Is PKHD1 p.Pro4067= (c.12201G>T) pathogenic?

PKHD1 p.Pro4067= (c.12201G>T) is classified Likely benign in PKHD1 (ClinVar, Single submitter, 2 submitters; last evaluated 2023-12-03). Very rare (popmax 0.005%, amr); Associated with autosomal recessive polycystic kidney disease.

What condition is associated with PKHD1 p.Pro4067= (c.12201G>T)?

PKHD1 p.Pro4067= (c.12201G>T) is associated with autosomal recessive polycystic kidney disease (ClinVar).

How common is PKHD1 p.Pro4067= (c.12201G>T) in the general population?

PKHD1 p.Pro4067= (c.12201G>T) is very rare (popmax 0.005%, amr) (gnomAD).

How is Autosomal recessive polycystic kidney disease inherited?

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

PKHD1 p.Pro4067=

c.12201G>T · rs750988521 · VCV1121031

Likely benign Single submitter

Classification

Likely benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 2 submitters

gnomAD v4.1

Rare

very rare (popmax 0.005%, amr)

Conditions

autosomal recessive polycystic kidney disease

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 -7.1	GERP -5.1
Overall
CADD	0.033	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.005% Admixed American · 3/60,016 alleles

Filtering AF 0.00133% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000668%

Overall 0.000372% 6/1,614,082 alleles · very rare exomes 5/1,461,830 · genomes 1/152,252 · joint denominator

Ancestry group	Frequency	1 in
Admixed Americangrpmax	0.005%	20,005
Remaining individualsnot grpmax-eligible	0.0032%	31,241
African / African-American	0.00133%	74,956

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: PKHD1
Protein: p.Pro4067=
Coding: c.12201G>T
MANE Select: NM_138694
dbSNP: rs750988521
Type: single nucleotide variant
Location: chr6:51619105 (GRCh38)
Gene constraint: LOEUF 0.783 · pLI <0.01 (gnomAD)
Residue 4067: a UniProt-annotated variant site (found in a patient affected by polycystic liver disease; uncertain significance); a UniProt-annotated variant site (found in a patient affected by polycystic liver disease; likely pathogenic)

Full PKHD1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

autosomal recessive polycystic kidney disease — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Autosomal recessive polycystic kidney disease (Orphanet):

Inheritance: Autosomal recessive
Onset: All ages
Prevalence: 1-9 / 100 000 (Germany)

Similar variants

PKHD1 p.Pro4067Leu Uncertain significance ★★ ⚠ same residue
PKHD1 p.Pro4067Gln Uncertain significance ★ ⚠ same residue
PKHD1 p.Pro4067Thr Uncertain significance ★ ⚠ same residue
PKHD1 c.11174+2T>C Likely pathogenic ★★ same condition
PKHD1 c.11310+1G>C Pathogenic/Likely pathogenic ★★ same condition
PKHD1 c.11398+2T>C Pathogenic/Likely pathogenic ★★ same condition
PKHD1 c.11507-1G>A Likely pathogenic ★★ same condition
PKHD1 c.11665+1G>A Pathogenic/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/pkhd1-p-pro4067 (accessed [today's date]).

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