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ESPN p.Pro433fs

c.1293_1296del · VCV4930797

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
Consequence
frameshift
predicted LoF
gnomAD v4.1
Rare
rare (popmax 0.723%, afr)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Consequenceframeshiftpredicted loss-of-function
NMDpredictedpremature termination codon in exon 7 of 13
Splicing
SpliceAI—not assessed · substitutions only
Constraint at this position
ConservationphyloP 0.81GERP 0.28, phastCons 0.21
Overall
CADD26.7PHRED · no single calibrated threshold — expert panels disagree
Region caveats
Repeat contextseg dup · reads may not map uniquely · confidence, not pathogenicity

Predicted loss-of-function is descriptive, not an applied PVS1 code.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.723% African / African-American · 499/68,994 alleles
Filtering AF 0.671% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.65%
Overall 0.21% 3,154/1,502,664 alleles · rare
Ancestry group Frequency 1 in
Amishnot grpmax-eligible 1.64% 61
African / African-Americangrpmax 0.723% 138
Admixed American 0.475% 210
East Asian 0.334% 300
Ashkenazi Jewishnot grpmax-eligible 0.278% 360
Finnishnot grpmax-eligible 0.22% 455
Remaining individualsnot grpmax-eligible 0.166% 603
European (non-Finnish) 0.166% 604
South Asian 0.134% 745
Middle Eastern 0.0948% 1,055

Amish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
ESPN
Protein
p.Pro433fs
Coding
c.1293_1296del
MANE Select
NM_031475
Type
Deletion
Location
chr1:6445764 (GRCh38)
Gene constraint
LOEUF 1.307 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 68.76
Residue 433
the 'disordered' region
Full ESPN 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/espn-p-pro433fs (accessed [today's date]).

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