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TOE1 p.Phe146=

c.438C>T · rs999921798 · VCV1570921

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0658%, mid)

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 2.2GERP 0.76, phastCons 1
Overall
CADD12.62PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0658% Middle Eastern · 4/6,080 alleles
Filtering AF 0.0224% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0135%
Overall 0.00192% 31/1,613,918 alleles · ultra-rare exomes 30/1,461,720 · genomes 1/152,198 · joint denominator
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0658% 1,520
African / African-American 0.0214% 4,682
Remaining individualsnot grpmax-eligible 0.0128% 7,809
South Asian 0.00329% 30,361

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
TOE1
Protein
p.Phe146=
Coding
c.438C>T
MANE Select
NM_025077
dbSNP
rs999921798
Type
single nucleotide variant
Location
chr1:45342053 (GRCh38)
Gene constraint
LOEUF 1.225 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 79.16 · 1 PDB
Full TOE1 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/toe1-p-phe146 (accessed [today's date]).

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