Is COL18A1 p.Ala201= (c.603C>T) pathogenic?

COL18A1 p.Ala201= (c.603C>T) is classified Benign in COL18A1 (ClinVar, Multiple submitters, 4 submitters; last evaluated 2026-02-03). Common (popmax 10.3%, afr) — too common for a highly-penetrant pathogenic allele; Associated with Knobloch syndrome.

What condition is associated with COL18A1 p.Ala201= (c.603C>T)?

COL18A1 p.Ala201= (c.603C>T) is associated with Knobloch syndrome (ClinVar).

COL18A1 p.Ala201=

Q: How common is COL18A1 p.Ala201= (c.603C>T) in the general population?

COL18A1 p.Ala201= (c.603C>T) is common (popmax 10.3%, afr) — too common for a highly-penetrant pathogenic allele (gnomAD).

c.603C>T · rs17004776 · VCV340195

Benign Multiple submitters

Classification

Benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 4 submitters

gnomAD v4.1

Common

common (popmax 10.3%, afr) — too common for a highly-penetrant pathogenic allele

Conditions

Knobloch syndrome

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP -13	GERP -3.1
Overall
CADD	0.378	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 10.3% African / African-American · 7,697/74,712 alleles

Filtering AF 10.1% ClinGen BA1/BS1 input FAF95, joint · FAF99 10%

Overall 0.566% 9,080/1,603,014 alleles · common exomes 4,638/1,451,650 · genomes 4,442/151,364 · joint denominator

Ancestry group	Frequency	1 in
African / African-Americangrpmax	10.3%	10
Remaining individualsnot grpmax-eligible	0.854%	117
Admixed American	0.761%	131
Middle Eastern	0.496%	202
European (non-Finnish)	0.0296%	3,379
South Asian	0.0253%	3,951
Ashkenazi Jewishnot grpmax-eligible	0.00342%	29,280
East Asian	0.00225%	44,350

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: COL18A1
Protein: p.Ala201=
Coding: c.603C>T
MANE Select: NM_001379500
dbSNP: rs17004776
Type: single nucleotide variant
Location: chr21:45468738 (GRCh38)
Gene constraint: LOEUF 1.001 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 51.77 · 9 PDB
Residue 201: the 'disordered' region

Full COL18A1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

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

Similar variants

COL18A1 p.Ala201Thr Uncertain significance ★ ⚠ same residue
COL18A1 c.3013+3A>C Likely pathogenic ★★ same condition
COL18A1 c.3809+2T>C Pathogenic ★★ same condition
COL18A1 p.Arg790Ter Pathogenic ★★ same condition
COL18A1 c.107-11479C>A Uncertain significance ★★ ⚠ same condition
COL18A1 c.107-12131C>T Uncertain significance ★★ ⚠ same condition
COL18A1 c.1311+5G>C Uncertain significance ★★ same condition
COL18A1 c.799-3C>G Uncertain significance ★★ 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/col18a1-p-ala201 (accessed [today's date]).

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