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TREM2 p.Arg136=

c.408G>T · rs777536241 · VCV2995806

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0165%, mid)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.024phastCons 0.77
Overall
CADD1.897PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0165% Middle Eastern · 1/6,062 alleles
Filtering AF 2.8e-05% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.1e-05%
Overall 0.000248% 4/1,613,956 alleles · ultra-rare exomes 4/1,461,694 · genomes 0/152,262 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0165% 6,062
Finnishnot grpmax-eligible 0.00156% 63,922
European (non-Finnish) 0.000169% 589,988

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
TREM2
Protein
p.Arg136=
Coding
c.408G>T
MANE Select
NM_018965
dbSNP
rs777536241
Type
single nucleotide variant
Location
chr6:41159866 (GRCh38)
Gene constraint
LOEUF 1.211 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 76.85 · 15 PDB
Residue 136
a UniProt-annotated variant site (in plosl2; results in decreased osteoclast differentiation; no trem2 transcripts can be detected in patient cells homozygous for the variant); a UniProt-annotated variant site (in plosl2; complete loss of protein expression); a UniProt-annotated variant site (in plosl2); a UniProt-annotated variant site (slightly decreases cell membrane localization); a UniProt-annotated variant site (decreases cell membrane localization)
Full TREM2 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/trem2-p-arg136 (accessed [today's date]).

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