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BBS4 p.Glu514fs

c.1541_1551del · rs748758201 · VCV813021

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 5 submitters
Consequence
frameshift
predicted LoF
gnomAD v4.1
Rare
ultra-rare (popmax 0.0387%, amr)
Conditions
2
retinitis pigmentosa

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Consequenceframeshiftpredicted loss-of-function
NMDescapespremature termination codon in the last exon (16 of 16) — the truncated protein is likely expressed. PVS1 input, not an applied code
Splicing
SpliceAI—not assessed · substitutions only
Constraint at this position
ConservationphyloP 2.1GERP -1.6, phastCons 0.77
Overall
CADD27.6PHRED · 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 0.0387% Admixed American · 23/59,418 alleles
Filtering AF 0.0264% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0224%
Overall 0.00429% 69/1,608,990 alleles · ultra-rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.0387% 2,583
African / African-American 0.016% 6,247
Remaining individualsnot grpmax-eligible 0.00802% 12,470
South Asian 0.00557% 17,946
European (non-Finnish) 0.00204% 49,067

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
BBS4
Protein
p.Glu514fs
Coding
c.1541_1551del
MANE Select
NM_033028
dbSNP
rs748758201
Type
Deletion
Location
chr15:72737568 (GRCh38)
Gene constraint
LOEUF 0.953 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 78.36 · 1 PDB
Residue 514
the 'required for localization to centrosomes' region; the 'disordered' region
Full BBS4 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

retinitis pigmentosa — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: Bardet-Biedl syndrome

For Retinitis pigmentosa (Orphanet):

Inheritance
Autosomal dominant, Autosomal recessive, Mitochondrial inheritance
Onset
Adolescent, Adult, Childhood
Prevalence
1-5 / 10 000 (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/bbs4-p-glu514fs (accessed [today's date]).

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