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ARSA p.Val328Met

c.982G>A · rs143994992 · VCV728267

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 6 submitters
gnomAD v4.1
Rare
rare (popmax 0.351%, eas)
Conditions
1
metachromatic leukodystrophy

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.788moderately pathogenic-leaning
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 4.8GERP 2.2, phastCons 1
Regional constrainto/e 1.00unconstrained · MANE · 2,631 bp · p 0.96 · regional, not allelic
Overall
CADD26.1PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.351% East Asian · 155/44,114 alleles
Filtering AF 0.306% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.289%
Overall 0.0139% 221/1,595,018 alleles · rare
Ancestry group Frequency 1 in
East Asiangrpmax 0.351% 285
Remaining individualsnot grpmax-eligible 0.0307% 3,262
Middle Eastern 0.0166% 6,032
African / African-American 0.00667% 14,996
South Asian 0.0057% 17,537
Ashkenazi Jewishnot grpmax-eligible 0.00344% 29,108
European (non-Finnish) 0.0029% 34,499
Admixed American 0.00181% 55,324

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
ARSA
Protein
p.Val328Met
Coding
c.982G>A
MANE Select
NM_000487
dbSNP
rs143994992
Type
single nucleotide variant
Location
chr22:50626061 (GRCh38)
Gene constraint
LOEUF 1.166 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 96.43 · 10 PDB
Residue 328
a disulfide bond
Full ARSA gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

metachromatic leukodystrophy — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Metachromatic leukodystrophy (Orphanet):

Inheritance
Autosomal recessive
Onset
Adolescent, Adult, Childhood, Infancy
Prevalence
1-9 / 100 000 (Europe)

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/arsa-p-val328met (accessed [today's date]).

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