Is MPST p.Arg72His (c.215G>A) pathogenic?

MPST p.Arg72His (c.215G>A) is classified Uncertain significance in MPST (ClinVar, Single submitter, 1 submitter; last evaluated 2021-10-18). AlphaMissense: likely benign (0.1126); Rare (popmax 0.569%, mid).

How common is MPST p.Arg72His (c.215G>A) in the general population?

MPST p.Arg72His (c.215G>A) is rare (popmax 0.569%, mid) (gnomAD).

What do computational predictors say about MPST p.Arg72His (c.215G>A)?

AlphaMissense predicts likely benign (score 0.1126) — an in-silico prediction, not a clinical call.

MPST p.Arg72His

c.215G>A · rs778559600 · VCV2278162

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely benign

0.1126 · ACMG-weighted

gnomAD v4.1

Rare

rare (popmax 0.569%, mid)

Missense predictors

1/3 damaging

AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense	0.1126	likely benign
REVEL	0.114	moderately benign-leaning
SaProt	LLR -11.14	damaging
⇒ SaProt calls this damaging; AlphaMissense and REVEL do not.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 3.3	GERP 0.58, phastCons 1
Regional constraint	o/e 1.04	unconstrained · MANE · 9,674 bp · p 0.34 · regional, not allelic
Overall
CADD	22.3	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM R52H vs ClinVar R72H) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.569% Middle Eastern · 34/5,972 alleles

Filtering AF 0.419% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.367%

Overall 0.0164% 253/1,544,468 alleles · rare exomes 232/1,392,154 · genomes 21/152,314 · joint denominator

Ancestry group	Frequency	1 in
Middle Easterngrpmax	0.569%	176
Ashkenazi Jewishnot grpmax-eligible	0.0564%	1,772
Remaining individualsnot grpmax-eligible	0.0401%	2,492
Admixed American	0.0314%	3,183
South Asian	0.0167%	5,980
European (non-Finnish)	0.0122%	8,183
African / African-American	0.00962%	10,397
East Asian	0.00245%	40,882
Finnishnot grpmax-eligible	0.0018%	55,476

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: MPST
Protein: p.Arg72His
Coding: c.215G>A
MANE Select: NM_021126
dbSNP: rs778559600
Type: single nucleotide variant
Location: chr22:37024370 (GRCh38)
Gene constraint: LOEUF 1.501 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 95.74 · 2 PDB
Residue 52 UniProt numbering: the rhodanese 1 domain

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

Similar variants

MPST p.Ala103Glu Uncertain significance ★ ⚠ same type
MPST p.Ala130Val Uncertain significance ★ ⚠ same type
MPST p.Ala19Ser Uncertain significance ★ same type
MPST p.Ala303Val Uncertain significance ★ same type
MPST p.Ala33Val Uncertain significance ★ ⚠ same type
MPST p.Ala39Val Uncertain significance ★ ⚠ same type
MPST p.Ala45Ser Uncertain significance ★ ⚠ same type
MPST p.Ala77Val 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/mpst-p-arg72his (accessed [today's date]).

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