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ALPI p.Pro426=

c.1278A>G · VCV4960531

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0222%, nfe)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -8.8GERP -2.8
Overall
CADD5.009PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0222% European (non-Finnish) · 262/1,180,034 alleles
Filtering AF 0.0199% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0191%
Overall 0.0172% 278/1,613,826 alleles · ultra-rare
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.0222% 4,504
Remaining individualsnot grpmax-eligible 0.0128% 7,810
Admixed American 0.01% 10,002
Finnishnot grpmax-eligible 0.00157% 63,792
African / African-American 0.00133% 74,928

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
ALPI
Protein
p.Pro426=
Coding
c.1278A>G
MANE Select
NM_001631
Type
single nucleotide variant
Location
chr2:232458726 (GRCh38)
Gene constraint
LOEUF 1.163 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 93.46
Full ALPI 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/alpi-p-pro426 (accessed [today's date]).

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