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COL18A1 p.Asp398=

c.1194C>T · rs370965213 · VCV2069391

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0191%, eas)

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 -8.3GERP -2.2
Overall
CADD2.578PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0191% East Asian · 8/41,836 alleles
Filtering AF 0.00949% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00691%
Overall 0.00475% 74/1,556,510 alleles · ultra-rare exomes 68/1,404,198 · genomes 6/152,312 · joint denominator
Ancestry group Frequency 1 in
East Asiangrpmax 0.0191% 5,229
Admixed American 0.00559% 17,893
Remaining individualsnot grpmax-eligible 0.00497% 20,122
European (non-Finnish) 0.00497% 20,134
African / African-American 0.00272% 36,784
South Asian 0.00117% 85,248

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.Asp398=
Coding
c.1194C>T
MANE Select
NM_001379500
dbSNP
rs370965213
Type
single nucleotide variant
Location
chr21:45477938 (GRCh38)
Gene constraint
LOEUF 1.001 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 51.77 · 9 PDB
Residue 398
the fz domain
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-asp398 (accessed [today's date]).

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