Is GALNS p.Pro499= (c.1497G>A) pathogenic?

GALNS p.Pro499= (c.1497G>A) is classified Likely benign in GALNS (ClinVar, Single submitter, 1 submitter; last evaluated 2024-02-23). Very rare (popmax 0.00715%, eas); Associated with mucopolysaccharidosis type 4A.

What condition is associated with GALNS p.Pro499= (c.1497G>A)?

GALNS p.Pro499= (c.1497G>A) is associated with mucopolysaccharidosis type 4A (ClinVar).

How common is GALNS p.Pro499= (c.1497G>A) in the general population?

GALNS p.Pro499= (c.1497G>A) is very rare (popmax 0.00715%, eas) (gnomAD).

How is Mucopolysaccharidosis type 4 inherited?

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

GALNS p.Pro499=

c.1497G>A · rs749979032 · VCV2723417

Likely benign Single submitter

Classification

Likely benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Rare

very rare (popmax 0.00715%, eas)

Conditions

mucopolysaccharidosis type 4A

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 -5.6	GERP -3
Overall
CADD	0.334	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00715% East Asian · 3/41,936 alleles

Filtering AF 0.0019% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00103%

Overall 0.00109% 17/1,557,494 alleles · very rare exomes 14/1,405,274 · genomes 3/152,220 · joint denominator

Ancestry group	Frequency	1 in
East Asiangrpmax	0.00715%	13,979
Ashkenazi Jewishnot grpmax-eligible	0.00348%	28,696
Remaining individualsnot grpmax-eligible	0.00166%	60,332
African / African-American	0.00136%	73,556
South Asian	0.00118%	84,528
European (non-Finnish)	0.000869%	115,013

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: GALNS
Protein: p.Pro499=
Coding: c.1497G>A
MANE Select: NM_000512
dbSNP: rs749979032
Type: single nucleotide variant
Location: chr16:88814511 (GRCh38)
Gene constraint: LOEUF 1.251 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 96.04 · 2 PDB

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

Disease context

mucopolysaccharidosis type 4A — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Mucopolysaccharidosis type 4 (Orphanet):

Inheritance: Autosomal recessive
Onset: Childhood, Infancy
Prevalence: <1 / 1 000 000 (Sweden)

Similar variants

GALNS p.Pro499Leu Conflicting classifications of pathogenicity ★ ⚠ same residue
GALNS c.1139+1G>A Pathogenic ★★ same condition
GALNS c.121-1G>A Pathogenic ★★ same condition
GALNS c.121-2A>G Pathogenic/Likely pathogenic ★★ same condition
GALNS c.1242+1G>C Pathogenic/Likely pathogenic ★★ same condition
GALNS c.1243-2A>C Likely pathogenic ★★ same condition
GALNS c.1364+1G>A Pathogenic ★★ same condition
GALNS c.1365-1G>C 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/galns-p-pro499 (accessed [today's date]).

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