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ELN c.232+4A>T

VCV4705952

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00133%, afr)
Conditions
1
supravalvular aortic stenosis

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal.
Splicing
Splice regiondonor +4donor splice region (+4, within the first 6 intronic nt) · inside the BP7-excluded zone
SpliceAIΔ0.79donor loss · deltas
PangolinΔ0.60loss · gain 0.00 · agrees with SpliceAI · independent
Constraint at this position
ConservationphyloP 6.6GERP 2.6, phastCons 1
Non-coding constraintZ 2.301 kb window · o/e 0.84 · regional · uncalibrated
Overall
CADD0.448PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00133% African / African-American · 1/75,026 alleles
Overall 6.84e-05% 1/1,461,636 alleles · very rare

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
ELN
Coding
c.232+4A>T
MANE Select
NM_000501
Type
single nucleotide variant
Location
chr7:74041255 (GRCh38)
Gene constraint
LOEUF 0.696 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 36.20
Full ELN gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

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/eln-c-232-plus-4a-t (accessed [today's date]).

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