Is EPOR p.Arg213Trp (c.637C>T) pathogenic?

EPOR p.Arg213Trp (c.637C>T) is classified Uncertain significance in EPOR (ClinVar, Single submitter, 1 submitter; last evaluated 2025-07-29). AlphaMissense: likely benign (0.1195); Absent from gnomAD v4.1.

How common is EPOR p.Arg213Trp (c.637C>T) in the general population?

EPOR p.Arg213Trp (c.637C>T) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about EPOR p.Arg213Trp (c.637C>T)?

AlphaMissense predicts likely benign (score 0.1195) — an in-silico prediction, not a clinical call.

EPOR p.Arg213Trp

c.637C>T · VCV4806280

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely benign

0.1195 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense	0.1195	likely benign
REVEL	0.165	moderately benign-leaning
SaProt	LLR -8.75	tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 0.38	GERP -4.9
Regional constraint	o/e 0.89	unconstrained · MANE · 6,220 bp · p 0.0057 · regional, not allelic
Overall
CADD	19.05	PHRED · 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

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: EPOR
Protein: p.Arg213Trp
Coding: c.637C>T
MANE Select: NM_000121
Type: single nucleotide variant
Location: chr19:11381158 (GRCh38)
Gene constraint: LOEUF 0.787 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 67.74 · 22 PDB
Residue 213: the fibronectin type-iii domain

Full EPOR gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

EPOR p.Trp439Ter Pathogenic ★★ same type
EPOR p.Glu292Lys Uncertain significance ★★ ⚠ same type
EPOR p.Pro327Leu Uncertain significance ★★ ⚠ same type
EPOR c.115+7A>G Benign/Likely benign ★★ same type
EPOR c.-55G>A Benign ★★ same type
EPOR c.*35G>A Benign ★★ same type
EPOR p.Ala186= Benign/Likely benign ★★ same type
EPOR p.Ala219= Benign ★★ same type

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/epor-p-arg213trp (accessed [today's date]).

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