Is ALDOB p.Arg57Pro (c.170G>C) pathogenic?

ALDOB p.Arg57Pro (c.170G>C) is classified Likely pathogenic in ALDOB (ClinVar, No assertion criteria, 1 submitter; last evaluated 2021-03-18). AlphaMissense: likely pathogenic (0.9928); Absent from gnomAD v4.1; Associated with hereditary fructose intolerance.

What condition is associated with ALDOB p.Arg57Pro (c.170G>C)?

ALDOB p.Arg57Pro (c.170G>C) is associated with hereditary fructose intolerance (ClinVar).

How common is ALDOB p.Arg57Pro (c.170G>C) in the general population?

ALDOB p.Arg57Pro (c.170G>C) is absent from gnomAD v4.1 (gnomAD).

How is Hereditary fructose intolerance inherited?

Typically Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

What do computational predictors say about ALDOB p.Arg57Pro (c.170G>C)?

AlphaMissense predicts likely pathogenic (score 0.9928) — an in-silico prediction, not a clinical call.

ALDOB p.Arg57Pro

c.170G>C · rs370761101 · VCV1065848

Likely pathogenic No assertion criteria

Classification

Likely pathogenic

ClinVar

Review

No assertion criteria ☆☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely pathogenic

0.9928 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

hereditary fructose intolerance

Computational evidence

Protein change
AlphaMissense	0.9928	likely pathogenic ✓ concordant with ClinVar · top 1% in ALDOB
REVEL	0.939	strongly pathogenic-leaning
SaProt	LLR -15.77	damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 4.9	GERP 1.9, phastCons 1
Regional constraint	o/e 1.16	unconstrained · MANE · 9,075 bp · p 0.00067 · regional, not allelic
Overall
CADD	29.8	PHRED · 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

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: ALDOB
Protein: p.Arg57Pro
Coding: c.170G>C
MANE Select: NM_000035
dbSNP: rs370761101
Type: single nucleotide variant
Location: chr9:101429909 (GRCh38)
Gene constraint: LOEUF 1.183 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 96.12 · 4 PDB
Residue 57: an α-helix

Full ALDOB gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hereditary fructose intolerance — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Hereditary fructose intolerance (Orphanet):

Inheritance: Autosomal recessive
Onset: All ages
Prevalence: 1-9 / 100 000 (Europe)

Similar variants

ALDOB p.Arg57= Likely benign ★ same residue
ALDOB p.Arg57Leu Uncertain significance ★ ⚠ same residue
ALDOB p.Arg57Trp Uncertain significance ⚠ same residue
ALDOB c.113-1G>C Pathogenic/Likely pathogenic ★★ same condition
ALDOB c.324+1G>A Pathogenic ★★ same condition
ALDOB c.324+2T>A Pathogenic ★★ same condition
ALDOB c.379+1G>A Likely pathogenic ★★ same condition
ALDOB c.379+1G>T Pathogenic/Likely pathogenic ★★ same condition

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/aldob-p-arg57pro (accessed [today's date]).

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