Is ALG1 p.Asp264fs (c.791_804del) pathogenic?

ALG1 p.Asp264fs (c.791804del) is classified Pathogenic in ALG1 (ClinVar, Single submitter, 1 submitter; last evaluated 2020-03-24). Absent from gnomAD; Associated with ALG1-congenital disorder of glycosylation.

What condition is associated with ALG1 p.Asp264fs (c.791_804del)?

ALG1 p.Asp264fs (c.791_804del) is associated with ALG1-congenital disorder of glycosylation (ClinVar).

How common is ALG1 p.Asp264fs (c.791_804del) in the general population?

ALG1 p.Asp264fs (c.791_804del) is absent from gnomAD (gnomAD).

How is ALG1-CDG inherited?

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

ALG1 p.Asp264fs

c.791_804del · rs2142715856 · VCV1323051

Pathogenic Single submitter

Classification

Pathogenic

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

Consequence

frameshift

predicted LoF

gnomAD v4.1

Not reported

no gnomAD frequency available for this variant

Conditions

ALG1-congenital disorder of glycosylation

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Consequence	frameshift	predicted loss-of-function
NMD	predicted	premature termination codon in exon 7 of 13
Splicing
SpliceAI	—	not assessed · substitutions only
Constraint at this position
Conservation	phyloP 5.9	GERP 1.6, phastCons 1
Region caveats
Repeat context	seg dup	· reads may not map uniquely · confidence, not pathogenicity

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

Population frequency

dbSNP / gnomAD

No gnomAD frequency available for this variant. This is missing data, not an absence: the variant may or may not be present in gnomAD. Rarity (ACMG PM2) and BA1/BS1 cannot be assessed for it.

Variant & gene context

Gene: ALG1
Protein: p.Asp264fs
Coding: c.791_804del
MANE Select: NM_019109
dbSNP: rs2142715856
Type: Deletion
Location: chr16:5078799 (GRCh38)
Gene constraint: LOEUF 1.419 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 93.24

Full ALG1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

ALG1-congenital disorder of glycosylation — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For ALG1-CDG (Orphanet):

Inheritance: Autosomal recessive
Onset: Infancy, Neonatal

Similar variants

ALG1 p.Asp264= Likely benign ★ same residue
ALG1 p.Ser330fs Pathogenic/Likely pathogenic ★★ same condition
ALG1 p.Asp264Val Uncertain significance ★★ ⚠ same residue
ALG1 c.741-13del Benign/Likely benign ★★ same condition
ALG1 c.287-12_289del Likely pathogenic ★ same condition
ALG1 p.Ala31fs Pathogenic ★ same condition
ALG1 p.Arg247fs Pathogenic ★ same condition
ALG1 p.Arg30fs 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/alg1-p-asp264fs (accessed [today's date]).

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