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DSP p.Leu749Pro

c.2246T>C · rs935504136 · VCV910737

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 6 submitters
AlphaMissense
likely pathogenic
0.9862 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00167%, amr)
Missense predictors
3/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
5
Cardiovascular phenotype

Computational evidence

Protein change
AlphaMissense0.9862likely pathogenic · top 5% in DSP
REVEL0.733pathogenic-leaning
SaProtLLR -15.90damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 7.8GERP 1.9, phastCons 1
Regional constrainto/e 0.93unconstrained · MANE · 12 kb · p 0.0024 · regional, not allelic
Overall
CADD27.5PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean damaging — 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 0.00167% Admixed American · 1/60,010 alleles
Filtering AF 0.000763% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000605%
Overall 0.000991% 16/1,613,980 alleles · very rare exomes 14/1,461,754 · genomes 2/152,226 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00167% 60,010
European (non-Finnish) 0.00127% 78,665

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.Leu749Pro
Coding
c.2246T>C
MANE Select
NM_004415
dbSNP
rs935504136
Type
single nucleotide variant
Location
chr6:7574201 (GRCh38)
Gene constraint
LOEUF 0.443 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Residue 749
a UniProt-annotated variant site (in arvd8; uncertain significance); the 'globular 1' region; the 'interaction with mapre1' region; 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); a UniProt-annotated variant site (in arvd8)
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-leu749pro (accessed [today's date]).

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