Is PCSK9 p.Pro445= (c.1335C>T) pathogenic?

PCSK9 p.Pro445= (c.1335C>T) is classified Likely benign in PCSK9 (ClinVar, Multiple submitters, 3 submitters; last evaluated 2024-08-27). Ultra-rare (popmax 0.0166%, mid); Associated with familial hypercholesterolemia.

What condition is associated with PCSK9 p.Pro445= (c.1335C>T)?

PCSK9 p.Pro445= (c.1335C>T) is associated with familial hypercholesterolemia, hypercholesterolemia, autosomal dominant, 3 (ClinVar).

How common is PCSK9 p.Pro445= (c.1335C>T) in the general population?

PCSK9 p.Pro445= (c.1335C>T) is ultra-rare (popmax 0.0166%, mid) (gnomAD).

PCSK9 p.Pro445=

c.1335C>T · rs1200168752 · VCV1171480

Likely benign Multiple submitters

Classification

Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

gnomAD v4.1

Rare

ultra-rare (popmax 0.0166%, mid)

Conditions

familial hypercholesterolemia

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 -2.1	GERP -1.1
Overall
CADD	4.467	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0166% Middle Eastern · 1/6,010 alleles

Overall 0.000137% 2/1,460,750 alleles · ultra-rare

Ancestry group	Frequency	1 in
Middle Easterngrpmax	0.0166%	6,010
Remaining individualsnot grpmax-eligible	0.0016%	62,488

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: PCSK9
Protein: p.Pro445=
Coding: c.1335C>T
MANE Select: NM_174936
dbSNP: rs1200168752
Type: single nucleotide variant
Location: chr1:55058190 (GRCh38)
Gene constraint: LOEUF 1.25 · pLI <0.01 · ClinGen HI dosage-sensitivity unlikely (gnomAD)
Structure: AlphaFold pLDDT 85.03 · 66 PDB
Residue 445: an α-helix; the peptidase s8 domain

Full PCSK9 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

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

Also linked: hypercholesterolemia, autosomal dominant, 3

Similar variants

PCSK9 p.Pro445Arg Uncertain significance ★★ ⚠ same residue
PCSK9 p.Pro445His Uncertain significance ★★ ⚠ same residue
PCSK9 p.Pro445Leu Uncertain significance ★★ ⚠ same residue
PCSK9 p.Pro445Ser Uncertain significance ★★ ⚠ same residue
PCSK9 p.Arg215His Pathogenic/Likely pathogenic ★★ ⚠ same condition
PCSK9 p.Asp374His Pathogenic/Likely pathogenic ★★ ⚠ same condition
PCSK9 p.Asp374Tyr Pathogenic/Likely pathogenic ★★ ⚠ same condition
PCSK9 c.1863+1G>A Uncertain significance ★★ 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/pcsk9-p-pro445 (accessed [today's date]).

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