Is PRSS1 p.Asp156= (c.468C>T) pathogenic?

PRSS1 p.Asp156= (c.468C>T) is classified Benign/Likely benign in PRSS1 (ClinVar, Multiple submitters, 6 submitters; last evaluated 2026-01-13). Common (popmax 36.7%, amr) — too common for a highly-penetrant pathogenic allele; Associated with hereditary chronic pancreatitis.

What condition is associated with PRSS1 p.Asp156= (c.468C>T)?

PRSS1 p.Asp156= (c.468C>T) is associated with hereditary chronic pancreatitis (ClinVar).

PRSS1 p.Asp156=

Q: How common is PRSS1 p.Asp156= (c.468C>T) in the general population?

PRSS1 p.Asp156= (c.468C>T) is common (popmax 36.7%, amr) — too common for a highly-penetrant pathogenic allele (gnomAD).

Q: How is Autosomal dominant hereditary chronic pancreatitis inherited?

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

c.468C>T · rs146076691 · VCV996274

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 6 submitters

gnomAD v4.1

Common

common (popmax 36.7%, amr) — too common for a highly-penetrant pathogenic allele

Conditions

hereditary chronic pancreatitis

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 -13	GERP -3.7
Overall
CADD	0.556	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 36.7% Admixed American · 16,298/44,380 alleles

Filtering AF 36.3% ClinGen BA1/BS1 input FAF95, joint · FAF99 36.1%

Overall 26.9% 291,130/1,080,618 alleles · common

Ancestry group	Frequency	1 in
Amishnot grpmax-eligible	36.7%	3
Admixed Americangrpmax	36.7%	3
African / African-American	36.6%	3
Finnishnot grpmax-eligible	35.3%	3
Ashkenazi Jewishnot grpmax-eligible	33.1%	3
European (non-Finnish)	26.4%	4
Middle Eastern	26%	4
Remaining individualsnot grpmax-eligible	24.9%	4
South Asian	20.7%	5
East Asian	10.8%	9

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: PRSS1
Protein: p.Asp156=
Coding: c.468C>T
MANE Select: NM_002769
dbSNP: rs146076691
Type: single nucleotide variant
Location: chr7:142752444 (GRCh38)
Gene constraint: LOEUF 1.301 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
Structure: AlphaFold pLDDT 92.24 · 12 PDB
Residue 156: a disulfide bond; the peptidase s1 domain

Full PRSS1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hereditary chronic pancreatitis — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Autosomal dominant hereditary chronic pancreatitis (Orphanet):

Inheritance: Autosomal dominant
Onset: Adolescent, Childhood
Prevalence: 1-9 / 1 000 000 (France)

Similar variants

PRSS1 p.Asp156Glu Conflicting classifications of pathogenicity ★ ⚠ same residue
PRSS1 p.Ala16Val Pathogenic/Likely pathogenic ★★ ⚠ same condition
PRSS1 p.Arg116Cys Pathogenic/Likely pathogenic ★★ same condition
PRSS1 p.Arg122Cys Pathogenic ★★ same condition
PRSS1 p.Arg122His Pathogenic/Likely pathogenic ★★ ⚠ same condition
PRSS1 p.Asn29Ile Pathogenic ★★ ⚠ same condition
PRSS1 c.200+1G>C Uncertain significance ★★ same condition
PRSS1 c.201-7C>A Uncertain significance ★★ 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/prss1-p-asp156 (accessed [today's date]).

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