Conflicting classifications of pathogenicity
Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 5 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0925%, nfe)
Conditions
1
FGFR2-related craniosynostosis
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 | ||
| Conservation | phyloP -2.5 | GERP -4.3 |
| Overall | ||
| CADD | 2.928 | PHRED · no single calibrated threshold — expert panels disagree |
Population frequency
gnomAD v4.1 · exomes + genomes
Grpmax group
0.0925%
European (non-Finnish) · 1,091/1,179,692 alleles
Filtering AF
0.0879%
ClinGen BA1/BS1 input
FAF95, joint · FAF99 0.0861%
Overall
0.0728%
1,174/1,613,442 alleles · ultra-rare
exomes 1,090/1,461,190 · genomes 84/152,252 · joint denominator
| Ancestry group | Frequency | 1 in |
|---|---|---|
| European (non-Finnish)grpmax | 0.0925% | 1,081 |
| Remaining individualsnot grpmax-eligible | 0.0816% | 1,225 |
| Admixed American | 0.0317% | 3,159 |
| African / African-American | 0.0147% | 6,820 |
| Finnishnot grpmax-eligible | 0.00313% | 31,987 |
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
- FGFR2
- Protein
- p.Pro253=
- Coding
- c.759T>G
- MANE Select
- NM_000141
- dbSNP
- rs3135755
- Type
- single nucleotide variant
- Location
- chr10:121520159 (GRCh38)
- Gene constraint
- LOEUF 0.278 · pLI 1.00 (gnomAD)
- Structure
- AlphaFold pLDDT 74.33 · 65 PDB
- Residue 253
- a UniProt-annotated variant site (in ps); a UniProt-annotated variant site (in aprs; common mutation)
Similar variants
- FGFR2 p.Pro253Arg Pathogenic/Likely pathogenic ★★ same residue
- FGFR2 p.Pro253Leu Conflicting classifications of pathogenicity ★ ⚠ same residue
- FGFR2 c.1084+1G>A Pathogenic ★★ same condition
- FGFR2 c.1084+2T>C Pathogenic ★★ same condition
- FGFR2 c.1084+3A>G Pathogenic ★★ same condition
- FGFR2 c.940-1G>T Pathogenic ★★ same condition
- FGFR2 p.Ala648Thr Pathogenic ★★ same condition
- FGFR2 p.Asp321Ala Pathogenic ★★ same condition
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/fgfr2-p-pro253 (accessed [today's date]).
Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown