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FAT4 p.Ser4449=

c.13347C>T · rs758589643 · VCV725337

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0433%, amr)

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 -20GERP -3.4
Overall
CADD0.044PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0433% Admixed American · 26/59,998 alleles
Filtering AF 0.0303% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.026%
Overall 0.00335% 54/1,613,986 alleles · ultra-rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.0433% 2,308
African / African-American 0.0214% 4,682
South Asian 0.00329% 30,365
Remaining individualsnot grpmax-eligible 0.0032% 31,242
East Asian 0.00223% 44,850
European (non-Finnish) 0.000508% 196,673

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.Ser4449=
Coding
c.13347C>T
MANE Select
NM_001291303
dbSNP
rs758589643
Type
single nucleotide variant
Location
chr4:125490163 (GRCh38)
Gene constraint
LOEUF 0.317 · pLI 1.00 (gnomAD)
Residue 4449
a disulfide bond; the egf-like 6 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-ser4449 (accessed [today's date]).

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