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APP p.Val576Ile

c.1726G>A · rs200769792 · VCV836798

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
AlphaMissense
likely benign
0.0702 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0108%, nfe)
Missense predictors
0/2 damaging
AlphaMissense, SaProt · REVEL no call
Conditions
1
Alzheimer disease

Computational evidence

Protein change
AlphaMissense0.0702likely benign
REVEL0.405indeterminate
SaProtLLR -6.13tolerated
⇒ AlphaMissense and SaProt both call this tolerated; REVEL makes no call.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 7.7GERP 1.8, phastCons 1
Regional constrainto/e 0.84unconstrained · MANE · 289 kb · p 2e-07 · regional, not allelic
Overall
CADD23.7PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — 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 0.0108% European (non-Finnish) · 128/1,180,014 alleles
Filtering AF 0.00928% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00871%
Overall 0.00892% 144/1,614,028 alleles · ultra-rare exomes 135/1,461,862 · genomes 9/152,166 · joint denominator
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0176% 5,681
European (non-Finnish)grpmax 0.0108% 9,219
East Asian 0.00223% 44,894
South Asian 0.0022% 45,542
Finnishnot grpmax-eligible 0.00156% 64,030
African / African-American 0.00133% 74,916

Remaining individuals 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
APP
Protein
p.Val576Ile
Coding
c.1726G>A
MANE Select
NM_000484
dbSNP
rs200769792
Type
single nucleotide variant
Location
chr21:25911924 (GRCh38)
Gene constraint
LOEUF 0.41 · pLI 1.00 · ClinGen HI 0/3 (gnomAD)
Structure
AlphaFold pLDDT 68.11 · 263 PDB
Full APP 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/app-p-val576ile (accessed [today's date]).

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