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NPHP1 p.Ser123Asn

c.368G>A · rs781291281 · VCV845883

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
AlphaMissense
likely benign
0.0695 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00127%, nfe)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
4
nephronophthisis

Computational evidence

Protein change
AlphaMissense0.0695likely benign
REVEL0.039moderately benign-leaning
SaProtLLR -7.68tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.38GERP -3, phastCons 0.001
Regional constrainto/e 0.96unconstrained · MANE · 81 kb · p 0.26 · regional, not allelic
Overall
CADD14.39PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00127% European (non-Finnish) · 15/1,176,526 alleles
Filtering AF 0.000766% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000607%
Overall 0.00124% 20/1,610,016 alleles · very rare exomes 19/1,457,886 · genomes 1/152,130 · joint denominator
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.0101% 9,861
Remaining individualsnot grpmax-eligible 0.0016% 62,356
European (non-Finnish)grpmax 0.00127% 78,435
South Asian 0.0011% 90,998

Ashkenazi Jewish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
NPHP1
Protein
p.Ser123Asn
Coding
c.368G>A
MANE Select
NM_001128178
dbSNP
rs781291281
Type
single nucleotide variant
Location
chr2:110169960 (GRCh38)
Gene constraint
LOEUF 0.92 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 76.22 · 2 PDB
Residue 123
a modified residue (phosphoserine; by ck2); the 'disordered' region
Full NPHP1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

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

Also linked: nephronophthisis 1Senior-Loken syndrome 1Joubert syndrome with renal defect

For Nephronophthisis (Orphanet):

Inheritance
Autosomal recessive
Onset
Adolescent, Adult, Antenatal, Childhood, Infancy, Neonatal
Prevalence
1-9 / 100 000 (Finland)

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/nphp1-p-ser123asn (accessed [today's date]).

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