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DSG2 p.Ser999Pro

c.2995T>C · VCV4015020

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 2 submitters
AlphaMissense
likely benign
0.0537 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.000186%)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
2
Cardiovascular phenotype

Computational evidence

Protein change
AlphaMissense0.0537likely benign
REVEL0.096moderately benign-leaning
SaProtLLR -7.00tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -2.1
Regional constrainto/e 0.93unconstrained · MANE · 48 kb · p 0.014 · regional, not allelic
Overall
CADD0.116PHRED · 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 0.000186%
Overall 0.000186% 3/1,614,056 alleles · very rare exomes 3/1,461,826 · genomes 0/152,230 · joint denominator
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0032% 31,251
Finnishnot grpmax-eligible 0.00156% 64,024

Remaining individuals 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
DSG2
Protein
p.Ser999Pro
Coding
c.2995T>C
MANE Select
NM_001943
Type
single nucleotide variant
Location
chr18:31546381 (GRCh38)
Gene constraint
LOEUF 0.764 · pLI <0.01 · ClinGen HI 2/3 (gnomAD)
Structure
AlphaFold pLDDT 65.27 · 12 PDB
Residue 999
a UniProt-annotated variant site (in arvd10; uncertain significance; evidence of residual myocardium, fibrous tissue, fatty tissue, dysmetric and dysmorphic nuclei and prominent cytoplasmic vacuolization; decreases the number of desmosomes at intercalated disks also increases desmosome gap; smaller intercellular gaps, with repeating couplings, abnormally located desmosomes and pale internal plaques); a UniProt-annotated variant site (in arvd10; uncertain significance)
Full DSG2 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/dsg2-p-ser999pro (accessed [today's date]).

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