Is FTCD p.Ala156= (c.468C>T) pathogenic?

FTCD p.Ala156= (c.468C>T) is classified Uncertain significance in FTCD (ClinVar, Single submitter, 1 submitter; last evaluated 2024-10-17). Rare (popmax 0.116%, mid); Associated with formiminoglutamic aciduria.

What condition is associated with FTCD p.Ala156= (c.468C>T)?

FTCD p.Ala156= (c.468C>T) is associated with formiminoglutamic aciduria (ClinVar).

How common is FTCD p.Ala156= (c.468C>T) in the general population?

FTCD p.Ala156= (c.468C>T) is rare (popmax 0.116%, mid) (gnomAD).

How is Formiminoglutamic aciduria inherited?

Typically Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

FTCD p.Ala156=

c.468C>T · rs138762824 · VCV2413591

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Rare

rare (popmax 0.116%, mid)

Conditions

formiminoglutamic aciduria

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal.
Splicing
SpliceAI	Δ0.48	acceptor gain · deltas
Pangolin	Δ0.29	gain · loss 0.19 · agrees with SpliceAI · independent
Constraint at this position
Conservation	phyloP -8.9	GERP -2.4
Overall
CADD	9.558	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.116% Middle Eastern · 7/6,040 alleles

Filtering AF 0.0543% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0385%

Overall 0.00564% 91/1,612,848 alleles · rare exomes 77/1,460,472 · genomes 14/152,376 · joint denominator

Ancestry group	Frequency	1 in
Middle Easterngrpmax	0.116%	863
African / African-American	0.032%	3,128
East Asian	0.0312%	3,206
Remaining individualsnot grpmax-eligible	0.008%	12,496
Admixed American	0.005%	20,009
South Asian	0.00439%	22,770
European (non-Finnish)	0.00288%	34,704

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: FTCD
Protein: p.Ala156=
Coding: c.468C>T
MANE Select: NM_206965
dbSNP: rs138762824
Type: single nucleotide variant
Location: chr21:46151726 (GRCh38)
Gene constraint: LOEUF 1.61 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 95.30
Residue 156: the 'formiminotransferase n-subdomain' region

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

Disease context

formiminoglutamic aciduria — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Formiminoglutamic aciduria (Orphanet):

Inheritance: Autosomal recessive
Onset: Childhood

Similar variants

FTCD p.Arg255Ter Pathogenic ★★ same condition
FTCD p.Arg71Ter Pathogenic/Likely pathogenic ★★ same condition
FTCD p.Leu536Ter Pathogenic/Likely pathogenic ★★ same condition
FTCD p.Ala108Thr Uncertain significance ★★ ⚠ same condition
FTCD p.Ala159Val Uncertain significance ★★ ⚠ same condition
FTCD p.Ala368Val Uncertain significance ★★ ⚠ same condition
FTCD p.Ala418Thr Uncertain significance ★★ ⚠ same condition
FTCD p.Ala455Thr 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/ftcd-p-ala156 (accessed [today's date]).

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