Is ATM p.Arg451Pro (c.1352G>C) pathogenic?

ATM p.Arg451Pro (c.1352G>C) is classified Uncertain significance in ATM (ClinVar, Single submitter, 1 submitter; last evaluated 2020-08-31). AlphaMissense: likely pathogenic (0.899); Absent from gnomAD v4.1; Associated with hereditary neoplastic syndrome.

What condition is associated with ATM p.Arg451Pro (c.1352G>C)?

ATM p.Arg451Pro (c.1352G>C) is associated with hereditary neoplastic syndrome (ClinVar).

How common is ATM p.Arg451Pro (c.1352G>C) in the general population?

ATM p.Arg451Pro (c.1352G>C) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about ATM p.Arg451Pro (c.1352G>C)?

AlphaMissense predicts likely pathogenic (score 0.899) — an in-silico prediction, not a clinical call.

ATM p.Arg451Pro

c.1352G>C · rs554805703 · VCV1770633

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely pathogenic

0.899 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Conditions

hereditary neoplastic syndrome

Computational evidence

Protein change
AlphaMissense	0.899	likely pathogenic · top 8% in ATM
REVEL	0.409	indeterminate
SaProt	—	not scored · why
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 8.6	GERP 1.8, phastCons 1
Regional constraint	o/e 0.99	unconstrained · MANE · 66 kb · p 0.75 · regional, not allelic
Overall
CADD	28.9	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL is an independent agreement signal.

Population frequency

gnomAD v4.1 · exomes + genomes

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: ATM
Protein: p.Arg451Pro
Coding: c.1352G>C
MANE Select: NM_000051
dbSNP: rs554805703
Type: single nucleotide variant
Location: chr11:108250817 (GRCh38)
Gene constraint: LOEUF 0.847 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Residue 451: a UniProt-annotated variant site (in at); a UniProt-annotated variant site (in at; uncertain significance)

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

Disease context

hereditary neoplastic syndrome — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

ATM p.Arg451His Uncertain significance ★★ same residue
ATM p.Arg451Cys Conflicting classifications of pathogenicity ★ ⚠ same residue
ATM p.Arg451Leu Uncertain significance ★★ same residue
ATM p.Arg451Gly Uncertain significance ★ same residue
ATM p.Arg451= Benign ★ same residue
ATM c.1607+1G>T Pathogenic ★★★ same condition
ATM c.2251-4A>G Likely pathogenic ★★★ same condition
ATM c.2466+5G>C 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/atm-p-arg451pro (accessed [today's date]).

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