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F8 p.Ile1901=

c.5703C>A · rs782721473 · VCV1685787

Benign Expert panel
Classification
Benign
ClinVar
Review
Expert panel ★★★☆
ClinVar · 5 submitters
gnomAD v4.1
Rare
rare (popmax 0.788%, sas)
Conditions
2
hemophilia A

ClinGen expert panel — Coagulation Factor Deficiency VCEP

Benign for hemophilia A. Applied ACMG criteria (verbatim):

BP4_Supporting BA1

Curation rationale (ClinGen, verbatim)

The c.5703C>A variant in F8 is a synonymous (silent) variant (p.Ile1901=) that is not predicted by SpliceAI to impact splicing. This variant is located in Exon 17, within the A3 domain of FVIII. However, BP7 was not applied as the nucleotide is conserved. This variant has been reported in 1 proband with mild Hemophilia A. However, PS4_Supporting cannot be applied because VWD 2N was not ruled out (PMID: 16128892) and BA1 was met. The c.5703C>A (p.Ile1901=) variant is reported at an MAF of 0.007915 (151/19078 alleles) in the South Asian population in gnomAD v2.1.1 with 105 hemizygotes, meeting BA1 criteria of MAF >= 0.000333. The computational predictor REVEL has a score of 0 which is below the threshold of 0.3, and the splice site predictor Splice AI indicated that the variant has no impact on splicing, evidence that does not predict a damaging effect on F8 function (BP4_Supporting). In summary, this variant meets the criteria to be classified as benign for Hemophilia A based on the ACMG/AMP criteria applied, as specified by the Coagulation Factor Deficiency Variant Curation Expert Panel for F8 (version 1.0.0, released 10/5/2023): BA1, BP4_Supporting.

ClinGen Evidence Repository → · reported verbatim, not re-tallied by Sugi Variant.

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 2.3GERP -2, phastCons 1
Overall
CADD4.807PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.788% South Asian · 448/56,820 alleles
Filtering AF 0.728% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.704%
Overall 0.0397% 480/1,209,821 alleles · rare exomes 459/1,097,602 · genomes 21/112,219 · joint denominator
Ancestry group Frequency 1 in
South Asiangrpmax 0.788% 127
Middle Eastern 0.138% 725
Remaining individualsnot grpmax-eligible 0.0483% 2,070
European (non-Finnish) 0.000335% 298,252

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
F8
Protein
p.Ile1901=
Coding
c.5703C>A
MANE Select
NM_000132
dbSNP
rs782721473
Type
single nucleotide variant
Location
chrX:154904408 (GRCh38)
Structure
AlphaFold pLDDT 61.20 · 29 PDB
Residue 1901
the f5/8 type a 3 domain; the plastocyanin-like 6 domain; a UniProt-annotated variant site (in hema; mild); a β-strand
Full F8 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hemophilia A — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: thrombophilia, X-linked, due to factor 8 defect

For Hemophilia A (Orphanet):

Inheritance
X-linked recessive
Onset
Childhood, Infancy, Neonatal
Prevalence
1-9 / 100 000 (Worldwide)

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/f8-p-ile1901 (accessed [today's date]).

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