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AGRN p.Arg660Gln

c.1979G>A · rs370983524 · VCV1053671

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.0044%, sas)
Conditions
1
congenital myasthenic syndrome 8

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.066moderately benign-leaning
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 1.1GERP 0.98, phastCons 0.96
Regional constrainto/e 1.03unconstrained · MANE · 26 kb · p 0.29 · regional, not allelic
Overall
CADD22.2PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0044% South Asian · 4/90,902 alleles
Filtering AF 0.00143% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000892%
Overall 0.00118% 19/1,607,516 alleles · very rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.0169% 5,907
Remaining individualsnot grpmax-eligible 0.00481% 20,775
South Asiangrpmax 0.0044% 22,726
African / African-American 0.00401% 24,963
East Asian 0.00223% 44,754
European (non-Finnish) 0.000254% 393,014

Ashkenazi Jewish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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.Arg660Gln
Coding
c.1979G>A
MANE Select
NM_198576
dbSNP
rs370983524
Type
single nucleotide variant
Location
chr1:1044003 (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 660
the kazal-like 7 domain; a disulfide bond
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-arg660gln (accessed [today's date]).

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