SwissIsoform v2

MAD2L1 · ENST00000296509.11

EXTENDED 220 aa (canonical 205 aa) · UniProt Q13257 · CDLMPS

chr4:120066779:-:CTG:ENST00000296509.11

AI summary N-terminal extension adds a folded helix predicted by SignalP/TargetP to act as a cleavable signal peptide, absent from canonical MAD2L1.
How it diverges

The added 15-aa N-terminus forms a confidently-folded helix (pLDDT ~0.86) that both SignalP and TargetP independently call a genuine signal peptide with a defined cleavage site — a targeting feature the canonical protein, which lacks any such signal, does not have. DeepLoc's top-class call stays 'Cytoplasm' for both forms but with reduced confidence and a new peripheral-membrane association for the isoform, consistent with the new signal peptide perturbing the classifier rather than being noise. However, the extension helix shows very high PAE relative to the shared body (~24 Å) and almost no contacts with the core, so it reads as a confidently-folded but structurally unanchored appendage rather than one integrated into the checkpoint fold.

Why it matters

MAD2L1 is a nuclear/nuclear-envelope checkpoint protein that must reach kinetochores and the MAD1 leucine-zipper interface to enforce the SAC; a genuine, cleavable N-terminal signal peptide would be functionally incompatible with this known localization and could reroute the extended isoform toward the secretory pathway instead of nuclear pores/kinetochores, potentially producing a pool of MAD2L1 unable to participate in checkpoint signaling. Because the shared HORMA-domain core and MAD1-binding surface are structurally unaffected (no domain loss, and the extension is not docked onto the body), any functional consequence would act through mislocalization/sequestration rather than through altering the checkpoint-binding fold itself.

Structured N-terminal extension
LLM confidence low

DeepLoc's canonical prediction (Cytoplasm) does not match the known nuclear/nuclear-envelope localization, so the localization tool is miscalibrated for this protein; the SignalP/TargetP signal-peptide call is intriguing but cannot be confirmed as a real localization conflict under the calibration rule, and the extension's high PAE to the core body means its structural integration (and thus its biological plausibility as a functional signal) is unresolved.

Folding

Canonical (205 aa)
Download CIF
Isoform (220 aa)
Download CIF
Coloured by ESMFold2 pLDDT confidence (blue = high, orange/red = low). Differential region — residues 1–15 (added in isoform) — recoloured on a yellow→purple pLDDT ramp so it stands out. Drag to rotate · scroll to zoom · download a CIF to explore in your own viewer.
Canonical PAE
Isoform PAE
Predicted aligned error: expected Cα error (Å) at residue j when the fold is superposed on residue i. Dark = confident relative placement; bright = uncertain. The dashed outline marks the differential region (1–15).

Evidence — click any tile for the differential-region detail

C Conservation Not interesting
LLM reasoning
The N-terminal extension added by this isoform shows no evidence of purifying selection at the protein level: primate amino-acid identity is 75.2% versus 99.7% for the canonical sequence over the same species set, mammalian identity drops further to 45.8% versus 95.4% canonical, and absolute phyloP over the unique region is only -0.28 (well below the ~2 threshold for constraint), in sharp contrast to the shared/canonical region's phyloP of 4.26. This pattern — low cross-species identity relative to the canonical baseline and near-zero phyloP — is consistent with the extension deriving from sequence that was not historically coding (as expected for an extension drawing on former 5'UTR/intronic sequence) rather than a conserved functional element. Frac_intact values are not comparable between the short unique span and the longer canonical span and are not used to weigh this call.
Unique region 75.2% similar across primates
Unique region 45.8% similar across mammals
Unique region PhyloP: -0.28neutral selection
D Detection Interesting
LLM reasoning
This N-terminal extension has direct peptide-level proof: two isoform-unique peptides spanning the added MSAEWKRVLLFVSLA sequence were PepQuery2-validated (best hyperscore 24.8, p as low as 1e-4), confirming the extended start site is actually translated into protein, not just a transcriptional artifact. Ribosome-profiling support is real but modest and narrow: the alt TIS is significantly initiated only in HeLa (p=0.0061), with no data available in the other five cell lines, so breadth of detection is unconfirmed rather than negative. Initiation efficiency there is genuine but low relative to the canonical start in the same cell line (0.061 vs 1.50, roughly 4% of canonical usage), consistent with a minor upstream start that is nonetheless clearly used and clearly translated. Taken together, the mass-spec confirmation is the strongest and most decisive piece of evidence here, backed by a significant if single-line Ribo-seq signal.
detected in 1/6 cell lines
alt used 0.041× vs canonical
2/5 isoform-unique peptides validated
L Localization Interesting
LLM reasoning
The N-terminal extension introduces a predicted signal peptide that is entirely absent from the canonical protein: SignalP flips from OTHER to SP with a probability delta of 0.999 and a cleavage site at position 23-24 (Pr 0.91), and TargetP concurringly flips from noTP to SP (SP-probability delta +0.71), both driven by the added 15-aa N-terminal segment (MSAEWKRVLLFVSLA) ahead of the canonical start. This is consistent with the extension creating a genuine N-terminal targeting signal that the canonical MAD2L1 start site lacks, which would redirect the extended isoform toward the secretory pathway rather than staying purely cytoplasmic. The overall DeepLoc top-class call stays Cytoplasm for both forms and nuclear export signal is unchanged, but the isoform gains peripheral membrane association (canonical: Soluble; isoform: Peripheral|Soluble) and its top-class confidence drops from 0.66 to 0.52, indicating the classifier is less certain and sees membrane-associated character emerging — coherent with a new signal peptide being present. Taken together, two independent targeting predictors agreeing on a novel signal peptide is a strong, concordant signal that this extension is not neutral cargo but could redirect the protein's trafficking.
iso: Cytoplasm | canon: Cytoplasm
iso: SP | canon: noTP
M Mutation Landscape Not interesting
LLM reasoning
This is an N-terminal extension whose added 15 residues derive from sequence that was never coding — confirmed directly: all 41 variant records intersecting the unique region are annotated "intronic," consistent with the extension's unique region being former 5'UTR/intron rather than protein-coding sequence. The germline-constraint inputs are therefore uninterpretable by construction (gnomAD ratio and ESM-C reflect non-coding selection/composition, not protein tolerance), leaving disease-variant density as the only readable signal. That signal is quiet and points away from relevance: disease variants are depleted rather than enriched in the unique region (enrichment ratio 0.38, 3 unique vs 107 shared), there are zero pathogenic ClinVar calls in either region, and the histogram of all 18 ClinVar variants on this isoform shows every one falls in the shared canonical region (positions 21-219, isoform numbering) with none in the unique 1-15 stretch. No clustering, no pathogenic burden, and no informative constraint signal converge on a negative result.
gnomAD variants 1.84× more in unique region — tolerant
Disease variants 2.61× less in unique region — depleted
P Predicted Structure Neutral
LLM reasoning
The 18-residue extension helix (isoform residues 3-20) is genuinely folded, with pLDDT holding at 0.72-0.91 across most of its length before tapering to 0.64-0.66 at its C-terminal edge, so it is a real, confidently-modeled secondary-structure element rather than a coil artifact. However it is not docked against the core: PAE between the extension (1-20) and the rest of the protein (21-220) averages 23.6 Å despite the shared body being internally coherent (PAE 2.0 Å within itself), and direct contacts are minimal — only 6 contacts total, confined to the two residues immediately adjoining the extension (21-22) rather than spread over a genuine interface. The shared-region RMSD of 3.39 Å must also be discounted: canonical pTM is a strong 0.95 and shared pLDDT is high (~0.94), so confidence is not the caveat, but the extension's own PAE relative to the body shows its orientation is unresolved, meaning the 'refolding' reading is not supported by a stable relative placement. Net picture: a confidently-folded but structurally unanchored appendage, which does not rise to a clear functional structural signal.
pLDDT Differential Region: 0.856
Shared-Region RMSD: 3.39 Å
1 secondary structure identified in unique region
S Structural Characteristics Neutral
LLM reasoning
The 15-residue N-terminal extension added ahead of the canonical MAD2L1 start shows no strong structural signature: it does not overlap any real InterPro domain (the single hit in the differential region is the HORMA domain superfamily call, which spans into the shared region and reflects the retained canonical fold, not a new domain gained by the extension), and whole-protein hydropathy/charge/disorder shifts are all below threshold (gravy delta 0.07, fraction-charged delta -0.004, disorder delta -0.008), so the extension does not measurably alter the protein's bulk biophysical character despite the unique region itself being locally more hydrophobic and basic than the shared core. The sparse-autoencoder magnitude check does fire (strongest shared-feature activation shift 12.81 vs threshold 10.0), indicating the extension does perturb the ESM-C embedding space, but per instructions this is a presence/absence signal only, not corroborated by any domain or biophysical change, and gained/lost feature counts (67/12) are not informative on their own. Taken together, one lower-confidence embedding-level signal against two null structural/biophysical readouts nets to no clear, well-supported functional signal in this dimension.
No diverging domains
more hydrophobic (+1.03) · less charged (-0.06) · less disordered (-0.12)
79 SAE features differ

Clinical variants

Differential region — N-terminal extension (isoform-unique)

Pos (iso) AA change Consequence Source Clin. sig. AF (gnomAD) Impact AlphaMissense ESM-C ΔLLR Link
0 frameshift_variant gnomAD 2.19e-04 LoF chr4-120066778-A-AGC
0 L→P missense_variant gnomAD 5.47e-06 N/A chr4-120066778-A-G
0 L→L synonymous_variant COSMIC N/A COSV56636693
1 S→S synonymous_variant gnomAD 3.74e-06 N/A 0.00 chr4-120066774-G-A
1 S→S synonymous_variant gnomAD 2.24e-06 N/A 0.00 chr4-120066774-G-C
1 S→S synonymous_variant gnomAD 8.97e-06 N/A 0.00 chr4-120066774-G-T
2 A→A synonymous_variant gnomAD 4.41e-06 N/A 0.00 chr4-120066771-C-T
2 A→T missense_variant gnomAD 1.50e-06 N/A -0.62 chr4-120066773-C-T
3 E→E synonymous_variant gnomAD 7.24e-07 N/A 0.00 chr4-120066768-C-T
3 E→G missense_variant gnomAD 7.29e-07 N/A 0.70 chr4-120066769-T-C
3 E→Q missense_variant gnomAD 7.35e-07 N/A -0.58 chr4-120066770-C-G
4 W→R missense_variant gnomAD 7.25e-07 N/A 1.90 chr4-120066767-A-T
5 K→N missense_variant gnomAD 7.10e-07 N/A -0.73 chr4-120066762-C-A
5 K→N missense_variant gnomAD 7.10e-07 N/A -0.73 chr4-120066762-C-G
5 K→R missense_variant gnomAD 4.97e-06 N/A 0.95 chr4-120066763-T-C
5 K→E missense_variant gnomAD 2.14e-06 N/A -0.17 chr4-120066764-T-C
6 R→R synonymous_variant gnomAD 1.27e-05 N/A 0.00 chr4-120066759-G-A
6 R→C missense_variant gnomAD 1.42e-06 N/A -0.61 chr4-120066761-G-A
6 R→G missense_variant gnomAD 2.84e-06 N/A -0.36 chr4-120066761-G-C
6 R→C missense_variant COSMIC N/A -0.61 COSV56636912
7 V→V synonymous_variant gnomAD 8.48e-06 N/A 0.00 chr4-120066756-C-T
7 V→L missense_variant gnomAD 2.82e-06 N/A 0.53 chr4-120066758-C-A
8 L→F missense_variant gnomAD 9.81e-06 N/A -0.34 chr4-120066755-G-A
8 L→V missense_variant gnomAD 1.68e-05 N/A -0.59 chr4-120066755-G-C
9 frameshift_variant gnomAD 6.99e-07 LoF chr4-120066750-CA-C
9 L→S missense_variant gnomAD 6.99e-07 N/A -0.27 chr4-120066751-A-G
10 F→S missense_variant gnomAD 1.39e-06 N/A 1.00 chr4-120066748-A-G
11 frameshift_variant gnomAD 6.95e-07 LoF chr4-120066744-CACAA-C
11 V→E missense_variant gnomAD 6.95e-07 N/A -1.11 chr4-120066745-A-T
11 V→L missense_variant gnomAD 2.09e-06 N/A 0.80 chr4-120066746-C-A
11 V→L missense_variant gnomAD 6.97e-07 N/A 0.80 chr4-120066746-C-G
12 S→F missense_variant gnomAD 1.39e-06 N/A -0.67 chr4-120066742-G-A
12 S→Y missense_variant gnomAD 2.78e-06 N/A -1.86 chr4-120066742-G-T
13 L→L synonymous_variant gnomAD 6.93e-07 N/A 0.00 chr4-120066738-C-T
13 L→R missense_variant gnomAD 3.47e-06 N/A -0.42 chr4-120066739-A-C
13 L→Q missense_variant gnomAD 1.39e-06 N/A -1.55 chr4-120066739-A-T
13 L→L synonymous_variant gnomAD 1.39e-06 N/A 0.00 chr4-120066740-G-A
14 A→A synonymous_variant gnomAD 2.77e-06 N/A 0.00 chr4-120066735-G-A
14 A→V missense_variant gnomAD 6.93e-07 N/A -0.44 chr4-120066736-G-A
14 A→D missense_variant gnomAD 6.93e-07 N/A -1.47 chr4-120066736-G-T
14 A→S missense_variant COSMIC N/A -0.59 COSV99633801

41 variants in the differential region.

Shared canonical core — sequence common to canonical and isoform; AlphaMissense applies here

Pos (iso) AA change Consequence Source Clin. sig. AF (gnomAD) Impact AlphaMissense ESM-C ΔLLR Link
15 M→T missense_variant gnomAD 1.38e-06 damaging -9.37 chr4-120066733-A-G
15 M→K missense_variant gnomAD 6.92e-07 damaging -10.81 chr4-120066733-A-T
15 M→V missense_variant gnomAD 6.92e-07 damaging -8.87 chr4-120066734-T-C
15 frameshift_variant COSMIC LoF COSV99634044
16 A→A synonymous_variant gnomAD 1.38e-06 0.00 chr4-120066729-C-T
16 A→V missense_variant gnomAD 1.11e-05 damaging likely_pathogenic (0.60) -7.98 chr4-120066730-G-A
16 A→E missense_variant gnomAD 6.92e-07 damaging ambiguous (0.34) -8.11 chr4-120066730-G-T
16 A→S missense_variant gnomAD 6.91e-07 likely_benign (0.13) -5.20 chr4-120066731-C-A
16 A→T missense_variant gnomAD 1.73e-05 likely_benign (0.33) -5.05 chr4-120066731-C-T
17 L→L synonymous_variant gnomAD 6.90e-07 0.00 chr4-120066726-C-T
17 L→R missense_variant COSMIC likely_benign (0.05) -7.25 COSV99633902
18 Q→* stop_gained gnomAD 1.38e-06 LoF chr4-120066725-G-A
19 L→L synonymous_variant gnomAD 1.38e-06 0.00 chr4-120066720-G-A
19 L→L synonymous_variant gnomAD 1.38e-06 0.00 chr4-120066720-G-C
19 L→H missense_variant gnomAD 1.38e-06 damaging likely_benign (0.14) -8.68 chr4-120066721-A-T
19 L→F missense_variant gnomAD 3.45e-06 likely_benign (0.11) -6.81 chr4-120066722-G-A
19 L→V missense_variant gnomAD 1.38e-06 likely_benign (0.06) -6.46 chr4-120066722-G-C
19 L→I missense_variant gnomAD 2.07e-06 likely_benign (0.07) -6.90 chr4-120066722-G-T
19 L→L synonymous_variant COSMIC 0.00 COSV56637843
20 S→F missense_variant gnomAD 6.90e-07 damaging ambiguous (0.34) -8.62 chr4-120066718-G-A
21 R→R synonymous_variant gnomAD 4.83e-06 0.00 chr4-120066714-C-T
21 R→Q missense_variant gnomAD 2.21e-05 likely_benign (0.17) -6.23 chr4-120066715-C-T
21 R→W missense_variant gnomAD 6.90e-07 damaging ambiguous (0.52) -8.23 chr4-120066716-G-A
21 R→G missense_variant gnomAD 1.24e-05 likely_benign (0.12) -6.55 chr4-120066716-G-C
21 R→Q missense_variant ClinVar Uncertain significance likely_benign (0.17) -6.23 ClinVar:3541916
22 E→E synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066711-C-T
22 E→V missense_variant gnomAD 6.89e-07 damaging likely_benign (0.32) -9.29 chr4-120066712-T-A
22 frameshift_variant gnomAD 6.90e-07 LoF chr4-120066712-TC-T
22 E→K missense_variant gnomAD 4.83e-06 damaging ambiguous (0.44) -8.23 chr4-120066713-C-T
23 Q→Q synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066708-C-T
23 Q→Q synonymous_variant ClinVar Likely benign 0.00 ClinVar:2655059
23 Q→* stop_gained COSMIC LoF COSV56636507
24 G→G synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066705-T-C
24 G→R missense_variant gnomAD 2.76e-06 damaging likely_pathogenic (0.89) -8.56 chr4-120066707-C-T
24 G→R missense_variant ClinVar Uncertain significance damaging likely_pathogenic (0.89) -8.56 ClinVar:2481387
24 G→G synonymous_variant ClinVar Likely benign 0.00 ClinVar:2655058
25 I→M missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.80) -10.37 chr4-120066702-G-C
25 I→T missense_variant gnomAD 1.38e-06 damaging likely_pathogenic (0.98) -10.87 chr4-120066703-A-G
25 I→V missense_variant gnomAD 6.89e-06 likely_benign (0.28) -7.12 chr4-120066704-T-C
25 I→V missense_variant ClinVar Uncertain significance likely_benign (0.28) -7.12 ClinVar:2490789
25 I→I synonymous_variant COSMIC 0.00 COSV106426012
25 I→N missense_variant COSMIC damaging likely_pathogenic (0.98) -12.25 COSV56636743
26 T→T synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066699-G-A
27 L→P missense_variant gnomAD 8.95e-06 damaging likely_pathogenic (0.99) -11.44 chr4-120066697-A-G
27 L→M missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.81) -12.94 chr4-120066698-G-T
27 L→L synonymous_variant ClinVar Likely benign 0.00 ClinVar:2655057
27 L→M missense_variant COSMIC damaging likely_pathogenic (0.81) -12.94 COSV99633896
28 R→R synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066693-G-T
29 G→G synonymous_variant gnomAD 2.75e-06 0.00 chr4-120066690-C-G
29 G→G synonymous_variant gnomAD 1.24e-05 0.00 chr4-120066690-C-T
29 G→R missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (1.00) -10.12 chr4-120066692-C-G
29 G→R missense_variant COSMIC damaging likely_pathogenic (1.00) -10.12 COSV56637063
31 A→A synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066684-G-C
31 A→A synonymous_variant gnomAD 1.38e-06 0.00 chr4-120066684-G-T
31 A→V missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.92) -8.25 chr4-120066685-G-A
31 A→S missense_variant gnomAD 6.89e-07 likely_benign (0.29) -7.50 chr4-120066686-C-A
31 A→T missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.78) -7.62 chr4-120066686-C-T
32 E→K missense_variant gnomAD 1.38e-06 damaging likely_pathogenic (0.68) -9.80 chr4-120066683-C-T
32 E→E synonymous_variant ClinVar Likely benign 0.00 ClinVar:2655056
33 I→M missense_variant gnomAD 1.38e-06 likely_benign (0.16) -7.18 chr4-120066678-G-C
33 I→I synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066678-G-T
34 V→A missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.96) -10.94 chr4-120066676-A-G
34 V→L missense_variant gnomAD 2.07e-06 damaging likely_pathogenic (0.97) -11.31 chr4-120066677-C-G
35 A→A synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066672-G-A
35 A→T missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.67) -7.68 chr4-120066674-C-T
35 A→V missense_variant COSMIC damaging likely_pathogenic (0.90) -8.81 COSV56637607
36 E→E synonymous_variant gnomAD 8.27e-06 0.00 chr4-120066669-C-T
36 E→D missense_variant COSMIC ambiguous (0.48) -7.37 COSV99633714
37 F→L missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (1.00) -10.12 chr4-120066668-A-G
37 F→F synonymous_variant COSMIC 0.00 COSV56636758
37 F→L missense_variant COSMIC damaging likely_pathogenic (1.00) -10.12 COSV56636790
38 F→F synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066663-G-A
38 F→S missense_variant gnomAD 2.07e-06 damaging likely_pathogenic (0.99) -14.12 chr4-120066664-A-G
39 S→S synonymous_variant gnomAD 6.85e-07 0.00 chr4-120065817-T-A
39 S→A missense_variant gnomAD 1.38e-06 damaging likely_benign (0.10) -7.52 chr4-120066662-A-C
39 frameshift_variant gnomAD 2.07e-06 LoF chr4-120066662-AG-A
39 S→L missense_variant COSMIC damaging likely_benign (0.27) -8.56 COSV56637555
40 F→F synonymous_variant gnomAD 6.85e-07 0.00 chr4-120065814-G-A
40 F→L missense_variant gnomAD 8.90e-06 damaging likely_pathogenic (0.99) -8.68 chr4-120065814-G-C
41 G→G synonymous_variant gnomAD 3.63e-05 0.00 chr4-120065811-G-A
41 G→D missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (1.00) -12.62 chr4-120065812-C-T
41 G→S missense_variant gnomAD 2.05e-06 damaging likely_pathogenic (0.79) -7.87 chr4-120065813-C-T
41 G→G synonymous_variant COSMIC 0.00 COSV56636895
42 I→I synonymous_variant gnomAD 6.85e-07 0.00 chr4-120065808-G-A
42 I→F missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.85) -11.62 chr4-120065810-T-A
46 L→L synonymous_variant gnomAD 1.57e-05 0.00 chr4-120065796-T-C
47 Y→* stop_gained gnomAD 6.84e-07 LoF chr4-120065793-A-T
47 Y→H missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.96) -8.81 chr4-120065795-A-G
49 R→H missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.99) -11.31 chr4-120065788-C-T
49 R→C missense_variant COSMIC damaging likely_pathogenic (0.99) -11.44 COSV56636453
50 G→G synonymous_variant gnomAD 2.05e-06 0.00 chr4-120065784-G-C
51 I→M missense_variant gnomAD 2.05e-06 damaging likely_pathogenic (0.67) -8.43 chr4-120065781-T-C
51 I→V missense_variant gnomAD 6.84e-07 likely_benign (0.13) -6.25 chr4-120065783-T-C
51 I→L missense_variant gnomAD 6.84e-07 likely_benign (0.23) -7.18 chr4-120065783-T-G
51 I→M missense_variant COSMIC damaging likely_pathogenic (0.67) -8.43 COSV56637152
52 Y→S missense_variant gnomAD 2.05e-06 damaging likely_pathogenic (0.96) -12.62 chr4-120065779-T-G
52 Y→C missense_variant ClinVar Uncertain significance damaging likely_pathogenic (0.91) -12.06 ClinVar:2337132
53 P→P synonymous_variant gnomAD 6.84e-07 0.00 chr4-120065775-T-C
54 S→S synonymous_variant gnomAD 6.84e-06 0.00 chr4-120065772-A-T
54 S→C missense_variant gnomAD 2.05e-06 damaging likely_benign (0.15) -9.02 chr4-120065773-G-C
56 T→T synonymous_variant gnomAD 2.05e-06 0.00 chr4-120065766-G-A
56 T→N missense_variant gnomAD 6.84e-07 damaging likely_benign (0.16) -8.18 chr4-120065767-G-T
58 T→I missense_variant gnomAD 3.42e-06 likely_benign (0.26) -6.92 chr4-120065761-G-A
58 T→I missense_variant ClinVar Uncertain significance likely_benign (0.26) -6.92 ClinVar:2314971
59 R→G missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.82) -9.50 chr4-120065759-G-C
59 R→R synonymous_variant gnomAD 6.84e-07 0.00 chr4-120065759-G-T
59 R→* stop_gained COSMIC LoF COSV56636783
60 V→V synonymous_variant gnomAD 1.37e-06 0.00 chr4-120065754-C-T
60 V→A missense_variant gnomAD 6.84e-07 ambiguous (0.39) -5.87 chr4-120065755-A-G
61 Q→P missense_variant gnomAD 2.05e-06 damaging likely_benign (0.27) -8.50 chr4-120065752-T-G
61 Q→* stop_gained COSMIC LoF COSV99634048
61 Q→Q synonymous_variant COSMIC 0.00 COSV56636984
61 Q→R missense_variant COSMIC damaging likely_benign (0.32) -9.25 COSV105896543
62 K→* stop_gained COSMIC LoF COSV56636610
63 Y→Y synonymous_variant gnomAD 4.31e-05 0.00 chr4-120065745-G-A
63 Y→C missense_variant COSMIC damaging likely_pathogenic (0.98) -9.81 COSV56636603
64 G→R missense_variant COSMIC damaging likely_pathogenic (0.97) -10.25 COSV106426007
64 G→* stop_gained COSMIC LoF COSV56636827
65 L→F missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.91) -9.62 chr4-120065741-G-A
66 T→T synonymous_variant gnomAD 1.37e-06 0.00 chr4-120065736-G-A
66 T→T synonymous_variant gnomAD 6.84e-07 0.00 chr4-120065736-G-C
66 T→I missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.77) -8.68 chr4-120065737-G-A
67 L→F missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.77) -9.87 chr4-120065733-C-G
67 frameshift_variant gnomAD 8.21e-06 LoF chr4-120065733-CA-C
67 L→W missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.98) -13.31 chr4-120065734-A-C
68 L→F missense_variant gnomAD 6.84e-07 damaging likely_benign (0.26) -8.69 chr4-120065732-G-A
69 V→L missense_variant COSMIC likely_benign (0.32) -7.34 COSV56636970
71 T→A missense_variant gnomAD 2.12e-05 likely_benign (0.10) -5.80 chr4-120065723-T-C
74 E→Q missense_variant gnomAD 6.84e-07 damaging likely_benign (0.13) -7.58 chr4-120065714-C-G
76 frameshift_variant gnomAD 6.84e-07 LoF chr4-120065708-TG-T
77 K→R missense_variant gnomAD 6.84e-07 likely_benign (0.08) -5.92 chr4-120065704-T-C
77 K→* stop_gained gnomAD 6.84e-07 LoF chr4-120065705-T-A
78 Y→F missense_variant gnomAD 2.74e-06 ambiguous (0.38) -6.94 chr4-120065701-T-A
78 Y→C missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.96) -10.00 chr4-120065701-T-C
78 Y→N missense_variant COSMIC damaging likely_pathogenic (0.98) -10.81 COSV99633708
79 L→L synonymous_variant gnomAD 1.37e-06 0.00 chr4-120065697-T-C
79 L→L synonymous_variant gnomAD 1.37e-06 0.00 chr4-120065697-T-G
79 frameshift_variant gnomAD 6.84e-07 LoF chr4-120065697-TA-T
79 L→I missense_variant gnomAD 1.21e-04 damaging likely_benign (0.17) -8.31 chr4-120065699-G-T
80 N→S missense_variant gnomAD 2.74e-06 likely_benign (0.07) -3.68 chr4-120065695-T-C
80 N→N synonymous_variant COSMIC 0.00 COSV108109490
81 N→N synonymous_variant gnomAD 2.05e-06 0.00 chr4-120065691-A-G
81 N→Y missense_variant gnomAD 1.37e-06 damaging likely_benign (0.16) -8.23 chr4-120065693-T-A
81 N→Y missense_variant ClinVar Uncertain significance damaging likely_benign (0.16) -8.23 ClinVar:3869470
82 V→G missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.89) -11.56 chr4-120065689-A-C
82 V→L missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.88) -8.69 chr4-120065690-C-A
84 E→K missense_variant COSMIC damaging likely_benign (0.14) -7.81 COSV56636425
85 Q→Q synonymous_variant gnomAD 1.57e-05 0.00 chr4-120065679-T-C
86 L→L synonymous_variant gnomAD 4.11e-06 0.00 chr4-120065676-C-T
87 K→R missense_variant gnomAD 6.84e-07 likely_benign (0.10) -4.08 chr4-120065674-T-C
88 D→G missense_variant gnomAD 6.88e-07 likely_benign (0.12) -5.71 chr4-120062095-T-C
88 D→H missense_variant gnomAD 6.85e-07 damaging likely_benign (0.28) -9.40 chr4-120065672-C-G
89 W→L missense_variant COSMIC damaging likely_pathogenic (0.93) -10.50 COSV99633853
90 L→L synonymous_variant gnomAD 6.86e-07 0.00 chr4-120062088-T-C
90 frameshift_variant gnomAD 6.18e-06 LoF chr4-120062090-A-AC
91 Y→C missense_variant gnomAD 2.74e-06 likely_benign (0.07) -5.45 chr4-120062086-T-C
91 Y→F missense_variant COSMIC likely_benign (0.08) -4.57 COSV56636540
91 Y→H missense_variant COSMIC likely_benign (0.13) -6.64 COSV56637585
92 K→N missense_variant gnomAD 1.51e-05 likely_benign (0.19) -6.30 chr4-120062082-C-G
92 K→K synonymous_variant gnomAD 3.43e-06 0.00 chr4-120062082-C-T
92 K→R missense_variant gnomAD 1.23e-05 likely_benign (0.07) -5.96 chr4-120062083-T-C
92 K→* stop_gained COSMIC LoF COSV56637871
93 C→Y missense_variant gnomAD 1.37e-06 damaging ambiguous (0.51) -8.62 chr4-120062080-C-T
93 C→S missense_variant gnomAD 2.06e-06 ambiguous (0.41) -7.19 chr4-120062081-A-T
94 S→S synonymous_variant gnomAD 1.37e-06 0.00 chr4-120062076-T-A
94 S→S synonymous_variant gnomAD 6.85e-07 0.00 chr4-120062076-T-C
94 S→L missense_variant gnomAD 6.85e-07 likely_benign (0.10) -6.53 chr4-120062077-G-A
94 S→* stop_gained gnomAD 6.85e-07 LoF chr4-120062077-G-C
94 S→L missense_variant COSMIC likely_benign (0.10) -6.53 COSV56636668
96 Q→R missense_variant gnomAD 2.06e-06 damaging likely_benign (0.32) -8.62 chr4-120062071-T-C
96 Q→* stop_gained COSMIC LoF COSV56636702
98 L→L synonymous_variant gnomAD 1.37e-06 0.00 chr4-120062064-C-A
98 L→L synonymous_variant COSMIC 0.00 COSV56637689
99 V→V synonymous_variant gnomAD 6.85e-07 0.00 chr4-120062061-A-T
99 V→F missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.99) -12.31 chr4-120062063-C-A
100 V→L missense_variant gnomAD 6.85e-07 likely_benign (0.27) -7.25 chr4-120062060-C-G
100 V→G missense_variant COSMIC damaging likely_pathogenic (0.92) -11.81 COSV106426017
101 V→V synonymous_variant gnomAD 4.79e-06 0.00 chr4-120062055-A-G
101 V→I missense_variant gnomAD 6.16e-06 damaging likely_benign (0.22) -8.50 chr4-120062057-C-T
102 I→I synonymous_variant gnomAD 4.11e-06 0.00 chr4-120062052-G-A
102 I→T missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.98) -8.56 chr4-120062053-A-G
104 N→D missense_variant gnomAD 6.16e-06 likely_benign (0.07) -6.80 chr4-120062048-T-C
104 N→D missense_variant ClinVar Uncertain significance likely_benign (0.07) -6.80 ClinVar:3121965
105 I→V missense_variant gnomAD 6.09e-05 likely_benign (0.06) -4.88 chr4-120062045-T-C
105 I→N missense_variant COSMIC damaging likely_benign (0.31) -8.57 COSV56636977
105 I→V missense_variant COSMIC likely_benign (0.06) -4.88 COSV99047961
107 S→R missense_variant gnomAD 6.85e-07 damaging ambiguous (0.48) -9.10 chr4-120062037-A-C
107 S→S synonymous_variant gnomAD 1.37e-06 0.00 chr4-120062037-A-G
107 S→T missense_variant gnomAD 6.85e-07 likely_benign (0.06) -3.75 chr4-120062038-C-G
107 S→N missense_variant gnomAD 1.16e-05 likely_benign (0.07) -5.35 chr4-120062038-C-T
107 S→R missense_variant COSMIC damaging ambiguous (0.48) -9.10 COSV56636802
108 G→V missense_variant gnomAD 6.85e-07 damaging ambiguous (0.40) -10.24 chr4-120062035-C-A
108 G→D missense_variant gnomAD 1.37e-06 damaging likely_benign (0.21) -8.74 chr4-120062035-C-T
109 E→K missense_variant gnomAD 1.44e-05 damaging likely_benign (0.33) -9.75 chr4-120062033-C-T
109 E→K missense_variant COSMIC damaging likely_benign (0.33) -9.75 COSV105174397
110 V→V synonymous_variant gnomAD 6.85e-07 0.00 chr4-120062028-G-A
111 L→L synonymous_variant gnomAD 1.37e-06 0.00 chr4-120062025-C-T
111 L→V missense_variant gnomAD 6.84e-07 damaging likely_benign (0.15) -8.75 chr4-120062027-G-C
113 R→I missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.99) -13.75 chr4-120062020-C-A
115 Q→R missense_variant gnomAD 2.74e-06 damaging likely_pathogenic (0.85) -10.81 chr4-120062014-T-C
115 Q→P missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.99) -12.12 chr4-120062014-T-G
116 F→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (1.00) -10.44 chr4-120062012-A-G
117 D→V missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.81) -10.75 chr4-120062008-T-A
117 D→N missense_variant COSMIC damaging ambiguous (0.38) -9.00 COSV109419265
118 I→I synonymous_variant gnomAD 4.11e-06 0.00 chr4-120062004-A-T
118 I→T missense_variant gnomAD 3.42e-06 damaging likely_pathogenic (0.79) -9.06 chr4-120062005-A-G
119 E→Q missense_variant gnomAD 6.85e-07 damaging likely_benign (0.18) -7.62 chr4-120062003-C-G
120 C→Y missense_variant gnomAD 2.74e-06 damaging likely_pathogenic (0.82) -9.50 chr4-120061999-C-T
121 D→E missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.61) -8.56 chr4-120061995-G-C
122 K→M missense_variant COSMIC damaging ambiguous (0.41) -9.25 COSV56637840
123 T→T synonymous_variant gnomAD 1.24e-05 0.00 chr4-120061989-A-G
123 T→T synonymous_variant COSMIC 0.00 COSV56637816
124 A→A synonymous_variant gnomAD 6.88e-07 0.00 chr4-120061986-T-G
124 A→V missense_variant gnomAD 6.89e-07 likely_benign (0.10) -5.11 chr4-120061987-G-A
124 A→S missense_variant gnomAD 2.07e-06 likely_benign (0.12) -7.11 chr4-120061988-C-A
124 A→V missense_variant COSMIC likely_benign (0.10) -5.11 COSV56636463
125 K→E missense_variant gnomAD 1.38e-06 damaging likely_benign (0.13) -7.83 chr4-120061985-T-C
126 D→D synonymous_variant gnomAD 6.90e-07 0.00 chr4-120061980-A-G
126 D→Y missense_variant gnomAD 3.45e-06 damaging likely_benign (0.26) -8.36 chr4-120061982-C-A
127 D→Y missense_variant gnomAD 6.90e-07 damaging likely_benign (0.19) -7.57 chr4-120061979-C-A
128 S→S synonymous_variant gnomAD 5.60e-06 0.00 chr4-120060977-A-G
128 S→I missense_variant ClinVar damaging likely_benign (0.15) -7.89 ClinVar:4301842
128 S→N missense_variant COSMIC likely_benign (0.12) -5.11 COSV105174411
129 A→A synonymous_variant gnomAD 1.39e-06 0.00 chr4-120060974-T-C
129 A→V missense_variant gnomAD 2.79e-06 likely_benign (0.07) -3.28 chr4-120060975-G-A
129 A→A synonymous_variant COSMIC 0.00 COSV56636648
130 P→L missense_variant gnomAD 2.08e-06 likely_benign (0.25) -6.75 chr4-120060972-G-A
130 P→A missense_variant gnomAD 1.39e-06 damaging likely_benign (0.13) -7.56 chr4-120060973-G-C
130 P→T missense_variant COSMIC damaging likely_benign (0.21) -7.84 COSV99633915
131 R→S missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.92) -8.87 chr4-120060968-T-A
131 R→I missense_variant gnomAD 6.92e-07 damaging likely_pathogenic (0.76) -10.80 chr4-120060969-C-A
131 R→G missense_variant gnomAD 2.07e-06 damaging likely_pathogenic (0.70) -7.90 chr4-120060970-T-C
133 K→K synonymous_variant gnomAD 6.87e-07 0.00 chr4-120060962-C-T
133 frameshift_variant gnomAD 6.87e-07 LoF chr4-120060962-CT-C
133 K→M missense_variant gnomAD 1.99e-05 damaging likely_pathogenic (0.82) -10.31 chr4-120060963-T-A
133 K→E missense_variant gnomAD 6.88e-07 damaging likely_pathogenic (0.96) -11.06 chr4-120060964-T-C
134 S→S synonymous_variant gnomAD 1.37e-06 0.00 chr4-120060959-A-G
134 S→F missense_variant gnomAD 5.70e-05 damaging likely_pathogenic (0.80) -9.05 chr4-120060960-G-A
134 S→C missense_variant gnomAD 1.37e-06 likely_benign (0.21) -7.18 chr4-120060960-G-C
134 S→C missense_variant ClinVar Uncertain significance likely_benign (0.21) -7.18 ClinVar:2624283
135 Q→H missense_variant gnomAD 2.06e-06 likely_benign (0.21) -6.53 chr4-120060956-C-G
135 Q→P missense_variant gnomAD 3.29e-05 likely_benign (0.10) -7.21 chr4-120060957-T-G
136 K→K synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060953-T-C
136 K→T missense_variant gnomAD 6.86e-07 damaging ambiguous (0.37) -8.37 chr4-120060954-T-G
136 K→E missense_variant gnomAD 6.86e-07 damaging ambiguous (0.42) -7.78 chr4-120060955-T-C
139 Q→R missense_variant gnomAD 3.43e-06 damaging likely_benign (0.30) -9.00 chr4-120060945-T-C
139 Q→* stop_gained COSMIC LoF COSV99633770
140 D→N missense_variant gnomAD 6.85e-07 damaging likely_benign (0.15) -8.18 chr4-120060943-C-T
140 D→N missense_variant ClinVar Uncertain significance damaging likely_benign (0.15) -8.18 ClinVar:3121966
142 I→V missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.65) -9.37 chr4-120060937-T-C
142 I→I synonymous_variant COSMIC 0.00 COSV56637007
142 I→V missense_variant COSMIC damaging likely_pathogenic (0.65) -9.37 COSV56636872
143 R→L missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.96) -10.50 chr4-120060933-C-A
143 R→H missense_variant gnomAD 6.85e-06 damaging likely_pathogenic (0.74) -8.75 chr4-120060933-C-T
143 R→C missense_variant gnomAD 3.43e-05 damaging likely_pathogenic (0.61) -8.56 chr4-120060934-G-A
143 R→G missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.86) -10.06 chr4-120060934-G-C
143 R→S missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.93) -9.37 chr4-120060934-G-T
143 R→C missense_variant COSMIC damaging likely_pathogenic (0.61) -8.56 COSV99633932
144 S→A missense_variant gnomAD 6.85e-07 likely_benign (0.12) -6.47 chr4-120060931-A-C
144 S→* stop_gained COSMIC LoF COSV56636444
145 V→V synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060926-C-G
146 I→M missense_variant gnomAD 8.22e-06 damaging likely_benign (0.27) -8.94 chr4-120060923-G-C
147 R→K missense_variant COSMIC damaging likely_pathogenic (0.79) -10.37 COSV56637106
147 R→T missense_variant COSMIC damaging likely_pathogenic (1.00) -13.44 COSV56636656
148 Q→Q synonymous_variant COSMIC 0.00 COSV56637581
150 T→T synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060911-T-C
150 T→I missense_variant COSMIC damaging likely_pathogenic (0.94) -9.81 COSV56637834
151 A→A synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060908-A-C
151 A→D missense_variant COSMIC damaging likely_pathogenic (1.00) -11.12 COSV56637574
152 T→T synonymous_variant gnomAD 1.10e-05 0.00 chr4-120060905-C-T
152 T→M missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.69) -9.56 chr4-120060906-G-A
152 T→T synonymous_variant COSMIC 0.00 COSV56637199
152 T→M missense_variant COSMIC damaging likely_pathogenic (0.69) -9.56 COSV99633752
153 V→V synonymous_variant gnomAD 6.87e-07 0.00 chr4-120060902-C-T
153 V→V synonymous_variant COSMIC 0.00 COSV56637231
153 V→A missense_variant COSMIC damaging likely_pathogenic (0.97) -10.50 COSV56637826
157 P→P synonymous_variant gnomAD 6.18e-02 0.00 chr4-120060890-T-C
157 P→L missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.99) -11.69 chr4-120060891-G-A
157 P→P synonymous_variant COSMIC 0.00 COSV56636944
158 L→L synonymous_variant gnomAD 6.89e-07 0.00 chr4-120060887-C-G
160 E→D missense_variant COSMIC likely_benign (0.09) -6.00 COSV56637746
160 E→Q missense_variant COSMIC damaging likely_benign (0.34) -8.68 COSV56636515
161 V→A missense_variant gnomAD 6.91e-07 likely_benign (0.09) -3.35 chr4-120060879-A-G
161 V→F missense_variant gnomAD 6.91e-07 damaging likely_benign (0.17) -8.22 chr4-120060880-C-A
162 S→F missense_variant gnomAD 6.92e-07 damaging likely_benign (0.33) -8.87 chr4-120060876-G-A
162 S→Y missense_variant gnomAD 1.38e-06 damaging likely_benign (0.29) -9.62 chr4-120060876-G-T
162 frameshift_variant gnomAD 6.92e-07 LoF chr4-120060876-GA-G
163 C→Y missense_variant gnomAD 3.45e-06 damaging likely_pathogenic (0.97) -10.19 chr4-120060290-C-T
163 C→Y missense_variant ClinVar Uncertain significance damaging likely_pathogenic (0.97) -10.19 ClinVar:4050418
163 C→R missense_variant COSMIC damaging likely_pathogenic (0.98) -11.37 COSV56637100
164 S→L missense_variant gnomAD 6.88e-07 damaging ambiguous (0.39) -9.55 chr4-120060287-G-A
164 S→* stop_gained COSMIC LoF COSV56637188
166 D→E missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.91) -8.31 chr4-120060280-A-T
166 D→N missense_variant COSMIC damaging likely_pathogenic (0.70) -9.06 COSV108814783
167 L→L synonymous_variant gnomAD 2.06e-06 0.00 chr4-120060277-C-T
167 L→P missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (1.00) -11.37 chr4-120060278-A-G
168 L→L synonymous_variant gnomAD 2.06e-05 0.00 chr4-120060274-C-T
168 L→V missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.82) -9.62 chr4-120060276-G-C
169 frameshift_variant COSMIC LoF COSV99633904
170 Y→D missense_variant gnomAD 6.86e-07 damaging likely_pathogenic (0.99) -11.12 chr4-120060270-A-C
171 T→I missense_variant gnomAD 6.86e-07 damaging likely_pathogenic (0.96) -6.87 chr4-120060266-G-A
171 T→A missense_variant gnomAD 6.85e-07 ambiguous (0.36) -6.75 chr4-120060267-T-C
171 T→A missense_variant COSMIC ambiguous (0.36) -6.75 COSV56637751
173 frameshift_variant gnomAD 4.11e-06 LoF chr4-120060260-TTGTC-T
174 D→H missense_variant gnomAD 4.11e-06 damaging likely_pathogenic (0.68) -8.75 chr4-120060258-C-G
175 L→F missense_variant gnomAD 1.37e-06 damaging likely_benign (0.33) -8.37 chr4-120060253-C-G
175 L→S missense_variant gnomAD 1.37e-06 damaging likely_benign (0.29) -8.87 chr4-120060254-A-G
175 L→M missense_variant gnomAD 2.05e-06 likely_benign (0.10) -7.28 chr4-120060255-A-T
175 L→F missense_variant COSMIC damaging likely_benign (0.33) -8.37 COSV99633667
175 L→W missense_variant COSMIC damaging likely_pathogenic (0.59) -11.50 COSV56636532
176 V→V synonymous_variant gnomAD 6.84e-07 0.00 chr4-120060250-A-T
176 V→L missense_variant gnomAD 7.53e-06 likely_benign (0.11) -5.09 chr4-120060252-C-G
177 V→V synonymous_variant gnomAD 4.79e-06 0.00 chr4-120060247-T-C
177 V→L missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.61) -8.00 chr4-120060249-C-A
179 frameshift_variant COSMIC LoF COSV56637918
179 frameshift_variant COSMIC LoF COSV56637019
179 E→* stop_gained COSMIC LoF COSV99633990
181 W→S missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (1.00) -12.37 chr4-120060236-C-G
181 W→G missense_variant COSMIC damaging likely_pathogenic (0.98) -11.81 COSV56637715
182 E→K missense_variant COSMIC damaging likely_pathogenic (0.75) -9.25 COSV99633670
183 E→K missense_variant gnomAD 2.74e-06 damaging likely_pathogenic (0.92) -9.69 chr4-120060231-C-T
184 S→S synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060226-C-A
184 S→S synonymous_variant gnomAD 1.57e-05 0.00 chr4-120060226-C-T
184 S→L missense_variant COSMIC damaging likely_pathogenic (0.69) -10.25 COSV104613725
185 G→E missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.89) -9.12 chr4-120060224-C-T
186 frameshift_variant gnomAD 6.85e-07 LoF chr4-120060220-TG-T
186 P→T missense_variant gnomAD 9.58e-06 damaging likely_pathogenic (0.89) -10.31 chr4-120060222-G-T
186 P→T missense_variant COSMIC damaging likely_pathogenic (0.89) -10.31 COSV56637625
188 F→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.77) -6.34 chr4-120060216-A-G
189 I→I synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060211-A-T
189 I→V missense_variant gnomAD 4.11e-06 likely_benign (0.13) -6.56 chr4-120060213-T-C
190 T→T synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060208-G-A
190 T→T synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060208-G-C
191 N→N synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060205-A-G
191 N→S missense_variant gnomAD 6.85e-07 likely_benign (0.07) -4.55 chr4-120060206-T-C
192 S→F missense_variant gnomAD 3.42e-06 damaging likely_pathogenic (0.85) -10.37 chr4-120060203-G-A
192 S→A missense_variant gnomAD 1.37e-06 damaging likely_benign (0.10) -9.31 chr4-120060204-A-C
192 S→T missense_variant gnomAD 6.85e-07 damaging likely_benign (0.33) -10.69 chr4-120060204-A-T
193 E→G missense_variant gnomAD 1.51e-05 damaging likely_pathogenic (0.86) -10.19 chr4-120060200-T-C
194 E→G missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.73) -9.69 chr4-120060197-T-C
194 E→K missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.73) -9.00 chr4-120060198-C-T
195 V→I missense_variant gnomAD 6.85e-07 damaging ambiguous (0.49) -9.00 chr4-120060195-C-T
196 R→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.76) -8.18 chr4-120060191-C-A
196 R→H missense_variant gnomAD 7.53e-06 likely_benign (0.32) -6.15 chr4-120060191-C-T
196 R→C missense_variant gnomAD 1.64e-05 ambiguous (0.44) -6.15 chr4-120060192-G-A
196 R→L missense_variant COSMIC damaging likely_pathogenic (0.76) -8.18 COSV99633797
196 R→C missense_variant COSMIC ambiguous (0.44) -6.15 COSV56637784
197 L→F missense_variant gnomAD 1.10e-05 damaging likely_pathogenic (0.90) -9.69 chr4-120060189-G-A
197 L→R missense_variant COSMIC damaging likely_pathogenic (0.99) -13.06 COSV99633921
198 R→L missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.97) -10.50 chr4-120060185-C-A
198 R→H missense_variant gnomAD 7.53e-06 damaging likely_pathogenic (0.71) -8.25 chr4-120060185-C-T
198 R→C missense_variant gnomAD 2.74e-06 damaging likely_pathogenic (0.86) -8.19 chr4-120060186-G-A
198 R→H missense_variant ClinVar Uncertain significance damaging likely_pathogenic (0.71) -8.25 ClinVar:3541917
198 R→C missense_variant COSMIC damaging likely_pathogenic (0.86) -8.19 COSV56637566
199 S→S synonymous_variant gnomAD 9.59e-06 0.00 chr4-120060181-T-C
199 S→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.86) -12.12 chr4-120060182-G-A
199 S→* stop_gained COSMIC LoF COSV99633830
200 F→F synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060178-A-G
200 F→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (1.00) -9.62 chr4-120060180-A-G
203 T→I missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.89) -7.96 chr4-120060170-G-A
203 T→I missense_variant COSMIC damaging likely_pathogenic (0.89) -7.96 COSV106096082
204 I→V missense_variant gnomAD 5.62e-03 likely_benign (0.10) -5.18 chr4-120060168-T-C
204 I→V missense_variant ClinVar Benign likely_benign (0.10) -5.18 ClinVar:782943
205 H→H synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060163-G-A
205 H→R missense_variant COSMIC damaging likely_pathogenic (0.99) -11.31 COSV56637130
207 V→V synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060157-T-C
208 N→N synonymous_variant gnomAD 1.37e-06 0.00 chr4-120060154-A-G
209 S→N missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.93) -10.75 chr4-120060152-C-T
209 S→G missense_variant COSMIC damaging likely_benign (0.28) -9.44 COSV56636733
210 M→K missense_variant gnomAD 7.56e-06 damaging ambiguous (0.44) -9.44 chr4-120060149-A-T
211 V→M missense_variant COSMIC damaging likely_pathogenic (1.00) -11.62 COSV56636857
212 A→A synonymous_variant gnomAD 2.07e-06 0.00 chr4-120060142-G-A
212 A→A synonymous_variant gnomAD 6.91e-07 0.00 chr4-120060142-G-C
212 A→V missense_variant gnomAD 6.91e-07 damaging likely_pathogenic (0.78) -8.25 chr4-120060143-G-A
212 A→T missense_variant gnomAD 2.07e-06 ambiguous (0.42) -6.56 chr4-120060144-C-T
213 Y→Y synonymous_variant gnomAD 6.90e-07 0.00 chr4-120060139-G-A
214 K→R missense_variant gnomAD 2.07e-06 likely_benign (0.06) -5.31 chr4-120060137-T-C
214 K→E missense_variant gnomAD 6.90e-07 damaging likely_pathogenic (0.69) -11.37 chr4-120060138-T-C
215 I→M missense_variant gnomAD 2.07e-06 likely_benign (0.09) -6.84 chr4-120060133-A-C
215 I→I synonymous_variant gnomAD 6.90e-07 0.00 chr4-120060133-A-G
216 P→S missense_variant COSMIC likely_benign (0.13) -5.24 COSV56636813
217 V→V synonymous_variant gnomAD 6.91e-07 0.00 chr4-120060127-G-A
217 V→L missense_variant gnomAD 4.15e-06 likely_benign (0.09) -5.62 chr4-120060129-C-G
217 V→I missense_variant gnomAD 4.84e-06 likely_benign (0.07) -4.18 chr4-120060129-C-T
217 V→I missense_variant COSMIC likely_benign (0.07) -4.18 COSV56636962
218 N→S missense_variant gnomAD 1.38e-06 likely_benign (0.06) -3.94 chr4-120060125-T-C
219 D→D synonymous_variant gnomAD 1.38e-05 0.00 chr4-120060121-G-A
219 D→Y missense_variant gnomAD 1.38e-06 damaging likely_benign (0.28) -7.90 chr4-120060123-C-A
219 D→N missense_variant gnomAD 2.77e-06 likely_benign (0.08) -6.37 chr4-120060123-C-T
219 D→N missense_variant ClinVar Uncertain significance likely_benign (0.08) -6.37 ClinVar:2539636

390 variants in the shared canonical core.

LoF = frameshift / stop-gain / splice-disrupting — inherently loss-of-function, flagged by consequence (AlphaMissense and ESM-C score only missense/substitutions, so they are blank here by design, not by absence of impact). AlphaMissense is computed in the canonical reading frame, so it scores the shared core but reads N/A across an isoform-unique extension — use ESM-C ΔLLR there.

Evidence