Is PEX1 p.Glu262= (c.786G>A) pathogenic?

PEX1 p.Glu262= (c.786G>A) is classified Likely benign in PEX1 (ClinVar, Multiple submitters, 2 submitters; last evaluated 2025-03-17). Ultra-rare (popmax 0.0348%, afr); Associated with Zellweger spectrum disorders.

What condition is associated with PEX1 p.Glu262= (c.786G>A)?

PEX1 p.Glu262= (c.786G>A) is associated with Zellweger spectrum disorders (ClinVar).

How common is PEX1 p.Glu262= (c.786G>A) in the general population?

PEX1 p.Glu262= (c.786G>A) is ultra-rare (popmax 0.0348%, afr) (gnomAD).

How is Zellweger syndrome inherited?

Typically Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

PEX1 p.Glu262=

c.786G>A · rs770453102 · VCV1146507

Likely benign Multiple submitters

Classification

Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

gnomAD v4.1

Rare

ultra-rare (popmax 0.0348%, afr)

Conditions

Zellweger spectrum disorders

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI	<0.2	no splice effect predicted · four deltas, not one · how we know
Constraint at this position
Conservation	phyloP -0.14	GERP -0.81, phastCons 0.06
Overall
CADD	4.974	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0348% African / African-American · 26/74,754 alleles

Filtering AF 0.0243% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0209%

Overall 0.00174% 28/1,609,982 alleles · ultra-rare exomes 9/1,457,810 · genomes 19/152,172 · joint denominator

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.0348%	2,875
Admixed American	0.00168%	59,628
South Asian	0.0011%	90,702

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: PEX1
Protein: p.Glu262=
Coding: c.786G>A
MANE Select: NM_000466
dbSNP: rs770453102
Type: single nucleotide variant
Location: chr7:92517729 (GRCh38)
Gene constraint: LOEUF 0.746 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 67.19

Full PEX1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Zellweger spectrum disorders — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Zellweger syndrome (Orphanet):

Inheritance: Autosomal recessive
Onset: Neonatal

Similar variants

PEX1 p.Glu262fs Pathogenic ★ same residue
PEX1 c.1239+1G>T Pathogenic ★★ same condition
PEX1 c.130-1G>T Pathogenic/Likely pathogenic ★★ same condition
PEX1 c.130-2A>G Pathogenic/Likely pathogenic ★★ same condition
PEX1 c.130-2A>T Pathogenic/Likely pathogenic ★★ same condition
PEX1 c.1483+1G>A Pathogenic ★★ same condition
PEX1 c.1587+1G>A Likely pathogenic ★★ same condition
PEX1 c.1670+1G>A Pathogenic/Likely pathogenic ★★ 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/pex1-p-glu262 (accessed [today's date]).

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