Is CHAT p.Ile305Met (c.915C>G) pathogenic?

CHAT p.Ile305Met (c.915C>G) is classified Uncertain significance in CHAT (ClinVar, Single submitter, 1 submitter; last evaluated 2025-10-08). AlphaMissense: ambiguous (0.527); Very rare (popmax 0.000172%, nfe); Associated with congenital myasthenic syndrome 6.

What condition is associated with CHAT p.Ile305Met (c.915C>G)?

CHAT p.Ile305Met (c.915C>G) is associated with congenital myasthenic syndrome 6 (ClinVar).

How common is CHAT p.Ile305Met (c.915C>G) in the general population?

CHAT p.Ile305Met (c.915C>G) is very rare (popmax 0.000172%, nfe) (gnomAD).

What do computational predictors say about CHAT p.Ile305Met (c.915C>G)?

AlphaMissense predicts ambiguous (score 0.527) — an in-silico prediction, not a clinical call.

CHAT p.Ile305Met

c.915C>G · VCV4691965

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

ambiguous

0.527 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.000172%, nfe)

Conditions

congenital myasthenic syndrome 6

Computational evidence

Protein change
AlphaMissense	0.527	ambiguous
REVEL	0.538	indeterminate
SaProt	LLR -10.05	damaging
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP -13	GERP -4.7
Regional constraint	o/e 1.06	unconstrained · MANE · 32 kb · p 0.16 · regional, not allelic
Overall
CADD	0.11	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 0.000172% European (non-Finnish) · 2/1,160,080 alleles

Filtering AF 2.9e-05% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.1e-05%

Overall 0.00014% 2/1,424,290 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: CHAT
Protein: p.Ile305Met
Coding: c.915C>G
MANE Select: NM_020549
Type: single nucleotide variant
Location: chr10:49625635 (GRCh38)
Gene constraint: LOEUF 0.973 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 84.73 · 8 PDB
Residue 305: a UniProt-annotated variant site (in cms6; impaired activity); a β-strand

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

Disease context

congenital myasthenic syndrome 6 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

CHAT p.Ile305Thr Pathogenic same residue
SLC18A3 p.Leu305= Likely benign ★ same residue
CHAT c.1282-2A>T Likely pathogenic ★★ same condition
CHAT c.1840-9A>G Pathogenic/Likely pathogenic ★★ same condition
CHAT c.698+1G>T Likely pathogenic ★★ same condition
CHAT c.698+2T>C Likely pathogenic ★★ same condition
CHAT p.Ala557Thr Pathogenic/Likely pathogenic ★★ same condition
CHAT p.Arg151Ter Pathogenic/Likely pathogenic ★★ 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/chat-p-ile305met (accessed [today's date]).

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