Is GRHPR p.Asp37fs (c.109_118delinsCAC) pathogenic?

GRHPR p.Asp37fs (c.109118delinsCAC) is classified Pathogenic in GRHPR (ClinVar, Single submitter, 1 submitter; last evaluated 2023-10-27). Absent from gnomAD; Associated with primary hyperoxaluria type 2.

What condition is associated with GRHPR p.Asp37fs (c.109_118delinsCAC)?

GRHPR p.Asp37fs (c.109_118delinsCAC) is associated with primary hyperoxaluria type 2 (ClinVar).

How common is GRHPR p.Asp37fs (c.109_118delinsCAC) in the general population?

GRHPR p.Asp37fs (c.109_118delinsCAC) is absent from gnomAD (gnomAD).

How is Primary hyperoxaluria inherited?

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

GRHPR p.Asp37fs

c.109_118delinsCAC · rs2489231928 · VCV2664098

Pathogenic Single submitter

Classification

Pathogenic

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

Consequence

frameshift

predicted LoF

gnomAD v4.1

Not reported

no gnomAD frequency available for this variant

Conditions

primary hyperoxaluria type 2

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Consequence	frameshift	predicted loss-of-function
NMD	predicted	premature termination codon in exon 2 of 9
Splicing
SpliceAI	—	not assessed · substitutions only
Constraint at this position
Conservation	phyloP 8.6	GERP 2, phastCons 1

Predicted loss-of-function is descriptive, not an applied PVS1 code.

Population frequency

dbSNP / gnomAD

No gnomAD frequency available for this variant. This is missing data, not an absence: the variant may or may not be present in gnomAD. Rarity (ACMG PM2) and BA1/BS1 cannot be assessed for it.

Variant & gene context

Gene: GRHPR
Protein: p.Asp37fs
Coding: c.109_118delinsCAC
MANE Select: NM_012203
dbSNP: rs2489231928
Type: Indel
Location: chr9:37424870 (GRCh38)
Gene constraint: LOEUF 1.313 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 96.80 · 4 PDB
Residue 37: a β-strand

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

Disease context

primary hyperoxaluria type 2 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Primary hyperoxaluria (Orphanet):

Inheritance: Autosomal recessive
Onset: All ages
Prevalence: 1-9 / 1 000 000 (Germany)

Similar variants

GRHPR c.287_287+4delinsCCC Pathogenic ★★ same condition
GRHPR c.-4_-3delinsAT Likely pathogenic ★★ same condition
GRHPR c.84-12_84-5delinsTTT Pathogenic ★ same condition
GRHPR p.Asp247_Val248delinsGlyAsp Uncertain significance ★ same condition
GRHPR c.83+51_83+52delinsA Likely benign same condition
GRHPR c.206_214+11del Likely pathogenic ★★ same condition
GRHPR c.404+3_404+6del Pathogenic/Likely pathogenic ★★ same condition
GRHPR c.404+5G>A Likely 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/grhpr-p-asp37fs (accessed [today's date]).

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