Is CFP p.Arg157Pro (c.470G>C) pathogenic?

CFP p.Arg157Pro (c.470G>C) is classified Uncertain significance in CFP (ClinVar, Single submitter, 1 submitter; last evaluated 2026-01-21). AlphaMissense: likely pathogenic (0.8214); Very rare (popmax 0.000112%, nfe).

How common is CFP p.Arg157Pro (c.470G>C) in the general population?

CFP p.Arg157Pro (c.470G>C) is very rare (popmax 0.000112%, nfe) (gnomAD).

What do computational predictors say about CFP p.Arg157Pro (c.470G>C)?

AlphaMissense predicts likely pathogenic (score 0.8214) — an in-silico prediction, not a clinical call.

CFP p.Arg157Pro

c.470G>C · rs140986480 · VCV1470694

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely pathogenic

0.8214 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.000112%, nfe)

Missense predictors

2/3 damaging

AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense	0.8214	likely pathogenic
REVEL	0.182	moderately benign-leaning
SaProt	LLR -14.82	damaging
⇒ AlphaMissense and SaProt call this damaging; REVEL does not.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP -1.2	GERP -3.5
Regional constraint	o/e 0.79	unconstrained · MANE · 5,566 bp · p 3.9e-05 · regional, not allelic
Overall
CADD	15.24	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 0.000112% European (non-Finnish) · 1/891,921 alleles

Overall 0.000895% 1/111,760 alleles · very rare

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: CFP
Protein: p.Arg157Pro
Coding: c.470G>C
MANE Select: NM_001145252
dbSNP: rs140986480
Type: single nucleotide variant
Location: chrX:47627575 (GRCh38)
Structure: AlphaFold pLDDT 83.75 · 14 PDB
Residue 157: a disulfide bond; the tsp type-1 2 domain

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

Similar variants

CFP p.Arg157Gln Uncertain significance ★★ ⚠ same residue
CFP p.Arg157Trp Uncertain significance ★★ ⚠ same residue
CFP p.Trp321Gly Pathogenic ★★ same type
CFP p.Ala402Gly Uncertain significance ★★ ⚠ same type
CFP p.Arg159Cys Uncertain significance ★★ ⚠ same type
CFP p.Arg247Trp Uncertain significance ★★ ⚠ same type
CFP p.Arg438Trp Uncertain significance ★★ ⚠ same type
CFP p.Asn307Ser 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/cfp-p-arg157pro (accessed [today's date]).

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