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AK1 p.Ser45=

c.135C>T · VCV4683433

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
rare (popmax 0.148%, mid)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP -4.2GERP -4.6
Overall
CADD0.99PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.148% Middle Eastern · 9/6,062 alleles
Filtering AF 0.0774% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0578%
Overall 0.0218% 352/1,614,132 alleles · rare exomes 312/1,461,840 · genomes 40/152,292 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.148% 674
Admixed American 0.0566% 1,766
Remaining individualsnot grpmax-eligible 0.056% 1,786
European (non-Finnish) 0.0225% 4,453
African / African-American 0.00933% 10,720
Finnishnot grpmax-eligible 0.00156% 63,990
South Asian 0.0011% 91,084

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
AK1
Protein
p.Ser45=
Coding
c.135C>T
MANE Select
NM_000476
Type
single nucleotide variant
Location
chr9:127872762 (GRCh38)
Gene constraint
LOEUF 0.873 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 95.82 · 5 PDB
Residue 45
the 'nmp' region; an α-helix
Full AK1 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/ak1-p-ser45 (accessed [today's date]).

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