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DRD4 p.Pro264=

c.792C>A · VCV4872225

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0184%, amr)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -1.5GERP -2
Overall
CADD4.577PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0184% Admixed American · 4/21,752 alleles
Filtering AF 0.00628% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00446%
Overall 0.0058% 69/1,189,476 alleles · ultra-rare exomes 59/1,047,556 · genomes 10/141,920 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.0184% 5,438
European (non-Finnish) 0.00627% 15,939
South Asian 0.00624% 16,032
Remaining individualsnot grpmax-eligible 0.00459% 21,781
African / African-American 0.00169% 59,004

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
DRD4
Protein
p.Pro264=
Coding
c.792C>A
MANE Select
NM_000797
Type
single nucleotide variant
Location
chr11:640041 (GRCh38)
Gene constraint
LOEUF 1.952 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 78.06 · 2 PDB
Residue 264
the 'disordered' region; the '4 x 16 aa approximate tandem repeats of [pa]-a-p-g-l-p-[pqr]-[dg]-p-c-g-p-d-c-a-p' region
Full DRD4 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

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/drd4-p-pro264 (accessed [today's date]).

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