c.1401_1403del
In-frame indelI1Pathogenic/Likely pathogenicTransmembrane · predictedI1 — Single-residue deletion in a transmembrane helix — likely catastrophic kink
Wild-type vs Modified Structure
Left: full-length wild-type wolframin (890 aa). Right: the ColabFold (AlphaFold2) prediction of the 1-aa in-frame deletion product — the affected region near residue 467 (Transmembrane helix 6) is highlighted in both panes. Backbone Cα-RMSD over the folded core is 3.26 Å.
Variant Assessment
Modified-sequence structure resolved. The 1-aa in-frame deletion was modeled with ColabFold (AlphaFold2, full-MSA; mean pLDDT 70.7) and superposed on the wild-type AlphaFold model. Kabsch-superposed Cα-RMSD over high-confidence (WT pLDDT>70) residues N-terminal to the lesion; cross-pipeline, includes ~few-Å method baseline
Therapeutic Implication · I1
Clinical Evidence
Observed at very low frequency in gnomAD.
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Full Variant Card
c.1401_1403del — WFS1 Molecular Atlas Card
Variant type: In-frame indel Change: 1 residue(s) deleted in frame at position 467 Domain context: Transmembrane helix 6
Schema category: I1 — Single-residue deletion in a transmembrane helix — likely catastrophic kink
A single residue removed inside Transmembrane helix 6 shifts the helical register, which typically kinks or unwinds the helix and disrupts membrane insertion — structurally similar to a severe TM missense. Gene therapy track. Predicted structure pending (ColabFold).
Structural prediction
- Reading frame: preserved (in-frame) — no premature stop, NMD does not apply.
- Affected domain: Transmembrane helix 6
- Predicted modified structure: pending — AlphaFold/ColabFold prediction of the modified sequence and backbone-RMSD vs wild-type backfill here (Wave 2).
Clinical evidence
- Classification: Pathogenic/Likely pathogenic
- Review status: criteria provided, multiple submitters, no conflicts
- Associated conditions: Wolfram syndrome 1
- cDNA change: c.1401_1403del
- ClinVar accession: VCV001070757
- Last evaluated: 2025/01/26 00:00
- Submissions: 1
Card generated by wolfram-atlas-batch (in-frame indel pipeline) on 2026-06-08T02:41:11.860074Z.
Schema: reference/card_schema_extension.md (I1–I3). WFS1: UniProt O76024, AlphaFold v6.