NEFH p.Pro581=
c.1743C>T · rs112681041 · VCV1658172
Benign/Likely benign
Multiple submitters
Classification
Benign/Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
rare (popmax 0.202%, mid)
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 -20 | GERP -3 |
| Overall | ||
| CADD | 0.28 | PHRED · no single calibrated threshold — expert panels disagree |
Population frequency
gnomAD v4.1 · exomes + genomes
Grpmax group
0.202%
Middle Eastern · 12/5,930 alleles
Filtering AF
0.117%
ClinGen BA1/BS1 input
FAF95, joint · FAF99 0.0915%
Overall
0.0197%
315/1,597,394 alleles · rare
exomes 288/1,460,430 · genomes 27/136,964 · joint denominator
| Ancestry group | Frequency | 1 in |
|---|---|---|
| Middle Easterngrpmax | 0.202% | 494 |
| South Asian | 0.0819% | 1,220 |
| Ashkenazi Jewishnot grpmax-eligible | 0.0647% | 1,545 |
| Admixed American | 0.0394% | 2,540 |
| Remaining individualsnot grpmax-eligible | 0.0354% | 2,828 |
| European (non-Finnish) | 0.0139% | 7,207 |
| African / African-American | 0.00289% | 34,620 |
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.Pro581=
- Coding
- c.1743C>T
- MANE Select
- NM_021076
- dbSNP
- rs112681041
- Type
- single nucleotide variant
- Location
- chr22:29489383 (GRCh38)
- Gene constraint
- LOEUF 1.417 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
- Structure
- AlphaFold pLDDT 54.28
- Residue 581
- the 'tail' region; the 'disordered' region; the '30 x 6 aa repeats of k-s-p-[aepv]-[eak]-[aevk]' region
Similar variants
- NEFH p.Pro581Arg Uncertain significance ★ same residue
- 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
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-pro581 (accessed [today's date]).
Preprint & method: sugi.bio/variant/method Machine-readable: this page as Markdown