Is APTX p.Leu213fs (c.638del) pathogenic?

APTX p.Leu213fs (c.638del) is classified Pathogenic in APTX (ClinVar, Single submitter, 1 submitter; last evaluated 2022-06-30). Absent from gnomAD; Associated with ataxia, early-onset, with oculomotor apraxia and hypoalbuminemia.

What condition is associated with APTX p.Leu213fs (c.638del)?

APTX p.Leu213fs (c.638del) is associated with ataxia, early-onset, with oculomotor apraxia and hypoalbuminemia (ClinVar).

How common is APTX p.Leu213fs (c.638del) in the general population?

APTX p.Leu213fs (c.638del) is absent from gnomAD (gnomAD).

How is Ataxia-oculomotor apraxia type 1 inherited?

Typically Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

APTX p.Leu213fs

c.638del · rs2489453836 · VCV1706448

Pathogenic Single submitter

Classification

Pathogenic

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

Consequence

frameshift

predicted LoF

gnomAD v4.1

Not reported

no gnomAD frequency available for this variant

Conditions

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.
Consequence	frameshift	predicted loss-of-function
NMD	predicted	premature termination codon in exon 6 of 8
Splicing
SpliceAI	—	not assessed · substitutions only
Constraint at this position
Conservation	phyloP 4	GERP 1.7, phastCons 1

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

Population frequency

dbSNP / gnomAD

No gnomAD frequency available for this variant. This is missing data, not an absence: the variant may or may not be present in gnomAD. Rarity (ACMG PM2) and BA1/BS1 cannot be assessed for it.

Variant & gene context

Gene: APTX
Protein: p.Leu213fs
Coding: c.638del
MANE Select: NM_001195248
dbSNP: rs2489453836
Type: Deletion
Location: chr9:32984763 (GRCh38)
Gene constraint: LOEUF 0.973 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 81.52 · 11 PDB
Residue 213: the hit domain; a UniProt-annotated variant site (in aoa); a β-strand

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

APTX p.Arg199fs Pathogenic/Likely pathogenic ★★ same condition
APTX p.Val259fs Pathogenic ★★ same condition
APTX c.484-25_484-4del Benign ★★ same condition
APTX c.484-25_484-5del Benign/Likely benign ★★ same condition
APTX c.484-25_484-6del Benign ★★ same condition
APTX c.874+1del Likely pathogenic ★ same condition
APTX p.Lys243fs Likely pathogenic ★ same condition
APTX p.Ser281fs 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/aptx-p-leu213fs (accessed [today's date]).

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