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FAT4 p.Ser433=

c.1299C>G · rs764678411 · VCV669336

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 4 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0657%, mid)

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 -3.3GERP -4.5
Overall
CADD7.867PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0657% Middle Eastern · 4/6,084 alleles
Filtering AF 0.0224% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0135%
Overall 0.00843% 136/1,614,004 alleles · ultra-rare exomes 131/1,461,780 · genomes 5/152,224 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0657% 1,521
Remaining individualsnot grpmax-eligible 0.0112% 8,927
European (non-Finnish) 0.01% 10,000
African / African-American 0.00667% 14,990
Admixed American 0.00333% 30,002

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
FAT4
Protein
p.Ser433=
Coding
c.1299C>G
MANE Select
NM_001291303
dbSNP
rs764678411
Type
single nucleotide variant
Location
chr4:125317710 (GRCh38)
Gene constraint
LOEUF 0.317 · pLI 1.00 (gnomAD)
Residue 433
a β-strand; the cadherin 4 domain
Full FAT4 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/fat4-p-ser433 (accessed [today's date]).

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