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AGRN p.Arg1287Trp

c.3859C>T · rs776411371 · VCV474127

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00887%, amr)
Conditions
2
Inborn genetic diseases

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.076moderately benign-leaning
Splicing
SpliceAI<0.2all four deltas below 0.2 · C>A here scores Δ0.23 · evaluated, not missing
Constraint at this position
ConservationphyloP -0.052GERP -2.9
Regional constrainto/e 1.02unconstrained · MANE · 8,500 bp · p 0.41 · regional, not allelic
Overall
CADD19.2PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00887% Admixed American · 5/56,346 alleles
Filtering AF 0.00343% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00218%
Overall 0.00127% 20/1,568,710 alleles · very rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00887% 11,269
East Asian 0.00472% 21,197
African / African-American 0.00406% 24,655
Remaining individualsnot grpmax-eligible 0.00327% 30,550
South Asian 0.00116% 86,416
European (non-Finnish) 0.000601% 166,406

Rarity supports pathogenicity (ACMG PM2); frequency above a disease-specific BA1/BS1 threshold argues against it. A variant frequent in one ancestry group can be near-absent in others, so a single global figure can mislead.

Variant & gene context

Gene
AGRN
Protein
p.Arg1287Trp
Coding
c.3859C>T
MANE Select
NM_198576
dbSNP
rs776411371
Type
single nucleotide variant
Location
chr1:1048119 (GRCh38)
Gene constraint
LOEUF 0.73 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 69.79 · 1 PDB
Residue 1287
the 'disordered' region
Full AGRN gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

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/agrn-p-arg1287trp (accessed [today's date]).

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