SLC26A4 (Pendrin) Gene: Structure, Function, and Associated Diseases

A comprehensive overview of the SLC26A4 gene, encoding the pendrin anion exchanger, its role in iodide transport, and its clinical significance in Pendred syndrome and non-syndromic hearing loss.

Gene Information Card

Symbol SLC26A4
Full Name Solute carrier family 26 member 4
Gene Type Protein coding
Chromosomal Location 7q22.3 (GRCh38: 7:107,660,828-107,717,809)
NCBI Gene ID 5172 ncbi.nlm.nih.gov/gene/5172
Ensembl ID ENSG00000091137
UniProt ID O43511
OMIM ID 605646
HGNC ID 11018
Aliases PDS, DFNB4, Pendrin

Description

The SLC26A4 gene encodes pendrin, a transmembrane protein belonging to the solute carrier 26 family. Pendrin functions as an anion exchanger, transporting chloride, iodide, bicarbonate, and thiocyanate across cell membranes. It is highly expressed in the inner ear, thyroid, and kidney, playing critical roles in endolymphatic fluid homeostasis, iodide transport, and acid-base balance. Mutations in SLC26A4 are associated with Pendred syndrome (characterized by sensorineural hearing loss, goiter, and enlarged vestibular aqueduct) and non-syndromic hearing loss (DFNB4).

Disease Associations

Disease category Pathophysiological mechanism Genomic evidence
Pendred syndrome Biallelic loss-of-function mutations impair pendrin-mediated iodide transport and endolymphatic ion homeostasis, leading to defective thyroid hormone synthesis and inner ear malformations. OMIM 274600; ClinVar; multiple publications
Non-syndromic hearing loss (DFNB4) Biallelic mutations cause isolated sensorineural hearing loss with enlarged vestibular aqueduct, without thyroid involvement, due to disrupted endolymphatic pH and ion balance. OMIM 600791; ClinVar
Enlarged vestibular aqueduct (EVA) Mutations in SLC26A4 are a major cause of EVA, often with or without goiter, affecting inner ear fluid regulation. ClinVar; literature
Goiter (euthyroid) Pendrin dysfunction leads to defective iodide organification, causing goiter, often with normal thyroid hormone levels. OMIM; clinical studies

Expression Profile

Tissue Expression
Tissue nTPM level
Thyroid High (nTPM ~ 50) Strong expression in thyrocytes, apical membrane
Kidney Moderate (nTPM ~ 20) Distal nephron, intercalated cells
Inner ear (cochlea) High (nTPM not available) Endolymphatic sac, vestibular dark cells
Lung Low (nTPM ~ 5) Minimal expression
Testis Low (nTPM ~ 3) Weak expression
Cell Line Expression
Cell Line nTPM Notes
Thyroid epithelial cells High Pendrin localized to apical membrane
Renal collecting duct cells Moderate Type B intercalated cells
HeLa Low Not endogenously expressed
HEK293 Low Used for transfection studies
Data source:Human Protein Atlas(proteinatlas.org)

Mutations & Variants

Hotspot Mutations
Variant Type Frequency Functional Description
c.707T>C (p.Leu236Pro) Missense Common in Caucasian populations Loss of function; impaired protein trafficking
c.1001+1G>A Splice site Reported in multiple ethnicities Aberrant splicing, loss of function
c.1246A>C (p.Thr416Pro) Missense Found in Asian populations Loss of function; reduced anion exchange
c.2168A>G (p.His723Arg) Missense Reported in Pendred syndrome Loss of function; protein instability
c.1334T>C (p.Leu445Pro) Missense Found in DFNB4 Loss of function; impaired membrane localization
Mutation functional classification

Loss of Function (LOF)

Most SLC26A4 mutations are loss-of-function, leading to reduced or absent anion exchange activity, often due to protein misfolding, impaired trafficking, or catalytic defects.

Gain of Function (GOF)

No gain-of-function mutations have been reported for SLC26A4.

Dominant Negative (DN)

No dominant-negative effects have been described; the disease is typically autosomal recessive.

Gene Ontology (GO)

• Anion:chloride antiporter activity • Bicarbonate transmembrane transporter activity
• Iodide transmembrane transporter activity • Chloride transmembrane transporter activity
• Plasma membrane • Apical plasma membrane
• Response to drug • Ion transport
• Chloride transport • Bicarbonate transport

Pathways

Iodide metabolism
Thyroid hormone synthesis
Bicarbonate transport in renal collecting duct
Endolymphatic ion homeostasis

Protein Summary

Pendrin is a 780-amino-acid glycoprotein with 12 transmembrane domains. It functions as an electroneutral exchanger of chloride, iodide, bicarbonate, and thiocyanate. In the thyroid, it mediates iodide efflux at the apical membrane, essential for hormone synthesis. In the inner ear, it regulates endolymph pH and ion composition. In the kidney, it participates in acid-base balance by exchanging chloride for bicarbonate in intercalated cells. Mutations disrupt these processes, leading to clinical phenotypes.

Related Products

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SLC26A4 Knockout HEK293 Cell Line EDJ-KQ2080 Human 5172 Details Get a Quote
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SLC26A4 Knockout A-549 Cell Line EDJ-KQ62601 Human 5172 Details Get a Quote
SLC26A4 Knockout HCT 116 Cell Line EDJ-KQ71074 Human 5172 Details Get a Quote
SLC26A4 (p.L676Q) Point Mutation in HCT 116 Cell Line EDC03102 Human 5172 Details Get a Quote
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SLC26A4 (p.T410M) Point Mutation in HCT 116 Cell Line EDC03106 Human 5172 Details Get a Quote
SLC26A4 (p.H723R) Point Mutation in HCT 116 Cell Line EDC03107 Human 5172 Details Get a Quote
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