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APTX p.Arg42Ter

c.124C>T · rs201912053 · VCV420789

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 8 submitters
Consequence
nonsense (stop-gain)
predicted LoF
gnomAD v4.1
Rare
ultra-rare (popmax 0.0164%, mid)
Conditions
1
ataxia, early-onset, with oculomotor apraxia and hypoalbuminemia

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Consequencenonsense (stop-gain)predicted loss-of-function
NMDpredictedpremature termination codon in exon 2 of 8
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 5.7GERP 1.7, phastCons 1
Overall
CADD40.0PHRED · no single calibrated threshold — expert panels disagree

Predicted loss-of-function is descriptive, not an applied PVS1 code.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0164% Middle Eastern · 1/6,084 alleles
Filtering AF 0.00133% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00083%
Overall 0.00285% 46/1,614,068 alleles · ultra-rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.0574% 1,742
Middle Easterngrpmax 0.0164% 6,084
Admixed American 0.005% 20,001
East Asian 0.00445% 22,450
African / African-American 0.00267% 37,462
European (non-Finnish) 0.00161% 62,108
Remaining individualsnot grpmax-eligible 0.0016% 62,486
South Asian 0.0011% 91,082

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
APTX
Protein
p.Arg42Ter
Coding
c.124C>T
MANE Select
NM_001195248
dbSNP
rs201912053
Type
single nucleotide variant
Location
chr9:32989768 (GRCh38)
Gene constraint
LOEUF 0.973 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 81.52 · 11 PDB
Residue 42
the fha-like domain; the 'interactions with adprt/parp1 and ncl' region
Full APTX gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

ataxia, early-onset, with oculomotor apraxia and hypoalbuminemia — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Ataxia-oculomotor apraxia type 1 (Orphanet):

Inheritance
Autosomal recessive
Onset
Childhood

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/aptx-p-arg42ter (accessed [today's date]).

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