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TONSL p.Ala1332=

c.3996G>T · rs376104257 · VCV1653007

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00754%, nfe)

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
ConservationphyloP -3.5GERP -3.5
Overall
CADD1.456PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00754% European (non-Finnish) · 85/1,127,762 alleles
Filtering AF 0.00623% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00574%
Overall 0.00595% 90/1,511,776 alleles · very rare exomes 82/1,359,546 · genomes 8/152,230 · joint denominator
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.00754% 13,268
Remaining individualsnot grpmax-eligible 0.00343% 29,142
Admixed American 0.00205% 48,716
Finnishnot grpmax-eligible 0.00194% 51,470
African / African-American 0.00141% 71,100

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
TONSL
Protein
p.Ala1332=
Coding
c.3996G>T
MANE Select
NM_013432
dbSNP
rs376104257
Type
single nucleotide variant
Location
chr8:144429284 (GRCh38)
Gene constraint
LOEUF 1.024 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 76.06 · 3 PDB
Residue 1332
a UniProt-annotated variant site (in semdsp; disease phenotype includes immunologic and hematologic abnormalities); a UniProt-annotated variant site (in semdsp); a UniProt-annotated variant site (in semdsp; disease phenotype includes primary aphakia and absent pupils)
Full TONSL 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/tonsl-p-ala1332 (accessed [today's date]).

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