Is TCN2 p.Val355= (c.1065G>A) pathogenic?

TCN2 p.Val355= (c.1065G>A) is classified Likely benign in TCN2 (ClinVar, Single submitter, 1 submitter; last evaluated 2023-11-09). Ultra-rare (popmax 0.0156%, eas); Associated with transcobalamin II deficiency.

What condition is associated with TCN2 p.Val355= (c.1065G>A)?

TCN2 p.Val355= (c.1065G>A) is associated with transcobalamin II deficiency (ClinVar).

How common is TCN2 p.Val355= (c.1065G>A) in the general population?

TCN2 p.Val355= (c.1065G>A) is ultra-rare (popmax 0.0156%, eas) (gnomAD).

How is Transcobalamin deficiency inherited?

Typically Autosomal recessive (Orphanet). A genetic counselor can assess individual risk for a family.

TCN2 p.Val355=

c.1065G>A · rs749588370 · VCV3011184

Likely benign Single submitter

Classification

Likely benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Rare

ultra-rare (popmax 0.0156%, eas)

Conditions

transcobalamin II deficiency

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
Conservation	phyloP 5	GERP 1.8, phastCons 1
Overall
CADD	7.895	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0156% East Asian · 7/44,900 alleles

Filtering AF 0.00726% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00514%

Overall 0.00062% 10/1,614,034 alleles · ultra-rare exomes 9/1,461,884 · genomes 1/152,150 · joint denominator

Ancestry group	Frequency	1 in
East Asiangrpmax	0.0156%	6,414
South Asian	0.0022%	45,545
European (non-Finnish)	8.47e-05%	1,180,036

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: TCN2
Protein: p.Val355=
Coding: c.1065G>A
MANE Select: NM_000355
dbSNP: rs749588370
Type: single nucleotide variant
Location: chr22:30617454 (GRCh38)
Gene constraint: LOEUF 0.888 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 91.76 · 11 PDB
Residue 355: a UniProt-annotated variant site (in tcn2d; likely pathogenic); an α-helix

Full TCN2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

transcobalamin II deficiency — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Transcobalamin deficiency (Orphanet):

Inheritance: Autosomal recessive
Onset: Infancy, Neonatal

Similar variants

TCN2 p.Val355Met Uncertain significance ★★ ⚠ same residue
TCN2 c.1106+1G>A Pathogenic ★★ same condition
TCN2 c.428-2A>G Pathogenic/Likely pathogenic ★★ same condition
TCN2 p.Arg227Ter Pathogenic/Likely pathogenic ★★ same condition
TCN2 p.Gln188Ter Pathogenic/Likely pathogenic ★★ same condition
TCN2 p.Gln291Ter Pathogenic ★★ same condition
TCN2 p.Gly367Ter Pathogenic/Likely pathogenic ★★ same condition
TCN2 c.753+5G>A Uncertain significance ★★ same condition

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/tcn2-p-val355 (accessed [today's date]).

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