Is DIP2A p.Arg93Leu (c.278G>T) pathogenic?

DIP2A p.Arg93Leu (c.278G>T) is classified Uncertain significance in DIP2A (ClinVar, Single submitter, 1 submitter; last evaluated 2022-09-07). AlphaMissense: ambiguous (0.5077); Very rare (popmax 0.00376%, amr).

How common is DIP2A p.Arg93Leu (c.278G>T) in the general population?

DIP2A p.Arg93Leu (c.278G>T) is very rare (popmax 0.00376%, amr) (gnomAD).

What do computational predictors say about DIP2A p.Arg93Leu (c.278G>T)?

AlphaMissense predicts ambiguous (score 0.5077) — an in-silico prediction, not a clinical call.

DIP2A p.Arg93Leu

c.278G>T · rs747941265 · VCV2311224

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

ambiguous

0.5077 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00376%, amr)

Missense predictors

0/2 damaging

REVEL, SaProt · AlphaMissense no call

Computational evidence

Protein change
AlphaMissense	0.5077	ambiguous
REVEL	0.231	benign-leaning
SaProt	LLR -6.34	tolerated
⇒ REVEL and SaProt both call this tolerated; AlphaMissense makes no call.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 12	GERP 2.5, phastCons 1
Regional constraint	o/e 0.85	unconstrained · MANE · 108 kb · p 1.5e-11 · regional, not allelic
Overall
CADD	24.8	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 0.00376% Admixed American · 2/53,160 alleles

Filtering AF 0.000624% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000233%

Overall 0.000282% 4/1,420,240 alleles · very rare

Ancestry group	Frequency	1 in
Admixed Americangrpmax	0.00376%	26,580
East Asian	0.00235%	42,626
South Asian	0.00117%	85,472

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: DIP2A
Protein: p.Arg93Leu
Coding: c.278G>T
MANE Select: NM_015151
dbSNP: rs747941265
Type: single nucleotide variant
Location: chr21:46490714 (GRCh38)
Gene constraint: LOEUF 0.617 · pLI <0.01 · ClinGen HI 1/3 (gnomAD)
Structure: AlphaFold pLDDT 78.93
Residue 93: the dmap1-binding domain; the 'disordered' region

Full DIP2A gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

DIP2A p.Arg93Trp Uncertain significance ★ ⚠ same residue
DIP2A p.Ala676Thr Uncertain significance ★★ ⚠ same type
DIP2A p.Glu832Lys Uncertain significance ★★ ⚠ same type
DIP2A p.Pro333= Benign ★★ same type
DIP2A p.Pro798Leu Benign/Likely benign ★★ ⚠ same type
DIP2A p.Thr848= Benign/Likely benign ★★ same type
DIP2A p.Val1531= Benign ★★ same type
DIP2A c.1429+2T>G Likely 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/dip2a-p-arg93leu (accessed [today's date]).

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