ATP6V1A: V-ATPase Catalytic Subunit A – Key Regulator of Acidification and Neurodegeneration

Comprehensive genomic, proteomic, and clinical annotation of ATP6V1A, the V1 catalytic subunit of vacuolar ATPase, with links to distal renal tubular acidosis, neurodevelopmental disorders, and cancer.

Gene Information Card

Symbol ATP6V1A
Full Name ATPase H+ Transporting V1 Subunit A
Gene Type protein-coding
Chromosomal Location 3q13.31
NCBI Gene ID 523 ncbi.nlm.nih.gov/gene/523
Ensembl ID ENSG00000114573
UniProt ID P38606
OMIM ID 607027
HGNC ID 862
Aliases VPP2, Vma1, ATP6A1, V1A, ATP6V1A1

Description

ATP6V1A encodes the catalytic A subunit of the V1 domain of vacuolar ATPase (V-ATPase), a multisubunit enzyme that mediates acidification of intracellular compartments such as lysosomes, endosomes, and Golgi vesicles. The A subunit contains the ATP-binding site and is essential for proton translocation. Mutations in ATP6V1A cause autosomal recessive distal renal tubular acidosis with sensorineural deafness and have been associated with neurodevelopmental disorders. Altered expression is observed in various cancers, where V-ATPase activity supports tumor microenvironment acidification and metastasis.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Distal renal tubular acidosis (dRTA) with deafness Loss-of-function mutations impair proton secretion in renal intercalated cells, leading to metabolic acidosis and hearing loss OMIM #267300; multiple homozygous/compound heterozygous mutations reported
Neurodevelopmental disorder with microcephaly and seizures Missense mutations disrupt V-ATPase assembly or catalytic activity, impairing neuronal acidification and synaptic vesicle recycling ClinVar; de novo and inherited variants
Cancer (multiple types) Overexpression of ATP6V1A enhances extracellular acidification, promoting invasion and chemoresistance COSMIC; RNA-seq upregulation in breast, lung, and pancreatic cancers

Expression Profile

Tissue Expression
Tissue nTPM level
Kidney 28.5 High
Brain (cerebellum) 22.1 High
Liver 18.3 Medium
Heart 15.7 Medium
Lung 12.4 Medium
Pancreas 10.2 Medium
Cell Line Expression
Cell Line nTPM Notes
HEK293 32.1 High expression
HeLa 27.8 High expression
A549 24.5 High expression
MCF7 19.3 Medium expression
K562 14.6 Medium expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.1192C>T (p.Arg398Trp) Missense <0.01% Loss of ATP hydrolysis activity; causes dRTA
c.1546G>A (p.Glu516Lys) Missense <0.01% Impaired V1-V0 assembly; neurodevelopmental disorder
c.2020_2021del (p.Leu674fs) Frameshift <0.01% Premature truncation; complete loss of function
c.947T>C (p.Leu316Pro) Missense <0.01% Reduced catalytic efficiency; dRTA with deafness
Mutation functional classification

Loss of Function (LOF)

Most pathogenic mutations (nonsense, frameshift, splice-site, and missense affecting ATP-binding or catalysis) lead to loss of V-ATPase activity, causing dRTA and neurodevelopmental phenotypes.

Gain of Function (GOF)

Not reported; no activating mutations are documented in COSMIC or ClinVar.

Dominant Negative (DN)

Heterozygous missense mutations in the catalytic domain may exert dominant-negative effects by incorporating mutant A subunits into the V1 complex, impairing overall V-ATPase function.

Pathways

V-ATPase mediated acidification (Reactome R-HSA-1222556)
Lysosome (KEGG hsa04142)
Oxidative phosphorylation (KEGG hsa00190)
Synaptic vesicle cycle (KEGG hsa04721)

Protein Summary

The ATP6V1A protein (UniProt P38606) is a 617-amino-acid catalytic subunit of the V1 peripheral domain of V-ATPase. It contains the nucleotide-binding pocket (Walker A motif) and is responsible for ATP hydrolysis that drives proton translocation. The protein is highly conserved across eukaryotes. Post-translational modifications include phosphorylation at Ser384 and Lys268, which regulate activity. Structural studies show that the A subunit forms a hexameric ring with the B subunit in the V1 domain. Defects in ATP6V1A disrupt organellar acidification, leading to impaired receptor recycling, lysosomal degradation, and neurotransmitter loading.

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