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C1D p.Glu16Lys

c.46G>A · VCV4647099

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely benign
0.2075 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00267%, afr)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense0.2075likely benign
REVEL0.125moderately benign-leaning
SaProtLLR -8.05tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI<0.2all four deltas below 0.2 · C>A here scores Δ0.41 · evaluated, not missing
Constraint at this position
ConservationphyloP 7.6phastCons 1
Regional constrainto/e 0.85unconstrained · MANE · 4,418 bp · p 0.057 · regional, not allelic
Overall
CADD24.0PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

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 · 2/74,860 alleles
Filtering AF 0.000443% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000166%
Overall 0.000868% 14/1,612,810 alleles · very rare
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0032% 31,205
African / African-Americangrpmax 0.00267% 37,430
East Asian 0.00223% 44,818
Admixed American 0.00167% 59,928
South Asian 0.0011% 90,908
European (non-Finnish) 0.000594% 168,486

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
C1D
Protein
p.Glu16Lys
Coding
c.46G>A
MANE Select
NM_173177
Type
single nucleotide variant
Location
chr2:68047265 (GRCh38)
Gene constraint
LOEUF 0.826 · pLI 0.65 (gnomAD)
Structure
AlphaFold pLDDT 88.37
Residue 16
the 'required for transcriptional repression' region
Full C1D 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/c1d-p-glu16lys (accessed [today's date]).

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