Is SETBP1 p.Pro855His (c.2564C>A) pathogenic?

SETBP1 p.Pro855His (c.2564C>A) is classified Uncertain significance in SETBP1 (ClinVar, Single submitter, 1 submitter; last evaluated 2019-07-18). AlphaMissense: likely pathogenic (0.9901); Absent from gnomAD v4.1.

How common is SETBP1 p.Pro855His (c.2564C>A) in the general population?

SETBP1 p.Pro855His (c.2564C>A) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about SETBP1 p.Pro855His (c.2564C>A)?

AlphaMissense predicts likely pathogenic (score 0.9901) — an in-silico prediction, not a clinical call.

SETBP1 p.Pro855His

c.2564C>A · rs2145105600 · VCV1304788

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely pathogenic

0.9901 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

1/2 damaging

AlphaMissense, SaProt · REVEL indeterminate

Computational evidence

Protein change
AlphaMissense	0.9901	likely pathogenic · top 5% in SETBP1
REVEL	0.539	indeterminate
SaProt	LLR -7.54	tolerated
⇒ AlphaMissense calls this damaging; SaProt does not; REVEL is indeterminate.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 7.7	GERP 2.9, phastCons 1
Regional constraint	o/e 0.27	constrained · MANE · 100 bp · p 7.6e-07 · regional, not allelic
Overall
CADD	26.6	PHRED · 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

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: SETBP1
Protein: p.Pro855His
Coding: c.2564C>A
MANE Select: NM_015559
dbSNP: rs2145105600
Type: single nucleotide variant
Location: chr18:44951904 (GRCh38)
Gene constraint: LOEUF 0.143 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 43.30
Residue 855: the 'disordered' region

Full SETBP1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

SETBP1 p.Pro855Leu Likely pathogenic ★ ⚠ same residue
SETBP1 p.Pro855Ser Likely pathogenic ★ ⚠ same residue
SETBP1 p.Pro855Thr Conflicting classifications of pathogenicity ★ ⚠ same residue
SETBP1 p.Arg530Ter Pathogenic ★★ same type
SETBP1 p.Arg544Ter Pathogenic/Likely pathogenic ★★ same type
SETBP1 p.Arg589Ter Pathogenic ★★ same type
SETBP1 p.Arg625Ter Pathogenic ★★ same type
SETBP1 p.Arg626Ter Pathogenic ★★ 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/setbp1-p-pro855his (accessed [today's date]).

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