L672P
Category 3/4 — Most DruggableLikely pathogenicLumenal · predictedσ-1 candidateEditorialLeucine → Proline at position 672 in wolframin's C-terminal lumenal domain. ClinVar Likely pathogenic. AlphaMissense 0.947, DynaMut2 ΔΔG -0.28 kcal/mol (destabilising). A proline-introduction variant adjacent to C673 (the cysteine partner in the C690R disulfide discussion).
Interactive 3D Structure
Bond changes · DynaMut2 interaction analysis
| Interaction type | Wild-type partner | Mutant partner | Status |
|---|---|---|---|
| Hydrogen bond | Q668 | Q668 | Preserved |
| Hydrogen bond | Y669 | — | Lost |
| Polar contact | Q668 | Q668 | Preserved |
| Polar contact | Y669 | — | Lost |
| Polar contact | A677 | A677 | Preserved |
| Polar contact | T686 | T686 | Preserved |
| Hydrophobic | L689 | — | Lost |
| Hydrophobic | L693 | — | Lost |
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
Clinical Evidence
Observed at very low frequency in gnomAD.
Structural Context
Position 672 sits in wolframin's C-terminal lumenal domain. The AlphaFold model places L672 within 5 Å of CYS673 (2.4 Å — same C673 discussed in C690R/C690Y Atlas cards for the inferred disulfide), ALA671 (2.5 Å), TYR669 (3.8 Å — partner of Y669C/Y669H), GLN668 (4.1 Å), and ALA677 (4.5 Å).
The wild-type leucine at 672 contributes hydrophobic packing in a region densely populated by structurally important residues: C673 (potential disulfide), Y669 (aromatic packing partner), Q668. Replacing it with proline introduces a backbone kink that perturbs the geometry of this multi-residue contact cluster.
The |ΔΔG| of 0.28 reflects fold accommodation. AlphaMissense's 0.947 confirms severe functional consequence. The mechanism is geometric — backbone kink propagates through the C673-Y669-Q668 microregion.
Druggability Assessment
Mechanism is proline-induced backbone kink near the C673-Y669 microregion (shared with Y669C, Y669H, C690R, C690Y atlas cards). Therapeutic strategy: site-directed at this dense contact cluster.
Why this matters
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