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ABCA4 p.Met448fs

c.1344del · rs61748554 · VCV99047

Pathogenic Multiple submitters
Classification
Pathogenic
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 4 submitters
Consequence
frameshift
predicted LoF
gnomAD v4.1
Rare
very rare (popmax 9.27e-05%, nfe)
Conditions
2
severe early-childhood-onset retinal dystrophy

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Consequenceframeshiftpredicted loss-of-function
NMDpredictedpremature termination codon in exon 10 of 50
Splicing
SpliceAI—not assessed · substitutions only
Constraint at this position
ConservationphyloP -0.19GERP -0.62, phastCons 0.63

Predicted loss-of-function is descriptive, not an applied PVS1 code.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 9.27e-05% European (non-Finnish) · 1/1,078,202 alleles
Overall 7.62e-05% 1/1,312,670 alleles · very rare

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.Met448fs
Coding
c.1344del
MANE Select
NM_000350
dbSNP
rs61748554
Type
Deletion
Location
chr1:94078602 (GRCh38)
Gene constraint
LOEUF 0.786 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 75.96 · 8 PDB
Residue 448
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 (in stgd1; likely pathogenic; no effect on solubility; no effect on localization to cytoplasmic vesicle; decreased basal and n-ret-pe-stimulated atpase activity; decreased n-all-trans-retinylidenephosphatidylethanolamine binding); an α-helix; a disulfide bond
Full ABCA4 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

severe early-childhood-onset retinal dystrophy — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: Stargardt disease

For Severe early-childhood-onset retinal dystrophy (Orphanet):

Inheritance
Autosomal recessive
Onset
Childhood, Infancy

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-met448fs (accessed [today's date]).

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