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GUSB p.Pro108Leu

c.323C>T · rs1268678201 · VCV930289

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 3 submitters
AlphaMissense
ambiguous
0.5026 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00336%, amr)
Missense predictors
2/2 damaging
REVEL, SaProt · AlphaMissense no call
Conditions
1
mucopolysaccharidosis type 7

Computational evidence

Protein change
AlphaMissense0.5026ambiguous
REVEL0.92moderately pathogenic-leaning
SaProtLLR -12.91damaging
⇒ REVEL and SaProt both call this damaging; AlphaMissense makes no call.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 6.6GERP 0.58, phastCons 1
Regional constrainto/e 1.01unconstrained · MANE · 6,069 bp · p 0.83 · regional, not allelic
Overall
CADD24.6PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00336% Admixed American · 2/59,542 alleles
Filtering AF 0.000557% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000211%
Overall 0.00143% 23/1,611,884 alleles · very rare
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.0173% 5,796
Admixed Americangrpmax 0.00336% 29,771
African / African-American 0.00134% 74,524
South Asian 0.0011% 90,940
European (non-Finnish) 0.000678% 147,430

Finnish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
GUSB
Protein
p.Pro108Leu
Coding
c.323C>T
MANE Select
NM_000181
dbSNP
rs1268678201
Type
single nucleotide variant
Location
chr7:65980297 (GRCh38)
Gene constraint
LOEUF 0.871 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 94.35 · 2 PDB
Residue 108
an α-helix
Full GUSB gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

mucopolysaccharidosis type 7 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Mucopolysaccharidosis type 7 (Orphanet):

Inheritance
Autosomal recessive
Onset
Adolescent, Antenatal, Childhood, Infancy, Neonatal
Prevalence
<1 / 1 000 000 (Europe)

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/gusb-p-pro108leu (accessed [today's date]).

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