Is FGFR2 p.Val445= (c.1335G>T) pathogenic?

FGFR2 p.Val445= (c.1335G>T) is classified Likely benign in FGFR2 (ClinVar, Multiple submitters, 2 submitters; last evaluated 2025-09-21). Very rare (popmax 0.00127%, nfe); Associated with bent bone dysplasia syndrome 1.

What condition is associated with FGFR2 p.Val445= (c.1335G>T)?

FGFR2 p.Val445= (c.1335G>T) is associated with bent bone dysplasia syndrome 1, gastric cancer, Apert syndrome (ClinVar).

How common is FGFR2 p.Val445= (c.1335G>T) in the general population?

FGFR2 p.Val445= (c.1335G>T) is very rare (popmax 0.00127%, nfe) (gnomAD).

How is FGFR2-related bent bone dysplasia inherited?

Typically Autosomal dominant (Orphanet). A genetic counselor can assess individual risk for a family.

FGFR2 p.Val445=

c.1335G>T · rs1460282965 · VCV1584653

Likely benign Multiple submitters

Classification

Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

gnomAD v4.1

Rare

very rare (popmax 0.00127%, nfe)

Conditions

bent bone dysplasia syndrome 1

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI	<0.2	all four deltas below 0.2 · C>T here scores Δ0.20 · evaluated, not missing
Constraint at this position
Conservation	phyloP 1.8	GERP 0.015, phastCons 1
Overall
CADD	8.104	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00127% European (non-Finnish) · 15/1,180,012 alleles

Filtering AF 0.000763% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000605%

Overall 0.000929% 15/1,613,988 alleles · very rare exomes 13/1,461,870 · genomes 2/152,118 · joint denominator

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.Val445=
Coding: c.1335G>T
MANE Select: NM_000141
dbSNP: rs1460282965
Type: single nucleotide variant
Location: chr10:121503894 (GRCh38)
Gene constraint: LOEUF 0.278 · pLI 1.00 (gnomAD)
Structure: AlphaFold pLDDT 74.33 · 65 PDB

Full FGFR2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

bent bone dysplasia syndrome 1 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: gastric cancer Apert syndrome Saethre-Chotzen syndrome Pfeiffer syndrome Jackson-Weiss syndrome Crouzon syndrome Beare-Stevenson cutis gyrata syndrome LADD syndrome familial scaphocephaly syndrome, McGillivray type Antley-Bixler syndrome without genital anomalies or disordered steroidogenesis

For FGFR2-related bent bone dysplasia (Orphanet):

Inheritance: Autosomal dominant
Onset: Antenatal, Neonatal

Similar variants

FGFR2 c.1084+2T>C Pathogenic ★★ same condition
FGFR2 c.1084+3A>G Pathogenic ★★ same condition
FGFR2 c.940-1G>A Pathogenic/Likely pathogenic ★★ same condition
FGFR2 c.940-2A>C Pathogenic ★★ same condition
FGFR2 p.Ala314Ser Pathogenic/Likely pathogenic ★★ ⚠ same condition
FGFR2 p.Ala337Pro Pathogenic/Likely pathogenic ★★ same condition
FGFR2 p.Ala344= Pathogenic ★★ same condition
FGFR2 p.Ala344Gly 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-val445 (accessed [today's date]).

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