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TCF7 p.Pro154Arg

c.461C>G · VCV4181561

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00805%, afr)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.472indeterminate
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 3.8GERP -2.4, phastCons 0.19
Regional constrainto/e 1.21unconstrained · MANE · 28 kb · p 5.9e-05 · regional, not allelic
Overall
CADD20.4PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00805% African / African-American · 6/74,544 alleles
Filtering AF 0.00349% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00239%
Overall 0.000685% 11/1,606,606 alleles · very rare exomes 6/1,454,554 · genomes 5/152,052 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.00805% 12,424
South Asian 0.00222% 44,970
European (non-Finnish) 0.000255% 392,138

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
TCF7
Protein
p.Pro154Arg
Coding
c.461C>G
MANE Select
NM_003202
Type
single nucleotide variant
Location
chr5:134138078 (GRCh38)
Gene constraint
LOEUF 0.624 · pLI 0.15 (gnomAD)
Structure
AlphaFold pLDDT 58.11
Residue 154
the 'disordered' region
Full TCF7 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/tcf7-p-pro154arg (accessed [today's date]).

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