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ALPL p.Ala399=

c.1197C>T · rs764010876 · VCV1114154

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00559%, 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 -0.68GERP -0.54, phastCons 0.01
Overall
CADD8.393PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00559% European (non-Finnish) · 66/1,179,900 alleles
Filtering AF 0.00451% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00411%
Overall 0.0044% 71/1,613,764 alleles · very rare
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.00559% 17,877
Finnishnot grpmax-eligible 0.00469% 21,333
Remaining individualsnot grpmax-eligible 0.0016% 62,474
African / African-American 0.00134% 74,876

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
ALPL
Protein
p.Ala399=
Coding
c.1197C>T
MANE Select
NM_000478
dbSNP
rs764010876
Type
single nucleotide variant
Location
chr1:21576529 (GRCh38)
Gene constraint
LOEUF 0.987 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 93.74 · 5 PDB
Residue 399
a UniProt-annotated variant site (in hops)
Full ALPL 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/alpl-p-ala399 (accessed [today's date]).

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