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Solute carrier family 13 member 5 (sodium-dependent citrate transporter) (SLC13A5 (also NaCT))

Target
SLC13A5 (also NaCT)
Molecular classification
Transporter, Sodium-dependent citrate symporter/cotransporter, Member of the solute carrier family 13 (SLC13)
01

Overview

Solute carrier family 13 member 5 (SLC13A5), also known as the sodium-dependent citrate transporter (NaCT), is a plasma membrane transporter highly expressed in the liver, brain, and other tissues. It facilitates the import of extracellular citrate into cells using a sodium gradient, playing a critical role in cellular energy metabolism and metabolic sensing. Genetic mutations in SLC13A5 cause a rare autosomal recessive neurological disorder, early infantile epileptic encephalopathy (EIEE25), manifesting as epilepsy, developmental delay, abnormal movement, and dental enamel defects. SLC13A5 is also implicated in metabolic diseases such as non-alcoholic fatty liver disease, obesity, and type 2 diabetes. Therapeutic interest centers on developing liver-selective inhibitors to harness metabolic benefits while avoiding neurological toxicity. SLC13A5’s function is tightly linked to the regulation of key metabolic pathways, making it a promising but challenging therapeutic target.

Other names
Na+/citrate cotransporterNaCTmIndy
02

Mechanism of action

Inhibition or modulation of citrate uptake into cells by blocking sodium-dependent transport at SLC13A5. Altered metabolic flux, fatty acid synthesis, and energy homeostasis. Potential selective inhibition in the liver to avoid neurological side effects.

03

Biological functions

Citrate uptake and transport across cell membranesRegulation of cellular energy homeostasis (influencing glycolysis, TCA cycle, fatty acid synthesis)Metabolic sensing and homeostasisIndirect control of cell proliferationModulation of neurological function through neuronal and astrocyte citrate transport
04

Disease associations

Early infantile epileptic encephalopathy type 25 (EIEE25, SLC13A5 Epilepsy)Neurodevelopmental delay and movement disordersNon-alcoholic fatty liver diseaseType 2 diabetesObesity and metabolic syndromeDental enamel defects (amelogenesis imperfecta)
05

Safety considerations

Inhibiting SLC13A5 in the brain can cause severe neurological side effects including epilepsy and developmental delaysLiver-specific targeting is required to avoid central nervous system effectsProtein folding defects in some disease-associated mutations complicate treatment strategiesLack of comprehensive metabolic or natural history studies of SLC13A5 deficiency
06

Interacting drugs

Liver-specific SLC13A5 inhibitors (investigational)

2 more in the full profile.

07

Biomarkers

SLC13A5 genetic variants/mutations for diagnosis of EIEE25 or SLC13A5 citrate transporter disorderClinical endpoints: developmental delay, epilepsy, abnormal dentitionLaboratory markers: citrate levels, metabolic parameters (under development)

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