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ABCA4 p.Ala1794Asp

c.5381C>A · rs61751406 · VCV99371

Pathogenic/Likely pathogenic Multiple submitters
Classification
Pathogenic/Likely pathogenic
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 14 submitters
AlphaMissense
likely pathogenic
0.907 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00271%, nfe)
Missense predictors
3/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
3
inherited retinal dystrophy

Computational evidence

Protein change
AlphaMissense0.907likely pathogenic ✓ concordant with ClinVar · top 9% in ABCA4
REVEL0.801moderately pathogenic-leaning
SaProtLLR -13.78damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 5.7GERP 0.76, phastCons 1
Regional constrainto/e 0.98unconstrained · MANE · 128 kb · p 0.24 · regional, not allelic
Overall
CADD29.3PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00271% European (non-Finnish) · 32/1,180,028 alleles
Filtering AF 0.00196% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00168%
Overall 0.00217% 35/1,614,072 alleles · very rare
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0032% 31,242
European (non-Finnish)grpmax 0.00271% 36,876
Admixed American 0.00167% 60,014

Remaining individuals shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene
ABCA4
Protein
p.Ala1794Asp
Coding
c.5381C>A
MANE Select
NM_000350
dbSNP
rs61751406
Type
single nucleotide variant
Location
chr1:94014622 (GRCh38)
Gene constraint
LOEUF 0.786 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 75.96 · 8 PDB
Residue 1794
a UniProt-annotated variant site (in cord3; uncertain significance); a UniProt-annotated variant site (in stgd1; uncertain significance); a UniProt-annotated variant site (found in a patient with chorioretinal atrophy; uncertain significance); a UniProt-annotated variant site (found in a patient with macular dystrophy; uncertain significance); a UniProt-annotated variant site (in stgd1 and cord3; uncertain significance); a UniProt-annotated variant site (sequence variant); a UniProt-annotated variant site (in stgd1 and ffm; uncertain significance); a UniProt-annotated variant site (in stgd1; also found in a patient with bull's eye maculopathy; likely pathogenic; moderately decreases solubility; loss of cytoplasmic vesicle localization; decreased basal and n-ret-pe-stimulated atpase activity; decreased n-all-trans-retinylidenephosphatidylethanolamine binding); a UniProt-annotated variant site (in stgd1; likely pathogenic; loss of cytoplasmic vesicle localization; decreases basal and n-ret-pe-stimulated atpase activity; decreases solubility; reduces n-all-trans-retinylidenephosphatidylethanolamine binding); an α-helix
Full ABCA4 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/abca4-p-ala1794asp (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown