Is FLNA p.Ala797= (c.2391C>T) pathogenic?

FLNA p.Ala797= (c.2391C>T) is classified Likely benign in FLNA (ClinVar, Multiple submitters, 5 submitters; last evaluated 2025-03-18). Ultra-rare (popmax 0.0237%, eas); Associated with heterotopia, periventricular, X-linked dominant.

What condition is associated with FLNA p.Ala797= (c.2391C>T)?

FLNA p.Ala797= (c.2391C>T) is associated with heterotopia, periventricular, X-linked dominant, otopalatodigital syndrome type 2, Melnick-Needles syndrome (ClinVar).

How common is FLNA p.Ala797= (c.2391C>T) in the general population?

FLNA p.Ala797= (c.2391C>T) is ultra-rare (popmax 0.0237%, eas) (gnomAD).

FLNA p.Ala797=

c.2391C>T · rs918799305 · VCV1578621

Likely benign Multiple submitters

Classification

Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 5 submitters

gnomAD v4.1

Rare

ultra-rare (popmax 0.0237%, eas)

Conditions

heterotopia, periventricular, X-linked dominant

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
Conservation	phyloP -20	GERP -3.4
Overall
CADD	0.244	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0237% East Asian · 8/33,762 alleles

Filtering AF 0.0117% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00851%

Overall 0.00116% 14/1,209,394 alleles · ultra-rare exomes 13/1,097,298 · genomes 1/112,096 · joint denominator

Ancestry group	Frequency	1 in
East Asiangrpmax	0.0237%	4,220
Middle Eastern	0.023%	4,342
Remaining individualsnot grpmax-eligible	0.0021%	47,618
African / African-American	0.00175%	57,296
European (non-Finnish)	0.000335%	298,360

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: FLNA
Protein: p.Ala797=
Coding: c.2391C>T
MANE Select: NM_001110556
dbSNP: rs918799305
Type: single nucleotide variant
Location: chrX:154362674 (GRCh38)
Structure: AlphaFold pLDDT 77.37 · 26 PDB

Full FLNA gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

heterotopia, periventricular, X-linked dominant — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: otopalatodigital syndrome type 2 Melnick-Needles syndrome frontometaphyseal dysplasia familial thoracic aortic aneurysm and aortic dissection

Similar variants

FLNA p.Ala797Ser Uncertain significance ★ ⚠ same residue
FLNA p.Ala797Thr Conflicting classifications of pathogenicity ★ ⚠ same residue
FLNA c.1066-1G>A Pathogenic/Likely pathogenic ★★ same condition
FLNA c.2022+1G>A Pathogenic ★★ same condition
FLNA c.4598+1G>A Pathogenic/Likely pathogenic ★★ same condition
FLNA c.5417-2A>G Likely pathogenic ★★ same condition
FLNA c.868+1G>A Likely pathogenic ★★ same condition
FLNA c.987+1G>A Likely pathogenic ★★ same condition

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/flna-p-ala797 (accessed [today's date]).

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