Is TTN p.Ser22367Pro (c.67099T>C) pathogenic?

TTN p.Ser22367Pro (c.67099T>C) is classified Conflicting classifications of pathogenicity in TTN (ClinVar, Conflicting submitters, 23 submitters; last evaluated 2026-06-01). AlphaMissense: likely pathogenic (0.8787); Rare (popmax 0.396%, nfe); Associated with Cardiovascular phenotype.

What condition is associated with TTN p.Ser22367Pro (c.67099T>C)?

TTN p.Ser22367Pro (c.67099T>C) is associated with Cardiovascular phenotype, cardiomyopathy, tibial muscular dystrophy (ClinVar).

How common is TTN p.Ser22367Pro (c.67099T>C) in the general population?

TTN p.Ser22367Pro (c.67099T>C) is rare (popmax 0.396%, nfe) (gnomAD).

What do computational predictors say about TTN p.Ser22367Pro (c.67099T>C)?

AlphaMissense predicts likely pathogenic (score 0.8787) — an in-silico prediction, not a clinical call.

TTN p.Ser22367Pro

c.67099T>C · rs72646873 · VCV47248

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 23 submitters

AlphaMissense

likely pathogenic

0.8787 · ACMG-weighted

gnomAD v4.1

Rare

rare (popmax 0.396%, nfe)

Conditions

Cardiovascular phenotype

Computational evidence

Protein change
AlphaMissense	0.8787	likely pathogenic
REVEL	0.356	indeterminate
SaProt	—	not scored · why
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 4	GERP -2.1, phastCons 1
Regional constraint	o/e 0.93	unconstrained · MANE · 75 kb · p 3.1e-23 · regional, not allelic
Overall
CADD	17.15	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL is an independent agreement signal.

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM S20726P vs ClinVar S22367P) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.396% European (non-Finnish) · 4,674/1,179,472 alleles

Filtering AF 0.387% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.383%

Overall 0.33% 5,319/1,613,164 alleles · rare exomes 5,033/1,460,936 · genomes 286/152,228 · joint denominator

Ancestry group	Frequency	1 in
European (non-Finnish)grpmax	0.396%	252
Ashkenazi Jewishnot grpmax-eligible	0.345%	290
Remaining individualsnot grpmax-eligible	0.316%	317
South Asian	0.213%	469
Admixed American	0.148%	674
Middle Eastern	0.0661%	1,512
African / African-American	0.0653%	1,531
Finnishnot grpmax-eligible	0.0156%	6,398

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: TTN
Protein: p.Ser22367Pro
Coding: c.67099T>C
MANE Select: NM_001267550
dbSNP: rs72646873
Type: single nucleotide variant
Location: chr2:178580188 (GRCh38)
Gene constraint: LOEUF 0.479 · pLI <0.01 · ClinGen HI 2/3 (gnomAD)

Full TTN gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Cardiovascular phenotype — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: cardiomyopathy tibial muscular dystrophy myopathy, myofibrillar, 9, with early respiratory failure dilated cardiomyopathy 1G autosomal recessive limb-girdle muscular dystrophy type 2J early-onset myopathy with fatal cardiomyopathy Brugada syndrome

Similar variants

TTN c.100171+1G>A Likely pathogenic ★★ same condition
TTN c.100766-1G>T Likely pathogenic ★★ same condition
TTN c.100766-2A>T Likely pathogenic ★★ same condition
TTN c.106375-2A>G Pathogenic/Likely pathogenic ★★ same condition
TTN c.106531+1G>A Pathogenic/Likely pathogenic ★★ same condition
TTN c.107224-1G>C Pathogenic/Likely pathogenic ★★ same condition
TTN c.107377+1G>A Pathogenic/Likely pathogenic ★★ same condition
TTN c.107377+1G>C Pathogenic/Likely pathogenic ★★ same condition

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/ttn-p-ser22367pro (accessed [today's date]).

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