SwissIsoform v2

MAD2L1 · ENST00000296509.11

EXTENDED 226 aa (canonical 205 aa) · UniProt Q13257 · CDLMPS

chr4:120066797:-:TTG:ENST00000296509.11

AI summary SignalP predicts a cryptic secretory signal peptide in the extension, but DeepLoc's miscalibrated cytoplasm baseline undercuts a true relocalization claim.
How it diverges

The dominant differential finding is a SignalP-called signal peptide (canonical OTHER → isoform SP, probability delta 0.83) with a cleavage site right at the extension boundary, plus a confidently-folded 19-residue helix (pLDDT ~0.79) in the added segment — together suggestive of a novel N-terminal targeting element. However, this helix sits with very high PAE (~18-22 Å) relative to the retained HORMA core and makes almost no contacts with it, so it reads as a locally folded but structurally unintegrated appendage rather than a docked domain; the shared HORMA core itself is essentially unperturbed (RMSD 1.2 Å but high pTM/pLDDT, TM-score 0.98).

Why it matters

MAD2L1 is established as a nuclear/nuclear-envelope spindle-checkpoint protein that must reach kinetochores and the NPC to function; a genuine secretory signal would be a striking functional divergence, redirecting the protein away from its known checkpoint role entirely. But DeepLoc calls the CANONICAL protein 'Cytoplasm' (not nucleus), which already disagrees with the known nuclear/nuclear-envelope localization — the tool is miscalibrated for this protein, so its isoform read (also Cytoplasm, with reduced confidence and only a peripheral/soluble membrane-association shift) cannot be trusted as evidence of altered trafficking. The SignalP signal-peptide call is intriguing but stands uncorroborated by TargetP (noTP unchanged) and by a calibrated localization tool, and no domain gain/loss or whole-protein biophysical shift accompanies it, so the practical impact on MAD2 checkpoint function (MAD1 binding, kinetochore/NPC localization) remains unresolved rather than demonstrated.

Structured N-terminal extension
LLM confidence low

DeepLoc's canonical-protein call (Cytoplasm) contradicts the known nuclear/nuclear-envelope localization, so its localization outputs for this gene are not trustworthy; the SignalP signal-peptide gain is real but lacks TargetP/DeepLoc corroboration and the extension is not evolutionarily conserved, weakening confidence that this is a biologically consequential targeting change.

Folding

Canonical (205 aa)
Download CIF
Isoform (226 aa)
Download CIF
Coloured by ESMFold2 pLDDT confidence (blue = high, orange/red = low). Differential region — residues 1–21 (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 (1–21).

Evidence — click any tile for the differential-region detail

C Conservation Not interesting
LLM reasoning
The 21-aa N-terminal extension added by this isoform shows no evidence of purifying selection: primate amino-acid identity is only 74.4% (versus 99.7% for the canonical sequence in the same species set), mammalian identity drops further to 42.7% (versus 95.4% canonical), and absolute phyloP over the unique region is -0.38, far below the ~2 threshold for constraint and actually slightly negative rather than conserved. The shared/canonical region, by contrast, shows strong phyloP (4.26), confirming the constraint machinery works here and simply finds nothing in the added segment. All three conservation submodules argue against this extension being a conserved, functionally important addition; it reads as evolutionarily young or fast-diverging sequence rather than a constrained protein-coding extension.
Unique region 74.4% similar across primates
Unique region 42.7% similar across mammals
Unique region PhyloP: -0.38neutral selection
D Detection Interesting
LLM reasoning
This N-terminal extension has direct peptide-level proof of translation: two of five isoform-unique peptides spanning the added MEPLWLLSAEWKRVLLFVSLA segment were PepQuery2-validated with strong hyperscores (24.8 and 18.5) and low p-values, confirming the extended protein is actually made, not just transcribed. Ribosome-profiling data corroborate this at the RNA level, with the alternative TIS reproducibly called in 2 of 6 cell lines (HeLa and K562, both p<0.05) despite no data available for the other four lines. Initiation efficiency at this upstream start is real but modest relative to the canonical start (0.052 and 0.022 in HeLa/K562 vs. canonical 1.50 and 0.55, i.e. the alt TIS is used only ~3.5% as often as canonical), consistent with a minor but genuine alternative initiation event rather than noise. Together, orthogonal detection at the ribosome and proteome level makes a strong case that this extended isoform is a bona fide, if low-abundance, translation product.
detected in 2/6 cell lines
alt used 0.035× vs canonical
2/5 isoform-unique peptides validated
L Localization Interesting
LLM reasoning
The N-terminal extension introduces a SignalP-predicted signal peptide (canonical: OTHER, isoform: SP, probability delta 0.83) with a predicted cleavage site at position 23-24, right at the boundary of the added 21-aa segment — a plausible cryptic secretory signal created by the new N-terminus. This is tempered by low-confidence, ambiguous overall calls: DeepLoc's top predicted compartment is unchanged (Cytoplasm for both), but with reduced confidence in the isoform (0.51 vs 0.66) and a shift in membrane association from purely Soluble to Peripheral/Soluble, and TargetP still calls noTP for both despite a large internal probability shift toward the SP pathway. No nuclear export signal change is seen. Taken together, the SignalP signal-peptide gain is the standout, biologically plausible finding — it suggests the extension could alter subcellular routing — but the corroborating DeepLoc/TargetP evidence is soft, so this is a real but not fully resolved localization signal worth flagging as interesting rather than a conclusive relocalization.
iso: Cytoplasm | canon: Cytoplasm
iso: noTP | canon: noTP
M Mutation Landscape Not interesting
LLM reasoning
No disease signal supports functional relevance of this extension's unique region. Disease-variant density is markedly lower in the unique region than the shared core (3 vs 107 raw counts, enrichment ratio 0.27), and critically zero of the ClinVar calls anywhere on the isoform reach pathogenic/likely-pathogenic status — the 17 ClinVar entries found are all Uncertain significance, Likely benign, or Benign, and every one sits in the shared canonical region, none in the unique N-terminal addition. The only unique-region disease-database hits are three COSMIC records, each with cosmic_sample_count=1, annotated as intronic consequence rather than missense — consistent with this being a never-coding 5'UTR/intronic region rather than a hotspot of disease-relevant substitutions. The germline constraint metrics are not informative here since this is an extension (the unique region was never coding), so disease density is the only readable signal, and it argues against — rather than for — functional consequence.
gnomAD variants 1.76× more in unique region — tolerant
Disease variants 3.65× less in unique region — depleted
P Predicted Structure Neutral
LLM reasoning
The extension gains a real, confidently-folded 19-residue helix (residues 9-27, pLDDT up to 0.86 in its core, mean 0.775 overall), but it is not integrated with the canonical fold: the PAE between this helix and the rest of the isoform averages 18.74 Å (versus a body-internal PAE of only 2.61 Å, showing the retained core itself is tightly resolved), and its only contacts are 10 sparse contacts confined to residues 22-25 immediately downstream of the extension, not to the folded core. So this is a locally well-formed segment dangling in an unresolved orientation rather than a docked structural element. The shared-region RMSD of 1.2 Å is minor and backed by strong confidence qualifiers (pTM 0.88-0.95, shared pLDDT ~0.94), so the retained core is essentially unperturbed — no evidence of refolding. Net picture: a folded but non-integrated extension plus an unperturbed core, which is a mixed, unremarkable structural signal.
pLDDT Differential Region: 0.775
Shared-Region RMSD: 1.20 Å
1 secondary structure identified in unique region
S Structural Characteristics Neutral
LLM reasoning
The N-terminal extension adds a segment that does not overlap any real InterPro domain (the sole domain hit, the HORMA superfamily, spans residues 20-226, essentially the canonical shared core) and produces no whole-protein biophysical shift — gravy, fraction-charged, and disorder deltas between isoform and canonical are all small (0.096, -0.006, -0.010), below the shift threshold. The sparse-autoencoder magnitude check does fire (top shared-feature activation shift 12.14 vs threshold 10.0), indicating the extension perturbs the model's internal representation somewhat, but with 105 gained and 15 lost features this is expected context for any length change and carries no domain- or structure-level corroboration from the other two members. Taken together, the category shows no evidence of a gained/lost domain or altered biophysical character, with only an isolated representational-magnitude signal that doesn't rise to a clear functional read.
No diverging domains
more hydrophobic (+1.03) · less charged (-0.07) · less disordered (-0.11)
120 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 L→W missense_variant gnomAD 2.78e-06 N/A chr4-120066796-A-C
0 L→V missense_variant gnomAD 9.40e-07 N/A chr4-120066797-A-C
0 L→L synonymous_variant gnomAD 5.64e-06 N/A chr4-120066797-A-G
1 E→D missense_variant gnomAD 8.87e-07 N/A -0.69 chr4-120066792-C-A
1 E→D missense_variant gnomAD 3.55e-06 N/A -0.69 chr4-120066792-C-G
1 E→E synonymous_variant gnomAD 2.66e-06 N/A 0.00 chr4-120066792-C-T
2 P→L missense_variant gnomAD 6.13e-06 N/A 0.86 chr4-120066790-G-A
2 P→Q missense_variant gnomAD 4.38e-06 N/A -0.28 chr4-120066790-G-T
3 L→L synonymous_variant gnomAD 8.19e-07 N/A 0.00 chr4-120066788-G-A
4 W→* stop_gained gnomAD 3.19e-06 LoF chr4-120066783-C-T
4 W→R missense_variant gnomAD 8.13e-07 N/A 1.16 chr4-120066785-A-G
5 L→F missense_variant gnomAD 7.84e-07 N/A -0.91 chr4-120066780-C-A
5 L→W missense_variant gnomAD 7.86e-07 N/A -1.79 chr4-120066781-A-C
6 frameshift_variant gnomAD 2.19e-04 LoF chr4-120066778-A-AGC
6 L→P missense_variant gnomAD 5.47e-06 N/A -0.67 chr4-120066778-A-G
6 L→L synonymous_variant COSMIC N/A 0.00 COSV56636693
7 S→S synonymous_variant gnomAD 3.74e-06 N/A 0.00 chr4-120066774-G-A
7 S→S synonymous_variant gnomAD 2.24e-06 N/A 0.00 chr4-120066774-G-C
7 S→S synonymous_variant gnomAD 8.97e-06 N/A 0.00 chr4-120066774-G-T
8 A→A synonymous_variant gnomAD 4.41e-06 N/A 0.00 chr4-120066771-C-T
8 A→T missense_variant gnomAD 1.50e-06 N/A -0.98 chr4-120066773-C-T
9 E→E synonymous_variant gnomAD 7.24e-07 N/A 0.00 chr4-120066768-C-T
9 E→G missense_variant gnomAD 7.29e-07 N/A 0.94 chr4-120066769-T-C
9 E→Q missense_variant gnomAD 7.35e-07 N/A -0.45 chr4-120066770-C-G
10 W→R missense_variant gnomAD 7.25e-07 N/A 1.77 chr4-120066767-A-T
11 K→N missense_variant gnomAD 7.10e-07 N/A -0.84 chr4-120066762-C-A
11 K→N missense_variant gnomAD 7.10e-07 N/A -0.84 chr4-120066762-C-G
11 K→R missense_variant gnomAD 4.97e-06 N/A 1.09 chr4-120066763-T-C
11 K→E missense_variant gnomAD 2.14e-06 N/A -0.06 chr4-120066764-T-C
12 R→R synonymous_variant gnomAD 1.27e-05 N/A 0.00 chr4-120066759-G-A
12 R→C missense_variant gnomAD 1.42e-06 N/A -0.77 chr4-120066761-G-A
12 R→G missense_variant gnomAD 2.84e-06 N/A -0.33 chr4-120066761-G-C
12 R→C missense_variant COSMIC N/A -0.77 COSV56636912
13 V→V synonymous_variant gnomAD 8.48e-06 N/A 0.00 chr4-120066756-C-T
13 V→L missense_variant gnomAD 2.82e-06 N/A 0.66 chr4-120066758-C-A
14 L→F missense_variant gnomAD 9.81e-06 N/A -0.50 chr4-120066755-G-A
14 L→V missense_variant gnomAD 1.68e-05 N/A -0.67 chr4-120066755-G-C
15 frameshift_variant gnomAD 6.99e-07 LoF chr4-120066750-CA-C
15 L→S missense_variant gnomAD 6.99e-07 N/A -0.30 chr4-120066751-A-G
16 F→S missense_variant gnomAD 1.39e-06 N/A 1.08 chr4-120066748-A-G
17 frameshift_variant gnomAD 6.95e-07 LoF chr4-120066744-CACAA-C
17 V→E missense_variant gnomAD 6.95e-07 N/A -1.14 chr4-120066745-A-T
17 V→L missense_variant gnomAD 2.09e-06 N/A 0.95 chr4-120066746-C-A
17 V→L missense_variant gnomAD 6.97e-07 N/A 0.95 chr4-120066746-C-G
18 S→F missense_variant gnomAD 1.39e-06 N/A -0.80 chr4-120066742-G-A
18 S→Y missense_variant gnomAD 2.78e-06 N/A -2.08 chr4-120066742-G-T
19 L→L synonymous_variant gnomAD 6.93e-07 N/A 0.00 chr4-120066738-C-T
19 L→R missense_variant gnomAD 3.47e-06 N/A -0.45 chr4-120066739-A-C
19 L→Q missense_variant gnomAD 1.39e-06 N/A -1.66 chr4-120066739-A-T
19 L→L synonymous_variant gnomAD 1.39e-06 N/A 0.00 chr4-120066740-G-A
20 A→A synonymous_variant gnomAD 2.77e-06 N/A 0.00 chr4-120066735-G-A
20 A→V missense_variant gnomAD 6.93e-07 N/A -0.58 chr4-120066736-G-A
20 A→D missense_variant gnomAD 6.93e-07 N/A -1.67 chr4-120066736-G-T
20 A→S missense_variant COSMIC N/A -0.72 COSV99633801

54 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
21 M→T missense_variant gnomAD 1.38e-06 damaging -9.37 chr4-120066733-A-G
21 M→K missense_variant gnomAD 6.92e-07 damaging -10.81 chr4-120066733-A-T
21 M→V missense_variant gnomAD 6.92e-07 damaging -8.87 chr4-120066734-T-C
21 frameshift_variant COSMIC LoF COSV99634044
22 A→A synonymous_variant gnomAD 1.38e-06 0.00 chr4-120066729-C-T
22 A→V missense_variant gnomAD 1.11e-05 damaging likely_pathogenic (0.60) -7.98 chr4-120066730-G-A
22 A→E missense_variant gnomAD 6.92e-07 damaging ambiguous (0.34) -8.11 chr4-120066730-G-T
22 A→S missense_variant gnomAD 6.91e-07 likely_benign (0.13) -5.20 chr4-120066731-C-A
22 A→T missense_variant gnomAD 1.73e-05 likely_benign (0.33) -5.05 chr4-120066731-C-T
23 L→L synonymous_variant gnomAD 6.90e-07 0.00 chr4-120066726-C-T
23 L→R missense_variant COSMIC likely_benign (0.05) -7.25 COSV99633902
24 Q→* stop_gained gnomAD 1.38e-06 LoF chr4-120066725-G-A
25 L→L synonymous_variant gnomAD 1.38e-06 0.00 chr4-120066720-G-A
25 L→L synonymous_variant gnomAD 1.38e-06 0.00 chr4-120066720-G-C
25 L→H missense_variant gnomAD 1.38e-06 damaging likely_benign (0.14) -8.68 chr4-120066721-A-T
25 L→F missense_variant gnomAD 3.45e-06 likely_benign (0.11) -6.81 chr4-120066722-G-A
25 L→V missense_variant gnomAD 1.38e-06 likely_benign (0.06) -6.46 chr4-120066722-G-C
25 L→I missense_variant gnomAD 2.07e-06 likely_benign (0.07) -6.90 chr4-120066722-G-T
25 L→L synonymous_variant COSMIC 0.00 COSV56637843
26 S→F missense_variant gnomAD 6.90e-07 damaging ambiguous (0.34) -8.62 chr4-120066718-G-A
27 R→R synonymous_variant gnomAD 4.83e-06 0.00 chr4-120066714-C-T
27 R→Q missense_variant gnomAD 2.21e-05 likely_benign (0.17) -6.23 chr4-120066715-C-T
27 R→W missense_variant gnomAD 6.90e-07 damaging ambiguous (0.52) -8.23 chr4-120066716-G-A
27 R→G missense_variant gnomAD 1.24e-05 likely_benign (0.12) -6.55 chr4-120066716-G-C
27 R→Q missense_variant ClinVar Uncertain significance likely_benign (0.17) -6.23 ClinVar:3541916
28 E→E synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066711-C-T
28 E→V missense_variant gnomAD 6.89e-07 damaging likely_benign (0.32) -9.29 chr4-120066712-T-A
28 frameshift_variant gnomAD 6.90e-07 LoF chr4-120066712-TC-T
28 E→K missense_variant gnomAD 4.83e-06 damaging ambiguous (0.44) -8.23 chr4-120066713-C-T
29 Q→Q synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066708-C-T
29 Q→Q synonymous_variant ClinVar Likely benign 0.00 ClinVar:2655059
29 Q→* stop_gained COSMIC LoF COSV56636507
30 G→G synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066705-T-C
30 G→R missense_variant gnomAD 2.76e-06 damaging likely_pathogenic (0.89) -8.56 chr4-120066707-C-T
30 G→R missense_variant ClinVar Uncertain significance damaging likely_pathogenic (0.89) -8.56 ClinVar:2481387
30 G→G synonymous_variant ClinVar Likely benign 0.00 ClinVar:2655058
31 I→M missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.80) -10.37 chr4-120066702-G-C
31 I→T missense_variant gnomAD 1.38e-06 damaging likely_pathogenic (0.98) -10.87 chr4-120066703-A-G
31 I→V missense_variant gnomAD 6.89e-06 likely_benign (0.28) -7.12 chr4-120066704-T-C
31 I→V missense_variant ClinVar Uncertain significance likely_benign (0.28) -7.12 ClinVar:2490789
31 I→I synonymous_variant COSMIC 0.00 COSV106426012
31 I→N missense_variant COSMIC damaging likely_pathogenic (0.98) -12.25 COSV56636743
32 T→T synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066699-G-A
33 L→P missense_variant gnomAD 8.95e-06 damaging likely_pathogenic (0.99) -11.44 chr4-120066697-A-G
33 L→M missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.81) -12.94 chr4-120066698-G-T
33 L→L synonymous_variant ClinVar Likely benign 0.00 ClinVar:2655057
33 L→M missense_variant COSMIC damaging likely_pathogenic (0.81) -12.94 COSV99633896
34 R→R synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066693-G-T
35 G→G synonymous_variant gnomAD 2.75e-06 0.00 chr4-120066690-C-G
35 G→G synonymous_variant gnomAD 1.24e-05 0.00 chr4-120066690-C-T
35 G→R missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (1.00) -10.12 chr4-120066692-C-G
35 G→R missense_variant COSMIC damaging likely_pathogenic (1.00) -10.12 COSV56637063
37 A→A synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066684-G-C
37 A→A synonymous_variant gnomAD 1.38e-06 0.00 chr4-120066684-G-T
37 A→V missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.92) -8.25 chr4-120066685-G-A
37 A→S missense_variant gnomAD 6.89e-07 likely_benign (0.29) -7.50 chr4-120066686-C-A
37 A→T missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.78) -7.62 chr4-120066686-C-T
38 E→K missense_variant gnomAD 1.38e-06 damaging likely_pathogenic (0.68) -9.80 chr4-120066683-C-T
38 E→E synonymous_variant ClinVar Likely benign 0.00 ClinVar:2655056
39 I→M missense_variant gnomAD 1.38e-06 likely_benign (0.16) -7.18 chr4-120066678-G-C
39 I→I synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066678-G-T
40 V→A missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.96) -10.94 chr4-120066676-A-G
40 V→L missense_variant gnomAD 2.07e-06 damaging likely_pathogenic (0.97) -11.31 chr4-120066677-C-G
41 A→A synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066672-G-A
41 A→T missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.67) -7.68 chr4-120066674-C-T
41 A→V missense_variant COSMIC damaging likely_pathogenic (0.90) -8.81 COSV56637607
42 E→E synonymous_variant gnomAD 8.27e-06 0.00 chr4-120066669-C-T
42 E→D missense_variant COSMIC ambiguous (0.48) -7.37 COSV99633714
43 F→L missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (1.00) -10.12 chr4-120066668-A-G
43 F→F synonymous_variant COSMIC 0.00 COSV56636758
43 F→L missense_variant COSMIC damaging likely_pathogenic (1.00) -10.12 COSV56636790
44 F→F synonymous_variant gnomAD 6.89e-07 0.00 chr4-120066663-G-A
44 F→S missense_variant gnomAD 2.07e-06 damaging likely_pathogenic (0.99) -14.12 chr4-120066664-A-G
45 S→S synonymous_variant gnomAD 6.85e-07 0.00 chr4-120065817-T-A
45 S→A missense_variant gnomAD 1.38e-06 damaging likely_benign (0.10) -7.52 chr4-120066662-A-C
45 frameshift_variant gnomAD 2.07e-06 LoF chr4-120066662-AG-A
45 S→L missense_variant COSMIC damaging likely_benign (0.27) -8.56 COSV56637555
46 F→F synonymous_variant gnomAD 6.85e-07 0.00 chr4-120065814-G-A
46 F→L missense_variant gnomAD 8.90e-06 damaging likely_pathogenic (0.99) -8.68 chr4-120065814-G-C
47 G→G synonymous_variant gnomAD 3.63e-05 0.00 chr4-120065811-G-A
47 G→D missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (1.00) -12.62 chr4-120065812-C-T
47 G→S missense_variant gnomAD 2.05e-06 damaging likely_pathogenic (0.79) -7.87 chr4-120065813-C-T
47 G→G synonymous_variant COSMIC 0.00 COSV56636895
48 I→I synonymous_variant gnomAD 6.85e-07 0.00 chr4-120065808-G-A
48 I→F missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.85) -11.62 chr4-120065810-T-A
52 L→L synonymous_variant gnomAD 1.57e-05 0.00 chr4-120065796-T-C
53 Y→* stop_gained gnomAD 6.84e-07 LoF chr4-120065793-A-T
53 Y→H missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.96) -8.81 chr4-120065795-A-G
55 R→H missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.99) -11.31 chr4-120065788-C-T
55 R→C missense_variant COSMIC damaging likely_pathogenic (0.99) -11.44 COSV56636453
56 G→G synonymous_variant gnomAD 2.05e-06 0.00 chr4-120065784-G-C
57 I→M missense_variant gnomAD 2.05e-06 damaging likely_pathogenic (0.67) -8.43 chr4-120065781-T-C
57 I→V missense_variant gnomAD 6.84e-07 likely_benign (0.13) -6.25 chr4-120065783-T-C
57 I→L missense_variant gnomAD 6.84e-07 likely_benign (0.23) -7.18 chr4-120065783-T-G
57 I→M missense_variant COSMIC damaging likely_pathogenic (0.67) -8.43 COSV56637152
58 Y→S missense_variant gnomAD 2.05e-06 damaging likely_pathogenic (0.96) -12.62 chr4-120065779-T-G
58 Y→C missense_variant ClinVar Uncertain significance damaging likely_pathogenic (0.91) -12.06 ClinVar:2337132
59 P→P synonymous_variant gnomAD 6.84e-07 0.00 chr4-120065775-T-C
60 S→S synonymous_variant gnomAD 6.84e-06 0.00 chr4-120065772-A-T
60 S→C missense_variant gnomAD 2.05e-06 damaging likely_benign (0.15) -9.02 chr4-120065773-G-C
62 T→T synonymous_variant gnomAD 2.05e-06 0.00 chr4-120065766-G-A
62 T→N missense_variant gnomAD 6.84e-07 damaging likely_benign (0.16) -8.18 chr4-120065767-G-T
64 T→I missense_variant gnomAD 3.42e-06 likely_benign (0.26) -6.92 chr4-120065761-G-A
64 T→I missense_variant ClinVar Uncertain significance likely_benign (0.26) -6.92 ClinVar:2314971
65 R→G missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.82) -9.50 chr4-120065759-G-C
65 R→R synonymous_variant gnomAD 6.84e-07 0.00 chr4-120065759-G-T
65 R→* stop_gained COSMIC LoF COSV56636783
66 V→V synonymous_variant gnomAD 1.37e-06 0.00 chr4-120065754-C-T
66 V→A missense_variant gnomAD 6.84e-07 ambiguous (0.39) -5.87 chr4-120065755-A-G
67 Q→P missense_variant gnomAD 2.05e-06 damaging likely_benign (0.27) -8.50 chr4-120065752-T-G
67 Q→* stop_gained COSMIC LoF COSV99634048
67 Q→Q synonymous_variant COSMIC 0.00 COSV56636984
67 Q→R missense_variant COSMIC damaging likely_benign (0.32) -9.25 COSV105896543
68 K→* stop_gained COSMIC LoF COSV56636610
69 Y→Y synonymous_variant gnomAD 4.31e-05 0.00 chr4-120065745-G-A
69 Y→C missense_variant COSMIC damaging likely_pathogenic (0.98) -9.81 COSV56636603
70 G→R missense_variant COSMIC damaging likely_pathogenic (0.97) -10.25 COSV106426007
70 G→* stop_gained COSMIC LoF COSV56636827
71 L→F missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.91) -9.62 chr4-120065741-G-A
72 T→T synonymous_variant gnomAD 1.37e-06 0.00 chr4-120065736-G-A
72 T→T synonymous_variant gnomAD 6.84e-07 0.00 chr4-120065736-G-C
72 T→I missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.77) -8.68 chr4-120065737-G-A
73 L→F missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.77) -9.87 chr4-120065733-C-G
73 frameshift_variant gnomAD 8.21e-06 LoF chr4-120065733-CA-C
73 L→W missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.98) -13.31 chr4-120065734-A-C
74 L→F missense_variant gnomAD 6.84e-07 damaging likely_benign (0.26) -8.69 chr4-120065732-G-A
75 V→L missense_variant COSMIC likely_benign (0.32) -7.34 COSV56636970
77 T→A missense_variant gnomAD 2.12e-05 likely_benign (0.10) -5.80 chr4-120065723-T-C
80 E→Q missense_variant gnomAD 6.84e-07 damaging likely_benign (0.13) -7.58 chr4-120065714-C-G
82 frameshift_variant gnomAD 6.84e-07 LoF chr4-120065708-TG-T
83 K→R missense_variant gnomAD 6.84e-07 likely_benign (0.08) -5.92 chr4-120065704-T-C
83 K→* stop_gained gnomAD 6.84e-07 LoF chr4-120065705-T-A
84 Y→F missense_variant gnomAD 2.74e-06 ambiguous (0.38) -6.94 chr4-120065701-T-A
84 Y→C missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.96) -10.00 chr4-120065701-T-C
84 Y→N missense_variant COSMIC damaging likely_pathogenic (0.98) -10.81 COSV99633708
85 L→L synonymous_variant gnomAD 1.37e-06 0.00 chr4-120065697-T-C
85 L→L synonymous_variant gnomAD 1.37e-06 0.00 chr4-120065697-T-G
85 frameshift_variant gnomAD 6.84e-07 LoF chr4-120065697-TA-T
85 L→I missense_variant gnomAD 1.21e-04 damaging likely_benign (0.17) -8.31 chr4-120065699-G-T
86 N→S missense_variant gnomAD 2.74e-06 likely_benign (0.07) -3.68 chr4-120065695-T-C
86 N→N synonymous_variant COSMIC 0.00 COSV108109490
87 N→N synonymous_variant gnomAD 2.05e-06 0.00 chr4-120065691-A-G
87 N→Y missense_variant gnomAD 1.37e-06 damaging likely_benign (0.16) -8.23 chr4-120065693-T-A
87 N→Y missense_variant ClinVar Uncertain significance damaging likely_benign (0.16) -8.23 ClinVar:3869470
88 V→G missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (0.89) -11.56 chr4-120065689-A-C
88 V→L missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.88) -8.69 chr4-120065690-C-A
90 E→K missense_variant COSMIC damaging likely_benign (0.14) -7.81 COSV56636425
91 Q→Q synonymous_variant gnomAD 1.57e-05 0.00 chr4-120065679-T-C
92 L→L synonymous_variant gnomAD 4.11e-06 0.00 chr4-120065676-C-T
93 K→R missense_variant gnomAD 6.84e-07 likely_benign (0.10) -4.08 chr4-120065674-T-C
94 D→G missense_variant gnomAD 6.88e-07 likely_benign (0.12) -5.71 chr4-120062095-T-C
94 D→H missense_variant gnomAD 6.85e-07 damaging likely_benign (0.28) -9.40 chr4-120065672-C-G
95 W→L missense_variant COSMIC damaging likely_pathogenic (0.93) -10.50 COSV99633853
96 L→L synonymous_variant gnomAD 6.86e-07 0.00 chr4-120062088-T-C
96 frameshift_variant gnomAD 6.18e-06 LoF chr4-120062090-A-AC
97 Y→C missense_variant gnomAD 2.74e-06 likely_benign (0.07) -5.45 chr4-120062086-T-C
97 Y→F missense_variant COSMIC likely_benign (0.08) -4.57 COSV56636540
97 Y→H missense_variant COSMIC likely_benign (0.13) -6.64 COSV56637585
98 K→N missense_variant gnomAD 1.51e-05 likely_benign (0.19) -6.30 chr4-120062082-C-G
98 K→K synonymous_variant gnomAD 3.43e-06 0.00 chr4-120062082-C-T
98 K→R missense_variant gnomAD 1.23e-05 likely_benign (0.07) -5.96 chr4-120062083-T-C
98 K→* stop_gained COSMIC LoF COSV56637871
99 C→Y missense_variant gnomAD 1.37e-06 damaging ambiguous (0.51) -8.62 chr4-120062080-C-T
99 C→S missense_variant gnomAD 2.06e-06 ambiguous (0.41) -7.19 chr4-120062081-A-T
100 S→S synonymous_variant gnomAD 1.37e-06 0.00 chr4-120062076-T-A
100 S→S synonymous_variant gnomAD 6.85e-07 0.00 chr4-120062076-T-C
100 S→L missense_variant gnomAD 6.85e-07 likely_benign (0.10) -6.53 chr4-120062077-G-A
100 S→* stop_gained gnomAD 6.85e-07 LoF chr4-120062077-G-C
100 S→L missense_variant COSMIC likely_benign (0.10) -6.53 COSV56636668
102 Q→R missense_variant gnomAD 2.06e-06 damaging likely_benign (0.32) -8.62 chr4-120062071-T-C
102 Q→* stop_gained COSMIC LoF COSV56636702
104 L→L synonymous_variant gnomAD 1.37e-06 0.00 chr4-120062064-C-A
104 L→L synonymous_variant COSMIC 0.00 COSV56637689
105 V→V synonymous_variant gnomAD 6.85e-07 0.00 chr4-120062061-A-T
105 V→F missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.99) -12.31 chr4-120062063-C-A
106 V→L missense_variant gnomAD 6.85e-07 likely_benign (0.27) -7.25 chr4-120062060-C-G
106 V→G missense_variant COSMIC damaging likely_pathogenic (0.92) -11.81 COSV106426017
107 V→V synonymous_variant gnomAD 4.79e-06 0.00 chr4-120062055-A-G
107 V→I missense_variant gnomAD 6.16e-06 damaging likely_benign (0.22) -8.50 chr4-120062057-C-T
108 I→I synonymous_variant gnomAD 4.11e-06 0.00 chr4-120062052-G-A
108 I→T missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.98) -8.56 chr4-120062053-A-G
110 N→D missense_variant gnomAD 6.16e-06 likely_benign (0.07) -6.80 chr4-120062048-T-C
110 N→D missense_variant ClinVar Uncertain significance likely_benign (0.07) -6.80 ClinVar:3121965
111 I→V missense_variant gnomAD 6.09e-05 likely_benign (0.06) -4.88 chr4-120062045-T-C
111 I→N missense_variant COSMIC damaging likely_benign (0.31) -8.57 COSV56636977
111 I→V missense_variant COSMIC likely_benign (0.06) -4.88 COSV99047961
113 S→R missense_variant gnomAD 6.85e-07 damaging ambiguous (0.48) -9.10 chr4-120062037-A-C
113 S→S synonymous_variant gnomAD 1.37e-06 0.00 chr4-120062037-A-G
113 S→T missense_variant gnomAD 6.85e-07 likely_benign (0.06) -3.75 chr4-120062038-C-G
113 S→N missense_variant gnomAD 1.16e-05 likely_benign (0.07) -5.35 chr4-120062038-C-T
113 S→R missense_variant COSMIC damaging ambiguous (0.48) -9.10 COSV56636802
114 G→V missense_variant gnomAD 6.85e-07 damaging ambiguous (0.40) -10.24 chr4-120062035-C-A
114 G→D missense_variant gnomAD 1.37e-06 damaging likely_benign (0.21) -8.74 chr4-120062035-C-T
115 E→K missense_variant gnomAD 1.44e-05 damaging likely_benign (0.33) -9.75 chr4-120062033-C-T
115 E→K missense_variant COSMIC damaging likely_benign (0.33) -9.75 COSV105174397
116 V→V synonymous_variant gnomAD 6.85e-07 0.00 chr4-120062028-G-A
117 L→L synonymous_variant gnomAD 1.37e-06 0.00 chr4-120062025-C-T
117 L→V missense_variant gnomAD 6.84e-07 damaging likely_benign (0.15) -8.75 chr4-120062027-G-C
119 R→I missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.99) -13.75 chr4-120062020-C-A
121 Q→R missense_variant gnomAD 2.74e-06 damaging likely_pathogenic (0.85) -10.81 chr4-120062014-T-C
121 Q→P missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.99) -12.12 chr4-120062014-T-G
122 F→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (1.00) -10.44 chr4-120062012-A-G
123 D→V missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.81) -10.75 chr4-120062008-T-A
123 D→N missense_variant COSMIC damaging ambiguous (0.38) -9.00 COSV109419265
124 I→I synonymous_variant gnomAD 4.11e-06 0.00 chr4-120062004-A-T
124 I→T missense_variant gnomAD 3.42e-06 damaging likely_pathogenic (0.79) -9.06 chr4-120062005-A-G
125 E→Q missense_variant gnomAD 6.85e-07 damaging likely_benign (0.18) -7.62 chr4-120062003-C-G
126 C→Y missense_variant gnomAD 2.74e-06 damaging likely_pathogenic (0.82) -9.50 chr4-120061999-C-T
127 D→E missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.61) -8.56 chr4-120061995-G-C
128 K→M missense_variant COSMIC damaging ambiguous (0.41) -9.25 COSV56637840
129 T→T synonymous_variant gnomAD 1.24e-05 0.00 chr4-120061989-A-G
129 T→T synonymous_variant COSMIC 0.00 COSV56637816
130 A→A synonymous_variant gnomAD 6.88e-07 0.00 chr4-120061986-T-G
130 A→V missense_variant gnomAD 6.89e-07 likely_benign (0.10) -5.11 chr4-120061987-G-A
130 A→S missense_variant gnomAD 2.07e-06 likely_benign (0.12) -7.11 chr4-120061988-C-A
130 A→V missense_variant COSMIC likely_benign (0.10) -5.11 COSV56636463
131 K→E missense_variant gnomAD 1.38e-06 damaging likely_benign (0.13) -7.83 chr4-120061985-T-C
132 D→D synonymous_variant gnomAD 6.90e-07 0.00 chr4-120061980-A-G
132 D→Y missense_variant gnomAD 3.45e-06 damaging likely_benign (0.26) -8.36 chr4-120061982-C-A
133 D→Y missense_variant gnomAD 6.90e-07 damaging likely_benign (0.19) -7.57 chr4-120061979-C-A
134 S→S synonymous_variant gnomAD 5.60e-06 0.00 chr4-120060977-A-G
134 S→I missense_variant ClinVar damaging likely_benign (0.15) -7.89 ClinVar:4301842
134 S→N missense_variant COSMIC likely_benign (0.12) -5.11 COSV105174411
135 A→A synonymous_variant gnomAD 1.39e-06 0.00 chr4-120060974-T-C
135 A→V missense_variant gnomAD 2.79e-06 likely_benign (0.07) -3.28 chr4-120060975-G-A
135 A→A synonymous_variant COSMIC 0.00 COSV56636648
136 P→L missense_variant gnomAD 2.08e-06 likely_benign (0.25) -6.75 chr4-120060972-G-A
136 P→A missense_variant gnomAD 1.39e-06 damaging likely_benign (0.13) -7.56 chr4-120060973-G-C
136 P→T missense_variant COSMIC damaging likely_benign (0.21) -7.84 COSV99633915
137 R→S missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.92) -8.87 chr4-120060968-T-A
137 R→I missense_variant gnomAD 6.92e-07 damaging likely_pathogenic (0.76) -10.80 chr4-120060969-C-A
137 R→G missense_variant gnomAD 2.07e-06 damaging likely_pathogenic (0.70) -7.90 chr4-120060970-T-C
139 K→K synonymous_variant gnomAD 6.87e-07 0.00 chr4-120060962-C-T
139 frameshift_variant gnomAD 6.87e-07 LoF chr4-120060962-CT-C
139 K→M missense_variant gnomAD 1.99e-05 damaging likely_pathogenic (0.82) -10.31 chr4-120060963-T-A
139 K→E missense_variant gnomAD 6.88e-07 damaging likely_pathogenic (0.96) -11.06 chr4-120060964-T-C
140 S→S synonymous_variant gnomAD 1.37e-06 0.00 chr4-120060959-A-G
140 S→F missense_variant gnomAD 5.70e-05 damaging likely_pathogenic (0.80) -9.05 chr4-120060960-G-A
140 S→C missense_variant gnomAD 1.37e-06 likely_benign (0.21) -7.18 chr4-120060960-G-C
140 S→C missense_variant ClinVar Uncertain significance likely_benign (0.21) -7.18 ClinVar:2624283
141 Q→H missense_variant gnomAD 2.06e-06 likely_benign (0.21) -6.53 chr4-120060956-C-G
141 Q→P missense_variant gnomAD 3.29e-05 likely_benign (0.10) -7.21 chr4-120060957-T-G
142 K→K synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060953-T-C
142 K→T missense_variant gnomAD 6.86e-07 damaging ambiguous (0.37) -8.37 chr4-120060954-T-G
142 K→E missense_variant gnomAD 6.86e-07 damaging ambiguous (0.42) -7.78 chr4-120060955-T-C
145 Q→R missense_variant gnomAD 3.43e-06 damaging likely_benign (0.30) -9.00 chr4-120060945-T-C
145 Q→* stop_gained COSMIC LoF COSV99633770
146 D→N missense_variant gnomAD 6.85e-07 damaging likely_benign (0.15) -8.18 chr4-120060943-C-T
146 D→N missense_variant ClinVar Uncertain significance damaging likely_benign (0.15) -8.18 ClinVar:3121966
148 I→V missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.65) -9.37 chr4-120060937-T-C
148 I→I synonymous_variant COSMIC 0.00 COSV56637007
148 I→V missense_variant COSMIC damaging likely_pathogenic (0.65) -9.37 COSV56636872
149 R→L missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.96) -10.50 chr4-120060933-C-A
149 R→H missense_variant gnomAD 6.85e-06 damaging likely_pathogenic (0.74) -8.75 chr4-120060933-C-T
149 R→C missense_variant gnomAD 3.43e-05 damaging likely_pathogenic (0.61) -8.56 chr4-120060934-G-A
149 R→G missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.86) -10.06 chr4-120060934-G-C
149 R→S missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.93) -9.37 chr4-120060934-G-T
149 R→C missense_variant COSMIC damaging likely_pathogenic (0.61) -8.56 COSV99633932
150 S→A missense_variant gnomAD 6.85e-07 likely_benign (0.12) -6.47 chr4-120060931-A-C
150 S→* stop_gained COSMIC LoF COSV56636444
151 V→V synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060926-C-G
152 I→M missense_variant gnomAD 8.22e-06 damaging likely_benign (0.27) -8.94 chr4-120060923-G-C
153 R→K missense_variant COSMIC damaging likely_pathogenic (0.79) -10.37 COSV56637106
153 R→T missense_variant COSMIC damaging likely_pathogenic (1.00) -13.44 COSV56636656
154 Q→Q synonymous_variant COSMIC 0.00 COSV56637581
156 T→T synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060911-T-C
156 T→I missense_variant COSMIC damaging likely_pathogenic (0.94) -9.81 COSV56637834
157 A→A synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060908-A-C
157 A→D missense_variant COSMIC damaging likely_pathogenic (1.00) -11.12 COSV56637574
158 T→T synonymous_variant gnomAD 1.10e-05 0.00 chr4-120060905-C-T
158 T→M missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.69) -9.56 chr4-120060906-G-A
158 T→T synonymous_variant COSMIC 0.00 COSV56637199
158 T→M missense_variant COSMIC damaging likely_pathogenic (0.69) -9.56 COSV99633752
159 V→V synonymous_variant gnomAD 6.87e-07 0.00 chr4-120060902-C-T
159 V→V synonymous_variant COSMIC 0.00 COSV56637231
159 V→A missense_variant COSMIC damaging likely_pathogenic (0.97) -10.50 COSV56637826
163 P→P synonymous_variant gnomAD 6.18e-02 0.00 chr4-120060890-T-C
163 P→L missense_variant gnomAD 6.89e-07 damaging likely_pathogenic (0.99) -11.69 chr4-120060891-G-A
163 P→P synonymous_variant COSMIC 0.00 COSV56636944
164 L→L synonymous_variant gnomAD 6.89e-07 0.00 chr4-120060887-C-G
166 E→D missense_variant COSMIC likely_benign (0.09) -6.00 COSV56637746
166 E→Q missense_variant COSMIC damaging likely_benign (0.34) -8.68 COSV56636515
167 V→A missense_variant gnomAD 6.91e-07 likely_benign (0.09) -3.35 chr4-120060879-A-G
167 V→F missense_variant gnomAD 6.91e-07 damaging likely_benign (0.17) -8.22 chr4-120060880-C-A
168 S→F missense_variant gnomAD 6.92e-07 damaging likely_benign (0.33) -8.87 chr4-120060876-G-A
168 S→Y missense_variant gnomAD 1.38e-06 damaging likely_benign (0.29) -9.62 chr4-120060876-G-T
168 frameshift_variant gnomAD 6.92e-07 LoF chr4-120060876-GA-G
169 C→Y missense_variant gnomAD 3.45e-06 damaging likely_pathogenic (0.97) -10.19 chr4-120060290-C-T
169 C→Y missense_variant ClinVar Uncertain significance damaging likely_pathogenic (0.97) -10.19 ClinVar:4050418
169 C→R missense_variant COSMIC damaging likely_pathogenic (0.98) -11.37 COSV56637100
170 S→L missense_variant gnomAD 6.88e-07 damaging ambiguous (0.39) -9.55 chr4-120060287-G-A
170 S→* stop_gained COSMIC LoF COSV56637188
172 D→E missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.91) -8.31 chr4-120060280-A-T
172 D→N missense_variant COSMIC damaging likely_pathogenic (0.70) -9.06 COSV108814783
173 L→L synonymous_variant gnomAD 2.06e-06 0.00 chr4-120060277-C-T
173 L→P missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (1.00) -11.37 chr4-120060278-A-G
174 L→L synonymous_variant gnomAD 2.06e-05 0.00 chr4-120060274-C-T
174 L→V missense_variant gnomAD 2.06e-06 damaging likely_pathogenic (0.82) -9.62 chr4-120060276-G-C
175 frameshift_variant COSMIC LoF COSV99633904
176 Y→D missense_variant gnomAD 6.86e-07 damaging likely_pathogenic (0.99) -11.12 chr4-120060270-A-C
177 T→I missense_variant gnomAD 6.86e-07 damaging likely_pathogenic (0.96) -6.87 chr4-120060266-G-A
177 T→A missense_variant gnomAD 6.85e-07 ambiguous (0.36) -6.75 chr4-120060267-T-C
177 T→A missense_variant COSMIC ambiguous (0.36) -6.75 COSV56637751
179 frameshift_variant gnomAD 4.11e-06 LoF chr4-120060260-TTGTC-T
180 D→H missense_variant gnomAD 4.11e-06 damaging likely_pathogenic (0.68) -8.75 chr4-120060258-C-G
181 L→F missense_variant gnomAD 1.37e-06 damaging likely_benign (0.33) -8.37 chr4-120060253-C-G
181 L→S missense_variant gnomAD 1.37e-06 damaging likely_benign (0.29) -8.87 chr4-120060254-A-G
181 L→M missense_variant gnomAD 2.05e-06 likely_benign (0.10) -7.28 chr4-120060255-A-T
181 L→F missense_variant COSMIC damaging likely_benign (0.33) -8.37 COSV99633667
181 L→W missense_variant COSMIC damaging likely_pathogenic (0.59) -11.50 COSV56636532
182 V→V synonymous_variant gnomAD 6.84e-07 0.00 chr4-120060250-A-T
182 V→L missense_variant gnomAD 7.53e-06 likely_benign (0.11) -5.09 chr4-120060252-C-G
183 V→V synonymous_variant gnomAD 4.79e-06 0.00 chr4-120060247-T-C
183 V→L missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.61) -8.00 chr4-120060249-C-A
185 frameshift_variant COSMIC LoF COSV56637918
185 frameshift_variant COSMIC LoF COSV56637019
185 E→* stop_gained COSMIC LoF COSV99633990
187 W→S missense_variant gnomAD 6.84e-07 damaging likely_pathogenic (1.00) -12.37 chr4-120060236-C-G
187 W→G missense_variant COSMIC damaging likely_pathogenic (0.98) -11.81 COSV56637715
188 E→K missense_variant COSMIC damaging likely_pathogenic (0.75) -9.25 COSV99633670
189 E→K missense_variant gnomAD 2.74e-06 damaging likely_pathogenic (0.92) -9.69 chr4-120060231-C-T
190 S→S synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060226-C-A
190 S→S synonymous_variant gnomAD 1.57e-05 0.00 chr4-120060226-C-T
190 S→L missense_variant COSMIC damaging likely_pathogenic (0.69) -10.25 COSV104613725
191 G→E missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.89) -9.12 chr4-120060224-C-T
192 frameshift_variant gnomAD 6.85e-07 LoF chr4-120060220-TG-T
192 P→T missense_variant gnomAD 9.58e-06 damaging likely_pathogenic (0.89) -10.31 chr4-120060222-G-T
192 P→T missense_variant COSMIC damaging likely_pathogenic (0.89) -10.31 COSV56637625
194 F→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.77) -6.34 chr4-120060216-A-G
195 I→I synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060211-A-T
195 I→V missense_variant gnomAD 4.11e-06 likely_benign (0.13) -6.56 chr4-120060213-T-C
196 T→T synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060208-G-A
196 T→T synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060208-G-C
197 N→N synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060205-A-G
197 N→S missense_variant gnomAD 6.85e-07 likely_benign (0.07) -4.55 chr4-120060206-T-C
198 S→F missense_variant gnomAD 3.42e-06 damaging likely_pathogenic (0.85) -10.37 chr4-120060203-G-A
198 S→A missense_variant gnomAD 1.37e-06 damaging likely_benign (0.10) -9.31 chr4-120060204-A-C
198 S→T missense_variant gnomAD 6.85e-07 damaging likely_benign (0.33) -10.69 chr4-120060204-A-T
199 E→G missense_variant gnomAD 1.51e-05 damaging likely_pathogenic (0.86) -10.19 chr4-120060200-T-C
200 E→G missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.73) -9.69 chr4-120060197-T-C
200 E→K missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.73) -9.00 chr4-120060198-C-T
201 V→I missense_variant gnomAD 6.85e-07 damaging ambiguous (0.49) -9.00 chr4-120060195-C-T
202 R→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.76) -8.18 chr4-120060191-C-A
202 R→H missense_variant gnomAD 7.53e-06 likely_benign (0.32) -6.15 chr4-120060191-C-T
202 R→C missense_variant gnomAD 1.64e-05 ambiguous (0.44) -6.15 chr4-120060192-G-A
202 R→L missense_variant COSMIC damaging likely_pathogenic (0.76) -8.18 COSV99633797
202 R→C missense_variant COSMIC ambiguous (0.44) -6.15 COSV56637784
203 L→F missense_variant gnomAD 1.10e-05 damaging likely_pathogenic (0.90) -9.69 chr4-120060189-G-A
203 L→R missense_variant COSMIC damaging likely_pathogenic (0.99) -13.06 COSV99633921
204 R→L missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.97) -10.50 chr4-120060185-C-A
204 R→H missense_variant gnomAD 7.53e-06 damaging likely_pathogenic (0.71) -8.25 chr4-120060185-C-T
204 R→C missense_variant gnomAD 2.74e-06 damaging likely_pathogenic (0.86) -8.19 chr4-120060186-G-A
204 R→H missense_variant ClinVar Uncertain significance damaging likely_pathogenic (0.71) -8.25 ClinVar:3541917
204 R→C missense_variant COSMIC damaging likely_pathogenic (0.86) -8.19 COSV56637566
205 S→S synonymous_variant gnomAD 9.59e-06 0.00 chr4-120060181-T-C
205 S→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.86) -12.12 chr4-120060182-G-A
205 S→* stop_gained COSMIC LoF COSV99633830
206 F→F synonymous_variant gnomAD 6.85e-07 0.00 chr4-120060178-A-G
206 F→L missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (1.00) -9.62 chr4-120060180-A-G
209 T→I missense_variant gnomAD 6.85e-07 damaging likely_pathogenic (0.89) -7.96 chr4-120060170-G-A
209 T→I missense_variant COSMIC damaging likely_pathogenic (0.89) -7.96 COSV106096082
210 I→V missense_variant gnomAD 5.62e-03 likely_benign (0.10) -5.18 chr4-120060168-T-C
210 I→V missense_variant ClinVar Benign likely_benign (0.10) -5.18 ClinVar:782943
211 H→H synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060163-G-A
211 H→R missense_variant COSMIC damaging likely_pathogenic (0.99) -11.31 COSV56637130
213 V→V synonymous_variant gnomAD 6.86e-07 0.00 chr4-120060157-T-C
214 N→N synonymous_variant gnomAD 1.37e-06 0.00 chr4-120060154-A-G
215 S→N missense_variant gnomAD 1.37e-06 damaging likely_pathogenic (0.93) -10.75 chr4-120060152-C-T
215 S→G missense_variant COSMIC damaging likely_benign (0.28) -9.44 COSV56636733
216 M→K missense_variant gnomAD 7.56e-06 damaging ambiguous (0.44) -9.44 chr4-120060149-A-T
217 V→M missense_variant COSMIC damaging likely_pathogenic (1.00) -11.62 COSV56636857
218 A→A synonymous_variant gnomAD 2.07e-06 0.00 chr4-120060142-G-A
218 A→A synonymous_variant gnomAD 6.91e-07 0.00 chr4-120060142-G-C
218 A→V missense_variant gnomAD 6.91e-07 damaging likely_pathogenic (0.78) -8.25 chr4-120060143-G-A
218 A→T missense_variant gnomAD 2.07e-06 ambiguous (0.42) -6.56 chr4-120060144-C-T
219 Y→Y synonymous_variant gnomAD 6.90e-07 0.00 chr4-120060139-G-A
220 K→R missense_variant gnomAD 2.07e-06 likely_benign (0.06) -5.31 chr4-120060137-T-C
220 K→E missense_variant gnomAD 6.90e-07 damaging likely_pathogenic (0.69) -11.37 chr4-120060138-T-C
221 I→M missense_variant gnomAD 2.07e-06 likely_benign (0.09) -6.84 chr4-120060133-A-C
221 I→I synonymous_variant gnomAD 6.90e-07 0.00 chr4-120060133-A-G
222 P→S missense_variant COSMIC likely_benign (0.13) -5.24 COSV56636813
223 V→V synonymous_variant gnomAD 6.91e-07 0.00 chr4-120060127-G-A
223 V→L missense_variant gnomAD 4.15e-06 likely_benign (0.09) -5.62 chr4-120060129-C-G
223 V→I missense_variant gnomAD 4.84e-06 likely_benign (0.07) -4.18 chr4-120060129-C-T
223 V→I missense_variant COSMIC likely_benign (0.07) -4.18 COSV56636962
224 N→S missense_variant gnomAD 1.38e-06 likely_benign (0.06) -3.94 chr4-120060125-T-C
225 D→D synonymous_variant gnomAD 1.38e-05 0.00 chr4-120060121-G-A
225 D→Y missense_variant gnomAD 1.38e-06 damaging likely_benign (0.28) -7.90 chr4-120060123-C-A
225 D→N missense_variant gnomAD 2.77e-06 likely_benign (0.08) -6.37 chr4-120060123-C-T
225 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