Is AIRE p.Pro357Ser (c.1069C>T) pathogenic?

AIRE p.Pro357Ser (c.1069C>T) is classified Uncertain significance in AIRE (ClinVar, Multiple submitters, 4 submitters; last evaluated 2025-08-14). AlphaMissense: likely benign (0.0859); Very rare (popmax 0.00312%, nfe); Associated with Inborn genetic diseases.

What condition is associated with AIRE p.Pro357Ser (c.1069C>T)?

AIRE p.Pro357Ser (c.1069C>T) is associated with Inborn genetic diseases, autoimmune polyendocrine syndrome type 1 (ClinVar).

How common is AIRE p.Pro357Ser (c.1069C>T) in the general population?

AIRE p.Pro357Ser (c.1069C>T) is very rare (popmax 0.00312%, nfe) (gnomAD).

What do computational predictors say about AIRE p.Pro357Ser (c.1069C>T)?

AlphaMissense predicts likely benign (score 0.0859) — an in-silico prediction, not a clinical call.

AIRE p.Pro357Ser

c.1069C>T · rs200540137 · VCV943438

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 4 submitters

AlphaMissense

likely benign

0.0859 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00312%, nfe)

Missense predictors

0/2 damaging

AlphaMissense, SaProt · REVEL no call

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.0859	likely benign
REVEL	0.34	indeterminate
SaProt	LLR -7.44	tolerated
⇒ AlphaMissense and SaProt both call this tolerated; REVEL makes no call.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 0.43	GERP -1.1
Regional constraint	o/e 1.20	unconstrained · MANE · 5,406 bp · p 0.00076 · regional, not allelic
Overall
CADD	17.71	PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

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

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00312% European (non-Finnish) · 36/1,152,048 alleles

Filtering AF 0.00229% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00203%

Overall 0.0027% 38/1,408,046 alleles · very rare

Ancestry group	Frequency	1 in
European (non-Finnish)grpmax	0.00312%	32,001
South Asian	0.00236%	42,382

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: AIRE
Protein: p.Pro357Ser
Coding: c.1069C>T
MANE Select: NM_000383
dbSNP: rs200540137
Type: single nucleotide variant
Location: chr21:44292375 (GRCh38)
Gene constraint: LOEUF 1.169 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 62.30 · 4 PDB
Residue 357: the 'disordered' region

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

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: autoimmune polyendocrine syndrome type 1

Similar variants

AIRE p.Pro357= Likely benign ★ same residue
AIRE c.1095+2T>C Pathogenic/Likely pathogenic ★★ same condition
AIRE c.1096-1G>A Pathogenic ★★ same condition
AIRE c.1278+1G>A Likely pathogenic ★★ same condition
AIRE c.1279-2A>G Likely pathogenic ★★ same condition
AIRE c.1503+1G>A Likely pathogenic ★★ same condition
AIRE c.1503+1G>T Pathogenic/Likely pathogenic ★★ same condition
AIRE c.463+2T>C Pathogenic/Likely pathogenic ★★ same condition

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/aire-p-pro357ser (accessed [today's date]).

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