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PHEX p.Ala500=

c.1500C>T · rs1440858200 · VCV2120978

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00177%, sas)

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 -1.1GERP -4.6
Overall
CADD5.892PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00177% South Asian · 1/56,430 alleles
Filtering AF 9.1e-05% ClinGen BA1/BS1 input FAF95, joint · FAF99 2.5e-05%
Overall 0.000419% 5/1,193,552 alleles · very rare exomes 3/1,081,603 · genomes 2/111,949 · joint denominator
Ancestry group Frequency 1 in
South Asiangrpmax 0.00177% 56,430
African / African-American 0.00176% 56,863
European (non-Finnish) 0.00034% 293,937

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
PHEX
Protein
p.Ala500=
Coding
c.1500C>T
MANE Select
NM_000444
dbSNP
rs1440858200
Type
single nucleotide variant
Location
chrX:22178290 (GRCh38)
Structure
AlphaFold pLDDT 94.58
Residue 500
the peptidase m13 domain
Full PHEX 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/phex-p-ala500 (accessed [today's date]).

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