Is DNAH1 p.Pro653Ser (c.1957C>T) pathogenic?

DNAH1 p.Pro653Ser (c.1957C>T) is classified Benign in DNAH1 (ClinVar, Multiple submitters, 3 submitters; last evaluated 2026-01-11). AlphaMissense: ambiguous (0.3723); Rare (popmax 0.358%, eas); Associated with spermatogenic failure 18.

What condition is associated with DNAH1 p.Pro653Ser (c.1957C>T)?

DNAH1 p.Pro653Ser (c.1957C>T) is associated with spermatogenic failure 18, ciliary dyskinesia, primary, 37 (ClinVar).

How common is DNAH1 p.Pro653Ser (c.1957C>T) in the general population?

DNAH1 p.Pro653Ser (c.1957C>T) is rare (popmax 0.358%, eas) (gnomAD).

What do computational predictors say about DNAH1 p.Pro653Ser (c.1957C>T)?

AlphaMissense predicts ambiguous (score 0.3723) — an in-silico prediction, not a clinical call.

DNAH1 p.Pro653Ser

c.1957C>T · rs200101285 · VCV707433

Benign Multiple submitters

Classification

Benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

AlphaMissense

ambiguous

0.3723 · ACMG-weighted

gnomAD v4.1

Rare

rare (popmax 0.358%, eas)

Conditions

spermatogenic failure 18

Computational evidence

Protein change
AlphaMissense	0.3723	ambiguous
REVEL	0.089	moderately benign-leaning
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 5.9	GERP 1.8, phastCons 1
Regional constraint	o/e 1.04	unconstrained · MANE · 30 kb · p 0.21 · regional, not allelic
Overall
CADD	24.2	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 0.358% East Asian · 156/43,628 alleles

Filtering AF 0.312% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.294%

Overall 0.0184% 292/1,584,284 alleles · rare

Ancestry group	Frequency	1 in
East Asiangrpmax	0.358%	280
South Asian	0.12%	835
Remaining individualsnot grpmax-eligible	0.0441%	2,268
Admixed American	0.00178%	56,256
European (non-Finnish)	0.000344%	290,894

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: DNAH1
Protein: p.Pro653Ser
Coding: c.1957C>T
MANE Select: NM_015512
dbSNP: rs200101285
Type: single nucleotide variant
Location: chr3:52347825 (GRCh38)
Gene constraint: LOEUF 0.759 · pLI <0.01 (gnomAD)
Residue 653: the 'stem' region

Full DNAH1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

spermatogenic failure 18 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: ciliary dyskinesia, primary, 37

Similar variants

DNAH1 p.Pro653Leu Uncertain significance ★ same residue
DNAH1 c.1034-2A>G Likely pathogenic ★★ same condition
DNAH1 c.10474+1G>A Pathogenic/Likely pathogenic ★★ same condition
DNAH1 c.10968+2C>T Likely pathogenic ★★ same condition
DNAH1 c.5244+1G>A Likely pathogenic ★★ same condition
DNAH1 p.Arg1702Ter Pathogenic ★★ same condition
DNAH1 p.Arg2479Ter Pathogenic/Likely pathogenic ★★ same condition
DNAH1 p.Arg2622Ter 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/dnah1-p-pro653ser (accessed [today's date]).

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