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COL6A2 p.Pro423=

c.1269G>C · rs144136807 · VCV290928

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 5 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0374%, afr)
Conditions
2
collagen 6-related myopathy

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 -20GERP -2.7
Overall
CADD0.012PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0374% African / African-American · 28/74,826 alleles
Filtering AF 0.0266% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0229%
Overall 0.00205% 33/1,609,152 alleles · ultra-rare
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.0374% 2,672
Admixed American 0.00502% 19,931
Remaining individualsnot grpmax-eligible 0.00321% 31,105

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
COL6A2
Protein
p.Pro423=
Coding
c.1269G>C
MANE Select
NM_001849
dbSNP
rs144136807
Type
single nucleotide variant
Location
chr21:46119119 (GRCh38)
Gene constraint
LOEUF 0.895 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 69.58 · 1 PDB
Residue 423
the 'triple-helical region' region; the 'disordered' region
Full COL6A2 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/col6a2-p-pro423 (accessed [today's date]).

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