Is KL p.Arg44Pro (c.131G>C) pathogenic?

KL p.Arg44Pro (c.131G>C) is classified Uncertain significance in KL (ClinVar, Single submitter, 1 submitter; last evaluated 2024-11-25). AlphaMissense: ambiguous (0.4517); Very rare (popmax 0.00433%, afr).

How common is KL p.Arg44Pro (c.131G>C) in the general population?

KL p.Arg44Pro (c.131G>C) is very rare (popmax 0.00433%, afr) (gnomAD).

What do computational predictors say about KL p.Arg44Pro (c.131G>C)?

AlphaMissense predicts ambiguous (score 0.4517) — an in-silico prediction, not a clinical call.

KL p.Arg44Pro

c.131G>C · VCV3534757

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

ambiguous

0.4517 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00433%, afr)

Missense predictors

0/2 damaging

REVEL, SaProt · AlphaMissense indeterminate

Computational evidence

Protein change
AlphaMissense	0.4517	ambiguous
REVEL	0.196	benign-leaning
SaProt	LLR -7.94	tolerated
⇒ REVEL and SaProt both call this tolerated; AlphaMissense is indeterminate.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 3.9	GERP 1.2, phastCons 1
Regional constraint	o/e 0.97	unconstrained · MANE · 48 kb · p 0.22 · regional, not allelic
Overall
CADD	20.0	PHRED · 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 0.00433% African / African-American · 3/69,218 alleles

Filtering AF 0.00115% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000619%

Overall 0.00027% 4/1,479,024 alleles · very rare exomes 4/1,327,426 · genomes 0/151,598 · joint denominator

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.00433%	23,073
European (non-Finnish)	8.95e-05%	1,117,375

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: KL
Protein: p.Arg44Pro
Coding: c.131G>C
MANE Select: NM_004795
Type: single nucleotide variant
Location: chr13:33016571 (GRCh38)
Gene constraint: LOEUF 0.917 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 89.48 · 6 PDB
Residue 44: an α-helix

Full KL gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

KL p.Arg44Cys Uncertain significance ★ ⚠ same residue
KL c.1331-3C>A Uncertain significance ★★ same type
KL p.Ala3Thr Uncertain significance ★★ ⚠ same type
KL p.Ala50Val Uncertain significance ★★ ⚠ same type
KL p.Ala656Thr Uncertain significance ★★ ⚠ same type
KL p.Ala663Thr Uncertain significance ★★ ⚠ same type
KL p.Ala987Thr Uncertain significance ★★ ⚠ same type
KL p.Arg179Trp Uncertain significance ★★ ⚠ same type

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/kl-p-arg44pro (accessed [today's date]).

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