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CA4 p.Glu171=

c.513G>A · rs368617056 · VCV954923

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00892%, nfe)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal.
Splicing
SpliceAIΔ0.90donor loss · deltas
PangolinΔ0.79loss · gain 0.28 · agrees with SpliceAI · independent
Constraint at this position
ConservationphyloP 8.1GERP 0.56, phastCons 1
Overall
CADD21.7PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00892% European (non-Finnish) · 105/1,177,584 alleles
Filtering AF 0.00751% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00702%
Overall 0.00676% 109/1,611,358 alleles · very rare
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.00892% 11,215
Remaining individualsnot grpmax-eligible 0.00321% 31,195
Finnishnot grpmax-eligible 0.00156% 63,978
African / African-American 0.00134% 74,902

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
CA4
Protein
p.Glu171=
Coding
c.513G>A
MANE Select
NM_000717
dbSNP
rs368617056
Type
single nucleotide variant
Location
chr17:60157788 (GRCh38)
Gene constraint
LOEUF 0.975 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 89.86 · 10 PDB
Residue 171
a disulfide bond; the alpha-carbonic anhydrase domain; a β-strand
Full CA4 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/ca4-p-glu171 (accessed [today's date]).

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