c.1504_1527dup
In-frame indelI3Likely pathogenicTransmembrane · predictedI3 — Multi-residue in-frame indel — likely major structural disruption
Wild-type vs Modified Structure
Left: full-length wild-type wolframin (890 aa). Right: the ColabFold (AlphaFold2) prediction of the 8-aa in-frame duplication product — the affected region near residue 502 (Transmembrane helix 7) is highlighted in both panes. Backbone Cα-RMSD over the folded core is 3.14 Å.
Variant Assessment
Modified-sequence structure resolved. The 8-aa in-frame duplication was modeled with ColabFold (AlphaFold2, full-MSA; mean pLDDT 69.8) 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 · I3
Clinical Evidence
Not observed in ~730k individuals — consistent with a rare allele (ACMG PM2_supporting).
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Full Variant Card
c.1504_1527dup — WFS1 Molecular Atlas Card
Variant type: In-frame indel Change: 8 residue(s) deleted in frame at position 502 Domain context: Transmembrane helix 7
Schema category: I3 — Multi-residue in-frame indel — likely major structural disruption
8 residues removed in frame around position 502 (Transmembrane helix 7). A change this size usually perturbs local packing and can propagate to the fold. Gene therapy is the primary path unless an AlphaFold prediction of the modified sequence shows a surprisingly intact fold. Predicted structure pending (ColabFold).
Structural prediction
- Reading frame: preserved (in-frame) — no premature stop, NMD does not apply.
- Affected domain: Transmembrane helix 7
- Predicted modified structure: pending — AlphaFold/ColabFold prediction of the modified sequence and backbone-RMSD vs wild-type backfill here (Wave 2).
Clinical evidence
- Classification: Likely pathogenic
- Review status: no assertion criteria provided
- Associated conditions: WFS1-related disorder
- cDNA change: c.1504_1527dup
- ClinVar accession: VCV003345213
- Last evaluated: 2024/07/16 00:00
- Submissions: 1
Card generated by wolfram-atlas-batch (in-frame indel pipeline) on 2026-06-08T02:41:19.576136Z.
Schema: reference/card_schema_extension.md (I1–I3). WFS1: UniProt O76024, AlphaFold v6.