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ATF4 p.Arg193=

c.579G>A · rs146204295 · VCV717867

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
rare (popmax 0.191%, afr)

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 0.53GERP -1.1, phastCons 0.97
Overall
CADD2.633PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.191% African / African-American · 143/74,998 alleles
Filtering AF 0.165% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.155%
Overall 0.0116% 187/1,613,898 alleles · rare
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.191% 524
Middle Eastern 0.0495% 2,019
Remaining individualsnot grpmax-eligible 0.0272% 3,676
Admixed American 0.01% 10,003
South Asian 0.00439% 22,766
European (non-Finnish) 0.00119% 84,275

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
ATF4
Protein
p.Arg193=
Coding
c.579G>A
MANE Select
NM_182810
dbSNP
rs146204295
Type
single nucleotide variant
Location
chr22:39522125 (GRCh38)
Gene constraint
LOEUF 0.718 · pLI 0.38 (gnomAD)
Structure
AlphaFold pLDDT 62.95 · 2 PDB
Full ATF4 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/atf4-p-arg193 (accessed [today's date]).

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