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GORAB p.Ala278=

c.834C>T · rs550672557 · VCV1948520

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.022%, sas)

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 -6.7GERP -3.7
Overall
CADD5.902PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.022% South Asian · 20/91,072 alleles
Filtering AF 0.0145% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0121%
Overall 0.00235% 38/1,613,966 alleles · ultra-rare exomes 35/1,461,800 · genomes 3/152,166 · joint denominator
Ancestry group Frequency 1 in
South Asiangrpmax 0.022% 4,554
East Asian 0.00668% 14,960
Admixed American 0.005% 19,996
Remaining individualsnot grpmax-eligible 0.0048% 20,833
European (non-Finnish) 0.000763% 131,109

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
GORAB
Protein
p.Ala278=
Coding
c.834C>T
MANE Select
NM_152281
dbSNP
rs550672557
Type
single nucleotide variant
Location
chr1:170552186 (GRCh38)
Gene constraint
LOEUF 0.802 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 71.86
Residue 278
the 'necessary for interaction with rchy1' region
Full GORAB 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/gorab-p-ala278 (accessed [today's date]).

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