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VDR p.Ser199=

c.597G>A · rs565845200 · VCV1939688

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00878%, sas)

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 -10GERP -3.1
Overall
CADD0.462PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00878% South Asian · 8/91,072 alleles
Filtering AF 0.00437% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00312%
Overall 0.0013% 21/1,613,950 alleles · very rare exomes 17/1,461,672 · genomes 4/152,278 · joint denominator
Ancestry group Frequency 1 in
South Asiangrpmax 0.00878% 11,384
African / African-American 0.00533% 18,753
Remaining individualsnot grpmax-eligible 0.0048% 20,831
European (non-Finnish) 0.000508% 196,664

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
VDR
Protein
p.Ser199=
Coding
c.597G>A
MANE Select
NM_000376
dbSNP
rs565845200
Type
single nucleotide variant
Location
chr12:47855788 (GRCh38)
Gene constraint
LOEUF 0.714 · pLI 0.01 (gnomAD)
Structure
AlphaFold pLDDT 84.56 · 52 PDB
Residue 199
the nr lbd domain; a UniProt-annotated variant site (in vddr2a; loss of calcitriol receptor activity; loss of affinity for calcitriol; no effect on ligand-independent localization to the nucleus)
Full VDR 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/vdr-p-ser199 (accessed [today's date]).

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