SLC12A5: Solute Carrier Family 12 Member 5 (KCC2)

Neuronal K-Cl Cotransporter Critical for GABAergic Inhibition and Neurodevelopmental Disorders

Gene Information Card

Symbol SLC12A5
Full Name solute carrier family 12 member 5
Gene Type protein-coding
Chromosomal Location 20q13.12
NCBI Gene ID 57468 ncbi.nlm.nih.gov/gene/57468
Ensembl ID ENSG00000124140
UniProt ID Q9H2X9
OMIM ID 606726
HGNC ID 10918
Aliases KCC2, KCC-2, hKCC2, EIEE34, DEE34

Description

SLC12A5 encodes the neuron-specific potassium-chloride cotransporter KCC2, which extrudes Cl⁻ from neurons, establishing a low intracellular chloride concentration essential for GABAergic inhibition. KCC2 is critical for neuronal maturation, synaptic plasticity, and preventing hyperexcitability. Loss-of-function mutations lead to impaired chloride extrusion, resulting in excitatory GABA action and severe neurodevelopmental disorders including early infantile epileptic encephalopathy (EIEE34) and developmental and epileptic encephalopathy (DEE34).

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Developmental and Epileptic Encephalopathy 34 (DEE34) Loss-of-function mutations impair KCC2 activity, elevating neuronal Cl⁻ and converting GABAergic inhibition to excitation, causing seizures and developmental delay. ClinVar, OMIM
Early Infantile Epileptic Encephalopathy 34 (EIEE34) Biallelic or dominant-negative mutations reduce KCC2 function, leading to severe neonatal-onset epilepsy and intellectual disability. OMIM, PubMed
Schizophrenia (susceptibility) Reduced KCC2 expression in prefrontal cortex disrupts GABAergic inhibition, contributing to cognitive deficits and psychosis. NCBI Gene, PubMed
Autism Spectrum Disorder (ASD) Rare SLC12A5 variants associated with altered chloride homeostasis and impaired GABAergic signaling. ClinVar, PubMed
Epilepsy (generalized) Common variants and reduced KCC2 activity linked to seizure susceptibility and pharmacoresistance. NCBI Gene, PubMed

Expression Profile

Tissue Expression
Tissue nTPM level
Brain 23.4 High
Spinal Cord 12.1 Medium
Retina 8.7 Medium
Testis 0.3 Low
Other tissues <0.1 Not detected
Cell Line Expression
Cell Line nTPM Notes
SH-SY5Y (neuroblastoma) 15.2 Neuronal model, high KCC2 expression
U-87 MG (glioblastoma) 0.8 Low expression
HEK293 (embryonic kidney) 0.1 Negligible endogenous expression
iPSC-derived neurons 22.0 Differentiated neurons, high expression
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.568C>T (p.Arg190*) Nonsense <0.01% Loss of function, truncated protein
c.679G>A (p.Gly227Arg) Missense <0.01% Loss of function, impaired Cl⁻ transport
c.1045C>T (p.Arg349Trp) Missense <0.01% Dominant-negative, reduced surface expression
c.1216C>T (p.Arg406Cys) Missense <0.01% Loss of function, altered ion binding
c.1687G>A (p.Gly563Arg) Missense <0.01% Loss of function, defective trafficking
Mutation functional classification

Loss of Function (LOF)

Most SLC12A5 mutations reduce or abolish KCC2 chloride transport, leading to elevated neuronal Cl⁻ and excitatory GABA action, causing epilepsy and neurodevelopmental disorders.

Gain of Function (GOF)

No confirmed gain-of-function mutations reported in SLC12A5.

Dominant Negative (DN)

Missense mutations such as p.Arg349Trp exert dominant-negative effects by disrupting KCC2 oligomerization and surface expression, causing severe early-onset epilepsy.

Pathways

GABAergic synapse (KEGG: hsa04727)
Chloride transport (Reactome: R-HSA-425393)
Neurotransmitter receptor binding and downstream transmission (Reactome: R-HSA-112314)
Ion transport by P-type ATPases (Reactome: R-HSA-936837)

Protein Summary

KCC2 (SLC12A5) is a 12-transmembrane domain protein that mediates electroneutral K⁺-Cl⁻ cotransport, critical for maintaining low intracellular Cl⁻ in mature neurons. It exists as two splice variants: KCC2a (full-length) and KCC2b (neuron-specific, predominant). KCC2 is essential for GABAergic inhibition; its dysfunction leads to hyperexcitability and epilepsy. The protein is regulated by phosphorylation, oligomerization, and interaction with cytoskeletal elements. KCC2 also plays roles in dendritic spine formation and neuronal migration.

Related Products

Product name Cat.No. Species Gene ID
SLC12A5 Knockout HEK293 Cell Line EDJ-KQ15294 Human 57468 Details Get a Quote
SLC12A5 Knockout A-549 Cell Line EDJ-KQ45993 Human 57468 Details Get a Quote
SLC12A5 Knockout HeLa Cell Line EDJ-KQ45994 Human 57468 Details Get a Quote
SLC12A5 Knockout HCT 116 Cell Line EDJ-KQ73794 Human 57468 Details Get a Quote
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