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CHEK2 p.Arg145Pro

c.434G>C · rs587781667 · VCV584522

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 7 submitters
AlphaMissense
likely pathogenic
0.9996 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.0022%, sas)
Missense predictors
3/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
3
CHEK2-related cancer predisposition

Computational evidence

Protein change
AlphaMissense0.9996likely pathogenic · top 1% in CHEK2
REVEL0.844moderately pathogenic-leaning
SaProtLLR -17.31damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 7.6GERP 1.7, phastCons 1
Regional constrainto/e 1.02unconstrained · MANE · 47 kb · p 0.57 · regional, not allelic
Overall
CADD32.0PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean damaging — 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 0.0022% South Asian · 2/91,084 alleles
Filtering AF 0.000365% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000137%
Overall 0.000205% 3/1,461,822 alleles · very rare
Ancestry group Frequency 1 in
South Asiangrpmax 0.0022% 45,542
Remaining individualsnot grpmax-eligible 0.0016% 62,504

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
CHEK2
Protein
p.Arg145Pro
Coding
c.434G>C
MANE Select
NM_007194
dbSNP
rs587781667
Type
single nucleotide variant
Location
chr22:28725253 (GRCh38)
Gene constraint
LOEUF 1.399 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 77.64 · 38 PDB
Residue 145
the fha domain; a UniProt-annotated variant site (in prostate cancer; somatic mutation); a UniProt-annotated variant site (in tpds4; loss of the ability to interact with and phosphorylate cdc25a and to promote cdc25a degradation in response to ionizing radiation); a β-strand
Full CHEK2 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/chek2-p-arg145pro (accessed [today's date]).

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