Is NEB p.Ser164= (c.492G>A) pathogenic?

NEB p.Ser164= (c.492G>A) is classified Benign in NEB (ClinVar, Single submitter, 1 submitter; last evaluated 2025-11-10). Rare (popmax 0.162%, sas); Associated with nemaline myopathy 2.

What condition is associated with NEB p.Ser164= (c.492G>A)?

NEB p.Ser164= (c.492G>A) is associated with nemaline myopathy 2 (ClinVar).

How common is NEB p.Ser164= (c.492G>A) in the general population?

NEB p.Ser164= (c.492G>A) is rare (popmax 0.162%, sas) (gnomAD).

How is Severe congenital nemaline myopathy inherited?

Typically Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

NEB p.Ser164=

c.492G>A · rs371015050 · VCV1169742

Benign Single submitter

Classification

Benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Rare

rare (popmax 0.162%, sas)

Conditions

nemaline myopathy 2

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
Conservation	phyloP 2.3	GERP 1.1, phastCons 1
Overall
CADD	16.02	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.162% South Asian · 147/91,006 alleles

Filtering AF 0.14% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.132%

Overall 0.0102% 164/1,613,296 alleles · rare exomes 152/1,460,988 · genomes 12/152,308 · joint denominator

Ancestry group	Frequency	1 in
South Asiangrpmax	0.162%	619
Remaining individualsnot grpmax-eligible	0.0096%	10,412
African / African-American	0.004%	25,009
Admixed American	0.00167%	59,944
European (non-Finnish)	0.000593%	168,501

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: NEB
Protein: p.Ser164=
Coding: c.492G>A
MANE Select: NM_001164508
dbSNP: rs371015050
Type: single nucleotide variant
Location: chr2:151724872 (GRCh38)
Gene constraint: LOEUF 0.597 · pLI <0.01 (gnomAD)

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

Disease context

nemaline myopathy 2 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Severe congenital nemaline myopathy (Orphanet):

Inheritance: Autosomal recessive
Onset: Infancy, Neonatal
Prevalence: <1 / 1 000 000 (Europe)

Similar variants

NEB p.Ser164Leu Likely benign ★ same residue
NEB c.11910+1G>A Likely pathogenic ★★★ same condition
NEB c.6076-1G>T Likely pathogenic ★★★ same condition
NEB c.78+1G>A Pathogenic ★★★ same condition
NEB p.Arg2313Ter Pathogenic ★★★ same condition
NEB p.Asp498Gly Likely pathogenic ★★★ ⚠ same condition
NEB p.Ser6366Ile Pathogenic ★★★ same condition
NEB p.Ser6648= 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/neb-p-ser164 (accessed [today's date]).

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