Is FLNB p.Asp623Val (c.1868A>T) pathogenic?

FLNB p.Asp623Val (c.1868A>T) is classified Conflicting classifications of pathogenicity in FLNB (ClinVar, Conflicting submitters, 5 submitters; last evaluated 2026-09-10). AlphaMissense: likely pathogenic (0.8523); Very rare (popmax 0.00271%, nfe); Associated with FLNB-Related Spectrum Disorders.

What condition is associated with FLNB p.Asp623Val (c.1868A>T)?

FLNB p.Asp623Val (c.1868A>T) is associated with FLNB-Related Spectrum Disorders (ClinVar).

How common is FLNB p.Asp623Val (c.1868A>T) in the general population?

FLNB p.Asp623Val (c.1868A>T) is very rare (popmax 0.00271%, nfe) (gnomAD).

What do computational predictors say about FLNB p.Asp623Val (c.1868A>T)?

AlphaMissense predicts likely pathogenic (score 0.8523) — an in-silico prediction, not a clinical call.

FLNB p.Asp623Val

c.1868A>T · rs145314043 · VCV218523

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 5 submitters

AlphaMissense

likely pathogenic

0.8523 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00271%, nfe)

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

FLNB-Related Spectrum Disorders

Computational evidence

Protein change
AlphaMissense	0.8523	likely pathogenic
REVEL	0.893	moderately pathogenic-leaning
SaProt	LLR -11.57	damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 11	GERP 2.7, phastCons 1
Regional constraint	o/e 0.92	unconstrained · MANE · 35 kb · p 0.0019 · regional, not allelic
Overall
CADD	26.2	PHRED · no single calibrated threshold — expert panels disagree

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

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00271% European (non-Finnish) · 32/1,180,016 alleles

Filtering AF 0.00196% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00168%

Overall 0.0159% 257/1,613,984 alleles · very rare

Ancestry group	Frequency	1 in
Ashkenazi Jewishnot grpmax-eligible	0.649%	154
Remaining individualsnot grpmax-eligible	0.0496%	2,016
European (non-Finnish)grpmax	0.00271%	36,875
Admixed American	0.00167%	59,986
African / African-American	0.00134%	74,906

Ashkenazi Jewish 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: FLNB
Protein: p.Asp623Val
Coding: c.1868A>T
MANE Select: NM_001457
dbSNP: rs145314043
Type: single nucleotide variant
Location: chr3:58106800 (GRCh38)
Gene constraint: LOEUF 0.504 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
Structure: AlphaFold pLDDT 76.96 · 23 PDB

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

Disease context

FLNB-Related Spectrum Disorders

Similar variants

FLNB p.Asp623= Benign ★★ same residue
FLNB p.Glu1661Lys Uncertain significance ★★ ⚠ same condition
FLNB p.Glu78Gly Uncertain significance ★★ ⚠ same condition
FLNB p.His1117Arg Uncertain significance ★★ ⚠ same condition
FLNB p.Leu1440Pro Uncertain significance ★★ ⚠ same condition
FLNB p.Pro396Ser Uncertain significance ★★ ⚠ same condition
FLNB p.Ser1096Phe Uncertain significance ★★ ⚠ same condition
FLNB p.Ser188Cys Uncertain significance ★★ ⚠ 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/flnb-p-asp623val (accessed [today's date]).

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