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MSX2 p.Thr147=

c.441G>A · VCV3612389

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00659%, sas)
Conditions
1
Cranium bifidum occultum

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -6GERP -4.2
Overall
CADD1.184PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00659% South Asian · 6/91,068 alleles
Filtering AF 0.00286% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00195%
Overall 0.000372% 6/1,613,968 alleles · very rare

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
MSX2
Protein
p.Thr147=
Coding
c.441G>A
MANE Select
NM_002449
Type
single nucleotide variant
Location
chr5:174729220 (GRCh38)
Gene constraint
LOEUF 1.013 · pLI <0.01 · ClinGen HI 1/3 (gnomAD)
Structure
AlphaFold pLDDT 68.77
Residue 147
a DNA-binding region; the 'disordered' region
Full MSX2 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/msx2-p-thr147 (accessed [today's date]).

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