Send feedback

PROKR2 p.Arg85His

c.254G>A · rs74315418 · VCV3451

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 22 submitters
AlphaMissense
likely benign
0.1568 · ACMG-weighted
gnomAD v4.1
Rare
rare (popmax 0.143%, nfe)
Missense predictors
0/2 damaging
AlphaMissense, SaProt · REVEL no call
Conditions
4
PROKR2-related disorder

Computational evidence

Protein change
AlphaMissense0.1568likely benign
REVEL0.482indeterminate
SaProtLLR -7.85tolerated
⇒ AlphaMissense and SaProt both call this tolerated; REVEL makes no call.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 7.6GERP 2.1, phastCons 1
Regional constrainto/e 0.89unconstrained · MANE · 12 kb · p 0.0097 · regional, not allelic
Overall
CADD32.0PHRED · 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 0.143% European (non-Finnish) · 1,687/1,180,040 alleles
Filtering AF 0.137% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.135%
Overall 0.115% 1,859/1,614,030 alleles · rare exomes 1,733/1,461,876 · genomes 126/152,154 · joint denominator
Ancestry group Frequency 1 in
Amishnot grpmax-eligible 1.1% 91
European (non-Finnish)grpmax 0.143% 699
Middle Eastern 0.0986% 1,014
Remaining individualsnot grpmax-eligible 0.0912% 1,096
Finnishnot grpmax-eligible 0.0375% 2,668
South Asian 0.0351% 2,846
Admixed American 0.035% 2,857
African / African-American 0.028% 3,567
East Asian 0.00223% 44,888

Amish 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
PROKR2
Protein
p.Arg85His
Coding
c.254G>A
MANE Select
NM_144773
dbSNP
rs74315418
Type
single nucleotide variant
Location
chr20:5314116 (GRCh38)
Gene constraint
LOEUF 1.492 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 78.50
Residue 85
a UniProt-annotated variant site (in hh3; phenotype consistent with normosmic idiopathic hypogonadotropic hypogonadism; decreased signaling activity); a UniProt-annotated variant site (in hh3; decreased signaling activity)
Full PROKR2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

PROKR2-related disorder

Also linked: amenorrheahypogonadotropic hypogonadism 3 with or without anosmiaKallmann syndrome

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/prokr2-p-arg85his (accessed [today's date]).

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