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M518V

Category 3/4 — Most DruggableUncertain significanceTransmembrane · predictedSource card
MethionineValine at position 518 · Cytoplasmic loop 4 · WFS1 (Wolframin)

Interactive 3D Structure

Wild-type reference
Wild-type M518 — hydrogen bond to L521
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DynaMut2 mutant · M518V
Mutant V518 — hydrogen bond to F515 lost (6 contacts lost)
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Bond changes · DynaMut2 interaction analysis

6 lost5 gained6 preserved
Interaction typeWild-type partnerMutant partnerStatus
Hydrogen bondL514L514Preserved
Hydrogen bondF515F515Preserved
Hydrogen bondL521L521Preserved
Hydrogen bondG526Gained
Polar contactL514L514Preserved
Polar contactF515F515Preserved
Polar contactL521L521Preserved
HydrophobicA451Gained
HydrophobicY454Lost
HydrophobicT455Lost
HydrophobicA458Lost
HydrophobicL514Lost
HydrophobicF515Lost
HydrophobicL521Gained
HydrophobicY530Gained
HydrophobicL531Gained
HydrophobicY534Lost

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
-0.69kcal/mol
Destabilising — mild
AlphaMissense
0.749
likely pathogenic
AlphaFold pLDDT
84
model confidence
Schema
Cat 3/4
Category 3/4 — Most Druggable
ΔΔG confidence: Reduced confidence · Transmembrane
  • transmembrane position; predictor benchmarked on soluble proteins

This variant sits in the transmembrane band. The stability value was computed with a predictor benchmarked on water-soluble proteins. Published benchmarks of ddG predictors on membrane proteins report correlation below 0.4. Treat the magnitude as unreliable and the sign as weak evidence only.

Do not rank this value against a variant from a different region on ΔΔG alone.

Clinical Evidence

ClinVar classificationUncertain significance
Review statuscriteria provided, multiple submitters, no conflicts
Associated conditions
Population frequency (gnomAD v4)Ultra-rare · AF 0.0029%
cDNA changec.1552A>G
ClinVar accessionVCV000229637
Last evaluated2020/10/13 00:00

Observed at very low frequency in gnomAD.

Classified for2★ documented assertion

ClinVar classifies this variant as Uncertain significance, but does not state what it is classified for. ClinVar records no condition for this variant. A classification without a phenotype and an inheritance mode cannot be read as a statement about Wolfram syndrome risk or severity.

  • Phenotype scope is interpretation of submitted records. The computed values on this card (AlphaMissense, DynaMut2 ΔΔG, pLDDT) are measurements of the model, not of a patient.
  • Presentation cannot be generalised from neighbouring variants: one nucleotide over can present very differently. Structural similarity supports a mechanistic hypothesis, never a phenotype claim.

Review status: 2★ multiple submitters, no conflicts. ClinVar "conditions" is the union of all submissions; 0–1★ entries are submitted conditions, not documented phenotypes.

Population frequency
Global (all ancestries)
AF 0.0029% · 43 / 1,460,006 alleles
Homozygotes
0
Highest-frequency population
European (non-Finnish) · AF 0.0035%

Highest in European (non-Finnish): AF 0.0035% (39 of 1,111,986 alleles), in line with the global figure.

No homozygotes reported in gnomAD v4. For a recessive allele this is expected and is not, on its own, evidence either way.

Ancestry groupAllele freq.AC / ANHom.Carrier est.
European (non-Finnish)0.0035%39 / 1,111,9860~1 in 14260
South Asian0.0035%3 / 86,2580~1 in 14380
Remaining individuals · under-sampled0.0017%1 / 60,3840

Source: gnomAD r4, retrieved 2026-08-21. Values are allele frequencies. The carrier estimate is derived from the allele frequency (Hardy-Weinberg, ~2·AF) and is an approximation, not a published figure — where a published carrier frequency exists it outranks this column and is cited on the card.

Full Variant Card

WFS1 Wolframin — M518V Variant Card

Molecular Atlas Pilot · RareResearch.AI · Generated by wolfram-variant-card skill

Methionine → Valine at position 518. Cytoplasmic loop 4. ClinVar Uncertain significance, AlphaMissense 0.749, DynaMut2 ΔΔG -0.69 kcal/mol (destabilising).


Identity

FieldValue
VariantM518V (p.Methionine518Valine)
DNA changec.1552A>G
Gene · ProteinWFS1 · Wolframin (890 aa)
UniProtO76024 · WFS1_HUMAN
ClinVar accessionVCV000229637
Amino acid changeMethionine (M) → Valine (V)

Structural Context

FieldValue
AlphaFold modelAF-O76024-F1, v6
pLDDT at residue 51884.12 — well-folded
DomainCytoplasmic loop 4
Position contextLoop region · position 518 sits between transmembrane segments, solvent-accessible
IDR flagNo — pLDDT above 50 threshold

UniProt features at this position:

(none catalogued)

Position 518 sits in a connecting loop between transmembrane helices. Loop residues are typically solvent-exposed and often contribute to interhelical contacts or serve as recognition sites for binding partners. The wild-type residue is hydrophobic sulfur (methionine); the mutant is small hydrophobic (valine — branched). The chemistry shift implies altered local packing, hydrogen-bonding, and/or electrostatics at this site.


Computational Predictions

AlphaMissense

FieldValue
am_pathogenicity0.7488
am_classlikely pathogenic
InterpretationLikely pathogenic (threshold 0.564)

DynaMut2

FieldValue
ΔΔG (kcal/mol)-0.69 (Destabilising)
Job ID178092122285
Result URLJob 178092122285 · retrieved 2026-06-08 — result self-hosted by RareResearch.AI (Biosig no longer serves this page)

Clinical Evidence

Inheritance and scope

Uncertain significance — phenotype scope not stated in ClinVar

ClinVar classifies this variant as Uncertain significance, but does not state what it is classified for. ClinVar records no condition for this variant. A classification without a phenotype and an inheritance mode cannot be read as a statement about Wolfram syndrome risk or severity.

Phenotype scope is interpretation of submitted records. The computed values on this card (AlphaMissense, DynaMut2 ΔΔG, pLDDT) are measurements of the model, not of a patient. Presentation cannot be generalised from neighbouring variants: one nucleotide over can present very differently. Structural similarity supports a mechanistic hypothesis, never a phenotype claim.

FieldValue
ClassificationUncertain significance
Review statuscriteria provided, multiple submitters, no conflicts
Last evaluated2020/10/13 00:00
InheritanceInheritance pattern not specified in ClinVar entry; WFS1 has both AD and AR presentations.
WFS1 variant landscapeM518V is 1 of ~326 pathogenic-spectrum variants in WFS1 (out of 2,243 catalogued in ClinVar)

(no conditions catalogued)


Research Path Decision Tree

ΔΔG < 2  + binding site affected   →  CATEGORY 3 — docking experiments
ΔΔG 2–4                            →  CATEGORY 2 — pharmacological chaperones
ΔΔG > 4                            →  CATEGORY 1 — gene therapy
pLDDT < 50                         →  CATEGORY 5 — IDR, experimental only
Stable fold + functional site hit  →  CATEGORY 4 — site-specific docking

Final Schema Categorization

Category 3/4 — Most Druggable

<strong>Category 3/4 — Most Druggable</strong><br/><br/>|ΔΔG|=0.69 < 2 kcal/mol (fold intact) + AlphaMissense 0.749 confirms functional impact. Specific local contacts disrupted — priority for docking and pharmacological chaperone screening.

Why this card matters. Wolframin's fold survives this substitution (|ΔΔG|=0.69 kcal/mol). The pathogenic signal is real — AlphaMissense places it at 0.749. Protein still folds, but a specific local site is broken. Pharmacological chaperones and small-molecule binders are the rational therapeutic vector.


Files in this folder

  • AF-O76024-F1-model_v6.pdb — AlphaFold structure
  • M518V_molstar_viewer.html — interactive 3D viewer (auto-highlights position 518 with ball-and-stick + neighbors within 5Å)
  • M518V_variant_card.md — this card (source of truth)
  • M518V_variant_card.html — styled printable card
  • M518V_dynamut2_summary.html — clean offline DynaMut2 result card
  • dynamut2_result.json — structured result data
  • dynamut2_result_page.html — local snapshot of the Biosig result page (asset URLs absolutized)
  • M518V_wildtype_interactions.pse / M518V_mutant_interactions.pse — PyMOL sessions

Generated by wolfram-variant-card skill · RareResearch.AI Molecular Atlas Every assumption documented. Every score sourced.

Therapeutic Strategy Handoff · prediction

Feed this card to Wolfram Intelligence

Download the M518V 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 M518V PDF card ↓Strategies are AI-generated predictions, not validated therapeutics.