Is CFD p.Arg201Trp (c.601C>T) pathogenic?

CFD p.Arg201Trp (c.601C>T) is classified Uncertain significance in CFD (ClinVar, Multiple submitters, 2 submitters; last evaluated 2023-08-08). AlphaMissense: likely benign (0.3175); Very rare (popmax 0.00136%, afr).

How common is CFD p.Arg201Trp (c.601C>T) in the general population?

CFD p.Arg201Trp (c.601C>T) is very rare (popmax 0.00136%, afr) (gnomAD).

What do computational predictors say about CFD p.Arg201Trp (c.601C>T)?

AlphaMissense predicts likely benign (score 0.3175) — an in-silico prediction, not a clinical call.

CFD p.Arg201Trp

c.601C>T · rs1044618274 · VCV1989026

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

AlphaMissense

likely benign

0.3175 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00136%, afr)

Missense predictors

0/2 damaging

AlphaMissense, SaProt · REVEL no call

Computational evidence

Protein change
AlphaMissense	0.3175	likely benign
REVEL	0.519	indeterminate
SaProt	LLR -8.55	tolerated
⇒ AlphaMissense and SaProt both call this tolerated; REVEL makes no call.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 0.19	GERP -0.5
Regional constraint	o/e 1.40	unconstrained · MANE · 3,545 bp · p 9.1e-15 · regional, not allelic
Overall
CADD	21.0	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

Grpmax group 0.00136% African / African-American · 1/73,738 alleles

Filtering AF 0.000511% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000373%

Overall 0.000838% 13/1,551,482 alleles · very rare

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.00136%	73,738
South Asian	0.00117%	85,748
European (non-Finnish)	0.000952%	105,075

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: CFD
Protein: p.Arg201Trp
Coding: c.601C>T
MANE Select: NM_001928
dbSNP: rs1044618274
Type: single nucleotide variant
Location: chr19:861942 (GRCh38)
Gene constraint: LOEUF 1.948 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 91.19 · 40 PDB
Residue 201: a disulfide bond; the peptidase s1 domain; a β-strand

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

Similar variants

CFD p.Arg201Gln Uncertain significance ★ ⚠ same residue
CFD p.Arg201Pro Uncertain significance ★ ⚠ same residue
CFD p.Arg201= Likely benign ★ same residue
CFD c.212+2T>G Likely pathogenic ★★ same type
CFD c.56-1G>C Likely pathogenic ★★ same type
CFD p.Tyr95Ter Pathogenic ★★ same type
ELANE p.Gly203Arg Pathogenic ★★ same type
ELANE p.Ser126Leu Pathogenic ★★ ⚠ 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/cfd-p-arg201trp (accessed [today's date]).

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