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SIX5 p.Pro433=

c.1299G>A · rs2513600698 · VCV3010740

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0178%, 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 -7.8GERP -2.8
Overall
CADD0.138PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0178% Middle Eastern · 1/5,620 alleles
Overall 0.000134% 2/1,487,486 alleles · ultra-rare exomes 2/1,335,272 · genomes 0/152,214 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0178% 5,620
European (non-Finnish) 8.95e-05% 1,117,536

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
SIX5
Protein
p.Pro433=
Coding
c.1299G>A
MANE Select
NM_175875
dbSNP
rs2513600698
Type
single nucleotide variant
Location
chr19:45766660 (GRCh38)
Gene constraint
LOEUF 1.08 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 53.21
Full SIX5 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/six5-p-pro433 (accessed [today's date]).

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