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DES p.Glu147Lys

c.439G>A · rs1954376718 · VCV1740290

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
AlphaMissense
ambiguous
0.4782 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.000693%, nfe)
Conditions
1
Cardiovascular phenotype

Computational evidence

Protein change
AlphaMissense0.4782ambiguous
REVEL0.444indeterminate
SaProtLLR -9.73tolerated
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 12GERP 1.9, phastCons 1
Regional constrainto/e 0.92unconstrained · MANE · 7,524 bp · p 0.05 · regional, not allelic
Overall
CADD31.0PHRED · 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 0.000693% European (non-Finnish) · 8/1,153,792 alleles
Filtering AF 0.000298% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000216%
Overall 0.000576% 9/1,562,746 alleles · very rare
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.00168% 59,568
European (non-Finnish)grpmax 0.000693% 144,224

Finnish 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
DES
Protein
p.Glu147Lys
Coding
c.439G>A
MANE Select
NM_001927
dbSNP
rs1954376718
Type
single nucleotide variant
Location
chr2:219418901 (GRCh38)
Gene constraint
LOEUF 0.81 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 77.73
Residue 147
the if rod domain; the 'linker 1' region
Full DES 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/des-p-glu147lys (accessed [today's date]).

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