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DHDDS p.Gln48His

c.144G>C · rs1057088171 · VCV2051201

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
ambiguous
0.3803 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00223%, eas)
Missense predictors
0/2 damaging
REVEL, SaProt · AlphaMissense no call
Conditions
1
retinitis pigmentosa 59

Computational evidence

Protein change
AlphaMissense0.3803ambiguous
REVEL0.139moderately benign-leaning
SaProtLLR -6.92tolerated
⇒ REVEL and SaProt both call this tolerated; AlphaMissense makes no call.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 1.1GERP -4, phastCons 1
Regional constrainto/e 0.58unconstrained · MANE · 9,886 bp · p 3.6e-06 · regional, not allelic
Overall
CADD16.31PHRED · 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 0.00223% East Asian · 1/44,880 alleles
Overall 0.000205% 3/1,461,748 alleles · very rare
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0032% 31,249
East Asiangrpmax 0.00223% 44,880

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
DHDDS
Protein
p.Gln48His
Coding
c.144G>C
MANE Select
NM_205861
dbSNP
rs1057088171
Type
single nucleotide variant
Location
chr1:26438248 (GRCh38)
Gene constraint
LOEUF 0.536 · pLI 0.91 (gnomAD)
Structure
AlphaFold pLDDT 95.01 · 9 PDB
Residue 48
an α-helix
Full DHDDS 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/dhdds-p-gln48his (accessed [today's date]).

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