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COL18A1 p.Ser39=

c.117C>T · rs781082227 · VCV1379203

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0164%, mid)

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 -2.4GERP -3
Overall
CADD3.908PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0164% Middle Eastern · 1/6,082 alleles
Filtering AF 0.00672% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00624%
Overall 0.00657% 106/1,612,928 alleles · ultra-rare exomes 104/1,460,680 · genomes 2/152,248 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0164% 6,082
European (non-Finnish) 0.00805% 12,421
South Asian 0.00659% 15,181
East Asian 0.00445% 22,450
Admixed American 0.00167% 60,014
Remaining individualsnot grpmax-eligible 0.0016% 62,476

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.Ser39=
Coding
c.117C>T
MANE Select
NM_001379500
dbSNP
rs781082227
Type
single nucleotide variant
Location
chr21:45468252 (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-ser39 (accessed [today's date]).

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