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COL18A1 p.Pro993=

c.2979A>C · rs575364982 · VCV447124

Benign/Likely benign Multiple submitters
Classification
Benign/Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 5 submitters
gnomAD v4.1
Rare
low-frequency (popmax 1.44%, 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 -5.8GERP -2.5
Overall
CADD0.107PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 1.44% African / African-American · 915/63,390 alleles
Filtering AF 1.37% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.33%
Overall 0.0829% 1,297/1,565,278 alleles · low-frequency exomes 746/1,421,352 · genomes 551/143,926 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 1.44% 69
Middle Eastern 0.327% 306
Remaining individualsnot grpmax-eligible 0.154% 649
Admixed American 0.113% 888
European (non-Finnish) 0.0171% 5,856
South Asian 0.00788% 12,695

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.Pro993=
Coding
c.2979A>C
MANE Select
NM_001379500
dbSNP
rs575364982
Type
single nucleotide variant
Location
chr21:45505244 (GRCh38)
Gene constraint
LOEUF 1.001 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 51.77 · 9 PDB
Residue 993
the 'triple-helical region 3 (col3)' region; the 'disordered' region
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-pro993 (accessed [today's date]).

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