Is PAH p.Pro362Ser (c.1084C>T) pathogenic?

PAH p.Pro362Ser (c.1084C>T) is classified Likely pathogenic in PAH (ClinVar, Expert panel, 1 submitter; last evaluated 2022-12-09). AlphaMissense: ambiguous (0.5388); Absent from gnomAD v4.1; Associated with phenylketonuria.

What condition is associated with PAH p.Pro362Ser (c.1084C>T)?

PAH p.Pro362Ser (c.1084C>T) is associated with phenylketonuria (ClinVar).

How common is PAH p.Pro362Ser (c.1084C>T) in the general population?

PAH p.Pro362Ser (c.1084C>T) is absent from gnomAD v4.1 (gnomAD).

How is Phenylketonuria inherited?

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

What do computational predictors say about PAH p.Pro362Ser (c.1084C>T)?

AlphaMissense predicts ambiguous (score 0.5388) — an in-silico prediction, not a clinical call.

PAH p.Pro362Ser

c.1084C>T · rs62507329 · VCV1810381

Likely pathogenic Expert panel

Classification

Likely pathogenic

ClinVar

Review

Expert panel ★★★☆

ClinVar · 1 submitter

AlphaMissense

ambiguous

0.5388 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

2/2 damaging

REVEL, SaProt · AlphaMissense no call

Conditions

phenylketonuria

ClinGen expert panel — Phenylketonuria VCEP

Likely Pathogenic for phenylketonuria. Applied ACMG criteria (verbatim):

PM2 PP3 PP4 PM3

Curation rationale (ClinGen, verbatim)

This c.1084C>T (p.Pro362Ser) variant in PAH was reported in a patient with classic PKU in trans with the pathogenic variant p.Arg413Pro (PMID: 28982351). This variant was present at an extremely low frequency in ExAC and absent in the gnomAD population database. Multiple lines of computational evidence support a deleterious effect. In summary, this variant meets criteria to be classified as likely pathogenic for PAH. PAH-specific ACMG/AMP criteria applied: PM3, PM2, PP3, PP4.

ClinGen Evidence Repository → · reported verbatim, not re-tallied by Sugi Variant.

Computational evidence

Protein change
AlphaMissense	0.5388	ambiguous
REVEL	0.796	moderately pathogenic-leaning
SaProt	LLR -10.94	damaging
⇒ REVEL and SaProt both call this damaging; AlphaMissense makes no call.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 9.9	GERP 2, phastCons 1
Regional constraint	o/e 1.07	unconstrained · MANE · 78 kb · p 0.12 · regional, not allelic
Overall
CADD	24.6	PHRED · no single calibrated threshold — expert panels disagree

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

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: PAH
Protein: p.Pro362Ser
Coding: c.1084C>T
MANE Select: NM_000277
dbSNP: rs62507329
Type: single nucleotide variant
Location: chr12:102843761 (GRCh38)
Gene constraint: LOEUF 1.265 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 89.04 · 21 PDB
Residue 362: a UniProt-annotated variant site (in pah deficiency; severe); a β-strand

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

Disease context

phenylketonuria — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Phenylketonuria (Orphanet):

Inheritance: Autosomal recessive
Onset: Infancy
Prevalence: 1-9 / 100 000 (France)

Similar variants

PAH p.Pro362Arg Likely pathogenic ★ same residue
PAH p.Pro362Leu Pathogenic ★ same residue
PAH p.Pro362Thr Pathogenic ★ same residue
PAH c.1065+1G>A Likely pathogenic ★★★ same condition
PAH c.1065+1G>T Likely pathogenic ★★★ same condition
PAH c.1065+3A>G Likely pathogenic ★★★ same condition
PAH c.1066-11G>A Pathogenic ★★★ same condition
PAH c.1066-14C>G 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/pah-p-pro362ser (accessed [today's date]).

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