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TOP2B p.Pro1499=

c.4497G>A · rs557860223 · VCV1532955

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0352%, amr)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2all four deltas below 0.2 · C>A here scores Δ0.51 · evaluated, not missing
Constraint at this position
ConservationphyloP -1.8GERP -3.5
Overall
CADD13.57PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0352% Admixed American · 21/59,650 alleles
Filtering AF 0.0243% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0208%
Overall 0.0119% 192/1,612,158 alleles · ultra-rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.0352% 2,840
African / African-American 0.0347% 2,880
Remaining individualsnot grpmax-eligible 0.0128% 7,799
European (non-Finnish) 0.0113% 8,865
East Asian 0.00446% 22,427
Finnishnot grpmax-eligible 0.00313% 31,974

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
TOP2B
Protein
p.Pro1499=
Coding
c.4497G>A
MANE Select
NM_001330700
dbSNP
rs557860223
Type
single nucleotide variant
Location
chr3:25601218 (GRCh38)
Gene constraint
LOEUF 0.328 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 74.09 · 21 PDB
Residue 1499
the 'disordered' region
Full TOP2B 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/top2b-p-pro1499 (accessed [today's date]).

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