Is CFHR2 p.Arg69Leu (c.206G>T) pathogenic?

CFHR2 p.Arg69Leu (c.206G>T) is classified Likely benign in CFHR2 (ClinVar, Multiple submitters, 2 submitters; last evaluated 2026-02-06). AlphaMissense: likely benign (0.272); Rare (popmax 0.227%, afr).

How common is CFHR2 p.Arg69Leu (c.206G>T) in the general population?

CFHR2 p.Arg69Leu (c.206G>T) is rare (popmax 0.227%, afr) (gnomAD).

What do computational predictors say about CFHR2 p.Arg69Leu (c.206G>T)?

AlphaMissense predicts likely benign (score 0.272) — an in-silico prediction, not a clinical call.

CFHR2 p.Arg69Leu

c.206G>T · rs144596551 · VCV2581641

Likely benign Multiple submitters

Classification

Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

AlphaMissense

likely benign

0.272 · ACMG-weighted

gnomAD v4.1

Rare

rare (popmax 0.227%, afr)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense	0.272	likely benign
REVEL	0.269	benign-leaning
SaProt	LLR -6.23	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 -6.9	GERP -3.6
Regional constraint	o/e 1.00	unconstrained · MANE · 15 kb · p 0.97 · regional, not allelic
Overall
CADD	0.399	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 0.227% African / African-American · 170/75,026 alleles

Filtering AF 0.199% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.188%

Overall 0.0129% 208/1,613,968 alleles · rare

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.227%	441
Admixed American	0.03%	3,332
Remaining individualsnot grpmax-eligible	0.0272%	3,676
European (non-Finnish)	0.000254%	393,312

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: CFHR2
Protein: p.Arg69Leu
Coding: c.206G>T
MANE Select: NM_005666
dbSNP: rs144596551
Type: single nucleotide variant
Location: chr1:196949602 (GRCh38)
Gene constraint: LOEUF 1.498 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 90.90 · 4 PDB
Residue 69: the sushi 1 domain; a disulfide bond

Full CFHR2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

CFHR2 p.Arg69Cys Uncertain significance ★ ⚠ same residue
CFHR2 p.Val16Ala Uncertain significance ★★ ⚠ same type
CFHR2 c.430+141T>A Benign ★★ same type
CFHR2 c.430+20C>T Benign ★★ same type
CFHR2 c.430+7G>A Benign/Likely benign ★★ same type
CFHR2 c.431-48C>A Benign ★★ same type
CFHR2 c.431-65C>T Benign ★★ same type
CFHR2 c.58+129C>G Benign ★★ 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/cfhr2-p-arg69leu (accessed [today's date]).

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