# NM_033629.6(TREX1):c.735A>T (p.Pro245=)

https://sugi.bio/variant/trex1-p-pro245

## Summary

**TREX1 p.Pro245= (c.735A>T)** is classified **Likely benign** in TREX1 (ClinVar, Single submitter, 1 submitter; last evaluated 2023-04-13). Absent from gnomAD v4.1; Associated with Aicardi-Goutieres syndrome 1.

**At a glance:** Likely benign · review: Single submitter · rsID rs761555436 · 1 submitter · 3 linked conditions · absent from gnomAD v4.1

## For patients & families {#patients}

This is a change in the TREX1 gene that is classified as likely benign — not considered disease-causing, submitted by 1 submitter, and is linked to Aicardi-Goutieres syndrome 1.

*Reference information, not medical advice, and not a prediction for any individual. A genetic counselor or clinician can interpret what it means for you and your family.*

|  |  |
| --- | --- |
| Typical inheritance (of this condition) | Autosomal dominant, Autosomal recessive |
| Age of onset (of this condition) | Antenatal, Infancy, Neonatal |
| Prevalence | 1-5 / 10 000 (Europe) |

**Commonly reported features of Aicardi-Goutières syndrome** (across patients with this condition; presentation varies — frequencies from Orphanet):

- Spasticity — Very frequent (99-80%)
- Global developmental delay — Very frequent (99-80%)
- Hypertonia — Very frequent (99-80%)
- Porencephaly — Very frequent (99-80%)
- Arrhinencephaly — Very frequent (99-80%)
- Intellectual disability, profound — Very frequent (99-80%)
- Multifocal cerebral white matter abnormalities — Very frequent (99-80%)
- Convex nasal ridge — Frequent (79-30%)

**Support & next steps:** [Condition overview & support (NIH GARD)](https://rarediseases.info.nih.gov/diseases/0015167/index) · [Find a genetic counselor (NSGC)](https://findageneticcounselor.nsgc.org/).

## Identity {#identity}

| Field | Value |
| --- | --- |
| Gene | [TREX1](https://sugi.bio/atlas/gene/TREX1/) |
| Protein change (HGVS p.) | p.Pro245= |
| Coding change (HGVS c.) | c.735A>T |
| MANE Select transcript | [NM_130384](https://www.ncbi.nlm.nih.gov/nuccore/NM_130384) (variant reported on NM_033629) |
| dbSNP | [rs761555436](https://www.ncbi.nlm.nih.gov/snp/rs761555436/) |
| Variant type | single nucleotide variant |
| Location | chr3:48467390-48467390 (GRCh38) |
| ClinVar | [VCV2946669](https://www.ncbi.nlm.nih.gov/clinvar/variation/2946669/) |

**All HGVS expressions:** `LRG_282:g.6561A>T`, `LRG_282t1:c.735A>T`, `NC_000003.11:g.48508789A>T`, `NC_000003.12:g.48467390A>T`, `NG_009820.2:g.6561A>T`, `NG_033100.1:g.38471T>A`, `NG_033100.2:g.42420T>A`, `NG_041782.1:g.25681A>T`, `NG_099340.1:g.451A>T`, `NM_001271022.2:c.*1836A>T`, `NM_001271023.2:c.*1836A>T`, `NM_007248.5:c.705A>T`, `NM_032166.4:c.*1836A>T`, `NM_033629.6:c.735A>T`, `NM_130384.3:c.*1836A>T`, `NR_153405.1:n.4044A>T`

## Computational & population evidence {#evidence}

**Concordance:** Mixed / partial computational evidence (see below).

- **Missense predictors (AlphaMissense/REVEL/SaProt) do not apply** to this variant type — they score amino-acid substitutions only. For non-missense variants the computational signal comes from conservation (below), not from a missing predictor score.
- Conservation: phyloP -0.203, GERP -0.968 — not a conserved position (phyloP < 0.1, ACGS BP7 cut)
- CADD: **PHRED 4.041**. No single ClinGen-calibrated threshold exists and the expert panels that use CADD disagree — GUCY2D/AIPL1 require ≥ 20.0 for an untranslated-region variant, ABCA4 ≥ 28.1 for a synonymous or indel variant, the Pulmonary Hypertension panel imports Pejaver 2022's missense-calibrated numbers, and the Antibody Deficiencies panel declines CADD entirely for PIK3CD. CADD v1.7 also incorporates Zoonomia phyloP, so it partly re-expresses the conservation above. *Descriptive; no threshold applied.*
- SpliceAI: **not looked up on this page** — it was served without the gene's SpliceAI index, so no lookup was made. This is a gap in this page, not in the data, and says nothing about whether a splicing effect is predicted.
- Population frequency: **absent from gnomAD v4.1** — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

*Computational predictors are not independent (ClinGen Variant Classification guidance): AlphaMissense (Cheng et al. 2023) carries the ACMG weight for missense and conservation (phyloP/GERP/phastCons) for non-missense; REVEL (Pejaver-2022 calibrated strength bands) and SaProt (Su et al. 2023, structure-aware, ClinVar-independent protein language model, raw LLR) are shown as orthogonal agreement signals, not additive. For frequency, the gnomAD v4.1 grpmax filtering allele frequency (FAF95) is ClinGen's designated BA1/BS1 input (gnomAD v4 guidance v3.0, June 2025); BA1/BS1 thresholds are disease-specific, not a blanket 5%. Predictions, not a clinical determination.*

## Clinical significance {#significance}

**Likely benign** — review status Single submitter *(criteria provided, single submitter)*, last evaluated 2023-04-13.

**Submitter consensus:** unanimous (1/1 Likely benign).

### Submitter classifications {#submitters}

| Submitter | Classification | Review | Method | Date |
| --- | --- | --- | --- | --- |
| Labcorp Genetics (formerly Invitae), Labcorp | Likely benign | criteria provided, single submitter | clinical testing | 2023-04-13 |

## Associated conditions {#conditions}

[Aicardi-Goutieres syndrome 1](https://sugi.bio/atlas/disease/aicardi-goutieres-syndrome-1/), [retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations](https://sugi.bio/atlas/disease/retinal-vasculopathy-with-cerebral-leukoencephalopathy-and-systemic-manifestations/), [chilblain lupus 1](https://sugi.bio/atlas/disease/chilblain-lupus-1/).

**Reported phenotype names (ClinVar):** Aicardi-Goutieres syndrome 1, Chilblain lupus 1, Retinal vasculopathy with cerebral leukoencephalopathy and systemic manifestations, CREE ENCEPHALITIS, ENCEPHALOPATHY, FAMILIAL INFANTILE, WITH INTRACRANIAL CALCIFICATION AND CHRONIC CEREBROSPINAL FLUID LYMPHOCYTOSIS, PSEUDOTOXOPLASMOSIS SYNDROME, CEREBRORETINAL VASCULOPATHY, HEREDITARY, RETINOPATHY, VASCULAR, WITH CEREBRAL AND RENAL INVOLVEMENT AND RAYNAUD AND MIGRAINE PHENOMENA.

### Data sources & attribution {#sources}

ClinVar (NCBI — public domain, built 2026-10-11); gnomAD v4.1 (Broad Institute, built 2026-10-06); AlphaMissense (Cheng et al. 2023, © Google DeepMind — CC BY 4.0, built 2026-01-27); REVEL (Ioannidis et al. 2016 — ODbL, built 2026-07-13); SaProt (Su et al. 2023 — MIT, built 2026-07-14); SpliceAI (Illumina — free for non-commercial use, built 2026-10-13); CADD (Rentzsch et al. 2019, University of Washington — free for non-commercial use, built 2026-10-10); Conservation (phyloP/phastCons/GERP) (UCSC hg38 470-way mammal (Hiller Lab) + Ensembl Compara, built 2026-07-12); gnomAD Non-coding Constraint (Gnocchi) (Chen et al. 2024, Broad Institute — CC0, built 2026-10-11); gnomAD Regional Missense Constraint (Broad Institute — CC0, built 2026-10-13); Pangolin (Zeng & Li 2022 — CC BY 4.0, built 2026-10-11); Repeat regions (UCSC — RepeatMasker, TRF, segmental duplications, built 2026-10-11); ClinGen (ClinGen, built 2026-09-22); UniProt (CC BY 4.0); Reactome / GO (CC BY 4.0, built 2026-09-23); MaveDB (per-record license, built 2026-10-11); CIViC (CC0, built 2026-09-22); Orphanet (Orphanet, built 2026-06-12)

*Primary record: NCBI ClinVar (variation 2946669). Classifications reflect these databases as of the page's build date and may change. Free reference use — not medical advice; consult the primary submitters and a clinician.*