Is ASPM p.Lys1496= (c.4488A>G) pathogenic?

ASPM p.Lys1496= (c.4488A>G) is classified Conflicting classifications of pathogenicity in ASPM (ClinVar, Conflicting submitters, 4 submitters; last evaluated 2025-09-02). Ultra-rare (popmax 0.0835%, mid); Associated with microcephaly 5, primary, autosomal recessive.

What condition is associated with ASPM p.Lys1496= (c.4488A>G)?

ASPM p.Lys1496= (c.4488A>G) is associated with microcephaly 5, primary, autosomal recessive (ClinVar).

How common is ASPM p.Lys1496= (c.4488A>G) in the general population?

ASPM p.Lys1496= (c.4488A>G) is ultra-rare (popmax 0.0835%, mid) (gnomAD).

ASPM p.Lys1496=

c.4488A>G · rs141695023 · VCV876857

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 4 submitters

gnomAD v4.1

Rare

ultra-rare (popmax 0.0835%, mid)

Conditions

microcephaly 5, primary, autosomal recessive

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 -2.3	GERP -1.1
Overall
CADD	4.377	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0835% Middle Eastern · 5/5,986 alleles

Filtering AF 0.0328% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0213%

Overall 0.002% 32/1,599,180 alleles · ultra-rare

Ancestry group	Frequency	1 in
Middle Easterngrpmax	0.0835%	1,197
African / African-American	0.00542%	18,461
Remaining individualsnot grpmax-eligible	0.00485%	20,605
Admixed American	0.00174%	57,412
European (non-Finnish)	0.00153%	65,242
South Asian	0.00114%	87,594

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: ASPM
Protein: p.Lys1496=
Coding: c.4488A>G
MANE Select: NM_018136
dbSNP: rs141695023
Type: single nucleotide variant
Location: chr1:197104763 (GRCh38)
Gene constraint: LOEUF 0.766 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)

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

Disease context

microcephaly 5, primary, autosomal recessive — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

ASPM c.2419+2T>C Pathogenic/Likely pathogenic ★★ same condition
ASPM c.2488-1G>C Pathogenic/Likely pathogenic ★★ same condition
ASPM c.2936+5G>A Likely pathogenic ★★ same condition
ASPM c.3082+1G>C Pathogenic/Likely pathogenic ★★ same condition
ASPM c.9084+5G>A Likely pathogenic ★★ same condition
ASPM p.Arg1019Ter Pathogenic ★★ same condition
ASPM p.Arg1271Ter Pathogenic ★★ same condition
ASPM p.Arg1538Ter 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/aspm-p-lys1496 (accessed [today's date]).

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