Is BMPR1A p.Pro397= (c.1191C>G) pathogenic?

BMPR1A p.Pro397= (c.1191C>G) is classified Benign/Likely benign in BMPR1A (ClinVar, Multiple submitters, 11 submitters; last evaluated 2026-02-03). Very rare (popmax 0.00891%, eas); Associated with juvenile polyposis syndrome.

What condition is associated with BMPR1A p.Pro397= (c.1191C>G)?

BMPR1A p.Pro397= (c.1191C>G) is associated with juvenile polyposis syndrome, hereditary neoplastic syndrome, pulmonary arterial hypertension (ClinVar).

How common is BMPR1A p.Pro397= (c.1191C>G) in the general population?

BMPR1A p.Pro397= (c.1191C>G) is very rare (popmax 0.00891%, eas) (gnomAD).

How is Juvenile polyposis syndrome inherited?

Typically Autosomal dominant (Orphanet). A genetic counselor can assess individual risk for a family.

BMPR1A p.Pro397=

c.1191C>G · rs751078831 · VCV185792

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 11 submitters

gnomAD v4.1

Rare

very rare (popmax 0.00891%, eas)

Conditions

juvenile polyposis syndrome

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI	<0.2	no splice effect predicted · four deltas, not one · how we know
Constraint at this position
Conservation	phyloP -0.11	GERP -3.8, phastCons 0.09
Overall
CADD	3.916	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00891% East Asian · 4/44,896 alleles

Filtering AF 0.00298% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0018%

Overall 0.00143% 23/1,613,930 alleles · very rare exomes 22/1,461,772 · genomes 1/152,158 · joint denominator

Ancestry group	Frequency	1 in
East Asiangrpmax	0.00891%	11,224
Remaining individualsnot grpmax-eligible	0.0016%	62,472
European (non-Finnish)	0.00153%	65,554

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: BMPR1A
Protein: p.Pro397=
Coding: c.1191C>G
MANE Select: NM_004329
dbSNP: rs751078831
Type: single nucleotide variant
Location: chr10:86921544 (GRCh38)
Gene constraint: LOEUF 0.195 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 82.86 · 11 PDB
Residue 397: the protein kinase domain

Full BMPR1A gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

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

Also linked: hereditary neoplastic syndrome pulmonary arterial hypertension

For Juvenile polyposis syndrome (Orphanet):

Inheritance: Autosomal dominant
Onset: Adolescent, Adult, Childhood, Infancy
Prevalence: 1-9 / 100 000 (Europe)

Similar variants

BMPR1A p.Pro397Leu Uncertain significance ★★ ⚠ same residue
BMPR1A p.Pro397Ser Uncertain significance ★★ ⚠ same residue
BMPR1A p.Pro397_Leu398insTer Pathogenic ★ same residue
BMPR1A p.Pro397Arg Uncertain significance ★ ⚠ same residue
BMPR1A c.1166+1G>A Likely pathogenic ★★ same condition
BMPR1A c.1343-2A>G Likely pathogenic ★★ same condition
BMPR1A c.1473+1G>A Pathogenic/Likely pathogenic ★★ same condition
BMPR1A c.1473+1G>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/bmpr1a-p-pro397 (accessed [today's date]).

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