Is BMPR2 p.Cys60Arg (c.178T>C) pathogenic?

BMPR2 p.Cys60Arg (c.178T>C) is classified Pathogenic in BMPR2 (ClinVar, No assertion criteria, 1 submitter). AlphaMissense: likely pathogenic (0.9986); Absent from gnomAD v4.1; Associated with pulmonary hypertension, primary, 1.

What condition is associated with BMPR2 p.Cys60Arg (c.178T>C)?

BMPR2 p.Cys60Arg (c.178T>C) is associated with pulmonary hypertension, primary, 1 (ClinVar).

How common is BMPR2 p.Cys60Arg (c.178T>C) in the general population?

BMPR2 p.Cys60Arg (c.178T>C) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about BMPR2 p.Cys60Arg (c.178T>C)?

AlphaMissense predicts likely pathogenic (score 0.9986) — an in-silico prediction, not a clinical call.

BMPR2 p.Cys60Arg

c.178T>C · rs1085307171 · VCV425710

Pathogenic No assertion criteria

Classification

Pathogenic

ClinVar

Review

No assertion criteria ☆☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely pathogenic

0.9986 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

pulmonary hypertension, primary, 1

Computational evidence

Protein change
AlphaMissense	0.9986	likely pathogenic ✓ concordant with ClinVar · top 2% in BMPR2
REVEL	0.973	strongly pathogenic-leaning
SaProt	LLR -16.47	damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI	Δ0.20	donor loss, 39 bp away · masked 0 · deltas
Constraint at this position
Conservation	phyloP 7.9	GERP 2.7, phastCons 1
Regional constraint	o/e 0.78	unconstrained · MANE · 153 kb · p 2.6e-06 · regional, not allelic
Overall
CADD	28.9	PHRED · no single calibrated threshold — expert panels disagree

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

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: BMPR2
Protein: p.Cys60Arg
Coding: c.178T>C
MANE Select: NM_001204
dbSNP: rs1085307171
Type: single nucleotide variant
Location: chr2:202464910 (GRCh38)
Gene constraint: LOEUF 0.376 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 58.07 · 7 PDB
Residue 60: a disulfide bond; a UniProt-annotated variant site (in pph1; loss of function in bmp signaling pathway via smad proteins activation; does not localize to the cell surface; when transfected in epithelial cells it results in constitutive p38mapk phosphorylation consistent with a gain of function in the activation of p38mapk cascade)

Full BMPR2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

pulmonary hypertension, primary, 1 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

BMPR2 p.Cys60Phe Uncertain significance ★ ⚠ same residue
BMPR2 p.Cys60Ser Uncertain significance ★ ⚠ same residue
BMPR2 p.Cys60Gly Pathogenic same residue
BMPR2 p.Cys60Tyr Pathogenic same residue
BMPR2 p.Cys60= Likely benign ★★ same residue
BMPR2 c.1276+3A>G Likely pathogenic ★★★ same condition
BMPR2 c.1276+3A>T Likely pathogenic ★★★ same condition
BMPR2 c.1276+4A>G 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/bmpr2-p-cys60arg (accessed [today's date]).

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