Is FECH p.Arg13Ser (c.37C>A) pathogenic?

FECH p.Arg13Ser (c.37C>A) is classified Uncertain significance in FECH (ClinVar, Single submitter, 1 submitter; last evaluated 2023-03-14). AlphaMissense: ambiguous (0.5546); Very rare (popmax 0.00447%, nfe); Associated with Inborn genetic diseases.

What condition is associated with FECH p.Arg13Ser (c.37C>A)?

FECH p.Arg13Ser (c.37C>A) is associated with Inborn genetic diseases (ClinVar).

How common is FECH p.Arg13Ser (c.37C>A) in the general population?

FECH p.Arg13Ser (c.37C>A) is very rare (popmax 0.00447%, nfe) (gnomAD).

What do computational predictors say about FECH p.Arg13Ser (c.37C>A)?

AlphaMissense predicts ambiguous (score 0.5546) — an in-silico prediction, not a clinical call.

FECH p.Arg13Ser

c.37C>A · rs968233308 · VCV2458659

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

ambiguous

0.5546 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00447%, nfe)

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.5546	ambiguous
REVEL	0.487	indeterminate
SaProt	LLR -8.22	tolerated
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 4.5	GERP 1.3, phastCons 1
Regional constraint	o/e 0.81	unconstrained · MANE · 36 kb · p 2e-05 · regional, not allelic
Overall
CADD	19.74	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 0.00447% European (non-Finnish) · 51/1,141,666 alleles

Filtering AF 0.00345% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00312%

Overall 0.00342% 52/1,521,676 alleles · very rare

Ancestry group	Frequency	1 in
European (non-Finnish)grpmax	0.00447%	22,386
Remaining individualsnot grpmax-eligible	0.00169%	59,310

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: FECH
Protein: p.Arg13Ser
Coding: c.37C>A
MANE Select: NM_000140
dbSNP: rs968233308
Type: single nucleotide variant
Location: chr18:57586584 (GRCh38)
Gene constraint: LOEUF 0.859 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 87.37 · 25 PDB

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

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

FECH p.Leu4Phe Uncertain significance ★★ ⚠ same condition
FECH p.Lys320Arg Uncertain significance ★★ ⚠ same condition
FECH p.Met267Thr Uncertain significance ★★ ⚠ same condition
FECH p.Ser197Thr Uncertain significance ★★ ⚠ same condition
FECH p.Ser268Phe Uncertain significance ★★ ⚠ same condition
FECH p.Val166Ile Uncertain significance ★★ ⚠ same condition
FECH p.Asn105= Likely benign ★★ same condition
FECH p.Ala10Thr Uncertain significance ★ 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/fech-p-arg13ser (accessed [today's date]).

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