Is DMD p.Asn764Ser (c.2291A>G) pathogenic?

DMD p.Asn764Ser (c.2291A>G) is classified Conflicting classifications of pathogenicity in DMD (ClinVar, Conflicting submitters, 9 submitters; last evaluated 2026-01-13). AlphaMissense: likely benign (0.087); Rare (popmax 0.299%, eas); Associated with Cardiovascular phenotype.

What condition is associated with DMD p.Asn764Ser (c.2291A>G)?

DMD p.Asn764Ser (c.2291A>G) is associated with Cardiovascular phenotype, cardiomyopathy, Becker muscular dystrophy (ClinVar).

How common is DMD p.Asn764Ser (c.2291A>G) in the general population?

DMD p.Asn764Ser (c.2291A>G) is rare (popmax 0.299%, eas) (gnomAD).

What do computational predictors say about DMD p.Asn764Ser (c.2291A>G)?

AlphaMissense predicts likely benign (score 0.087) — an in-silico prediction, not a clinical call.

DMD p.Asn764Ser

c.2291A>G · rs199588981 · VCV288446

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 9 submitters

AlphaMissense

likely benign

0.087 · ACMG-weighted

gnomAD v4.1

Rare

rare (popmax 0.299%, eas)

Missense predictors

0/2 damaging

AlphaMissense, REVEL

Conditions

Cardiovascular phenotype

Computational evidence

Protein change
AlphaMissense	0.087	likely benign
REVEL	0.068	moderately benign-leaning
⇒ AlphaMissense and REVEL both call this tolerated.
Splicing
SpliceAI	Δ0.97	donor gain, 5 bp away · raw score · deltas
Pangolin	Δ0.56	gain · loss 0.16 · agrees with SpliceAI · independent
Constraint at this position
Conservation	phyloP 5.1	GERP 6.3, phastCons 1
Regional constraint	o/e 1.36	unconstrained · MANE · 1,863 kb · p 2.4e-62 · regional, not allelic
Overall
CADD	28.4	PHRED · 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 0.299% East Asian · 101/33,734 alleles

Filtering AF 0.252% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.234%

Overall 0.0196% 237/1,209,195 alleles · rare

Ancestry group	Frequency	1 in
East Asiangrpmax	0.299%	334
Remaining individualsnot grpmax-eligible	0.0252%	3,967
South Asian	0.0247%	4,054
Finnishnot grpmax-eligible	0.0193%	5,175
Admixed American	0.0131%	7,624
European (non-Finnish)	0.0104%	9,618
African / African-American	0.00349%	28,626

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: DMD
Protein: p.Asn764Ser
Coding: c.2291A>G
MANE Select: NM_004006
dbSNP: rs199588981
Type: single nucleotide variant
Location: chrX:32518009 (GRCh38)

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

Disease context

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

Also linked: cardiomyopathy Becker muscular dystrophy Duchenne muscular dystrophy

Similar variants

DMD p.Asn764Lys Conflicting classifications of pathogenicity ★ ⚠ same residue
DMD c.10086+1G>A Pathogenic ★★ same condition
DMD c.10086+1G>T Pathogenic ★★ same condition
DMD c.10086+2T>C Pathogenic ★★ same condition
DMD c.10087-2A>G Pathogenic/Likely pathogenic ★★ same condition
DMD c.10223+1G>A Pathogenic ★★ same condition
DMD c.10223+1G>C Pathogenic ★★ same condition
DMD c.10224-2A>G Likely pathogenic ★★ 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/dmd-p-asn764ser (accessed [today's date]).

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