Cytopenia - NOT Fanconi anaemia

Gene: SLC46A1

Amber List (moderate evidence)

SLC46A1 (solute carrier family 46 member 1)
EnsemblGeneIds (GRCh38): ENSG00000076351
EnsemblGeneIds (GRCh37): ENSG00000076351
OMIM: 611672, Gene2Phenotype
SLC46A1 is in 14 panels

2 reviews

Arina Puzriakova (Genomics England Curator)

Comment on list classification: There is sufficient evidence to promote this gene to Green. At least 5 unrelated individuals with biallelic variants in this gene and hereditary folate malabsorption which can progress to severe pancytopenia (PMID: 11807405; 17446347; 21333572; 40937236). This is a key feature of this condition and warrants inclusion on the panel.
Created: 9 Oct 2025, 3:47 p.m. | Last Modified: 9 Oct 2025, 3:47 p.m.
Panel Version: 4.24

Julia Baptista (Royal Devon and Exeter NHS Foundation Trust)

Green List (high evidence)

Hereditary folate malabsorption is an autosomal recessive disorder, shown to be due to loss-of-function mutations of the proton-coupled folate transporter (SLC46A1). Affected individuals present with early onset macrocytic anemia, thrombocytopenia, neutropenia, leukopenianand/or pancytopenia.
Sources: Expert Review, Literature
Created: 8 Jun 2019, 9:51 p.m.

Mode of inheritance
BIALLELIC, autosomal or pseudoautosomal

Phenotypes
Folate malabsorption; anemia; pancytopenia

Publications

History Filter Activity

9 Oct 2025, Gel status: 2

Entity classified by Genomics England curator

Arina Puzriakova (Genomics England Curator)

Gene: slc46a1 has been classified as Amber List (Moderate Evidence).

9 Oct 2025, Gel status: 1

Added Tag, Added Tag

Arina Puzriakova (Genomics England Curator)

Tag Q3_25_promote_green tag was added to gene: SLC46A1. Tag Q3_25_NHS_review tag was added to gene: SLC46A1.

9 Oct 2025, Gel status: 1

Created, Added New Source, Set mode of inheritance, Set publications, Set Phenotypes

Arina Puzriakova (Genomics England Curator)

gene: SLC46A1 was added gene: SLC46A1 was added to Cytopenia - NOT Fanconi anaemia. Sources: Expert Review,Literature Mode of inheritance for gene: SLC46A1 was set to BIALLELIC, autosomal or pseudoautosomal Publications for gene: SLC46A1 were set to 21333572; 17446347; 29390264; 11804211; 17641272 Phenotypes for gene: SLC46A1 were set to Folate malabsorption, hereditary, OMIM:229050; anemia; pancytopenia