Is TXNRD2 p.Arg38Trp (c.112C>T) pathogenic?

TXNRD2 p.Arg38Trp (c.112C>T) is classified Uncertain significance in TXNRD2 (ClinVar, Multiple submitters, 2 submitters; last evaluated 2024-03-07). Very rare (popmax 0.00667%, amr); Associated with Cardiovascular phenotype.

What condition is associated with TXNRD2 p.Arg38Trp (c.112C>T)?

TXNRD2 p.Arg38Trp (c.112C>T) is associated with Cardiovascular phenotype, dilated cardiomyopathy (ClinVar).

How common is TXNRD2 p.Arg38Trp (c.112C>T) in the general population?

TXNRD2 p.Arg38Trp (c.112C>T) is very rare (popmax 0.00667%, amr) (gnomAD).

TXNRD2 p.Arg38Trp

c.112C>T · rs1044687486 · VCV1063454

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

gnomAD v4.1

Rare

very rare (popmax 0.00667%, amr)

Conditions

Cardiovascular phenotype

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal.
REVEL	0.065	moderately benign-leaning
Splicing
SpliceAI	Δ0.38	acceptor loss · deltas
Pangolin	Δ0.27	loss · gain 0.02 · agrees with SpliceAI · independent
Constraint at this position
Conservation	phyloP 4.1	GERP -0.79, phastCons 0.85
Regional constraint	o/e 0.88	unconstrained · MANE · 65 kb · p 0.0019 · regional, not allelic
Overall
CADD	15.29	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00667% Admixed American · 4/60,004 alleles

Filtering AF 0.00226% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00135%

Overall 0.0018% 29/1,613,190 alleles · very rare exomes 26/1,460,996 · genomes 3/152,194 · joint denominator

Ancestry group	Frequency	1 in
Admixed Americangrpmax	0.00667%	15,001
East Asian	0.00223%	44,896
European (non-Finnish)	0.00203%	49,163

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: TXNRD2
Protein: p.Arg38Trp
Coding: c.112C>T
MANE Select: NM_006440
dbSNP: rs1044687486
Type: single nucleotide variant
Location: chr22:19931090 (GRCh38)
Gene constraint: LOEUF 1.18 · pLI <0.01 (gnomAD)

Full TXNRD2 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: dilated cardiomyopathy

Similar variants

TXNRD2 p.Arg38Gln Conflicting classifications of pathogenicity ★ same residue
TXNRD2 p.Arg38= Likely benign ★ same residue
TXNRD2 c.104-1G>A Uncertain significance ★★ same condition
TXNRD2 c.104-3C>G Uncertain significance ★★ same condition
TXNRD2 c.1086+4C>T Uncertain significance ★★ same condition
TXNRD2 c.1087-2A>G Uncertain significance ★★ same condition
TXNRD2 c.1182+5G>A Uncertain significance ★★ same condition
TXNRD2 c.1348-2A>G Uncertain significance ★★ 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/txnrd2-p-arg38trp (accessed [today's date]).

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