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REL p.Ala442=

c.1326G>A · rs372798591 · VCV2056600

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0495%, mid)

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
ConservationphyloP -2.6GERP -2.3
Overall
CADD2.788PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0495% Middle Eastern · 3/6,058 alleles
Filtering AF 0.0134% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00718%
Overall 0.00341% 55/1,614,078 alleles · ultra-rare exomes 47/1,461,788 · genomes 8/152,290 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0495% 2,019
African / African-American 0.012% 8,337
Admixed American 0.00833% 12,004
Remaining individualsnot grpmax-eligible 0.0032% 31,255
European (non-Finnish) 0.0028% 35,757
South Asian 0.0022% 45,537
Finnishnot grpmax-eligible 0.00156% 63,994

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
REL
Protein
p.Ala442=
Coding
c.1326G>A
MANE Select
NM_001291746
dbSNP
rs372798591
Type
single nucleotide variant
Location
chr2:60922097 (GRCh38)
Gene constraint
LOEUF 0.416 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 66.46
Full REL 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/rel-p-ala442 (accessed [today's date]).

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