Is DDOST p.Arg237His (c.710G>A) pathogenic?

DDOST p.Arg237His (c.710G>A) is classified Uncertain significance in DDOST (ClinVar, Multiple submitters, 3 submitters; last evaluated 2025-02-20). AlphaMissense: likely pathogenic (0.9821); Very rare (popmax 0.00969%, eas); Associated with DDOST-congenital disorder of glycosylation.

What condition is associated with DDOST p.Arg237His (c.710G>A)?

DDOST p.Arg237His (c.710G>A) is associated with DDOST-congenital disorder of glycosylation (ClinVar).

How common is DDOST p.Arg237His (c.710G>A) in the general population?

DDOST p.Arg237His (c.710G>A) is very rare (popmax 0.00969%, eas) (gnomAD).

How is DDOST-CDG inherited?

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

What do computational predictors say about DDOST p.Arg237His (c.710G>A)?

AlphaMissense predicts likely pathogenic (score 0.9821) — an in-silico prediction, not a clinical call.

DDOST p.Arg237His

c.710G>A · rs774094300 · VCV1002236

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

AlphaMissense

likely pathogenic

0.9821 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00969%, eas)

Missense predictors

2/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

DDOST-congenital disorder of glycosylation

Computational evidence

Protein change
AlphaMissense	0.9821	likely pathogenic
REVEL	0.948	strongly pathogenic-leaning
SaProt	LLR -9.46	tolerated
⇒ AlphaMissense and REVEL call this damaging; SaProt does not.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 7.6	GERP 2.4, phastCons 1
Regional constraint	o/e 0.92	unconstrained · MANE · 8,968 bp · p 0.046 · regional, not allelic
Overall
CADD	32.0	PHRED · no single calibrated threshold — expert panels disagree

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

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM R254H vs ClinVar R237H) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00969% East Asian · 4/41,272 alleles

Filtering AF 0.00384% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00271%

Overall 0.00161% 25/1,554,560 alleles · very rare

Ancestry group	Frequency	1 in
East Asiangrpmax	0.00969%	10,318
South Asian	0.0083%	12,042
Remaining individualsnot grpmax-eligible	0.00166%	60,206
European (non-Finnish)	0.00113%	88,342

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: DDOST
Protein: p.Arg237His
Coding: c.710G>A
MANE Select: NM_005216
dbSNP: rs774094300
Type: single nucleotide variant
Location: chr1:20654307 (GRCh38)
Gene constraint: LOEUF 0.747 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 89.27 · 6 PDB

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

Disease context

DDOST-congenital disorder of glycosylation — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For DDOST-CDG (Orphanet):

Inheritance: Autosomal recessive
Onset: Infancy, Neonatal

Similar variants

DDOST p.Arg237= Benign/Likely benign ★★ same residue
DDOST p.Arg237Cys Uncertain significance ★ ⚠ same residue
DDOST p.Gln215His Pathogenic/Likely pathogenic ★★ ⚠ same condition
DDOST c.-18T>G Uncertain significance ★★ ⚠ same condition
DDOST p.Ala11Val Uncertain significance ★★ ⚠ same condition
DDOST p.Ala219Val Uncertain significance ★★ ⚠ same condition
DDOST p.Ala232Ser Uncertain significance ★★ ⚠ same condition
DDOST p.Ala415Thr Uncertain significance ★★ ⚠ 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/ddost-p-arg237his (accessed [today's date]).

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