Is RTEL1 p.Arg473= (c.1419C>A) pathogenic?

RTEL1 p.Arg473= (c.1419C>A) is classified Likely benign in RTEL1 (ClinVar, Multiple submitters, 5 submitters; last evaluated 2026-01-02). Very rare (popmax 0.00399%, nfe); Associated with Inborn genetic diseases.

How common is RTEL1 p.Arg473= (c.1419C>A) in the general population?

RTEL1 p.Arg473= (c.1419C>A) is very rare (popmax 0.00399%, nfe) (gnomAD).

RTEL1 p.Arg473=

Q: What condition is associated with RTEL1 p.Arg473= (c.1419C>A)?

RTEL1 p.Arg473= (c.1419C>A) is associated with Inborn genetic diseases, dyskeratosis congenita, autosomal recessive 5, pulmonary fibrosis and/or bone marrow failure, Telomere-related, 3 (ClinVar).

c.1419C>A · rs117195545 · VCV1135124

Likely benign Multiple submitters

Classification

Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 5 submitters

gnomAD v4.1

Rare

very rare (popmax 0.00399%, nfe)

Conditions

Inborn genetic diseases

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI	<0.2	no splice effect predicted · four deltas, not one · how we know
Constraint at this position
Conservation	phyloP -3.5	GERP -3.1
Overall
CADD	0.488	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00399% European (non-Finnish) · 47/1,177,126 alleles

Filtering AF 0.00308% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00276%

Overall 0.00305% 49/1,604,452 alleles · very rare exomes 43/1,452,060 · genomes 6/152,392 · joint denominator

Ancestry group	Frequency	1 in
European (non-Finnish)grpmax	0.00399%	25,045
Admixed American	0.00169%	59,148
Remaining individualsnot grpmax-eligible	0.00161%	61,994

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: RTEL1
Protein: p.Arg473=
Coding: c.1419C>A
MANE Select: NM_001283009
dbSNP: rs117195545
Type: single nucleotide variant
Location: chr20:63687708 (GRCh38)
Gene constraint: LOEUF 0.661 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 72.64 · 3 PDB

Full RTEL1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: dyskeratosis congenita, autosomal recessive 5 pulmonary fibrosis and/or bone marrow failure, Telomere-related, 3

Similar variants

RTEL1 p.Arg473Cys Uncertain significance ★★ ⚠ same residue
RTEL1 p.Arg473His Uncertain significance ★★ ⚠ same residue
RTEL1 p.Arg473Ser Uncertain significance ★ same residue
RTEL1 p.Arg473Leu Uncertain significance ★ ⚠ same residue
RTEL1 c.1037+1G>T Likely pathogenic ★★ same condition
RTEL1 c.1192-2A>G Likely pathogenic ★★ same condition
RTEL1 c.1596-1G>A Likely pathogenic ★★ same condition
RTEL1 c.2142-1G>C Likely pathogenic ★★ 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/rtel1-p-arg473 (accessed [today's date]).

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