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PHF21A p.Pro399=

c.1197G>A · rs768776752 · VCV2416442

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0493%, mid)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP -12GERP -5.2
Overall
CADD3.006PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0493% Middle Eastern · 3/6,084 alleles
Filtering AF 0.0134% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00715%
Overall 0.00155% 25/1,614,068 alleles · ultra-rare exomes 22/1,461,856 · genomes 3/152,212 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0493% 2,028
Ashkenazi Jewishnot grpmax-eligible 0.00675% 14,804
Remaining individualsnot grpmax-eligible 0.0064% 15,623
African / African-American 0.00534% 18,735
European (non-Finnish) 0.00102% 98,335

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
PHF21A
Protein
p.Pro399=
Coding
c.1197G>A
MANE Select
NM_001352027
dbSNP
rs768776752
Type
single nucleotide variant
Location
chr11:45949432 (GRCh38)
Gene constraint
LOEUF 0.149 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 59.12 · 2 PDB
Full PHF21A gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

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/phf21a-p-pro399 (accessed [today's date]).

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