Is ALK p.Arg1214His (c.3641G>A) pathogenic?

ALK p.Arg1214His (c.3641G>A) is classified Uncertain significance in ALK (ClinVar, Multiple submitters, 4 submitters; last evaluated 2025-05-14). AlphaMissense: likely benign (0.134); Very rare (popmax 0.00669%, eas); Associated with hereditary neoplastic syndrome.

What condition is associated with ALK p.Arg1214His (c.3641G>A)?

ALK p.Arg1214His (c.3641G>A) is associated with hereditary neoplastic syndrome, neuroblastoma, susceptibility to, 3 (ClinVar).

How common is ALK p.Arg1214His (c.3641G>A) in the general population?

ALK p.Arg1214His (c.3641G>A) is very rare (popmax 0.00669%, eas) (gnomAD).

What do computational predictors say about ALK p.Arg1214His (c.3641G>A)?

AlphaMissense predicts likely benign (score 0.134) — an in-silico prediction, not a clinical call.

ALK p.Arg1214His

c.3641G>A · rs750194005 · VCV485079

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 4 submitters

AlphaMissense

likely benign

0.134 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00669%, eas)

Missense predictors

1/2 damaging

AlphaMissense, SaProt · REVEL no call

Conditions

hereditary neoplastic syndrome

Computational evidence

Protein change
AlphaMissense	0.134	likely benign
REVEL	0.488	indeterminate
SaProt	LLR -10.81	damaging
⇒ SaProt calls this damaging; AlphaMissense does not; REVEL makes no call.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 6	GERP 1.9, phastCons 1
Regional constraint	o/e 0.92	unconstrained · MANE · 26 kb · p 0.039 · regional, not allelic
Overall
CADD	26.7	PHRED · no single calibrated threshold — expert panels disagree

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

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00669% East Asian · 3/44,846 alleles

Filtering AF 0.00177% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000892%

Overall 0.000684% 10/1,461,476 alleles · very rare

Ancestry group	Frequency	1 in
East Asiangrpmax	0.00669%	14,949
African / African-American	0.00267%	37,455
European (non-Finnish)	0.000424%	235,930

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: ALK
Protein: p.Arg1214His
Coding: c.3641G>A
MANE Select: NM_004304
dbSNP: rs750194005
Type: single nucleotide variant
Location: chr2:29220710 (GRCh38)
Gene constraint: LOEUF 0.562 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
Structure: AlphaFold pLDDT 68.26 · 79 PDB
Residue 1214: the protein kinase domain

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

Disease context

hereditary neoplastic syndrome — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: neuroblastoma, susceptibility to, 3

Similar variants

ALK p.Arg1214Cys Uncertain significance ★★ ⚠ same residue
ALK p.Arg1214= Likely benign ★★ same residue
ALK p.Arg1214Leu Uncertain significance ★ ⚠ same residue
ALK p.Arg1214Ser Uncertain significance ★ ⚠ same residue
ALK p.Arg1275Gln Pathogenic ★★ same condition
ALK c.1154+5G>A Uncertain significance ★★ same condition
ALK c.1155-3C>T Uncertain significance ★★ same condition
ALK c.1282+3A>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/alk-p-arg1214his (accessed [today's date]).

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