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CNOT9 p.Arg227Pro

c.680G>C · VCV3343500

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely pathogenic
0.9981 · ACMG-weighted
gnomAD v4.1
Absent
absent from gnomAD v4.1
Missense predictors
3/3 damaging
AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense0.9981likely pathogenic
REVEL0.786moderately pathogenic-leaning
SaProtLLR -16.16damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI—not assessed · no allele here is in the release
PangolinΔ0.20loss · gain 0.00 · not in the SpliceAI release · independent
Constraint at this position
ConservationphyloP 12GERP 2, phastCons 1
Regional constrainto/e 0.36constrained · MANE · 14 kb · p 7.3e-31 · regional, not allelic
Overall
CADD33.0PHRED · 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

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
CNOT9
Protein
p.Arg227Pro
Coding
c.680G>C
MANE Select
NM_005444
Type
single nucleotide variant
Location
chr2:218592656 (GRCh38)
Gene constraint
LOEUF 0.523 · pLI 0.96 (gnomAD)
Structure
AlphaFold pLDDT 92.83 · 14 PDB
Residue 227
an α-helix
Full CNOT9 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/cnot9-p-arg227pro (accessed [today's date]).

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