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KRAS p.Arg164Ter

c.490C>T · rs200186819 · VCV3065766

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 2 submitters
Consequence
nonsense (stop-gain)
predicted LoF
gnomAD v4.1
Rare
very rare (popmax 0.0033%, sas)
Conditions
1
exocrine pancreatic carcinoma

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal.
Consequencenonsense (stop-gain)predicted loss-of-function in a LoF-intolerant gene; NMD-escape possible for C-terminal truncations
Splicing
SpliceAIΔ0.37acceptor loss, 39 bp away · masked 0 · deltas
Constraint at this position
ConservationphyloP 8.7GERP 1.9, phastCons 1
Overall
CADD22.6PHRED · no single calibrated threshold — expert panels disagree

Predicted loss-of-function is descriptive, not an applied PVS1 code.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0033% South Asian · 3/90,998 alleles
Filtering AF 0.000876% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000443%
Overall 0.000745% 12/1,611,396 alleles · very rare
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.00939% 10,649
South Asiangrpmax 0.0033% 30,333
African / African-American 0.00134% 74,786
European (non-Finnish) 0.00017% 589,036

Finnish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
KRAS
Protein
p.Arg164Ter
Coding
c.490C>T
MANE Select
NM_004985 · reported on NM_033360
dbSNP
rs200186819
Type
single nucleotide variant
Location
chr12:25215521 (GRCh38)
Gene constraint
LOEUF 0.264 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 91.65 · 549 PDB
Residue 164
an α-helix
Full KRAS 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/kras-p-arg164ter (accessed [today's date]).

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