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RB1 p.Thr5Pro

c.13A>C · rs898303682 · VCV527924

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 4 submitters
AlphaMissense
likely benign
0.0598 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0237%, mid)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
2
retinoblastoma

Computational evidence

Protein change
AlphaMissense0.0598likely benign
REVEL0.127moderately benign-leaning
SaProtLLR -7.91tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.19GERP -2.6
Regional constrainto/e 0.81unconstrained · MANE · 156 kb · p 9.1e-08 · regional, not allelic
Overall
CADD16.57PHRED · 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.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0237% Middle Eastern · 1/4,214 alleles
Filtering AF 0.00707% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00485%
Overall 0.00394% 59/1,497,328 alleles · ultra-rare exomes 59/1,347,404 · genomes 0/149,924 · joint denominator
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.0258% 3,869
Middle Easterngrpmax 0.0237% 4,214
East Asian 0.0164% 6,093
African / African-American 0.0044% 22,745
European (non-Finnish) 0.00345% 28,955
Admixed American 0.00208% 48,136
Remaining individualsnot grpmax-eligible 0.00173% 57,938
South Asian 0.00123% 81,266

Ashkenazi Jewish 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
RB1
Protein
p.Thr5Pro
Coding
c.13A>C
MANE Select
NM_000321
dbSNP
rs898303682
Type
single nucleotide variant
Location
chr13:48303925 (GRCh38)
Gene constraint
LOEUF 0.239 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 77.03 · 19 PDB
Residue 5
the 'disordered' region
Full RB1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

retinoblastoma — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: hereditary neoplastic syndrome

For Retinoblastoma (Orphanet):

Inheritance
Autosomal dominant, Not applicable
Onset
Antenatal, Childhood, Infancy
Prevalence
<1 / 1 000 000 (Europe)

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/rb1-p-thr5pro (accessed [today's date]).

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