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HMBS p.Ser28=

c.84C>T · rs762409662 · VCV1946762

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00333%, 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 3.3GERP 2.3, phastCons 1
Overall
CADD13.26PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00333% Admixed American · 2/59,996 alleles
Filtering AF 0.00145% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00123%
Overall 0.0018% 29/1,613,896 alleles · very rare exomes 27/1,461,728 · genomes 2/152,168 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00333% 29,998
Remaining individualsnot grpmax-eligible 0.0032% 31,240
European (non-Finnish) 0.00212% 47,198

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.Ser28=
Coding
c.84C>T
MANE Select
NM_000190
dbSNP
rs762409662
Type
single nucleotide variant
Location
chr11:119088305 (GRCh38)
Gene constraint
LOEUF 0.546 · pLI 0.81 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 90.54 · 11 PDB
Residue 28
a UniProt-annotated variant site (in aip; severely decreased hydroxymethylbilane synthase activity)
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-ser28 (accessed [today's date]).

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