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LARGE1 p.Ala611=

c.1833G>A · rs775318098 · VCV783088

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00833%, amr)
Conditions
1
muscular dystrophy-dystroglycanopathy type B6

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP -14GERP -4
Overall
CADD0.266PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00833% Admixed American · 5/59,994 alleles
Filtering AF 0.00323% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00207%
Overall 0.00173% 28/1,614,054 alleles · very rare exomes 26/1,461,888 · genomes 2/152,166 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00833% 11,999
African / African-American 0.004% 24,975
East Asian 0.00223% 44,890
Remaining individualsnot grpmax-eligible 0.0016% 62,488
Finnishnot grpmax-eligible 0.00156% 64,040
European (non-Finnish) 0.00136% 73,752
South Asian 0.0011% 91,080

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
LARGE1
Protein
p.Ala611=
Coding
c.1833G>A
MANE Select
NM_133642
dbSNP
rs775318098
Type
single nucleotide variant
Location
chr22:33283246 (GRCh38)
Gene constraint
LOEUF 0.606 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 86.15 · 4 PDB
Residue 611
the 'glucuronyltransferase activity' region; an α-helix
Full LARGE1 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/large1-p-ala611 (accessed [today's date]).

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