SLC6A1 encodes GAT-1, a plasma membrane GABA reuptake transporter whose principal disease mechanism is partial loss of transporter function: pathogenic variants strongly reduce GAT-1-mediated GABA uptake (mean −89.4%), and residual transporter activity correlates quantitatively with epilepsy severity and intellectual disability across patient cohorts [PMID:bio_10.1101_2025.11.06.687003, PMID:bio_10.1101_2025.04.01.24316792]. A Drosophila allelic series confirms that missense variants such as p.A334S act as hypomorphs producing graded neurological phenotypes, establishing haploinsufficiency with severity scaling to functional loss [PMID:bio_10.1101_2024.09.27.24314092]. Beyond its synaptic reuptake role, GAT-1 is required cell-autonomously for migration of MGE-derived interneurons during cortical development, as shown in fused human organoid models [PMID:bio_10.1101_2025.07.01.662594]. SLC6A1 expression is set transcriptionally through SMARCC2-dependent H3K9 acetylation at its promoter, and the molecular chaperone 4-phenylbutyric acid partially restores uptake by deficient transporters [PMID:bio_10.1101_2025.11.06.687003, PMID:bio_10.1101_2025.05.29.656867].