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ADSL c.357+7G>A

rs199993991 · VCV136309

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 6 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0496%, mid)
Conditions
1
adenylosuccinate lyase deficiency

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.005strongly benign-leaning
Splicing
Splice regiondonor +7near-intronic (+7 nt from the splice site) · inside the BP7-excluded zone
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.12GERP -4.7
Non-coding constraintZ 0.501 kb window · o/e 0.96 · regional · uncalibrated
Overall
CADD1.674PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0496% Middle Eastern · 3/6,052 alleles
Filtering AF 0.0134% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00719%
Overall 0.0172% 277/1,612,070 alleles · ultra-rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.561% 178
Middle Easterngrpmax 0.0496% 2,017
Remaining individualsnot grpmax-eligible 0.04% 2,498
European (non-Finnish) 0.00637% 15,710
East Asian 0.00446% 22,433
African / African-American 0.004% 24,984
Admixed American 0.00167% 59,998
Finnishnot grpmax-eligible 0.00156% 63,994
South Asian 0.0011% 91,040

Ashkenazi Jewish 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
ADSL
Coding
c.357+7G>A
MANE Select
NM_000026
dbSNP
rs199993991
Type
single nucleotide variant
Location
chr22:40350042 (GRCh38)
Gene constraint
LOEUF 0.915 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 96.82 · 4 PDB
Full ADSL gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

adenylosuccinate lyase deficiency — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Adenylosuccinate lyase deficiency (Orphanet):

Inheritance
Autosomal recessive
Onset
Childhood, Infancy, Neonatal

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/adsl-c-357-plus-7g-a (accessed [today's date]).

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