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SHOX p.Pro219=

c.657G>A · rs28474801 · VCV586580

Benign Multiple submitters
Classification
Benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 7 submitters
gnomAD v4.1
Common
common (popmax 88.9%, afr) — too common for a highly-penetrant pathogenic allele

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 -0.62phastCons 0.002
Overall
CADD0.455PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 88.9% African / African-American · 40,370/45,418 alleles
Filtering AF 88.2% ClinGen BA1/BS1 input FAF95, joint · FAF99 87.9%
Overall 64.7% 248,928/384,448 alleles · common exomes 145,133/237,004 · genomes 103,795/147,444 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 88.9% 1
East Asian 70.6% 1
Middle Eastern 68.4% 1
South Asian 67.6% 1
Amishnot grpmax-eligible 64.1% 2
Remaining individualsnot grpmax-eligible 62.9% 2
European (non-Finnish) 60.8% 2
Admixed American 58.4% 2
Finnishnot grpmax-eligible 55.4% 2
Ashkenazi Jewishnot grpmax-eligible 55% 2

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
SHOX
Protein
p.Pro219=
Coding
c.657G>A
MANE Select
NM_000451 · reported on NM_006883
dbSNP
rs28474801
Type
single nucleotide variant
Location
chrX:658808 (GRCh38)
Structure
AlphaFold pLDDT 63.90
Residue 219
a UniProt-annotated variant site (in iss; likely pathogenic)
Full SHOX 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/shox-p-pro219 (accessed [today's date]).

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