Is DMD p.Ile232Met (c.696C>G) pathogenic?

DMD p.Ile232Met (c.696C>G) is classified Benign/Likely benign in DMD (ClinVar, Multiple submitters, 8 submitters; last evaluated 2026-01-27). AlphaMissense: likely benign (0.2256); Ultra-rare (popmax 0.0421%, nfe); Associated with Cardiovascular phenotype.

What condition is associated with DMD p.Ile232Met (c.696C>G)?

DMD p.Ile232Met (c.696C>G) is associated with Cardiovascular phenotype, cardiomyopathy, Becker muscular dystrophy (ClinVar).

How common is DMD p.Ile232Met (c.696C>G) in the general population?

DMD p.Ile232Met (c.696C>G) is ultra-rare (popmax 0.0421%, nfe) (gnomAD).

What do computational predictors say about DMD p.Ile232Met (c.696C>G)?

AlphaMissense predicts likely benign (score 0.2256) — an in-silico prediction, not a clinical call.

DMD p.Ile232Met

c.696C>G · rs145668843 · VCV284717

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 8 submitters

AlphaMissense

likely benign

0.2256 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.0421%, nfe)

Conditions

Cardiovascular phenotype

Computational evidence

Protein change
AlphaMissense	0.2256	likely benign
REVEL	0.551	indeterminate
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 6.6	GERP 2.6, phastCons 1
Regional constraint	o/e 1.36	unconstrained · MANE · 1,863 kb · p 2.4e-62 · regional, not allelic
Overall
CADD	20.5	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 0.0421% European (non-Finnish) · 376/893,134 alleles

Filtering AF 0.0385% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0372%

Overall 0.0359% 434/1,207,499 alleles · ultra-rare

Ancestry group	Frequency	1 in
Ashkenazi Jewishnot grpmax-eligible	0.123%	815
Remaining individualsnot grpmax-eligible	0.0463%	2,159
European (non-Finnish)grpmax	0.0421%	2,375
Admixed American	0.0131%	7,608
African / African-American	0.00525%	19,048

Ashkenazi Jewish 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: DMD
Protein: p.Ile232Met
Coding: c.696C>G
MANE Select: NM_004006
dbSNP: rs145668843
Type: single nucleotide variant
Location: chrX:32699247 (GRCh38)
Residue 232: an α-helix; the calponin-homology (ch) 2 domain; the 'actin-binding' region

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.Ile232Leu Conflicting classifications of pathogenicity ★ same residue
DMD p.Ile232Phe Uncertain significance ★ ⚠ 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

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-ile232met (accessed [today's date]).

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