Is CHEK2 p.Ser228Arg (c.684T>A) pathogenic?

CHEK2 p.Ser228Arg (c.684T>A) is classified Uncertain significance in CHEK2 (ClinVar, Single submitter, 1 submitter; last evaluated 2023-11-01). AlphaMissense: likely pathogenic (0.703); Absent from gnomAD v4.1; Associated with hereditary neoplastic syndrome.

What condition is associated with CHEK2 p.Ser228Arg (c.684T>A)?

CHEK2 p.Ser228Arg (c.684T>A) is associated with hereditary neoplastic syndrome (ClinVar).

How common is CHEK2 p.Ser228Arg (c.684T>A) in the general population?

CHEK2 p.Ser228Arg (c.684T>A) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about CHEK2 p.Ser228Arg (c.684T>A)?

AlphaMissense predicts likely pathogenic (score 0.703) — an in-silico prediction, not a clinical call.

CHEK2 p.Ser228Arg

c.684T>A · rs587781283 · VCV1755789

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely pathogenic

0.703 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

1/2 damaging

AlphaMissense, SaProt · REVEL indeterminate

Conditions

hereditary neoplastic syndrome

Computational evidence

Protein change
AlphaMissense	0.703	likely pathogenic
REVEL	0.331	indeterminate
SaProt	LLR -5.82	tolerated
⇒ AlphaMissense calls this damaging; SaProt does not; REVEL is indeterminate.
Splicing
SpliceAI	Δ0.40	acceptor gain · deltas
Constraint at this position
Conservation	phyloP -0.49	GERP -2.6
Regional constraint	o/e 1.02	unconstrained · MANE · 47 kb · p 0.57 · regional, not allelic
Overall
CADD	17.66	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

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: CHEK2
Protein: p.Ser228Arg
Coding: c.684T>A
MANE Select: NM_007194
dbSNP: rs587781283
Type: single nucleotide variant
Location: chr22:28712017 (GRCh38)
Gene constraint: LOEUF 1.399 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 77.64 · 38 PDB
Residue 228: a binding site; the protein kinase domain; a β-strand

Full CHEK2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hereditary neoplastic syndrome — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

CHEK2 p.Ser228Cys Uncertain significance ★★ ⚠ same residue
CHEK2 p.Ser228Gly Uncertain significance ★★ ⚠ same residue
CHEK2 p.Ser228= Likely benign ★★ same residue
CHEK2 p.Ser228Asn Conflicting classifications of pathogenicity ★ ⚠ same residue
CHEK2 p.Ser228Thr Conflicting classifications of pathogenicity ★ ⚠ same residue
CHEK2 c.1008+1G>A Likely pathogenic ★★ same condition
CHEK2 c.1008+1G>T Likely pathogenic ★★ same condition
CHEK2 c.1008+2T>A 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/chek2-p-ser228arg (accessed [today's date]).

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