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TONSL p.Arg457Pro

c.1370G>C · rs772361735 · VCV1388442

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
ambiguous
0.4016 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00669%, eas)
Missense predictors
1/2 damaging
REVEL, SaProt · AlphaMissense indeterminate

Computational evidence

Protein change
AlphaMissense0.4016ambiguous
REVEL0.081moderately benign-leaning
SaProtLLR -15.49damaging
⇒ SaProt calls this damaging; REVEL does not; AlphaMissense is indeterminate.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP 0.11GERP 0.1, phastCons 0.98
Regional constrainto/e 1.01unconstrained · MANE · 15 kb · p 0.67 · regional, not allelic
Overall
CADD16.54PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00669% East Asian · 3/44,854 alleles
Filtering AF 0.00177% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000892%
Overall 0.00112% 18/1,612,360 alleles · very rare exomes 18/1,460,028 · genomes 0/152,332 · joint denominator
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0224% 4,462
East Asiangrpmax 0.00669% 14,951
European (non-Finnish) 8.48e-05% 1,179,796

Remaining individuals shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
TONSL
Protein
p.Arg457Pro
Coding
c.1370G>C
MANE Select
NM_013432
dbSNP
rs772361735
Type
single nucleotide variant
Location
chr8:144440131 (GRCh38)
Gene constraint
LOEUF 1.024 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 76.06 · 3 PDB
Residue 457
a UniProt-annotated variant site (in semdsp; disease phenotype includes immunologic and hematologic abnormalities); a UniProt-annotated variant site (in semdsp)
Full TONSL 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/tonsl-p-arg457pro (accessed [today's date]).

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