Is ELANE p.Ala73Thr (c.217G>A) pathogenic?

ELANE p.Ala73Thr (c.217G>A) is classified Conflicting classifications of pathogenicity in ELANE (ClinVar, Conflicting submitters, 5 submitters; last evaluated 2026-01-20). AlphaMissense: likely benign (0.1334); Ultra-rare (popmax 0.046%, amr); Associated with Inborn genetic diseases.

What condition is associated with ELANE p.Ala73Thr (c.217G>A)?

ELANE p.Ala73Thr (c.217G>A) is associated with Inborn genetic diseases, cyclic neutropenia, autoinflammatory syndrome (ClinVar).

How common is ELANE p.Ala73Thr (c.217G>A) in the general population?

ELANE p.Ala73Thr (c.217G>A) is ultra-rare (popmax 0.046%, amr) (gnomAD).

What do computational predictors say about ELANE p.Ala73Thr (c.217G>A)?

AlphaMissense predicts likely benign (score 0.1334) — an in-silico prediction, not a clinical call.

ELANE p.Ala73Thr

c.217G>A · rs201421847 · VCV242290

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 5 submitters

AlphaMissense

likely benign

0.1334 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.046%, amr)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.1334	likely benign
REVEL	0.22	benign-leaning
SaProt	LLR -5.51	tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 0.46	GERP -4.2
Regional constraint	o/e 1.04	unconstrained · MANE · 3,171 bp · p 0.52 · regional, not allelic
Overall
CADD	4.027	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.046% Admixed American · 25/54,404 alleles

Filtering AF 0.0319% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0272%

Overall 0.00461% 72/1,561,966 alleles · ultra-rare

Ancestry group	Frequency	1 in
Admixed Americangrpmax	0.046%	2,176
European (non-Finnish)	0.00388%	25,803
Remaining individualsnot grpmax-eligible	0.00329%	30,424

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: ELANE
Protein: p.Ala73Thr
Coding: c.217G>A
MANE Select: NM_001972
dbSNP: rs201421847
Type: single nucleotide variant
Location: chr19:853025 (GRCh38)
Gene constraint: LOEUF 1.245 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 88.42 · 38 PDB
Residue 73: a β-strand; the peptidase s1 domain

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

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: cyclic neutropenia autoinflammatory syndrome neutropenia, severe congenital, 1, autosomal dominant

Similar variants

ELANE p.Ala73= Likely benign ★★ same residue
ELANE p.Ala73Glu Uncertain significance ★ ⚠ same residue
ELANE c.597+1G>A Pathogenic ★★ same condition
ELANE c.597+1G>C Pathogenic ★★ same condition
ELANE c.597+1G>T Pathogenic ★★ same condition
ELANE c.597+5G>A Pathogenic/Likely pathogenic ★★ same condition
ELANE p.Ala57Thr Pathogenic/Likely pathogenic ★★ same condition
ELANE p.Ala61Val Pathogenic/Likely 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/elane-p-ala73thr (accessed [today's date]).

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