# Q584* — WFS1 Molecular Atlas Card

**Variant type:** Nonsense (premature stop codon)
**Position:** 584
**Wild-type residue:** Glutamine (Q)
**Domain context (where the stop falls):** Transmembrane helix 9

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## Schema category: **N3 — NMD-escape, moderate truncation — chaperone exploration**

Truncated protein retains substantial structure but loses C-terminal domains. Worth screening generic ER chaperones (4-PBA, TUDCA) and sigma-1 receptor agonists. Lower confidence than for missense variants, but a candidate for the high-content drug screen (Initiative 8).

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## NMD prediction

- **Status:** NMD-escape
- **Confidence:** high
- **Reasoning:** Stop codon at position 584 is in the last exon (exon 8, starts ~aa 413). NMD does not target stop codons in the last exon — a truncated protein is produced.

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## Truncation analysis

- **Residues retained:** 1 – 583 (65.5% of full-length protein)
- **Residues lost:** 584 – 890 (34.5% of full-length protein)

### Retained domains
- N-terminal cytoplasmic (intrinsically disordered) (aa 1–310)
- Transmembrane helix 1 (aa 311–331)
- Cytoplasmic loop 1 (aa 332–340)
- Transmembrane helix 2 (aa 341–361)
- Lumenal loop 1 (aa 362–370)
- Transmembrane helix 3 (aa 371–391)
- Cytoplasmic loop 2 (aa 392–400)
- Transmembrane helix 4 (aa 401–421)
- Lumenal loop 2 (aa 422–431)
- Transmembrane helix 5 (aa 432–452)
- Cytoplasmic loop 3 (aa 453–461)
- Transmembrane helix 6 (aa 462–482)
- Lumenal loop 3 (aa 483–496)
- Transmembrane helix 7 (aa 497–517)
- Cytoplasmic loop 4 (aa 518–532)
- Transmembrane helix 8 (aa 533–553)
- Lumenal loop 4 (aa 554–573)

### Partially retained at truncation point
- **Transmembrane helix 9** — partial: aa 574–583 retained, aa 584–594 lost

### Lost domains
- Cytoplasmic loop 5 / pre-lumenal (aa 595–599)
- C-terminal ER-lumenal (calcium binding, calmodulin, chaperone) (aa 600–890)

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## Clinical evidence

- **Classification:** Uncertain significance
- **Review status:** criteria provided, single submitter
- **Associated conditions:** Wolfram syndrome 1
- **cDNA change:** c.1750C>T
- **ClinVar accession:** VCV004277851
- **Last evaluated:** 2025/09/10 00:00
- **Submissions:** 1

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## Why this variant matters

Moderate truncation leaves some of the protein intact, including portions of the transmembrane bundle. Whether the partial protein can be coaxed into function with chaperones is an open question — the atlas surfaces it as a candidate for the Initiative 8 drug screen, with the explicit structural data needed to design that screen.

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_Card generated by `wolfram-atlas-batch` skill (v1) on 2026-06-08T02:18:20.143842Z._
_NMD rule and schema definitions: `reference/nmd_rules.md`, `reference/card_schema_extension.md`._
_WFS1 reference: UniProt O76024, AlphaFold model v6._