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DONSON p.Lys489Thr

c.1466A>C · rs146664036 · VCV431445

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 15 submitters
AlphaMissense
likely benign
0.1484 · ACMG-weighted
gnomAD v4.1
Rare
rare (popmax 0.379%, mid)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
4
Fetal anomalies with a likely genetic cause

Computational evidence

Protein change
AlphaMissense0.1484likely benign
REVEL0.108moderately benign-leaning
SaProtLLR -4.30tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI<0.2all four deltas below 0.2 · T>A here scores Δ0.50 · evaluated, not missing
Constraint at this position
ConservationphyloP -7.6GERP -12
Regional constrainto/e 1.00unconstrained · MANE · 10 kb · p 0.95 · regional, not allelic
Overall
CADD0.036PHRED · 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 0.379% Middle Eastern · 23/6,062 alleles
Filtering AF 0.259% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.22%
Overall 0.0928% 1,498/1,614,182 alleles · rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.693% 144
Middle Easterngrpmax 0.379% 264
Remaining individualsnot grpmax-eligible 0.17% 590
Admixed American 0.125% 800
European (non-Finnish) 0.085% 1,176
South Asian 0.0582% 1,719
African / African-American 0.0213% 4,691
Finnishnot grpmax-eligible 0.0187% 5,336
East Asian 0.0111% 8,976

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
DONSON
Protein
p.Lys489Thr
Coding
c.1466A>C
MANE Select
NM_017613
dbSNP
rs146664036
Type
single nucleotide variant
Location
chr21:33579447 (GRCh38)
Gene constraint
LOEUF 0.918 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 72.94
Residue 489
a UniProt-annotated variant site (in missla); a UniProt-annotated variant site (in missla; uncertain significance; reduced protein level; no effect on nuclear localization; does not complement loss of endogenous donson when tested for the rescue of the spontaneous fork stalling observed after donson depletion)
Full DONSON gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Fetal anomalies with a likely genetic cause

Also linked: microcephalymicrocephaly-micromelia syndromemicrocephaly, short stature, and limb abnormalities

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/donson-p-lys489thr (accessed [today's date]).

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