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COL18A1 p.Asp323=

c.969C>T · rs781489276 · VCV1387488

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0134%, afr)

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
ConservationphyloP -9.4GERP -2.5
Overall
CADD5.295PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0134% African / African-American · 10/74,892 alleles
Filtering AF 0.00723% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0055%
Overall 0.00248% 40/1,612,716 alleles · ultra-rare exomes 32/1,460,526 · genomes 8/152,190 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.0134% 7,489
Admixed American 0.0117% 8,556
South Asian 0.00331% 30,243
Remaining individualsnot grpmax-eligible 0.0032% 31,207
East Asian 0.00223% 44,850
European (non-Finnish) 0.00144% 69,384

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.Asp323=
Coding
c.969C>T
MANE Select
NM_001379500
dbSNP
rs781489276
Type
single nucleotide variant
Location
chr21:45477451 (GRCh38)
Gene constraint
LOEUF 1.001 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 51.77 · 9 PDB
Full COL18A1 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/col18a1-p-asp323 (accessed [today's date]).

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