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HMBS p.Leu76=

c.228G>C · rs199536768 · VCV1915819

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00223%, eas)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 0.043GERP -0.15, phastCons 0.51
Overall
CADD8.047PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00223% East Asian · 1/44,876 alleles
Overall 0.000186% 3/1,614,146 alleles · very rare exomes 2/1,461,826 · genomes 1/152,320 · joint denominator
Ancestry group Frequency 1 in
East Asiangrpmax 0.00223% 44,876
Admixed American 0.00167% 60,022
South Asian 0.0011% 91,086

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
HMBS
Protein
p.Leu76=
Coding
c.228G>C
MANE Select
NM_000190
dbSNP
rs199536768
Type
single nucleotide variant
Location
chr11:119089234 (GRCh38)
Gene constraint
LOEUF 0.546 · pLI 0.81 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 90.54 · 11 PDB
Residue 76
an α-helix
Full HMBS 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/hmbs-p-leu76 (accessed [today's date]).

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