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SLC19A2 p.Lys213=

c.639G>A · rs137970656 · VCV293527

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 7 submitters
gnomAD v4.1
Rare
rare (popmax 0.511%, mid)
Conditions
1
thiamine-responsive megaloblastic anemia syndrome

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 1.1GERP 1.2, phastCons 1
Overall
CADD8.776PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.511% Middle Eastern · 31/6,062 alleles
Filtering AF 0.37% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.322%
Overall 0.0979% 1,581/1,614,174 alleles · rare exomes 1,391/1,461,878 · genomes 190/152,296 · joint denominator
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 2.86% 35
Middle Easterngrpmax 0.511% 196
Remaining individualsnot grpmax-eligible 0.27% 370
Admixed American 0.11% 909
European (non-Finnish) 0.0355% 2,816
South Asian 0.0307% 3,253
African / African-American 0.0293% 3,411

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
SLC19A2
Protein
p.Lys213=
Coding
c.639G>A
MANE Select
NM_006996
dbSNP
rs137970656
Type
single nucleotide variant
Location
chr1:169477323 (GRCh38)
Gene constraint
LOEUF 0.852 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 80.99 · 2 PDB
Full SLC19A2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

thiamine-responsive megaloblastic anemia syndrome — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Thiamine-responsive megaloblastic anemia syndrome (Orphanet):

Inheritance
Autosomal recessive
Onset
Childhood

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/slc19a2-p-lys213 (accessed [today's date]).

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