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SMPD4 p.Phe448=

c.1344T>C · VCV4956731

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
rare (popmax 0.389%, mid)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.402indeterminate
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 1.3phastCons 1
Overall
CADD9.574PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.389% Middle Eastern · 22/5,662 alleles
Filtering AF 0.263% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.226%
Overall 0.0878% 1,356/1,545,076 alleles · rare exomes 1,354/1,393,074 · genomes 2/152,002 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.389% 257
South Asian 0.265% 377
Finnishnot grpmax-eligible 0.19% 527
Ashkenazi Jewishnot grpmax-eligible 0.152% 658
European (non-Finnish) 0.077% 1,299
Remaining individualsnot grpmax-eligible 0.0646% 1,547
Admixed American 0.044% 2,275
East Asian 0.0247% 4,051
African / African-American 0.00268% 37,374

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
SMPD4
Protein
p.Phe448=
Coding
c.1344T>C
MANE Select
NM_017951
Type
single nucleotide variant
Location
chr2:130155205 (GRCh38)
Gene constraint
LOEUF 0.769 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 72.01
Residue 448
a UniProt-annotated variant site (in nedmaba)
Full SMPD4 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/smpd4-p-phe448 (accessed [today's date]).

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