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SETD2 p.Arg421=

c.1263G>A · rs915441021 · VCV1638379

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00685%, afr)
Conditions
1
Luscan-Lumish syndrome

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.39GERP -3.2, phastCons 0.99
Overall
CADD5.56PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00685% African / African-American · 5/73,002 alleles
Filtering AF 0.0026% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00175%
Overall 0.000516% 8/1,551,468 alleles · very rare exomes 6/1,399,382 · genomes 2/152,086 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.00685% 14,600
Remaining individualsnot grpmax-eligible 0.00166% 60,102
European (non-Finnish) 0.000174% 573,487

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
SETD2
Protein
p.Arg421=
Coding
c.1263G>A
MANE Select
NM_014159
dbSNP
rs915441021
Type
single nucleotide variant
Location
chr3:47123373 (GRCh38)
Gene constraint
LOEUF 0.176 · pLI 1.00 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 43.81 · 43 PDB
Residue 421
a UniProt-annotated variant site (in aml; uncertain significance; somatic mutation); the 'disordered' region
Full SETD2 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/setd2-p-arg421 (accessed [today's date]).

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