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AGRN p.Pro1289=

c.3867G>A · rs372005493 · VCV474120

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.016%, amr)
Conditions
1
congenital myasthenic syndrome 8

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.11GERP -2.2
Overall
CADD3.631PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.016% Admixed American · 9/56,404 alleles
Filtering AF 0.00828% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00621%
Overall 0.00306% 48/1,569,236 alleles · ultra-rare exomes 43/1,417,142 · genomes 5/152,094 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.016% 6,267
European (non-Finnish) 0.00309% 32,367
Remaining individualsnot grpmax-eligible 0.00164% 61,076
African / African-American 0.00135% 73,884
South Asian 0.00116% 86,482

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.Pro1289=
Coding
c.3867G>A
MANE Select
NM_198576
dbSNP
rs372005493
Type
single nucleotide variant
Location
chr1:1048127 (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 1289
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-pro1289 (accessed [today's date]).

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