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PREPL p.Pro111Gln

c.332C>A · rs369303884 · VCV2470299

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely benign
0.182 · ACMG-weighted
gnomAD v4.1
Rare
rare (popmax 0.134%, eas)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
1
Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense0.182likely benign
REVEL0.115moderately benign-leaning
SaProtLLR -6.30tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 8.7GERP 2.5, phastCons 1
Regional constrainto/e 1.29unconstrained · MANE · 25 kb · p 1e-15 · regional, not allelic
Overall
CADD27.5PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

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

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM P200Q vs ClinVar P111Q) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.134% East Asian · 60/44,874 alleles
Filtering AF 0.107% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0968%
Overall 0.00384% 62/1,613,526 alleles · rare exomes 58/1,461,292 · genomes 4/152,234 · joint denominator
Ancestry group Frequency 1 in
East Asiangrpmax 0.134% 748
Remaining individualsnot grpmax-eligible 0.0016% 62,492
European (non-Finnish) 8.48e-05% 1,179,503

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
PREPL
Protein
p.Pro111Gln
Coding
c.332C>A
MANE Select
NM_001171613
dbSNP
rs369303884
Type
single nucleotide variant
Location
chr2:44343762 (GRCh38)
Gene constraint
LOEUF 1.247 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 82.46 · 2 PDB
Residue 200 UniProt numbering
a β-strand
Full PREPL 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/prepl-p-pro111gln (accessed [today's date]).

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