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FREM2 p.Ala478=

c.1434A>C · rs750457801 · VCV2981285

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.015%, amr)

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 -4.8GERP -5.4
Overall
CADD4.602PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.015% Admixed American · 9/60,006 alleles
Filtering AF 0.00773% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00578%
Overall 0.000558% 9/1,613,984 alleles · ultra-rare exomes 6/1,461,802 · genomes 3/152,182 · 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
FREM2
Protein
p.Ala478=
Coding
c.1434A>C
MANE Select
NM_207361
dbSNP
rs750457801
Type
single nucleotide variant
Location
chr13:38688778 (GRCh38)
Gene constraint
LOEUF 0.588 · pLI <0.01 (gnomAD)
Full FREM2 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/frem2-p-ala478 (accessed [today's date]).

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