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ESAM p.Leu150=

c.450G>C · VCV3388284

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
rare (popmax 0.66%, afr)

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
ConservationphyloP -0.3GERP -2.8, phastCons 0.16
Overall
CADD5.581PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.66% African / African-American · 495/75,036 alleles
Filtering AF 0.612% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.593%
Overall 0.033% 533/1,614,016 alleles · rare
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.66% 152
Remaining individualsnot grpmax-eligible 0.032% 3,125
Admixed American 0.025% 4,001
Middle Eastern 0.0165% 6,060
East Asian 0.00223% 44,878
European (non-Finnish) 8.47e-05% 1,179,994

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
ESAM
Protein
p.Leu150=
Coding
c.450G>C
MANE Select
NM_138961
Type
single nucleotide variant
Location
chr11:124756542 (GRCh38)
Gene constraint
LOEUF 1.009 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 78.13
Residue 150
a UniProt-annotated variant site (in nedihss)
Full ESAM 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/esam-p-leu150 (accessed [today's date]).

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