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SETD1A p.Arg299Trp

c.895C>T · rs771239116 · VCV2172135

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 2 submitters
AlphaMissense
ambiguous
0.4726 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00267%, afr)

Computational evidence

Protein change
AlphaMissense0.4726ambiguous
REVEL0.477indeterminate
SaProtLLR -7.22tolerated
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 5.9GERP 1.6, phastCons 1
Regional constrainto/e 1.04unconstrained · MANE · 1,694 bp · p 0.44 · regional, not allelic
Overall
CADD28.8PHRED · 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 0.00267% African / African-American · 2/74,912 alleles
Filtering AF 0.000443% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00026%
Overall 0.000992% 16/1,613,458 alleles · very rare exomes 14/1,461,314 · genomes 2/152,144 · joint denominator
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0048% 20,824
African / African-Americangrpmax 0.00267% 37,456
East Asian 0.00223% 44,866
South Asian 0.0011% 91,070
European (non-Finnish) 0.000763% 131,095

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
SETD1A
Protein
p.Arg299Trp
Coding
c.895C>T
MANE Select
NM_014712
dbSNP
rs771239116
Type
single nucleotide variant
Location
chr16:30964637 (GRCh38)
Gene constraint
LOEUF 0.279 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 49.20 · 4 PDB
Residue 299
a UniProt-annotated variant site (in nedsid); the 'disordered' region
Full SETD1A 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/setd1a-p-arg299trp (accessed [today's date]).

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