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TENM3 p.Pro223=

c.669C>T · rs781215278 · VCV2181294

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0468%, eas)

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 7.7phastCons 1
Overall
CADD16.75PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0468% East Asian · 21/44,838 alleles
Filtering AF 0.0313% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0263%
Overall 0.0049% 79/1,613,680 alleles · ultra-rare exomes 74/1,461,710 · genomes 5/151,970 · joint denominator
Ancestry group Frequency 1 in
East Asiangrpmax 0.0468% 2,135
Remaining individualsnot grpmax-eligible 0.0048% 20,826
European (non-Finnish) 0.00424% 23,597
Admixed American 0.00333% 29,997
South Asian 0.00329% 30,355

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
TENM3
Protein
p.Pro223=
Coding
c.669C>T
MANE Select
NM_001080477
dbSNP
rs781215278
Type
single nucleotide variant
Location
chr4:182601081 (GRCh38)
Gene constraint
LOEUF 0.305 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 77.76
Residue 223
the teneurin n-terminal domain; the 'disordered' region
Full TENM3 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/tenm3-p-pro223 (accessed [today's date]).

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