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NHS p.Pro19Ser

c.55C>T · VCV4750056

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00259%, amr)
Conditions
1
Nance-Horan syndrome

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.046moderately benign-leaning
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 5.1GERP 0.71, phastCons 1
Regional constrainto/e 0.79unconstrained · MANE · 357 kb · p 1.3e-14 · regional, not allelic
Overall
CADD24.2PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00259% Admixed American · 1/38,583 alleles
Filtering AF 0.000107% ClinGen BA1/BS1 input FAF95, joint · FAF99 7.3e-05%
Overall 0.000521% 6/1,151,025 alleles · very rare exomes 3/1,038,455 · genomes 3/112,570 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00259% 38,583
Remaining individualsnot grpmax-eligible 0.00219% 45,580
European (non-Finnish) 0.000459% 217,854

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
NHS
Protein
p.Pro19Ser
Coding
c.55C>T
MANE Select
NM_001291867
Type
single nucleotide variant
Location
chrX:17375812 (GRCh38)
Structure
AlphaFold pLDDT 43.65
Residue 19
the 'wave homology domain (whd)' region; the 'disordered' region
Full NHS 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/nhs-p-pro19ser (accessed [today's date]).

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