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PHF8 p.Arg438His

c.1313G>A · rs781871345 · VCV1693395

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
AlphaMissense
ambiguous
0.556 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.000115%, nfe)
Conditions
1
Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense0.556ambiguous
REVEL0.309indeterminate
SaProtLLR -10.58damaging
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 7.7GERP 2.8, phastCons 1
Regional constrainto/e 0.93unconstrained · MANE · 12 kb · p 0.36 · regional, not allelic
Overall
CADD25.3PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM R474H vs ClinVar R438H) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.000115% European (non-Finnish) · 1/871,190 alleles
Overall 0.000187% 2/1,071,294 alleles · very rare
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.00214% 46,783
European (non-Finnish)grpmax 0.000115% 871,186

Remaining individuals 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
PHF8
Protein
p.Arg438His
Coding
c.1313G>A
MANE Select
NM_015107
dbSNP
rs781871345
Type
single nucleotide variant
Location
chrX:53995703 (GRCh38)
Structure
AlphaFold pLDDT 63.30 · 6 PDB
Residue 438
an α-helix
Full PHF8 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/phf8-p-arg438his (accessed [today's date]).

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