Is AP4M1 p.Pro76= (c.228C>T) pathogenic?

AP4M1 p.Pro76= (c.228C>T) is classified Benign/Likely benign in AP4M1 (ClinVar, Multiple submitters, 8 submitters; last evaluated 2026-06-01). Low-frequency (popmax 1.25%, mid); Associated with hereditary spastic paraplegia.

What condition is associated with AP4M1 p.Pro76= (c.228C>T)?

AP4M1 p.Pro76= (c.228C>T) is associated with hereditary spastic paraplegia, hereditary spastic paraplegia 50 (ClinVar).

How common is AP4M1 p.Pro76= (c.228C>T) in the general population?

AP4M1 p.Pro76= (c.228C>T) is low-frequency (popmax 1.25%, mid) (gnomAD).

AP4M1 p.Pro76=

c.228C>T · rs41280965 · VCV210209

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 8 submitters

gnomAD v4.1

Rare

low-frequency (popmax 1.25%, mid)

Conditions

hereditary 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
Conservation	phyloP -1.5	GERP -4.2
Overall
CADD	8.06	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 1.25% Middle Eastern · 76/6,062 alleles

Filtering AF 1.03% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.943%

Overall 0.705% 11,387/1,614,124 alleles · low-frequency

Ancestry group	Frequency	1 in
Ashkenazi Jewishnot grpmax-eligible	2.66%	38
Finnishnot grpmax-eligible	1.57%	64
Middle Easterngrpmax	1.25%	80
European (non-Finnish)	0.739%	135
Remaining individualsnot grpmax-eligible	0.706%	142
Admixed American	0.217%	462
South Asian	0.146%	685
African / African-American	0.117%	853
Amishnot grpmax-eligible	0.11%	910

Ashkenazi Jewish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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: AP4M1
Protein: p.Pro76=
Coding: c.228C>T
MANE Select: NM_004722
dbSNP: rs41280965
Type: single nucleotide variant
Location: chr7:100102755 (GRCh38)
Gene constraint: LOEUF 1.106 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 86.16 · 6 PDB

Full AP4M1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hereditary spastic paraplegia — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: hereditary spastic paraplegia 50

Similar variants

AP4M1 p.Pro76Ser Uncertain significance ★ ⚠ same residue
AP4M1 c.1137+1G>T Pathogenic/Likely pathogenic ★★ same condition
AP4M1 c.930-1G>C Likely pathogenic ★★ same condition
AP4M1 p.Arg268Ter Pathogenic ★★ same condition
AP4M1 p.Arg306Ter Pathogenic ★★ same condition
AP4M1 p.Arg318Ter Pathogenic ★★ same condition
AP4M1 p.Arg338Ter Pathogenic/Likely pathogenic ★★ same condition
AP4M1 p.Cys319Arg 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/ap4m1-p-pro76 (accessed [today's date]).

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