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NPC1 p.Val1044=

c.3132G>A · rs138054593 · VCV1129536

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0134%, eas)
Conditions
2
Inborn genetic diseases

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 0.54GERP -0.35, phastCons 1
Overall
CADD7.468PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0134% East Asian · 6/44,888 alleles
Filtering AF 0.00676% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00522%
Overall 0.00161% 26/1,614,168 alleles · ultra-rare exomes 20/1,461,880 · genomes 6/152,288 · joint denominator
Ancestry group Frequency 1 in
East Asiangrpmax 0.0134% 7,481
South Asian 0.0121% 8,280
Remaining individualsnot grpmax-eligible 0.0032% 31,255
European (non-Finnish) 0.000593% 168,575

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
NPC1
Protein
p.Val1044=
Coding
c.3132G>A
MANE Select
NM_000271
dbSNP
rs138054593
Type
single nucleotide variant
Location
chr18:23536786 (GRCh38)
Gene constraint
LOEUF 0.676 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 85.35 · 20 PDB
Full NPC1 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/npc1-p-val1044 (accessed [today's date]).

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