Is PDHA1 p.Ser371= (c.1113C>T) pathogenic?

PDHA1 p.Ser371= (c.1113C>T) is classified Benign/Likely benign in PDHA1 (ClinVar, Multiple submitters, 3 submitters; last evaluated 2026-01-24). Ultra-rare (popmax 0.023%, mid); Associated with pyruvate dehydrogenase E1-alpha deficiency.

What condition is associated with PDHA1 p.Ser371= (c.1113C>T)?

PDHA1 p.Ser371= (c.1113C>T) is associated with pyruvate dehydrogenase E1-alpha deficiency (ClinVar).

How common is PDHA1 p.Ser371= (c.1113C>T) in the general population?

PDHA1 p.Ser371= (c.1113C>T) is ultra-rare (popmax 0.023%, mid) (gnomAD).

How is Pyruvate dehydrogenase deficiency inherited?

Typically Autosomal recessive, Not applicable (Orphanet). A genetic counselor can assess individual risk for a family.

PDHA1 p.Ser371=

c.1113C>T · rs773338429 · VCV1165537

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

gnomAD v4.1

Rare

ultra-rare (popmax 0.023%, mid)

Conditions

pyruvate dehydrogenase E1-alpha deficiency

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
Conservation	phyloP -13	GERP -3.9
Overall
CADD	0.053	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.023% Middle Eastern · 1/4,349 alleles

Filtering AF 0.00715% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00522%

Overall 0.00827% 100/1,209,273 alleles · ultra-rare exomes 92/1,097,578 · genomes 8/111,695 · joint denominator

Ancestry group	Frequency	1 in
Middle Easterngrpmax	0.023%	4,349
Admixed American	0.0153%	6,520
Remaining individualsnot grpmax-eligible	0.0126%	7,931
South Asian	0.0123%	8,114
East Asian	0.0118%	8,441
Finnishnot grpmax-eligible	0.0107%	9,313
African / African-American	0.0105%	9,527
European (non-Finnish)	0.00715%	13,980

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: PDHA1
Protein: p.Ser371=
Coding: c.1113C>T
MANE Select: NM_000284
dbSNP: rs773338429
Type: single nucleotide variant
Location: chrX:19359593 (GRCh38)
Structure: AlphaFold pLDDT 94.77 · 9 PDB
Residue 371: a β-strand

Full PDHA1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

pyruvate dehydrogenase E1-alpha deficiency — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Pyruvate dehydrogenase deficiency (Orphanet):

Inheritance: Autosomal recessive, Not applicable, X-linked dominant
Onset: Childhood, Infancy, Neonatal

Similar variants

PDHA1 p.Ser371fs Pathogenic same residue
PDHA1 p.Ala169Val Pathogenic ★★★ same condition
PDHA1 p.Arg304Ter Pathogenic ★★★ same condition
PDHA1 p.Arg378Cys Pathogenic ★★★ ⚠ same condition
PDHA1 p.Arg72Cys Likely pathogenic ★★★ same condition
PDHA1 p.Ile280Ser Uncertain significance ★★★ ⚠ same condition
PDHA1 p.Ala265= Benign ★★★ same condition
PDHA1 p.Glu333Asp Benign ★★★ same condition

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/pdha1-p-ser371 (accessed [today's date]).

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