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RYR2 p.Phe48Ser

c.143T>C · rs774559907 · VCV1411252

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
AlphaMissense
likely pathogenic
0.6461 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 8.56e-05%, nfe)
Missense predictors
2/2 damaging
AlphaMissense, REVEL · SaProt no call
Conditions
2
catecholaminergic polymorphic ventricular tachycardia 1

Computational evidence

Protein change
AlphaMissense0.6461likely pathogenic
REVEL0.863moderately pathogenic-leaning
SaProt—not scored · why
⇒ AlphaMissense and REVEL both call this damaging; SaProt makes no call.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 6.1GERP 2.2, phastCons 1
Regional constrainto/e 0.75unconstrained · MANE · 335 kb · p 0.00039 · regional, not allelic
Overall
CADD22.6PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean damaging — a triage signal, not a reclassification

AlphaMissense carries the ACMG weight for missense; REVEL is an independent agreement signal.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 8.56e-05% European (non-Finnish) · 1/1,168,470 alleles
Overall 0.00044% 7/1,591,766 alleles · very rare exomes 4/1,439,560 · genomes 3/152,206 · joint denominator
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.0137% 7,277
Remaining individualsnot grpmax-eligible 0.00324% 30,879
European (non-Finnish)grpmax 8.56e-05% 1,168,470

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
RYR2
Protein
p.Phe48Ser
Coding
c.143T>C
MANE Select
NM_001035
dbSNP
rs774559907
Type
single nucleotide variant
Location
chr1:237270591 (GRCh38)
Gene constraint
LOEUF 0.424 · pLI 1.00 · ClinGen HI 0/3 (gnomAD)
Residue 48
a β-strand
Full RYR2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

catecholaminergic polymorphic ventricular tachycardia 1 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: cardiomyopathy

For Inherited isolated arrhythmogenic cardiomyopathy (Orphanet):

Inheritance
Autosomal dominant
Onset
No data available

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/ryr2-p-phe48ser (accessed [today's date]).

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