SLC22A12: Urate Transporter 1 (URAT1) and Its Role in Renal Urate Handling

A comprehensive biomedical overview of SLC22A12, the gene encoding URAT1, its expression, mutations, and clinical significance in urate homeostasis and related disorders.

Gene Information Card

Symbol SLC22A12
Full Name solute carrier family 22 member 12
Gene Type protein coding
Chromosomal Location 11q13.1
NCBI Gene ID 116085 ncbi.nlm.nih.gov/gene/116085
Ensembl ID ENSG00000197891
UniProt ID Q96S37
OMIM ID 607096
HGNC ID 17989
Aliases URAT1, RST, OAT4L

Description

SLC22A12 encodes the urate transporter 1 (URAT1), a member of the organic anion transporter family. URAT1 is primarily expressed in the apical membrane of renal proximal tubule cells and mediates the reabsorption of urate from the glomerular filtrate. It plays a critical role in maintaining serum urate levels. Loss-of-function mutations in SLC22A12 cause renal hypouricemia type 1 (RHUC1), characterized by low serum urate and increased urinary urate excretion. The gene is also implicated in susceptibility to gout and response to urate-lowering therapies.

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Renal hypouricemia type 1 (RHUC1) Loss-of-function mutations in SLC22A12 impair urate reabsorption, leading to excessive urate excretion and low serum urate levels. OMIM 607096; multiple case reports and functional studies.
Gout Common variants in SLC22A12 (e.g., rs3825016) are associated with altered urate transport and increased risk of hyperuricemia/gout. Genome-wide association studies (GWAS) and meta-analyses.
Exercise-induced acute kidney injury In RHUC1 patients, strenuous exercise can precipitate acute kidney injury due to increased urate excretion and oxidative stress. Case reports and clinical studies.

Expression Profile

Tissue Expression
Tissue nTPM level
Kidney High (nTPM ~ 200) Predominant expression in renal proximal tubules.
Liver Low (nTPM ~ 5) Minimal expression.
Small intestine Low (nTPM ~ 3) Low expression.
Other tissues Not detected No significant expression.
Cell Line Expression
Cell Line nTPM Notes
HK-2 (renal proximal tubular cells) High Endogenous expression; used for functional studies.
HEK293 (embryonic kidney) Low Often used for heterologous expression after transfection.
Caco-2 (intestinal) Low Minimal endogenous expression.
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
p.Trp258* (c.774G>A) Nonsense Rare (found in RHUC1 families) Truncated protein; loss of function.
p.Arg90His (c.269G>A) Missense Rare (found in RHUC1) Impaired urate transport activity.
p.Thr467Met (c.1400C>T) Missense Rare (found in RHUC1) Reduced cell surface expression and transport.
rs3825016 (intronic) SNP Common (minor allele frequency ~0.2) Associated with altered urate levels and gout risk.
Mutation functional classification

Loss of Function (LOF)

Most SLC22A12 mutations are loss-of-function, reducing or abolishing urate transport activity, leading to renal hypouricemia.

Gain of Function (GOF)

No gain-of-function mutations have been reported for SLC22A12.

Dominant Negative (DN)

No evidence for dominant-negative effects; the disease is inherited in an autosomal recessive manner.

Gene Ontology (GO)

• urate transmembrane transporter activity • organic anion transmembrane transporter activity
• plasma membrane • apical plasma membrane
• urate transport • organic anion transport

Pathways

Urate homeostasis
Organic anion transport
Renal tubular transport

Protein Summary

URAT1 is a 553-amino acid protein with 12 transmembrane domains. It functions as an organic anion exchanger, coupling the uptake of urate to the efflux of other anions (e.g., lactate, nicotinate). It is the primary target of uricosuric drugs (e.g., benzbromarone, probenecid) and is inhibited by these agents to increase urate excretion. URAT1 also interacts with other transporters such as PDZK1 and NHERF1 for proper membrane localization.

Related Products

Product name Cat.No. Species Gene ID
SLC22A12 Knockout HEK293 Cell Line EDJ-KQ7545 Human 116085 Details Get a Quote
SLC22A12 Knockout HeLa Cell Line EDJ-KQ57968 Human 116085 Details Get a Quote
SLC22A12 Knockout A-549 Cell Line EDJ-KQ66458 Human 116085 Details Get a Quote
SLC22A12 Knockout HCT 116 Cell Line EDJ-KQ74879 Human 116085 Details Get a Quote
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