Is SPAST p.Pro384Arg (c.1151C>G) pathogenic?

SPAST p.Pro384Arg (c.1151C>G) is classified Pathogenic/Likely pathogenic in SPAST (ClinVar, Multiple submitters, 2 submitters; last evaluated 2022-11-08). AlphaMissense: likely pathogenic (0.9944); Absent from gnomAD v4.1; Associated with hereditary spastic paraplegia.

What condition is associated with SPAST p.Pro384Arg (c.1151C>G)?

SPAST p.Pro384Arg (c.1151C>G) is associated with hereditary spastic paraplegia, hereditary spastic paraplegia 4 (ClinVar).

How common is SPAST p.Pro384Arg (c.1151C>G) in the general population?

SPAST p.Pro384Arg (c.1151C>G) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about SPAST p.Pro384Arg (c.1151C>G)?

AlphaMissense predicts likely pathogenic (score 0.9944) — an in-silico prediction, not a clinical call.

SPAST p.Pro384Arg

c.1151C>G · rs1573139616 · VCV1344039

Pathogenic/Likely pathogenic Multiple submitters

Classification

Pathogenic/Likely pathogenic

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

AlphaMissense

likely pathogenic

0.9944 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

hereditary spastic paraplegia

Computational evidence

Protein change
AlphaMissense	0.9944	likely pathogenic ✓ concordant with ClinVar · top 10% in SPAST
REVEL	0.938	strongly pathogenic-leaning
SaProt	LLR -15.94	damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI	<0.2	no splice effect predicted · four deltas, not one · how we know
Constraint at this position
Conservation	phyloP 7.6	GERP 1.9, phastCons 1
Regional constraint	o/e 0.39	unconstrained · MANE · 26 kb · p 1.7e-17 · regional, not allelic
Overall
CADD	29.0	PHRED · no single calibrated threshold — expert panels disagree

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

Population frequency

gnomAD v4.1 · exomes + genomes

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: SPAST
Protein: p.Pro384Arg
Coding: c.1151C>G
MANE Select: NM_014946
dbSNP: rs1573139616
Type: single nucleotide variant
Location: chr2:32127000 (GRCh38)
Gene constraint: LOEUF 0.69 · pLI 0.11 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 77.03 · 7 PDB
Residue 384: the 'sufficient for microtubule severing' region; a β-strand; a binding site; a UniProt-annotated variant site (in spg4)

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

Disease context

hereditary spastic paraplegia — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: hereditary spastic paraplegia 4

Similar variants

SPAST p.Pro384Leu Pathogenic ★★ same residue
SPAST c.1004+1G>C Pathogenic/Likely pathogenic ★★ same condition
SPAST c.1004+1G>T Pathogenic ★★ same condition
SPAST c.1004+2T>G Pathogenic ★★ same condition
SPAST c.1098+1G>A Pathogenic ★★ same condition
SPAST c.1099-1G>A Pathogenic ★★ same condition
SPAST c.1099-2A>C Pathogenic/Likely pathogenic ★★ same condition
SPAST c.1173+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/spast-p-pro384arg (accessed [today's date]).

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