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DMP1 p.Met237Val

c.709A>G · rs201413886 · VCV349977

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
AlphaMissense
likely benign
0.0667 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00668%, eas)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
1
hypophosphatemic rickets, autosomal recessive, 1

Computational evidence

Protein change
AlphaMissense0.0667likely benign
REVEL0.016strongly benign-leaning
SaProtLLR -5.71tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not looked up on this page · why
Constraint at this position
ConservationphyloP -0.088GERP -3.3
Overall
CADD0.026PHRED · 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.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00668% East Asian · 3/44,890 alleles
Filtering AF 0.00177% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000891%
Overall 0.000248% 4/1,614,220 alleles · very rare
Ancestry group Frequency 1 in
East Asiangrpmax 0.00668% 14,963
Remaining individualsnot grpmax-eligible 0.0016% 62,510

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
DMP1
Protein
p.Met237Val
Coding
c.709A>G
dbSNP
rs201413886
Type
single nucleotide variant
Location
chr4:87662487 (GRCh38)
Full DMP1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hypophosphatemic rickets, autosomal recessive, 1 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Autosomal recessive hypophosphatemic rickets (Orphanet):

Inheritance
Autosomal recessive
Onset
Childhood, Infancy

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/dmp1-p-met237val (accessed [today's date]).

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