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DOK7 p.Pro504fs

c.1508dup · rs773220689 · VCV1138003

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 3 submitters
Consequence
frameshift
predicted LoF
gnomAD v4.1
Rare
very rare (popmax 0.00446%, eas)
Conditions
3
DOK7-related disorders

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Consequenceframeshiftpredicted loss-of-function
NMDescapespremature termination codon in the last exon (7 of 7) — the truncated protein is likely expressed. PVS1 input, not an applied code
Splicing
SpliceAI—not assessed · substitutions only
Constraint at this position
ConservationphyloP 4.8GERP -0.083, phastCons 1
Overall
CADD32.0PHRED · no single calibrated threshold — expert panels disagree

Predicted loss-of-function is descriptive, not an applied PVS1 code.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00446% East Asian · 2/44,806 alleles
Filtering AF 0.00103% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00083%
Overall 0.0141% 227/1,610,424 alleles · very rare
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.318% 315
Remaining individualsnot grpmax-eligible 0.0112% 8,902
East Asiangrpmax 0.00446% 22,403
European (non-Finnish) 0.00161% 62,060
South Asian 0.0011% 90,778

Finnish 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
DOK7
Protein
p.Pro504fs
Coding
c.1508dup
MANE Select
NM_173660
dbSNP
rs773220689
Type
Duplication
Location
chr4:3493488 (GRCh38)
Gene constraint
LOEUF 1.658 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 65.61
Full DOK7 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

DOK7-related disorders

Also linked: congenital myasthenic syndrome 10fetal akinesia deformation sequence 1

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/dok7-p-pro504fs (accessed [today's date]).

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