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NOTCH3 p.Ser95Arg

c.283A>C · rs777645491 · VCV798179

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 2 submitters
AlphaMissense
likely pathogenic
0.9469 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0164%, mid)
Missense predictors
2/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
1
cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1

Computational evidence

Protein change
AlphaMissense0.9469likely pathogenic
REVEL0.829moderately pathogenic-leaning
SaProtLLR -9.15tolerated
⇒ AlphaMissense and REVEL call this damaging; SaProt does not.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 7.8GERP 1.5, phastCons 1
Regional constrainto/e 0.78unconstrained · MANE · 14 kb · p 4.2e-11 · regional, not allelic
Overall
CADD25.5PHRED · 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 0.0164% Middle Eastern · 1/6,084 alleles
Filtering AF 0.00215% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00191%
Overall 0.00657% 106/1,612,398 alleles · ultra-rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.206% 485
Middle Easterngrpmax 0.0164% 6,084
Remaining individualsnot grpmax-eligible 0.00961% 10,408
African / African-American 0.00401% 24,917
European (non-Finnish) 0.00297% 33,713

Ashkenazi Jewish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
NOTCH3
Protein
p.Ser95Arg
Coding
c.283A>C
MANE Select
NM_000435
dbSNP
rs777645491
Type
single nucleotide variant
Location
chr19:15192434 (GRCh38)
Gene constraint
LOEUF 0.566 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 61.79 · 6 PDB
Residue 95
a disulfide bond; the egf-like 2 domain
Full NOTCH3 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

cerebral arteriopathy, autosomal dominant, with subcortical infarcts and leukoencephalopathy, type 1 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Cerebral autosomal dominant arteriopathy-subcortical infarcts-leukoencephalopathy (Orphanet):

Inheritance
Autosomal dominant
Onset
Adult
Prevalence
1-9 / 100 000 (Europe)

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/notch3-p-ser95arg (accessed [today's date]).

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