Is RET p.Pro273His (c.818C>A) pathogenic?

RET p.Pro273His (c.818C>A) is classified Likely pathogenic in RET (ClinVar, Single submitter, 1 submitter; last evaluated 2022-01-01). AlphaMissense: likely benign (0.1228); Absent from gnomAD v4.1; Associated with ovarian cancer.

What condition is associated with RET p.Pro273His (c.818C>A)?

RET p.Pro273His (c.818C>A) is associated with ovarian cancer (ClinVar).

How common is RET p.Pro273His (c.818C>A) in the general population?

RET p.Pro273His (c.818C>A) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about RET p.Pro273His (c.818C>A)?

AlphaMissense predicts likely benign (score 0.1228) — an in-silico prediction, not a clinical call.

RET p.Pro273His

c.818C>A · rs2132708181 · VCV2445369

Likely pathogenic Single submitter

Classification

Likely pathogenic

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely benign

0.1228 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

ovarian cancer

Computational evidence

Protein change
AlphaMissense	0.1228	likely benign ⚠ discordant with ClinVar
REVEL	0.188	benign-leaning
SaProt	LLR -8.51	tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 0.6	GERP -3.1
Regional constraint	o/e 0.88	unconstrained · MANE · 17 kb · p 0.00012 · regional, not allelic
Overall
CADD	18.16	PHRED · 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

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: RET
Protein: p.Pro273His
Coding: c.818C>A
MANE Select: NM_020975
dbSNP: rs2132708181
Type: single nucleotide variant
Location: chr10:43105144 (GRCh38)
Gene constraint: LOEUF 0.24 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 79.27 · 34 PDB
Residue 273: the 'cadherin-like region 3 (cld3)' region

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

Disease context

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

Similar variants

RET p.Pro273= Likely benign ★★ same residue
RET p.Pro273Ala Uncertain significance ★ ⚠ same residue
RET p.Pro273Ser Uncertain significance ★ ⚠ same residue
RET p.Pro273Thr Uncertain significance ★ ⚠ same residue
RET p.Pro273Leu Likely benign ★ same residue
RET p.Val804Met Pathogenic/Likely pathogenic ★★ ⚠ same condition
RET p.Arg540Gly Conflicting classifications of pathogenicity ★ ⚠ same condition
RET p.Glu136Lys Conflicting classifications of pathogenicity ★ ⚠ 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/ret-p-pro273his (accessed [today's date]).

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