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AP4E1 p.Ala153=

c.459A>C · rs184712259 · VCV1097051

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0758%, eas)
Conditions
1
Spastic paraplegia

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 0.036GERP -0.89, phastCons 0.047
Overall
CADD6.928PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0758% East Asian · 34/44,866 alleles
Filtering AF 0.0557% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0488%
Overall 0.00217% 35/1,614,040 alleles · ultra-rare
Ancestry group Frequency 1 in
East Asiangrpmax 0.0758% 1,320
Remaining individualsnot grpmax-eligible 0.0016% 62,500

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
AP4E1
Protein
p.Ala153=
Coding
c.459A>C
MANE Select
NM_007347
dbSNP
rs184712259
Type
single nucleotide variant
Location
chr15:50925136 (GRCh38)
Gene constraint
LOEUF 0.576 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 72.42 · 4 PDB
Full AP4E1 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/ap4e1-p-ala153 (accessed [today's date]).

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