Is COMP c.*15A>G pathogenic?

COMP c.15A>G is classified Benign/Likely benign in COMP (ClinVar, Multiple submitters, 4 submitters; last evaluated 2026-05-11). Rare (popmax 0.62%, mid); Associated with multiple epiphyseal dysplasia type 1.

What condition is associated with COMP c.*15A>G?

COMP c.*15A>G is associated with multiple epiphyseal dysplasia type 1, pseudoachondroplasia (ClinVar).

How common is COMP c.*15A>G in the general population?

COMP c.*15A>G is rare (popmax 0.62%, mid) (gnomAD).

How is Multiple epiphyseal dysplasia type 1 inherited?

Typically Autosomal dominant (Orphanet). A genetic counselor can assess individual risk for a family.

COMP c.*15A>G

rs201937857 · VCV328608

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 4 submitters

gnomAD v4.1

Rare

rare (popmax 0.62%, mid)

Conditions

multiple epiphyseal dysplasia type 1

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
Conservation	phyloP 0.47	GERP 0.13
Overall
CADD	5.263	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.62% Middle Eastern · 31/5,000 alleles

Filtering AF 0.461% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.446%

Overall 0.251% 4,049/1,610,186 alleles · rare

Ancestry group	Frequency	1 in
Middle Easterngrpmax	0.62%	161
Ashkenazi Jewishnot grpmax-eligible	0.524%	191
South Asian	0.499%	200
Remaining individualsnot grpmax-eligible	0.298%	335
European (non-Finnish)	0.266%	376
Admixed American	0.09%	1,111
African / African-American	0.036%	2,775
East Asian	0.00892%	11,216
Finnishnot grpmax-eligible	0.00162%	61,616

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: COMP
Coding: c.*15A>G
MANE Select: NM_000095
dbSNP: rs201937857
Type: single nucleotide variant
Location: chr19:18782900 (GRCh38)
Gene constraint: LOEUF 1.073 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
Structure: AlphaFold pLDDT 88.60 · 1 PDB

Full COMP gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

multiple epiphyseal dysplasia type 1 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: pseudoachondroplasia

For Multiple epiphyseal dysplasia type 1 (Orphanet):

Inheritance: Autosomal dominant
Onset: Childhood

Similar variants

COMP p.Arg718Trp Pathogenic/Likely pathogenic ★★ same condition
COMP p.Asn489Lys Pathogenic/Likely pathogenic ★★ same condition
COMP p.Asn523Lys Pathogenic/Likely pathogenic ★★ ⚠ same condition
COMP p.Asn555Lys Pathogenic/Likely pathogenic ★★ same condition
COMP p.Asp269Gly Pathogenic/Likely pathogenic ★★ same condition
COMP p.Asp273Val Likely pathogenic ★★ same condition
COMP p.Asp326Asn Pathogenic/Likely pathogenic ★★ same condition
COMP p.Asp349His Pathogenic ★★ same condition

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/comp-c-star-15a-g (accessed [today's date]).

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