Is CLPB p.Arg620His (c.1859G>A) pathogenic?

CLPB p.Arg620His (c.1859G>A) is classified Uncertain significance in CLPB (ClinVar, Multiple submitters, 3 submitters; last evaluated 2025-03-07). AlphaMissense: likely benign (0.1268); Ultra-rare (popmax 0.0481%, afr); Associated with Inborn genetic diseases.

What condition is associated with CLPB p.Arg620His (c.1859G>A)?

CLPB p.Arg620His (c.1859G>A) is associated with Inborn genetic diseases, 3-methylglutaconic aciduria, type VIIB (ClinVar).

How common is CLPB p.Arg620His (c.1859G>A) in the general population?

CLPB p.Arg620His (c.1859G>A) is ultra-rare (popmax 0.0481%, afr) (gnomAD).

What do computational predictors say about CLPB p.Arg620His (c.1859G>A)?

AlphaMissense predicts likely benign (score 0.1268) — an in-silico prediction, not a clinical call.

CLPB p.Arg620His

c.1859G>A · rs137882645 · VCV665509

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

AlphaMissense

likely benign

0.1268 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.0481%, afr)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.1268	likely benign
REVEL	0.143	moderately benign-leaning
SaProt	LLR -8.32	tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 7.7	GERP 1.8, phastCons 1
Regional constraint	o/e 0.89	unconstrained · MANE · 2,250 bp · p 0.067 · regional, not allelic
Overall
CADD	24.6	PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

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

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM R650H vs ClinVar R620H) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0481% African / African-American · 36/74,904 alleles

Filtering AF 0.0357% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0314%

Overall 0.00304% 49/1,613,988 alleles · ultra-rare

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.0481%	2,081
Remaining individualsnot grpmax-eligible	0.0048%	20,828
East Asian	0.00446%	22,438
Admixed American	0.00333%	29,997
South Asian	0.0022%	45,539
European (non-Finnish)	0.000339%	295,005

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: CLPB
Protein: p.Arg620His
Coding: c.1859G>A
MANE Select: NM_001258392
dbSNP: rs137882645
Type: single nucleotide variant
Location: chr11:72293542 (GRCh38)
Gene constraint: LOEUF 0.643 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 72.52 · 7 PDB
Residue 620: an α-helix; a binding site; a UniProt-annotated variant site (in scn9; decreased granulocyte differentiation; loss of atp hydrolysis activity; loss of atp-dependent protein disaggregase activity; does not render cells more sensitive to er stress-induced apoptosis)

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

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: 3-methylglutaconic aciduria, type VIIB

Similar variants

CLPB p.Arg620Cys Uncertain significance ★★ ⚠ same residue
CLPB p.Arg620Leu Uncertain significance ★★ ⚠ same residue
CLPB p.Arg620= Benign ★★ same residue
CLPB c.1066+1G>A Pathogenic/Likely pathogenic ★★ same condition
CLPB c.455+1G>A Likely pathogenic ★★ same condition
CLPB c.873+1G>A Pathogenic/Likely pathogenic ★★ same condition
CLPB c.874-2A>G Likely pathogenic ★★ same condition
CLPB p.Arg178Ter 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/clpb-p-arg620his (accessed [today's date]).

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