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D801G

Category 3/4 — Most DruggablePathogenicLumenal · predictedσ-1 candidateEditorial
AspartateGlycine at position 801 · C-terminal lumenal domain (653-869) · WFS1 (Wolframin)

Aspartate → Glycine at position 801 in wolframin's C-terminal lumenal domain. ClinVar Pathogenic. AlphaMissense 0.985, DynaMut2 ΔΔG -0.26 kcal/mol (destabilising). The inverse mechanism of glycine-removal variants: here glycine is INTRODUCED into a position that previously carried a charge.

Interactive 3D Structure

Wild-type reference
Wild-type D801 — ionic bond to K705
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DynaMut2 mutant · D801G
Mutant G801 — ionic bond to K705 lost (8 contacts lost)
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Bond changes · DynaMut2 interaction analysis

8 lost0 gained4 preserved
Interaction typeWild-type partnerMutant partnerStatus
Ionic bondK705Lost
Hydrogen bondK705Lost
Hydrogen bondV779V779Preserved
Hydrogen bondG780Lost
Hydrogen bondV798V798Preserved
Polar contactK705Lost
Polar contactV779V779Preserved
Polar contactG780Lost
Polar contactV798V798Preserved
Van der WaalsK705Lost
HydrophobicT778Lost
HydrophobicW837Lost

Lost / gained / preserved interatomic contacts at the variant residue, from the DynaMut2 (Arpeggio) interaction analysis of the wild-type and energy-minimized mutant structures.

Computational Predictions

DynaMut2 ΔΔG
-0.26kcal/mol
Destabilising — mild
AlphaMissense
0.985
LPath
AlphaFold pLDDT
84
model confidence
Schema
Cat 3/4
Category 3/4 — Most Druggable

Clinical Evidence

ClinVar classificationPathogenic
Review statuscriteria provided, single submitter
Associated conditions(no specific conditions catalogued for D801G — ClinVar Pathogenic by review evidence)
InheritanceInheritance not specified. ClinVar Pathogenic classification.
Population frequency (gnomAD v4)Absent from gnomAD v4
cDNA changec.2402A>G
ClinVar accessionVCV003637018
Last evaluated2025/03/18 00:00

Not observed in ~730k individuals — consistent with a rare allele (ACMG PM2_supporting).

Structural Context

Position 801 sits in wolframin's C-terminal lumenal domain near the C-terminus. The AlphaFold model places D801 within 5 Å of ILE802 (2.4 Å), LYS800 (2.5 Å), VAL779 (3.5 Å, longer-range), VAL798 (3.9 Å), and GLY780 (4.8 Å). Critically, LYS800 sits 2.5 Å from D801 — a salt-bridge distance. The wild-type D801 carboxylate and K800 amine form a likely intramolecular salt bridge stabilizing the local fold.

Replacing aspartate with glycine eliminates the negative charge and removes the side chain entirely. The K800-D801 salt bridge breaks. The local geometry that depends on that ionic contact rearranges, and the introduced glycine permits backbone conformations that the wild-type aspartate constrained.

The |ΔΔG| of 0.26 is modest — the fold absorbs the loss of a single salt bridge. But the functional consequence is severe: AlphaMissense 0.985 captures it. The lost salt bridge likely contributed to a specific lumenal geometry required for partner interactions or for the wolframin C-terminus to engage its target proteins.

Notably, VAL779 (3.5 Å) is the partner residue in the V779G atlas card (a Category 2 outlier). D801 and V779 are spatially close. Drug discovery aimed at the V779 region may also engage the D801 microenvironment.

Amino-acid chemistry
Aspartate (D) → Glycine (G) — a small negatively-charged carboxylate-bearing residue replaced by the smallest amino acid (backbone-only). Loss of charge and side chain entirely.
Position in the protein
C-terminal lumenal domain · position 801 in the ER lumen (pLDDT 84).

Druggability Assessment

Category 3/4 — Most Druggable. |ΔΔG| = 0.26 kcal/mol — fold survives. AlphaMissense 0.985 confirms severe functional consequence.

The mechanism is loss of the K800-D801 intramolecular salt bridge plus introduction of glycine backbone flexibility into a previously constrained position. Therapeutic strategy: site-directed small molecules that restore the K800-region electrostatic geometry the wild-type D801 carboxylate provided.

Spatial proximity to V779 (3.5 Å, see V779G atlas card) suggests this region of the C-terminus harbors multiple pathogenic variants. A drug aimed at the V779-D801 region could rescue multiple Atlas variants simultaneously.

Why this matters

D801G is one of the Atlas's clearest salt-bridge-loss variants. The K800-D801 ionic contact is visible in the AlphaFold model at exact salt-bridge geometry, and the substitution to glycine removes the contact completely. The Atlas's neighbor analysis surfaces the contact partner (K800 at 2.5 Å) and the spatially-adjacent Cat 2 outlier (V779). Drug discovery in this region has multiple convergent targets.
Therapeutic Strategy Handoff · prediction

Feed this card to Wolfram Intelligence

Download the D801G PDF below and upload it to Wolfram Intelligence to generate therapeutic-strategy proposals — guanidinium mimetics, sigma-1 agonist docking, NAC thiol-capping. NAC is already on the bench-testing list.

Download D801G PDF card ↓Strategies are AI-generated predictions, not validated therapeutics.

UniProt Domain Annotation

Chain1890 · Wolframin
Topological domain653869 · Lumenal