Is ARAF p.Arg151Cys (c.451C>T) pathogenic?

ARAF p.Arg151Cys (c.451C>T) is classified Uncertain significance in ARAF (ClinVar, Single submitter, 1 submitter; last evaluated 2024-01-24). AlphaMissense: likely benign (0.0847); Ultra-rare (popmax 0.03%, sas).

How common is ARAF p.Arg151Cys (c.451C>T) in the general population?

ARAF p.Arg151Cys (c.451C>T) is ultra-rare (popmax 0.03%, sas) (gnomAD).

What do computational predictors say about ARAF p.Arg151Cys (c.451C>T)?

AlphaMissense predicts likely benign (score 0.0847) — an in-silico prediction, not a clinical call.

ARAF p.Arg151Cys

c.451C>T · rs746126878 · VCV3128185

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely benign

0.0847 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.03%, sas)

Missense predictors

0/2 damaging

AlphaMissense, SaProt · REVEL indeterminate

Computational evidence

Protein change
AlphaMissense	0.0847	likely benign
REVEL	0.431	indeterminate
SaProt	LLR -7.88	tolerated
⇒ AlphaMissense and SaProt both call this tolerated; REVEL is indeterminate.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 1.1	phastCons 1
Regional constraint	o/e 1.15	unconstrained · MANE · 2,114 bp · p 0.077 · regional, not allelic
Overall
CADD	20.2	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

Grpmax group 0.03% South Asian · 17/56,737 alleles

Filtering AF 0.0191% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0156%

Overall 0.00488% 59/1,209,082 alleles · ultra-rare exomes 56/1,097,347 · genomes 3/111,735 · joint denominator

Ancestry group	Frequency	1 in
South Asiangrpmax	0.03%	3,337
African / African-American	0.00526%	19,026
European (non-Finnish)	0.00425%	23,543
Remaining individualsnot grpmax-eligible	0.0021%	47,554

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: ARAF
Protein: p.Arg151Cys
Coding: c.451C>T
MANE Select: NM_001654
dbSNP: rs746126878
Type: single nucleotide variant
Location: chrX:47565132 (GRCh38)
Structure: AlphaFold pLDDT 70.99 · 7 PDB

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

Similar variants

ARAF p.His191Tyr Uncertain significance ★★ ⚠ same type
ARAF p.Ala334= Benign ★★ same type
ARAF p.Leu471= Benign ★★ same type
ARAF c.97-7C>T Uncertain significance ★ same type
ARAF p.Ala110Val Uncertain significance ★ ⚠ same type
ARAF p.Ala261Val Uncertain significance ★ ⚠ same type
ARAF p.Ala48Pro Uncertain significance ★ ⚠ same type
ARAF p.Arg166Ser 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/araf-p-arg151cys (accessed [today's date]).

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