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IMPDH1 p.Asp404=

c.1212C>T · rs974835184 · VCV1657244

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00966%, 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 -5.5GERP -3.7
Overall
CADD4.339PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00966% Admixed American · 5/51,770 alleles
Filtering AF 0.00378% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00245%
Overall 0.00135% 21/1,555,618 alleles · very rare exomes 21/1,403,288 · genomes 0/152,330 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00966% 10,354
East Asian 0.00483% 20,716
South Asian 0.00474% 21,099
African / African-American 0.00272% 36,760
Remaining individualsnot grpmax-eligible 0.00166% 60,254
European (non-Finnish) 0.000609% 164,134

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
IMPDH1
Protein
p.Asp404=
Coding
c.1212C>T
MANE Select
NM_000883
dbSNP
rs974835184
Type
single nucleotide variant
Location
chr7:128396649 (GRCh38)
Gene constraint
LOEUF 0.763 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 92.71 · 18 PDB
Full IMPDH1 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/impdh1-p-asp404 (accessed [today's date]).

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