Is ABCC8 p.Arg1493Pro (c.4478G>C) pathogenic?

ABCC8 p.Arg1493Pro (c.4478G>C) is classified Likely pathogenic in ABCC8 (ClinVar, Single submitter, 1 submitter; last evaluated 2021-03-17). AlphaMissense: likely pathogenic (0.9993); Absent from gnomAD v4.1.

How common is ABCC8 p.Arg1493Pro (c.4478G>C) in the general population?

ABCC8 p.Arg1493Pro (c.4478G>C) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about ABCC8 p.Arg1493Pro (c.4478G>C)?

AlphaMissense predicts likely pathogenic (score 0.9993) — an in-silico prediction, not a clinical call.

ABCC8 p.Arg1493Pro

c.4478G>C · rs746480424 · VCV1487680

Likely pathogenic Single submitter

Classification

Likely pathogenic

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely pathogenic

0.9993 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense	0.9993	likely pathogenic ✓ concordant with ClinVar · top 1% in ABCC8
REVEL	0.979	strongly pathogenic-leaning
SaProt	LLR -16.85	damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 7.7	phastCons 1
Regional constraint	o/e 0.84	unconstrained · MANE · 84 kb · p 1.4e-12 · regional, not allelic
Overall
CADD	33.0	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: ABCC8
Protein: p.Arg1493Pro
Coding: c.4478G>C
MANE Select: NM_000352
dbSNP: rs746480424
Type: single nucleotide variant
Location: chr11:17394333 (GRCh38)
Gene constraint: LOEUF 0.829 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 82.56 · 8 PDB
Residue 1493: a UniProt-annotated variant site (in hhf1); a UniProt-annotated variant site (in hhf1; altered intracellular trafficking); an α-helix; the abc transporter 2 domain

Full ABCC8 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

ABCC8 p.Arg1493Gln Pathogenic/Likely pathogenic ★★ same residue
ABCC8 p.Arg1493Leu Likely pathogenic ★★ same residue
ABCC8 p.Arg1493Trp Pathogenic ★★ same residue
ABCC8 p.Arg1493fs Conflicting classifications of pathogenicity ★ same residue
ABCC8 c.1176+2T>C Pathogenic/Likely pathogenic ★★ same type
ABCC8 c.1333-1013A>G Pathogenic/Likely pathogenic ★★ same type
ABCC8 c.148+1G>A Pathogenic/Likely pathogenic ★★ same type
ABCC8 c.148+2T>G Likely pathogenic ★★ same type

Built on 18 open, versioned datasets — ClinVar, gnomAD, AlphaMissense, REVEL, ClinGen & more — plus Sugi Variant's own cross-source analysis. Source data 2026-01–2026-10, ClinVar 2026-10. Full sources & versions →

Cite Sugi Variant

Gür T. Sugi Variant: A Deterministic Per-Variant Germline Reference from a Knowledge Graph for Humans and AI Agents. 2026. doi:10.5281/zenodo.21509445. This variant: https://sugi.bio/variant/abcc8-p-arg1493pro (accessed [today's date]).

Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown