Is USB1 p.Leu220Val (c.658C>G) pathogenic?

USB1 p.Leu220Val (c.658C>G) is classified Uncertain significance in USB1 (ClinVar, Single submitter, 1 submitter; last evaluated 2025-09-29). AlphaMissense: likely benign (0.0662); Absent from gnomAD v4.1.

How common is USB1 p.Leu220Val (c.658C>G) in the general population?

USB1 p.Leu220Val (c.658C>G) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about USB1 p.Leu220Val (c.658C>G)?

AlphaMissense predicts likely benign (score 0.0662) — an in-silico prediction, not a clinical call.

USB1 p.Leu220Val

c.658C>G · rs1254413592 · VCV2135146

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely benign

0.0662 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense	0.0662	likely benign
REVEL	0.077	moderately benign-leaning
SaProt	LLR -6.72	tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 1.8	GERP 1.3, phastCons 0.004
Regional constraint	o/e 0.95	unconstrained · MANE · 19 kb · p 0.36 · regional, not allelic
Overall
CADD	15.0	PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: USB1
Protein: p.Leu220Val
Coding: c.658C>G
MANE Select: NM_024598
dbSNP: rs1254413592
Type: single nucleotide variant
Location: chr16:58019020 (GRCh38)
Gene constraint: LOEUF 1.016 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 83.91 · 5 PDB
Residue 220: an α-helix

Full USB1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

USB1 p.Leu220Phe Uncertain significance ★ ⚠ same residue
USB1 p.Leu220Pro Uncertain significance ★ ⚠ same residue
USB1 c.266-1G>A Pathogenic ★★ same type
USB1 p.His208Arg Likely pathogenic ★★ same type
USB1 p.Ala106Ser Uncertain significance ★★ ⚠ same type
USB1 p.Ala218Thr Uncertain significance ★★ ⚠ same type
USB1 p.Ala218Val Uncertain significance ★★ ⚠ same type
USB1 p.Arg112Gln Uncertain significance ★★ ⚠ same type

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/usb1-p-leu220val (accessed [today's date]).

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