Is MLH1 p.Pro403= (c.1209C>T) pathogenic?

MLH1 p.Pro403= (c.1209C>T) is classified Likely benign in MLH1 (ClinVar, Single submitter, 1 submitter; last evaluated 2021-08-06). Absent from gnomAD v4.1; Associated with Hereditary nonpolyposis colorectal neoplasms.

What condition is associated with MLH1 p.Pro403= (c.1209C>T)?

MLH1 p.Pro403= (c.1209C>T) is associated with Hereditary nonpolyposis colorectal neoplasms (ClinVar).

How common is MLH1 p.Pro403= (c.1209C>T) in the general population?

MLH1 p.Pro403= (c.1209C>T) is absent from gnomAD v4.1 (gnomAD).

MLH1 p.Pro403=

c.1209C>T · rs1575535878 · VCV1530826

Likely benign Single submitter

Classification

Likely benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Absent

absent from gnomAD v4.1

Conditions

Hereditary nonpolyposis colorectal neoplasms

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL	0.126	moderately benign-leaning
Splicing
SpliceAI	<0.2	no splice effect predicted · four deltas, not one · how we know
Constraint at this position
Conservation	phyloP -0.32	GERP -1.6
Overall
CADD	4.848	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: MLH1
Protein: p.Pro403=
Coding: c.1209C>T
MANE Select: NM_000249
dbSNP: rs1575535878
Type: single nucleotide variant
Location: chr3:37025807 (GRCh38)
Gene constraint: LOEUF 0.639 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 77.89 · 13 PDB
Residue 403: a UniProt-annotated variant site (no decrease in mismatch repair activity; no effect on nuclear localization); the 'disordered' region

Full MLH1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Hereditary nonpolyposis colorectal neoplasms — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

MLH1 p.Pro403Arg Uncertain significance ★★ ⚠ same residue
MLH1 p.Pro403Thr Uncertain significance ★★ ⚠ same residue
MLH1 p.Pro403His Uncertain significance ★ ⚠ same residue
MLH1 p.Pro403Ser Conflicting classifications of pathogenicity ★ ⚠ same residue
MLH1 c.1039-1G>C Pathogenic/Likely pathogenic ★★ same condition
MLH1 c.1039-2A>C Pathogenic/Likely pathogenic ★★ same condition
MLH1 c.116+1G>C Pathogenic/Likely pathogenic ★★ same condition
MLH1 c.116+1G>T Pathogenic/Likely pathogenic ★★ same condition

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/mlh1-p-pro403 (accessed [today's date]).

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