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SIX5 p.Pro442=

c.1326G>C · rs778704300 · VCV2183478

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0267%, amr)

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 -5GERP -3.2
Overall
CADD0.15PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0267% Admixed American · 11/41,200 alleles
Filtering AF 0.015% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0115%
Overall 0.00136% 20/1,475,056 alleles · ultra-rare exomes 18/1,322,814 · genomes 2/152,242 · joint denominator
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.0267% 3,745
African / African-American 0.00141% 70,922
European (non-Finnish) 0.00072% 138,831

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.Pro442=
Coding
c.1326G>C
MANE Select
NM_175875
dbSNP
rs778704300
Type
single nucleotide variant
Location
chr19:45766633 (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-pro442 (accessed [today's date]).

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