Is CASK p.Ala768= (c.2304G>A) pathogenic?

CASK p.Ala768= (c.2304G>A) is classified Likely benign in CASK (ClinVar, Single submitter, 1 submitter; last evaluated 2025-12-19). Very rare (popmax 0.00438%, amr); Associated with Intellectual disability, CASK-related, X-linked.

What condition is associated with CASK p.Ala768= (c.2304G>A)?

CASK p.Ala768= (c.2304G>A) is associated with Intellectual disability, CASK-related, X-linked (ClinVar).

How common is CASK p.Ala768= (c.2304G>A) in the general population?

CASK p.Ala768= (c.2304G>A) is very rare (popmax 0.00438%, amr) (gnomAD).

CASK p.Ala768=

c.2304G>A · rs754678428 · VCV1536508

Likely benign Single submitter

Classification

Likely benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Rare

very rare (popmax 0.00438%, amr)

Conditions

Intellectual disability, CASK-related, X-linked

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
Conservation	phyloP -10	GERP -2.9
Overall
CADD	0.322	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00438% Admixed American · 2/45,657 alleles

Filtering AF 0.00101% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000804%

Overall 0.00175% 21/1,201,658 alleles · very rare

Ancestry group	Frequency	1 in
Admixed Americangrpmax	0.00438%	22,828
East Asian	0.00296%	33,755
Finnishnot grpmax-eligible	0.00215%	46,407
Remaining individualsnot grpmax-eligible	0.00211%	47,349
African / African-American	0.00176%	56,901
European (non-Finnish)	0.00169%	59,198

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: CASK
Protein: p.Ala768=
Coding: c.2304G>A
MANE Select: NM_001367721
dbSNP: rs754678428
Type: single nucleotide variant
Location: chrX:41534719 (GRCh38)
Structure: AlphaFold pLDDT 79.45 · 22 PDB
Residue 768: a UniProt-annotated variant site (found in a patient with epilepsy and pontocerebellar hypoplasia; likely pathogenic); the guanylate kinase-like domain; the 'required for interaction with nrxn1 (via c-terminal tail)' region

Full CASK gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Intellectual disability, CASK-related, X-linked — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

CASK p.Ala768Val Uncertain significance ★ ⚠ same residue
CASK p.Arg489Gln Pathogenic/Likely pathogenic ★★ same condition
CASK p.Ala359Val Uncertain significance ★★ ⚠ same condition
CASK p.Ala833Thr Uncertain significance ★★ ⚠ same condition
CASK p.Arg130Cys Uncertain significance ★★ ⚠ same condition
CASK p.Arg572His Uncertain significance ★★ ⚠ same condition
CASK p.Arg61Trp Uncertain significance ★★ ⚠ same condition
CASK p.Asp424Gly Uncertain significance ★★ ⚠ same condition

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/cask-p-ala768 (accessed [today's date]).

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