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SMAD6 p.Pro89=

c.267C>A · rs896888252 · VCV2453899

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00408%, nfe)
Conditions
1
aortic valve disease 2

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 4.4GERP -1, phastCons 1
Overall
CADD13.68PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00408% European (non-Finnish) · 40/979,448 alleles
Filtering AF 0.00308% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00271%
Overall 0.00335% 41/1,222,112 alleles · very rare exomes 40/1,070,844 · genomes 1/151,268 · joint denominator
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.00408% 24,486
Remaining individualsnot grpmax-eligible 0.00225% 44,382

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
SMAD6
Protein
p.Pro89=
Coding
c.267C>A
MANE Select
NM_005585
dbSNP
rs896888252
Type
single nucleotide variant
Location
chr15:66703525 (GRCh38)
Gene constraint
LOEUF 1.996 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 72.34
Residue 89
a UniProt-annotated variant site (in aovd2); a UniProt-annotated variant site (likely risk factor for crs7); a UniProt-annotated variant site (risk factor for radioulnar synostosis and macrocephaly); the 'disordered' region
Full SMAD6 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/smad6-p-pro89 (accessed [today's date]).

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