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DSP p.Ala385=

c.1155G>A · rs140488069 · VCV378907

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 9 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0111%, eas)
Conditions
7
arrhythmogenic right ventricular dysplasia 8

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 -2.8GERP -3.9
Overall
CADD5.61PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0111% East Asian · 5/44,856 alleles
Filtering AF 0.00563% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00515%
Overall 0.00669% 108/1,613,756 alleles · ultra-rare
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.0141% 7,104
East Asiangrpmax 0.0111% 8,971
Remaining individualsnot grpmax-eligible 0.0096% 10,415
European (non-Finnish) 0.00687% 14,566
Admixed American 0.00333% 29,994
South Asian 0.00329% 30,357
African / African-American 0.00267% 37,482

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
DSP
Protein
p.Ala385=
Coding
c.1155G>A
MANE Select
NM_004415
dbSNP
rs140488069
Type
single nucleotide variant
Location
chr6:7567795 (GRCh38)
Gene constraint
LOEUF 0.443 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Residue 385
an α-helix; the 'globular 1' region; the 'interaction with mapre1' region; the 'interaction with jup and pkp2' region; a UniProt-annotated variant site (in arvd8; uncertain significance); a UniProt-annotated variant site (in dcwhkta; uncertain significance); a UniProt-annotated variant site (in arvd8; likely pathogenic; results in an unstable protein that forms perinuclear aggregates); a UniProt-annotated variant site (in arvd8 and dcwhkta; uncertain significance)
Full DSP 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/dsp-p-ala385 (accessed [today's date]).

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