NEFH p.Lys681=
c.2043G>A · rs981250702 · VCV1548102
Likely benign
Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00168%, amr)
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 | ||
| Conservation | phyloP -7.3 | GERP -2.6 |
| Overall | ||
| CADD | 1.041 | PHRED · no single calibrated threshold — expert panels disagree |
Population frequency
gnomAD v4.1 · exomes + genomes
Grpmax group
0.00168%
Admixed American · 1/59,688 alleles
Filtering AF
6.8e-05%
ClinGen BA1/BS1 input
FAF95, joint · FAF99 1.9e-05%
Overall
0.000248%
4/1,610,466 alleles · very rare
exomes 3/1,461,276 · genomes 1/149,190 · joint denominator
| Ancestry group | Frequency | 1 in |
|---|---|---|
| Admixed Americangrpmax | 0.00168% | 59,688 |
| European (non-Finnish) | 0.000254% | 393,045 |
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
- NEFH
- Protein
- p.Lys681=
- Coding
- c.2043G>A
- MANE Select
- NM_021076
- dbSNP
- rs981250702
- Type
- single nucleotide variant
- Location
- chr22:29489683 (GRCh38)
- Gene constraint
- LOEUF 1.417 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
- Structure
- AlphaFold pLDDT 54.28
- Residue 681
- the 'tail' region; the 'disordered' region; the '30 x 6 aa repeats of k-s-p-[aepv]-[eak]-[aevk]' region
Similar variants
- NEFH c.1208+4A>T Uncertain significance ★★ same type
- NEFH c.1209-2A>G Uncertain significance ★★ same type
- NEFH p.Ala103Thr Uncertain significance ★★ same type
- NEFH p.Ala141Thr Uncertain significance ★★ same type
- NEFH p.Ala189Val Uncertain significance ★★ same type
- NEFH p.Ala195Thr Uncertain significance ★★ same type
- NEFH p.Ala203Thr Uncertain significance ★★ same type
- NEFH p.Ala220Val Uncertain significance ★★ 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/nefh-p-lys681 (accessed [today's date]).
Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown