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COMP p.Arg738His

c.2213G>A · rs766913050 · VCV891938

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 2 submitters
AlphaMissense
likely benign
0.1051 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0317%, amr)
Missense predictors
1/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
2
pseudoachondroplasia

Computational evidence

Protein change
AlphaMissense0.1051likely benign
REVEL0.776moderately pathogenic-leaning
SaProtLLR -5.50tolerated
⇒ REVEL calls this damaging; AlphaMissense and SaProt do not.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 2.2GERP -3, phastCons 0.99
Regional constrainto/e 0.84unconstrained · MANE · 8,351 bp · p 2.2e-07 · regional, not allelic
Overall
CADD29.6PHRED · 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 0.0317% Admixed American · 19/60,010 alleles
Filtering AF 0.0207% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0172%
Overall 0.0131% 211/1,612,180 alleles · ultra-rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.0608% 1,645
Admixed Americangrpmax 0.0317% 3,158
Remaining individualsnot grpmax-eligible 0.0176% 5,680
European (non-Finnish) 0.0131% 7,662
African / African-American 0.00801% 12,489
East Asian 0.00446% 22,445
South Asian 0.0011% 91,092

Ashkenazi Jewish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
Protein
p.Arg738His
Coding
c.2213G>A
MANE Select
NM_000095
dbSNP
rs766913050
Type
single nucleotide variant
Location
chr19:18783068 (GRCh38)
Gene constraint
LOEUF 1.073 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
Structure
AlphaFold pLDDT 88.60 · 1 PDB
Residue 738
the tsp c-terminal domain; the 'mediates cell survival and induction of the iap family of survival proteins' region; a β-strand; a disulfide bond
Full COMP gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

pseudoachondroplasia — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: multiple epiphyseal dysplasia type 1

For Pseudoachondroplasia (Orphanet):

Inheritance
Autosomal dominant
Onset
Infancy, Neonatal
Prevalence
1-9 / 100 000 (Worldwide)

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/comp-p-arg738his (accessed [today's date]).

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