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EFNB1 p.Ser281=

c.843G>A · rs143341175 · VCV737593

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0133%, nfe)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -4.2GERP -4
Overall
CADD1.375PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0133% European (non-Finnish) · 119/895,210 alleles
Filtering AF 0.0113% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0106%
Overall 0.0109% 132/1,210,269 alleles · ultra-rare
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.0133% 7,523
Remaining individualsnot grpmax-eligible 0.0105% 9,511
South Asian 0.00705% 14,191
African / African-American 0.00348% 28,724
Admixed American 0.00218% 45,942
Finnishnot grpmax-eligible 0.00215% 46,506

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
EFNB1
Protein
p.Ser281=
Coding
c.843G>A
MANE Select
NM_004429
dbSNP
rs143341175
Type
single nucleotide variant
Location
chrX:68840456 (GRCh38)
Structure
AlphaFold pLDDT 71.68 · 1 PDB
Residue 281
a modified residue (phosphoserine); the 'interaction with zhx2' region
Full EFNB1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

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/efnb1-p-ser281 (accessed [today's date]).

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