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IMPDH1 p.Pro21=

c.63C>T · rs958607869 · VCV1572597

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00434%, amr)

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 -0.53GERP -2.7, phastCons 0.005
Overall
CADD13.81PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00434% Admixed American · 2/46,102 alleles
Filtering AF 0.000719% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000269%
Overall 0.000201% 3/1,495,836 alleles · very rare exomes 1/1,343,672 · genomes 2/152,164 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00434% 23,051
East Asian 0.00276% 36,168

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.Pro21=
Coding
c.63C>T
MANE Select
NM_000883
dbSNP
rs958607869
Type
single nucleotide variant
Location
chr7:128409839 (GRCh38)
Gene constraint
LOEUF 0.763 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 92.71 · 18 PDB
Residue 21
an α-helix
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-pro21 (accessed [today's date]).

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