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CARD19 p.Ala48=

c.144G>A · rs146233245 · VCV2659308

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
rare (popmax 0.901%, sas)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2all four deltas below 0.2 · G>T here scores Δ0.21 · evaluated, not missing
Constraint at this position
ConservationphyloP -9.4GERP -3
Overall
CADD2.959PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.901% South Asian · 821/91,088 alleles
Filtering AF 0.85% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.83%
Overall 0.0743% 1,200/1,614,230 alleles · rare
Ancestry group Frequency 1 in
South Asiangrpmax 0.901% 111
Ashkenazi Jewishnot grpmax-eligible 0.287% 348
Admixed American 0.0966% 1,035
Remaining individualsnot grpmax-eligible 0.0688% 1,454
Middle Eastern 0.066% 1,516
African / African-American 0.016% 6,256
European (non-Finnish) 0.0149% 6,705
East Asian 0.00223% 44,884

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
CARD19
Protein
p.Ala48=
Coding
c.144G>A
MANE Select
NM_032310
dbSNP
rs146233245
Type
single nucleotide variant
Location
chr9:93107810 (GRCh38)
Gene constraint
LOEUF 1.565 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 64.51 · 2 PDB
Residue 48
the card domain; a disulfide bond; an α-helix
Full CARD19 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/card19-p-ala48 (accessed [today's date]).

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