c.2038_2040del
In-frame indelI2ConflictingLumenal · predictedI2 — Single-residue deletion in a soluble domain — variable impact
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 680 (C-terminal ER-lumenal (calcium binding, calmodulin, chaperone)) is highlighted in both panes. Backbone Cα-RMSD over the folded core is 5.49 Å.
Variant Assessment
Modified-sequence structure resolved. The 1-aa in-frame deletion was modeled with ColabFold (AlphaFold2, full-MSA; mean pLDDT 71.4) 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 · I2
Clinical Evidence
Observed at very low frequency in gnomAD.
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Full Variant Card
c.2038_2040del — WFS1 Molecular Atlas Card
Variant type: In-frame indel Change: 1 residue(s) deleted in frame at position 680 Domain context: C-terminal ER-lumenal (calcium binding, calmodulin, chaperone)
Schema category: I2 — Single-residue deletion in a soluble domain — variable impact
A single residue removed in C-terminal ER-lumenal (calcium binding, calmodulin, chaperone) (a soluble, non-membrane region) may be tolerated or may locally distort the domain. Worth pharmacological-chaperone exploration if AlphaFold predicts a near-native fold. Predicted structure pending (ColabFold).
Structural prediction
- Reading frame: preserved (in-frame) — no premature stop, NMD does not apply.
- Affected domain: C-terminal ER-lumenal (calcium binding, calmodulin, chaperone)
- Predicted modified structure: pending — AlphaFold/ColabFold prediction of the modified sequence and backbone-RMSD vs wild-type backfill here (Wave 2).
Clinical evidence
- Classification: Conflicting classifications of pathogenicity
- Review status: criteria provided, conflicting classifications
- Associated conditions: Monogenic hearing loss
- cDNA change: c.2038_2040del
- ClinVar accession: VCV001965830
- Last evaluated: 2025/07/29 00:00
- Submissions: 1
Card generated by wolfram-atlas-batch (in-frame indel pipeline) on 2026-06-08T02:41:37.032389Z.
Schema: reference/card_schema_extension.md (I1–I3). WFS1: UniProt O76024, AlphaFold v6.