IDH1 (O75874) variants and mutations
IDH1 (also known as O75874) is a human protein-coding gene encoding an isocitrate dehydrogenase [NADP] cytoplasmic protein. It normally generates alpha-ketoglutarate and NADPH in the cytosol and peroxisomes. Recurrent cancer-associated variants at R132 acquire the ability to produce D-2-hydroxyglutarate, an oncometabolite that rewires epigenetic regulation in glioma, leukemia, and other tumors. This analysis covers 1,522 IDH1 variants and mutations. Of these, 0.5% have pathogenic or likely pathogenic clinical classifications, 51% have computational variant effect predictions from REVEL and MutPred, and 35% have population-specific frequency data. Disease context includes colorectal cancer and glioma samples. Example IDH1 variants include S2C, S2F, and S2P.
Variant analysis overview
- Gene: IDH1
- Protein: O75874
- UniProt accession: O75874
- Organism: Homo sapiens
- Variants analyzed: 1522
- Variant scope: all variants
- Completed: 2026-08-09
Variant and mutation evidence
- Variant composition: 1,334 unspecified-consequence records; 1 stop retained variant; 1 stop lost; 73 synonymous variants; 65 missense variants; 14 frameshift variants; 11 stop-gained variants; 5 in-frame deletions; 1 in-frame insertions; 5 splice-region variants; 2 protein altering variant; 10 substitution
- Clinical classifications: 8 pathogenic or likely pathogenic; 58 benign or likely benign; 341 uncertain-significance; 60 other clinical labels.
- Computational signals: 188 REVEL high-risk; 42 MutPred high-risk.
- Variant classes: 1,352 missense; 73 synonymous; 91 truncating or splice.
- Prediction scores: 779 variants have prediction scores (51% of the analyzed set).
- Literature: 101 publications are represented in the literature summary.
Clinical, disease, and population context
- Clinical evidence: 5 records have expert-only or criteria-backed evidence.
- Clinical annotations: 479 variants have clinical annotations.
- Population evidence: 615 variants have population-frequency evidence.
- Disease context: 25 disease associations are represented. Top associations: colorectal cancer and glioma samples.
Protein structure and variant hotspots
- Protein features: 13 binding sites; 10 post-translational modification sites.
- Ancestry evidence: 535 variants have ancestry-specific frequency data.
- PTM context: 32 variants overlap post-translational modification sites.
- 3D hotspots: 2 hotspot clusters were identified. Clusters at residues 15-306 (intolerant, 13 variants); residues 289-399 (intolerant, 25 variants).
- Allosteric analysis: 13 functional sites were identified.
- gnomAD gene constraint: pLI 0.00 (tolerant of loss-of-function variation); LOEUF 0.72; missense Z-score 1.78.
Data sources
Evidence in this analysis draws on EBI Proteins Variation, UniProt, gnomAD v4, EuropePMC, 3D Hotspot Analysis, Interaction Network Analysis, Protein Data Bank, AlphaFold DB, gnomAD constraint, Open Targets, MaveDB, LitVar.
Notable IDH1 variants
Examples include S2C, S2F, S2P, S2T, S2Y, K3*, K3Q, K4I. Listed records include available protein-change notation, database identifiers, clinical classifications, computational predictions, population evidence, experimental measurements, and disease context.
- S2C (p.Ser2Cys), Ensembl rs2124868467
- S2F (p.Ser2Phe), cosmic curated COSV10744, Ensembl rs2124868467
- S2P (p.Ser2Pro), ExAC rs751591193, TOPMed rs751591193, gnomAD rs751591193, REVEL 0.54, CADD 25.00
- S2T (p.Ser2Thr), ExAC rs751591193, TOPMed rs751591193, gnomAD rs751591193
- S2Y (p.Ser2Tyr), Ensembl rs2124868467, REVEL 0.51, CADD 26.40
- K3* (p.Lys3Ter), Ensembl rs2124868457, Likely benign
- K3Q (p.Lys3Gln), rs2124868457, ClinGen CA350103272, ClinVar RCV004055368, Ensembl rs2124868457, AlphaMissense 0.07, MetaLR 0.30, Likely benign, not specified
- K4I (p.Lys4Ile), Ensembl rs2124868448
- K4N (p.Lys4Asn), Ensembl rs1456490934, REVEL 0.61, CADD 23.90
- K4Q (p.Lys4Gln), ExAC rs764523200, gnomAD rs764523200
- I5F (p.Ile5Phe), Ensembl rs2124868434
- I5M (p.Ile5Met), ExAC rs763504710, gnomAD rs763504710, Likely benign
- I5N (p.Ile5Asn), Ensembl rs2124868430
- I5S (p.Ile5Ser), NCI-TCGA Cosmic COSV6163, Variant assessed as somatic; high impact.
- I5V (p.Ile5Val), NCI-TCGA Cosmic COSV6163, cosmic curated COSV61630, Variant assessed as somatic; moderate impact.
- S6C (p.Ser6Cys), 1000Genomes rs141118556, ESP rs141118556, ExAC rs141118556, TOPMed rs141118556, Uncertain significance
- S6G (p.Ser6Gly), rs141118556, ClinGen CA2079115, cosmic curated COSV61620, ClinVar RCV004060505, REVEL 0.20, CADD 17.70, Uncertain significance, not specified
- S6N (p.Ser6Asn), Ensembl rs2124868417, REVEL 0.36, CADD 5.95
- S6R (p.Ser6Arg), Ensembl rs1001692730, REVEL 0.26, CADD 17.90, Uncertain significance
- S6T (p.Ser6Thr), Ensembl rs2124868417
- G7A (p.Gly7Ala), Ensembl rs2124868401
- G7C (p.Gly7Cys), Ensembl rs2124868405
- G7D (p.Gly7Asp), Ensembl rs2124868401
- G7R (p.Gly7Arg), Ensembl rs2124868405
- G7S (p.Gly7Ser), Ensembl rs2124868405, REVEL 0.31, CADD 22.60
- G7V (p.Gly7Val), Ensembl rs2124868401
- G8A (p.Gly8Ala), Ensembl rs2124868387
- G8C (p.Gly8Cys), 1000Genomes rs369048275, ESP rs369048275, ExAC rs369048275, TOPMed rs369048275, Uncertain significance
- G8D (p.Gly8Asp), Ensembl rs2124868387
- G8R (p.Gly8Arg), 1000Genomes rs369048275, ESP rs369048275, ExAC rs369048275, TOPMed rs369048275, Uncertain significance
- G8S (p.Gly8Ser), rs369048275, ClinGen CA2079114, cosmic curated COSV61632, ClinVar RCV004062614, REVEL 0.41, CADD 26.30, Uncertain significance, not specified
- G8V (p.Gly8Val), Ensembl rs2124868387
- S9C (p.Ser9Cys), Ensembl rs2124868368
- S9F (p.Ser9Phe), Ensembl rs2124868368
- S9P (p.Ser9Pro), Ensembl rs2124868372
- S9T (p.Ser9Thr), Ensembl rs2124868372
- S9Y (p.Ser9Tyr), cosmic curated COSV10967
- V10E (p.Val10Glu), Ensembl rs2124868353
- V10G (p.Val10Gly), Ensembl rs2124868353
- V10L (p.Val10Leu), Ensembl rs2124868360
- V10M (p.Val10Met), Ensembl rs2124868360, REVEL 0.82, CADD 26.10
- V11I (p.Val11Ile), Ensembl rs2124868347, REVEL 0.60, CADD 25.30
- V11L (p.Val11Leu), Ensembl rs2124868347
- E12D (p.Glu12Asp), Ensembl rs2124868334
- E12K (p.Glu12Lys), NCI-TCGA Cosmic COSV1005, cosmic curated COSV10057, gnomAD rs1248893111, Variant assessed as somatic; moderate impact.
- E12Q (p.Glu12Gln), gnomAD rs1248893111, REVEL 0.70, CADD 26.10
- M13I (p.Met13Ile), rs946096480, ClinGen CA350103168, ClinVar RCV004247303, Ensembl rs946096480, AlphaMissense 0.40, MetaLR 0.30, Uncertain significance, not specified
- M13T (p.Met13Thr), rs1045831045, ClinGen CA64590225, ClinVar RCV004050363, Ensembl rs1045831045, REVEL 0.86, CADD 23.90, Uncertain significance, not specified
- Q14* (p.Gln14Ter), Ensembl rs2124868315
- Q14E (p.Gln14Glu), Ensembl rs2124868315
- Q14H (p.Gln14His), Ensembl rs2124868308
- Q14K (p.Gln14Lys), Ensembl rs2124868315
- Q14R (p.Gln14Arg), gnomAD rs1231034122, REVEL 0.56, CADD 24.20
- G15A (p.Gly15Ala), ExAC rs776449775, TOPMed rs776449775, gnomAD rs776449775
- G15E (p.Gly15Glu), ExAC rs776449775, TOPMed rs776449775, gnomAD rs776449775, REVEL 0.97, CADD 26.50
- G15R (p.Gly15Arg), rs2124868302, ClinGen CA350103150, ClinVar RCV004278241, Ensembl rs2124868302, REVEL 0.96, CADD 28.30, Uncertain significance, not specified
- D16E (p.Asp16Glu), Ensembl rs1336705159
- D16H (p.Asp16His), rs192514135, ClinGen CA2079111, ClinVar RCV004052004, 1000Genomes rs192514135, REVEL 0.88, CADD 27.60, Uncertain significance, not specified
- D16N (p.Asp16Asn), 1000Genomes rs192514135, ExAC rs192514135, TOPMed rs192514135, gnomAD rs192514135, Uncertain significance
- D16V (p.Asp16Val), Ensembl rs2124868285, REVEL 0.94, CADD 29.60
- D16Y (p.Asp16Tyr), 1000Genomes rs192514135, ExAC rs192514135, TOPMed rs192514135, gnomAD rs192514135, Uncertain significance
- E17D (p.Glu17Asp), Ensembl rs2124868269
- E17G (p.Glu17Gly), Ensembl rs2124868275
- E17K (p.Glu17Lys), NCI-TCGA Cosmic COSV6161, cosmic curated COSV61615, Ensembl rs2124868279, Variant assessed as somatic; moderate impact.
- E17Q (p.Glu17Gln), Ensembl rs2124868279
- M18I (p.Met18Ile), Ensembl rs2124868256
- M18K (p.Met18Lys), Ensembl rs2124868260
- M18V (p.Met18Val), rs1688123040, ClinGen CA350103103, ClinVar RCV004052364, TOPMed rs1688123040, REVEL 0.60, CADD 25.60, Uncertain significance, not specified
- T19A (p.Thr19Ala), cosmic curated COSV61617, ExAC rs11554138, gnomAD rs11554138, REVEL 0.79, CADD 26.90
- T19I (p.Thr19Ile), Ensembl rs2124868242
- T19K (p.Thr19Lys), Ensembl rs2124868242
- T19P (p.Thr19Pro), ExAC rs11554138, gnomAD rs11554138
- T19R (p.Thr19Arg), Ensembl rs2124868242
- T19S (p.Thr19Ser), ExAC rs11554138, gnomAD rs11554138
- R20* (p.Arg20Ter), rs912110895, TOPMed rs912110895, gnomAD rs912110895, CADD 36.00, Likely benign
- R20G (p.Arg20Gly), rs912110895, ClinGen CA64590158, ClinVar RCV004054240, TOPMed rs912110895, REVEL 0.74, CADD 25.10, Uncertain significance, not specified
- R20L (p.Arg20Leu), rs201258988, ClinGen CA2079109, ClinVar RCV004052551, 1000Genomes rs201258988, REVEL 0.81, CADD 28.00, Uncertain significance, not specified
- R20P (p.Arg20Pro), 1000Genomes rs201258988, ExAC rs201258988, TOPMed rs201258988, gnomAD rs201258988, Uncertain significance
- R20Q (p.Arg20Gln), cosmic curated COSV61617, 1000Genomes rs201258988, ExAC rs201258988, TOPMed rs201258988, REVEL 0.59, CADD 24.60, Uncertain significance, Glioma susceptibility 1
- I21F (p.Ile21Phe), Ensembl rs2124868213
- I21M (p.Ile21Met), Ensembl rs2124868201, REVEL 0.41, CADD 21.20, Likely benign
- I21N (p.Ile21Asn), Ensembl rs2124868209
- I22F (p.Ile22Phe), rs1170747681, ClinGen CA350103043, ClinVar RCV004330196, TOPMed rs1170747681, REVEL 0.81, CADD 27.20, Uncertain significance, not specified
- I22T (p.Ile22Thr), rs2469038549, ClinGen CA350103038, ClinVar RCV004247847, Uncertain significance, not specified
- I22V (p.Ile22Val), TOPMed rs1170747681, gnomAD rs1170747681, REVEL 0.62, CADD 25.30, Uncertain significance
- W23* (p.Trp23Ter), 1000Genomes rs535551892, ExAC rs535551892, TOPMed rs535551892, gnomAD rs535551892, CADD 37.00, Uncertain significance
- W23C (p.Trp23Cys), rs535551892, 1000Genomes rs535551892, ExAC rs535551892, TOPMed rs535551892, REVEL 0.88, CADD 29.70, Uncertain significance, not specified
- W23R (p.Trp23Arg), Ensembl rs2124868183
- E24* (p.Glu24Ter), gnomAD rs866116784, CADD 38.00
- E24D (p.Glu24Asp), Ensembl rs2124868158
- E24K (p.Glu24Lys), cosmic curated COSV61645, gnomAD rs866116784
- E24Q (p.Glu24Gln), gnomAD rs866116784
- L25* (p.Leu25Ter), Ensembl rs2124868144
- L25F (p.Leu25Phe), Ensembl rs2124868138, REVEL 0.35, CADD 17.30
- L25M (p.Leu25Met), Ensembl rs2124868152
- L25S (p.Leu25Ser), Ensembl rs2124868144
- I26N (p.Ile26Asn), cosmic curated COSV10744, Ensembl rs2124868132
- K27Q (p.Lys27Gln), gnomAD rs1173024019, REVEL 0.78, CADD 27.20
- K27R (p.Lys27Arg), Ensembl rs2124868119
- E28* (p.Glu28Ter), cosmic curated COSV61635, Ensembl rs2124868110
- E28G (p.Glu28Gly), rs2469038482, ClinGen CA350102942, ClinVar RCV004056112, Uncertain significance, not specified
- E28K (p.Glu28Lys), Ensembl rs2124868110
- E28Q (p.Glu28Gln), cosmic curated COSV61636, Ensembl rs2124868110
- K29N (p.Lys29Asn), rs2124868105, Ensembl rs2124868105, ClinGen CA350102915, ClinVar RCV004334288, AlphaMissense 0.62, MetaLR 0.50, Uncertain significance, not specified
- L30F (p.Leu30Phe), gnomAD rs1478965604
- L30H (p.Leu30His), Ensembl rs2124868095
- L30I (p.Leu30Ile), gnomAD rs1478965604, REVEL 0.81, CADD 27.60
- L30P (p.Leu30Pro), Ensembl rs2124868095
- L30V (p.Leu30Val), gnomAD rs1478965604, REVEL 0.84, CADD 27.00
- I31F (p.Ile31Phe), TOPMed rs1244968146, gnomAD rs1244968146, Uncertain significance
- I31T (p.Ile31Thr), Ensembl rs2124868079
- I31V (p.Ile31Val), rs1244968146, ClinGen CA350102897, ClinVar RCV004055072, TOPMed rs1244968146, REVEL 0.23, CADD 22.60, Uncertain significance, not specified
- F32C (p.Phe32Cys), gnomAD rs1688121732, REVEL 0.41, CADD 27.20
- F32V (p.Phe32Val), rs142923780, ClinGen CA160028, cosmic curated COSV61618, ClinVar RCV000121202, REVEL 0.31, CADD 23.70, Likely benign, not provided
- P33A (p.Pro33Ala), 1000Genomes rs555882127, ExAC rs555882127, gnomAD rs555882127
- P33H (p.Pro33His), Ensembl rs2124868048, Uncertain significance
- P33L (p.Pro33Leu), Ensembl rs2124868048, Uncertain significance, not specified
- P33R (p.Pro33Arg), Ensembl rs2124868048, Uncertain significance
- P33S (p.Pro33Ser), rs555882127, NCI-TCGA Cosmic COSV6162, cosmic curated COSV61620, 1000Genomes rs555882127, REVEL 0.68, CADD 27.10, Variant assessed as somatic; moderate impact.
- Y34* (p.Tyr34Ter), ExAC rs753580953, TOPMed rs753580953, gnomAD rs753580953, CADD 29.80, Likely benign
- Y34C (p.Tyr34Cys), cosmic curated COSV61626, gnomAD rs1253479303, REVEL 0.71, CADD 24.90
- Y34F (p.Tyr34Phe), gnomAD rs1253479303
- Y34S (p.Tyr34Ser), gnomAD rs1253479303
- V35A (p.Val35Ala), ExAC rs757444051, TOPMed rs757444051, gnomAD rs757444051, REVEL 0.72, CADD 26.70
- V35E (p.Val35Glu), ExAC rs757444051, TOPMed rs757444051, gnomAD rs757444051
- V35L (p.Val35Leu), ExAC rs781398075, gnomAD rs781398075
- V35M (p.Val35Met), rs781398075, NCI-TCGA Cosmic COSV6164, cosmic curated COSV61644, ExAC rs781398075, REVEL 0.45, CADD 23.70, Variant assessed as somatic; moderate impact.
- E36G (p.Glu36Gly), Ensembl rs2124868009
- L37* (p.Leu37Ter), Ensembl rs2124867999
- L37F (p.Leu37Phe), cosmic curated COSV10648
- L37S (p.Leu37Ser), rs2124867999, ClinGen CA350102844, ClinVar RCV004063674, Uncertain significance, not specified
- D38H (p.Asp38His), ESP rs374907791, ExAC rs374907791, TOPMed rs374907791, gnomAD rs374907791, Uncertain significance, not specified
- D38N (p.Asp38Asn), rs374907791, ClinGen CA2079101, ClinVar RCV004048417, ClinVar RCV005051959, REVEL 0.32, CADD 22.70, Uncertain significance, not specified; not provided
- D38Y (p.Asp38Tyr), NCI-TCGA TCGA novel, ESP rs374907791, ExAC rs374907791, TOPMed rs374907791, Uncertain significance
- L39I (p.Leu39Ile), Ensembl rs2124867979
- L39V (p.Leu39Val), Ensembl rs2124867979, REVEL 0.27, CADD 15.20
- H40D (p.His40Asp), rs2124867977, ClinGen CA350102827, ClinVar RCV004523778, Ensembl rs2124867977, AlphaMissense 0.26, MetaLR 0.20, Uncertain significance, not specified
- H40Q (p.His40Gln), Ensembl rs2124867969
- H40R (p.His40Arg), Ensembl rs2124867973
- S41C (p.Ser41Cys), gnomAD rs1273619819
- S41G (p.Ser41Gly), gnomAD rs1273619819, REVEL 0.28, CADD 25.10
- S41I (p.Ser41Ile), TOPMed rs1688121123
- S41N (p.Ser41Asn), TOPMed rs1688121123
- S41R (p.Ser41Arg), Ensembl rs2124864103, REVEL 0.38, CADD 25.60
- S41T (p.Ser41Thr), TOPMed rs1688121123
- Y42* (p.Tyr42Ter), Ensembl rs2124864092
- Y42C (p.Tyr42Cys), ExAC rs747226100, TOPMed rs747226100, gnomAD rs747226100, REVEL 0.89, CADD 27.50
- Y42F (p.Tyr42Phe), ExAC rs747226100, TOPMed rs747226100, gnomAD rs747226100
- Y42H (p.Tyr42His), Ensembl rs2124864101, REVEL 0.88, CADD 29.20
- D43A (p.Asp43Ala), ExAC rs777761062, gnomAD rs777761062, REVEL 0.90, CADD 29.60
- D43H (p.Asp43His), NCI-TCGA Cosmic COSV6161, NCI-TCGA Cosmic COSV6164, cosmic curated COSV61642, Ensembl rs2124864084, Variant assessed as somatic; moderate impact.
- D43N (p.Asp43Asn), cosmic curated COSV61615, Ensembl rs2124864084, REVEL 0.78, CADD 31.00
- D43V (p.Asp43Val), ExAC rs777761062, gnomAD rs777761062
- D43Y (p.Asp43Tyr), Ensembl rs2124864084
- L44* (p.Leu44Ter), Ensembl rs2124864064
- L44F (p.Leu44Phe), gnomAD rs1357237390
- L44I (p.Leu44Ile), Ensembl rs2124864070
- L44S (p.Leu44Ser), Ensembl rs2124864064, REVEL 0.89, CADD 29.10
- G45A (p.Gly45Ala), TOPMed rs1688068182, Uncertain significance
- G45C (p.Gly45Cys), Ensembl rs2124864051
- G45D (p.Gly45Asp), rs1688068182, ClinGen CA350102544, ClinVar RCV004058781, TOPMed rs1688068182, AlphaMissense 0.93, MetaLR 0.80, Uncertain significance, not specified
- G45R (p.Gly45Arg), Ensembl rs2124864051
- G45S (p.Gly45Ser), Ensembl rs2124864051
- G45V (p.Gly45Val), rs1688068182, ClinGen CA350102542, ClinVar RCV004058783, TOPMed rs1688068182, AlphaMissense 0.93, MetaLR 0.80, Uncertain significance, not specified
- I46K (p.Ile46Lys), Ensembl rs2124864039, Uncertain significance
- I46L (p.Ile46Leu), Ensembl rs2124864048
- I46M (p.Ile46Met), Ensembl rs2124864031
- I46R (p.Ile46Arg), Ensembl rs2124864039, Uncertain significance
- I46T (p.Ile46Thr), rs2124864039, ClinGen CA350102537, ClinVar RCV004058935, Ensembl rs2124864039, AlphaMissense 0.73, MetaLR 0.60, Uncertain significance, not specified
- E47D (p.Glu47Asp), Ensembl rs1553603130
- E47G (p.Glu47Gly), TOPMed rs1688068144
- E47Q (p.Glu47Gln), Ensembl rs2124864022
- E47V (p.Glu47Val), TOPMed rs1688068144
- N48D (p.Asn48Asp), TOPMed rs1172899722, gnomAD rs1172899722, REVEL 0.24, CADD 23.80
- N48H (p.Asn48His), TOPMed rs1172899722, gnomAD rs1172899722
- N48K (p.Asn48Lys), TOPMed rs1688067983
- N48Y (p.Asn48Tyr), TOPMed rs1172899722, gnomAD rs1172899722
- R49C (p.Arg49Cys), rs758524291, NCI-TCGA Cosmic COSV6162, cosmic curated COSV61624, ExAC rs758524291, REVEL 0.64, CADD 25.50, Variant assessed as somatic; moderate impact.
- R49G (p.Arg49Gly), ExAC rs758524291, TOPMed rs758524291, gnomAD rs758524291
- R49H (p.Arg49His), cosmic curated COSV10610, ExAC rs765848107, TOPMed rs765848107, gnomAD rs765848107, REVEL 0.55, CADD 24.50
Public IDH1 analysis runs
- IDH1 analysis run — IDH1 (1,522 variants) — completed 2026-08-09