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PMPCA p.Arg522Trp

c.1564C>T · rs1024902017 · VCV2885341

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
ambiguous
0.3715 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.004%, afr)
Missense predictors
0/2 damaging
REVEL, SaProt · AlphaMissense indeterminate

Computational evidence

Protein change
AlphaMissense0.3715ambiguous
REVEL0.235benign-leaning
SaProtLLR -6.06tolerated
⇒ REVEL and SaProt both call this tolerated; AlphaMissense is indeterminate.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 3.3GERP 1.3, phastCons 1
Regional constrainto/e 1.03unconstrained · MANE · 13 kb · p 0.42 · regional, not allelic
Overall
CADD28.1PHRED · 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
Grpmax group 0.004% African / African-American · 3/74,930 alleles
Filtering AF 0.0013% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00109%
Overall 0.00217% 35/1,612,062 alleles · very rare exomes 32/1,459,840 · genomes 3/152,222 · joint denominator
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.00638% 15,670
African / African-Americangrpmax 0.004% 24,977
Remaining individualsnot grpmax-eligible 0.0032% 31,223
East Asian 0.00223% 44,882
European (non-Finnish) 0.00195% 51,284
Admixed American 0.00167% 59,948
South Asian 0.0011% 91,064

Finnish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
PMPCA
Protein
p.Arg522Trp
Coding
c.1564C>T
MANE Select
NM_015160
dbSNP
rs1024902017
Type
single nucleotide variant
Location
chr9:136423250 (GRCh38)
Gene constraint
LOEUF 1.111 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 88.46
Full PMPCA 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/pmpca-p-arg522trp (accessed [today's date]).

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