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DDOST p.Val23Leu

c.67G>C · VCV3500309

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely benign
0.0954 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00446%, eas)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense0.0954likely benign
REVEL0.134moderately benign-leaning
SaProtLLR -9.23tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 1.7GERP 2.4, phastCons 0.015
Regional constrainto/e 0.92unconstrained · MANE · 8,968 bp · p 0.046 · regional, not allelic
Overall
CADD15.79PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

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

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM V40L vs ClinVar V23L) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00446% East Asian · 2/44,874 alleles
Filtering AF 0.00239% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0021%
Overall 0.00279% 45/1,613,792 alleles · very rare
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0048% 20,828
East Asiangrpmax 0.00446% 22,437
European (non-Finnish) 0.00322% 31,053
African / African-American 0.00133% 74,936
South Asian 0.0011% 91,092

Remaining individuals 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
DDOST
Protein
p.Val23Leu
Coding
c.67G>C
MANE Select
NM_005216
Type
single nucleotide variant
Location
chr1:20661284 (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

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/ddost-p-val23leu (accessed [today's date]).

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