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ESPL1 p.Ser1422Phe

c.4265C>T · VCV4019753

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely benign
0.1342 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 8.47e-05%, nfe)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense0.1342likely benign
REVEL0.092moderately benign-leaning
SaProtLLR -9.56tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 1.1GERP -0.53, phastCons 0.26
Regional constrainto/e 0.84unconstrained · MANE · 5,935 bp · p 7.9e-06 · regional, not allelic
Overall
CADD21.5PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

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

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 8.47e-05% European (non-Finnish) · 1/1,180,030 alleles
Overall 6.84e-05% 1/1,461,302 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
ESPL1
Protein
p.Ser1422Phe
Coding
c.4265C>T
MANE Select
NM_012291
Type
single nucleotide variant
Location
chr12:53288060 (GRCh38)
Gene constraint
LOEUF 0.292 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 75.67 · 9 PDB
Residue 1422
the 'disordered' region
Full ESPL1 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/espl1-p-ser1422phe (accessed [today's date]).

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