208R208Disease-causing (★)
ALDH5A1 N335K335Disease-causing (★)
ALDH5A1 V487E487Disease-causing (★)
ALDH5A1 K118N118Disease-causing (★)
ALDH5A1 L124R124Disease-causing (★)
ALDH5A1 L138F138Disease-causing (★)
ALDH5A1 P207L207Disease-causing (★)
ALDH5A1 A218D218Disease-causing (★)
ALDH5A1 G284D284Disease-causing (★)
ALDH5A1 K301E301Disease-causing (★)
ALDH5A1 F419L419Disease-causing (★)
ALDH5A1 A139D139Disease-causing (★)
ALDH5A1 A144D144Disease-causing (★)
ALDH5A1 R187G187Disease-causing (★)
ALDH5A1 T423S423Disease-causing (★)

Uncertain variants in Succinate-semialdehyde dehydrogenase deficiency that look disease-causing

VariantPositionProtein partClinical labelEvidence
ALDH5A1 E231G231Conflicting 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 T423A423Conflicting 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 G520S520Uncertain (★★)+6: G520R at the same position is pathogenic; REVEL 0.944
ALDH5A1 R213Q213Uncertain (★★)+6: 2 other pathogenic changes within 3 positions; R213L at the same position is pathogenic; REVEL 0.850
ALDH5A1 C531R531Uncertain (★)+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 P229T229Uncertain (★)+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).

Diseases related to Succinate-semialdehyde dehydrogenase deficiency

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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