Is DOCK2 p.Val381Met (c.1141G>A) pathogenic?

DOCK2 p.Val381Met (c.1141G>A) is classified Uncertain significance in DOCK2 (ClinVar, Single submitter, 1 submitter; last evaluated 2024-09-05). AlphaMissense: likely pathogenic (0.8026); Very rare (popmax 8.48e-05%, nfe); Associated with DOCK2 deficiency.

What condition is associated with DOCK2 p.Val381Met (c.1141G>A)?

DOCK2 p.Val381Met (c.1141G>A) is associated with DOCK2 deficiency (ClinVar).

How common is DOCK2 p.Val381Met (c.1141G>A) in the general population?

DOCK2 p.Val381Met (c.1141G>A) is very rare (popmax 8.48e-05%, nfe) (gnomAD).

What do computational predictors say about DOCK2 p.Val381Met (c.1141G>A)?

AlphaMissense predicts likely pathogenic (score 0.8026) — an in-silico prediction, not a clinical call.

DOCK2 p.Val381Met

Q: How is Combined immunodeficiency due to DOCK2 deficiency inherited?

Typically Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

c.1141G>A · rs2113461481 · VCV1421718

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely pathogenic

0.8026 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 8.48e-05%, nfe)

Missense predictors

1/2 damaging

AlphaMissense, SaProt · REVEL indeterminate

Conditions

DOCK2 deficiency

Computational evidence

Protein change
AlphaMissense	0.8026	likely pathogenic
REVEL	0.405	indeterminate
SaProt	LLR -8.62	tolerated
⇒ AlphaMissense calls this damaging; SaProt does not; REVEL is indeterminate.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 8.6	GERP 2.4, phastCons 1
Regional constraint	o/e 0.73	unconstrained · MANE · 63 kb · p 1.8e-09 · regional, not allelic
Overall
CADD	28.8	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 8.48e-05% European (non-Finnish) · 1/1,179,786 alleles

Overall 6.2e-05% 1/1,613,826 alleles · very rare exomes 1/1,461,530 · genomes 0/152,296 · joint denominator

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: DOCK2
Protein: p.Val381Met
Coding: c.1141G>A
MANE Select: NM_004946
dbSNP: rs2113461481
Type: single nucleotide variant
Location: chr5:169700022 (GRCh38)
Gene constraint: LOEUF 0.421 · pLI 1.00 (gnomAD)
Structure: AlphaFold pLDDT 80.40 · 6 PDB

Full DOCK2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

DOCK2 deficiency — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Combined immunodeficiency due to DOCK2 deficiency (Orphanet):

Inheritance: Autosomal recessive
Onset: Infancy, Neonatal

Similar variants

INSYN2B p.Ser381Phe Uncertain significance ★ ⚠ same residue
INSYN2B p.Ser381Thr Uncertain significance ★ ⚠ same residue
DOCK2 c.2267+3G>A Uncertain significance ★★ same condition
DOCK2 c.2704-3C>T Uncertain significance ★★ same condition
DOCK2 c.4467+4A>G Uncertain significance ★★ same condition
DOCK2 p.Ala1393Val Uncertain significance ★★ ⚠ same condition
DOCK2 p.Ala1710Val Uncertain significance ★★ ⚠ same condition
DOCK2 p.Ala1765Val Uncertain significance ★★ ⚠ 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/dock2-p-val381met (accessed [today's date]).

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