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TMIE p.Pro41=

c.123G>A · rs765221463 · VCV517406

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0198%, sas)

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 -6.6GERP -3.5
Overall
CADD7.31PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0198% South Asian · 18/91,084 alleles
Filtering AF 0.0127% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0115%
Overall 0.0129% 209/1,614,028 alleles · ultra-rare exomes 197/1,461,746 · genomes 12/152,282 · joint denominator
Ancestry group Frequency 1 in
South Asiangrpmax 0.0198% 5,060
Remaining individualsnot grpmax-eligible 0.0192% 5,209
Admixed American 0.0183% 5,457
Middle Eastern 0.0165% 6,060
European (non-Finnish) 0.0139% 7,195
African / African-American 0.004% 25,012

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
TMIE
Protein
p.Pro41=
Coding
c.123G>A
MANE Select
NM_147196
dbSNP
rs765221463
Type
single nucleotide variant
Location
chr3:46705819 (GRCh38)
Gene constraint
LOEUF 1.475 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 63.41
Full TMIE 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/tmie-p-pro41 (accessed [today's date]).

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