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TONSL p.Thr1254=

c.3762C>G · rs371792871 · VCV1131111

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0387%, nfe)

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 0.51GERP -3.3, phastCons 0.96
Overall
CADD8.98PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0387% European (non-Finnish) · 457/1,180,000 alleles
Filtering AF 0.0358% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0346%
Overall 0.0303% 489/1,614,026 alleles · ultra-rare exomes 446/1,461,814 · genomes 43/152,212 · joint denominator
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.0387% 2,582
Remaining individualsnot grpmax-eligible 0.0256% 3,905
Admixed American 0.0133% 7,501
African / African-American 0.00801% 12,487
Finnishnot grpmax-eligible 0.00312% 32,016

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.Thr1254=
Coding
c.3762C>G
MANE Select
NM_013432
dbSNP
rs371792871
Type
single nucleotide variant
Location
chr8:144431125 (GRCh38)
Gene constraint
LOEUF 1.024 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 76.06 · 3 PDB
Residue 1254
a UniProt-annotated variant site (in semdsp; disease phenotype includes immunologic and hematologic abnormalities); a UniProt-annotated variant site (in semdsp); a UniProt-annotated variant site (in semdsp; disease phenotype includes primary aphakia and absent pupils)
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-thr1254 (accessed [today's date]).

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