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NPHP4 p.Val874Met

c.2620G>A · rs1412960310 · VCV500153

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 5 submitters
AlphaMissense
likely benign
0.2437 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00843%, amr)
Missense predictors
0/2 damaging
AlphaMissense, SaProt · REVEL indeterminate
Conditions
3
Senior-Loken syndrome 4

Computational evidence

Protein change
AlphaMissense0.2437likely benign
REVEL0.361indeterminate
SaProtLLR -7.50tolerated
⇒ AlphaMissense and SaProt both call this tolerated; REVEL is indeterminate.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 7.5GERP 1.6, phastCons 1
Regional constrainto/e 1.02unconstrained · MANE · 123 kb · p 0.49 · regional, not allelic
Overall
CADD23.2PHRED · 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 0.00843% Admixed American · 5/59,290 alleles
Filtering AF 0.00326% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00209%
Overall 0.00182% 29/1,592,360 alleles · very rare exomes 25/1,440,102 · genomes 4/152,258 · joint denominator
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.0103% 9,753
Admixed Americangrpmax 0.00843% 11,858
Remaining individualsnot grpmax-eligible 0.00326% 30,709
European (non-Finnish) 0.00163% 61,244

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
NPHP4
Protein
p.Val874Met
Coding
c.2620G>A
MANE Select
NM_015102
dbSNP
rs1412960310
Type
single nucleotide variant
Location
chr1:5877290 (GRCh38)
Gene constraint
LOEUF 1.183 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 72.44
Residue 874
the 'sufficient for basal bodies localization' region
Full NPHP4 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Senior-Loken syndrome 4 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: nephronophthisis 4nephronophthisis

For Senior-Loken syndrome (Orphanet):

Inheritance
Autosomal recessive
Onset
Adolescent, Adult, Childhood, Infancy
Prevalence
1-9 / 1 000 000 (Worldwide)

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/nphp4-p-val874met (accessed [today's date]).

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