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COL2A1 p.Gln221Pro

c.662A>C · rs368187891 · VCV842038

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 4 submitters
AlphaMissense
likely benign
0.1268 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0211%, nfe)
Missense predictors
0/2 damaging
AlphaMissense, SaProt · REVEL no call
Conditions
1
Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense0.1268likely benign
REVEL0.641indeterminate
SaProtLLR -5.86tolerated
⇒ AlphaMissense and SaProt both call this tolerated; REVEL makes no call.
Splicing
SpliceAI<0.2all four deltas below 0.2 · T>A here scores Δ0.26 · evaluated, not missing
Constraint at this position
ConservationphyloP 7.9GERP 1.9, phastCons 1
Regional constrainto/e 0.62unconstrained · MANE · 21 kb · p 2.4e-45 · regional, not allelic
Overall
CADD23.9PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0211% European (non-Finnish) · 249/1,179,940 alleles
Filtering AF 0.0189% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0181%
Overall 0.0167% 269/1,613,818 alleles · ultra-rare
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.0211% 4,739
Admixed American 0.015% 6,665
Remaining individualsnot grpmax-eligible 0.0096% 10,414
Finnishnot grpmax-eligible 0.00469% 21,334
African / African-American 0.00267% 37,429

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
COL2A1
Protein
p.Gln221Pro
Coding
c.662A>C
MANE Select
NM_001844
dbSNP
rs368187891
Type
single nucleotide variant
Location
chr12:47995756 (GRCh38)
Gene constraint
LOEUF 0.183 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 53.56 · 11 PDB
Residue 221
the 'disordered' region; the 'triple-helical region' region
Full COL2A1 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/col2a1-p-gln221pro (accessed [today's date]).

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