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DRD4 p.Pro276Ser

c.826C>T · VCV4244794

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely benign
0.0926 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0138%, amr)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense0.0926likely benign
REVEL0.053moderately benign-leaning
SaProtLLR -7.29tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -0.007GERP -0.059, phastCons 0.001
Regional constrainto/e 1.44unconstrained · MANE · 3,295 bp · p 6.5e-29 · regional, not allelic
Overall
CADD7.654PHRED · 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 0.0138% Admixed American · 3/21,804 alleles
Filtering AF 0.0116% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0109%
Overall 0.014% 159/1,139,608 alleles · ultra-rare exomes 149/1,011,584 · genomes 10/128,024 · joint denominator
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.0572% 1,749
Remaining individualsnot grpmax-eligible 0.0305% 3,284
Admixed Americangrpmax 0.0138% 7,268
European (non-Finnish) 0.0136% 7,340
Ashkenazi Jewishnot grpmax-eligible 0.00584% 17,134
East Asian 0.004% 25,028
African / African-American 0.00339% 29,527

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
DRD4
Protein
p.Pro276Ser
Coding
c.826C>T
MANE Select
NM_000797
Type
single nucleotide variant
Location
chr11:640075 (GRCh38)
Gene constraint
LOEUF 1.952 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 78.06 · 2 PDB
Residue 276
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; a UniProt-annotated variant site (in allele d4.2)
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-pro276ser (accessed [today's date]).

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