Is ALG8 p.Ile161Thr (c.482T>C) pathogenic?

ALG8 p.Ile161Thr (c.482T>C) is classified Uncertain significance in ALG8 (ClinVar, Multiple submitters, 2 submitters; last evaluated 2025-03-24). AlphaMissense: likely pathogenic (0.8389); Ultra-rare (popmax 0.0402%, eas); Associated with Inborn genetic diseases.

What condition is associated with ALG8 p.Ile161Thr (c.482T>C)?

ALG8 p.Ile161Thr (c.482T>C) is associated with Inborn genetic diseases, ALG8-congenital disorder of glycosylation (ClinVar).

How common is ALG8 p.Ile161Thr (c.482T>C) in the general population?

ALG8 p.Ile161Thr (c.482T>C) is ultra-rare (popmax 0.0402%, eas) (gnomAD).

What do computational predictors say about ALG8 p.Ile161Thr (c.482T>C)?

AlphaMissense predicts likely pathogenic (score 0.8389) — an in-silico prediction, not a clinical call.

ALG8 p.Ile161Thr

c.482T>C · rs373493408 · VCV2887197

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

AlphaMissense

likely pathogenic

0.8389 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.0402%, eas)

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.8389	likely pathogenic
REVEL	0.915	moderately pathogenic-leaning
SaProt	LLR -11.35	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 11	GERP 2.4, phastCons 1
Regional constraint	o/e 0.94	unconstrained · MANE · 39 kb · p 0.14 · regional, not allelic
Overall
CADD	27.8	PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean damaging — a triage signal, not a reclassification

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0402% East Asian · 18/44,808 alleles

Filtering AF 0.0259% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0214%

Overall 0.00205% 33/1,610,040 alleles · ultra-rare

Ancestry group	Frequency	1 in
East Asiangrpmax	0.0402%	2,489
Remaining individualsnot grpmax-eligible	0.00321%	31,166
African / African-American	0.00267%	37,418
European (non-Finnish)	0.000935%	106,961

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: ALG8
Protein: p.Ile161Thr
Coding: c.482T>C
MANE Select: NM_024079
dbSNP: rs373493408
Type: single nucleotide variant
Location: chr11:78119246 (GRCh38)
Gene constraint: LOEUF 0.909 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 92.07

Full ALG8 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: ALG8-congenital disorder of glycosylation

Similar variants

ALG8 c.368+2T>G Likely pathogenic ★★ same condition
ALG8 c.674-2A>G Likely pathogenic ★★ same condition
ALG8 c.777+1G>A Likely pathogenic ★★ same condition
ALG8 c.95+1G>A Likely pathogenic ★★ same condition
ALG8 p.Arg179Ter Pathogenic/Likely pathogenic ★★ same condition
ALG8 p.Arg229Ter Pathogenic/Likely pathogenic ★★ same condition
ALG8 p.Arg268Ter Pathogenic/Likely pathogenic ★★ same condition
ALG8 p.Arg364Ter 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/alg8-p-ile161thr (accessed [today's date]).

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