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SPEF2 p.Pro666=

c.1998A>G · VCV4969853

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
low-frequency (popmax 1.04%, afr)

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 0.2GERP 0.64
Overall
CADD1.841PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 1.04% African / African-American · 782/74,916 alleles
Filtering AF 0.983% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.959%
Overall 0.053% 853/1,610,810 alleles · low-frequency exomes 370/1,458,462 · genomes 483/152,348 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 1.04% 96
Admixed American 0.0554% 1,806
Remaining individualsnot grpmax-eligible 0.0497% 2,011
Middle Eastern 0.0165% 6,050
South Asian 0.00111% 90,284
European (non-Finnish) 0.000424% 235,711

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
SPEF2
Protein
p.Pro666=
Coding
c.1998A>G
MANE Select
NM_024867
Type
single nucleotide variant
Location
chr5:35695757 (GRCh38)
Gene constraint
LOEUF 0.923 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 71.30
Residue 666
a UniProt-annotated variant site (in spgf43; loss of protein expression; changed sperm axoneme assembly); a UniProt-annotated variant site (found in a female patient with primary ciliary dyskinesia-like symptoms including chronic sinusitis, bronchitis, chronic wet cough and recurrent pneumonia; uncertain significance)
Full SPEF2 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/spef2-p-pro666 (accessed [today's date]).

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