Is CC2D2A p.Ala111Val (c.332C>T) pathogenic?

CC2D2A p.Ala111Val (c.332C>T) is classified Conflicting classifications of pathogenicity in CC2D2A (ClinVar, Conflicting submitters, 4 submitters; last evaluated 2025-12-28). AlphaMissense: likely benign (0.2987); Rare (popmax 0.17%, eas); Associated with Meckel syndrome.

What condition is associated with CC2D2A p.Ala111Val (c.332C>T)?

CC2D2A p.Ala111Val (c.332C>T) is associated with Meckel syndrome, Joubert syndrome (ClinVar).

How common is CC2D2A p.Ala111Val (c.332C>T) in the general population?

CC2D2A p.Ala111Val (c.332C>T) is rare (popmax 0.17%, eas) (gnomAD).

What do computational predictors say about CC2D2A p.Ala111Val (c.332C>T)?

AlphaMissense predicts likely benign (score 0.2987) — an in-silico prediction, not a clinical call.

CC2D2A p.Ala111Val

c.332C>T · rs137878385 · VCV445521

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 4 submitters

AlphaMissense

likely benign

0.2987 · ACMG-weighted

gnomAD v4.1

Rare

rare (popmax 0.17%, eas)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

Meckel syndrome

Computational evidence

Protein change
AlphaMissense	0.2987	likely benign
REVEL	0.131	moderately benign-leaning
SaProt	LLR -7.11	tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI	<0.2	all four deltas below 0.2 · C>G here scores Δ0.21 · evaluated, not missing
Constraint at this position
Conservation	phyloP 7.6	GERP 2.6, phastCons 1
Regional constraint	o/e 0.96	unconstrained · MANE · 104 kb · p 0.09 · regional, not allelic
Overall
CADD	25.2	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.17% East Asian · 76/44,768 alleles

Filtering AF 0.139% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.128%

Overall 0.00563% 90/1,598,418 alleles · rare exomes 66/1,446,484 · genomes 24/151,934 · joint denominator

Ancestry group	Frequency	1 in
East Asiangrpmax	0.17%	589
Remaining individualsnot grpmax-eligible	0.0194%	5,158
Admixed American	0.00178%	56,272
European (non-Finnish)	8.51e-05%	1,175,668

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: CC2D2A
Protein: p.Ala111Val
Coding: c.332C>T
MANE Select: NM_001378615
dbSNP: rs137878385
Type: single nucleotide variant
Location: chr4:15502513 (GRCh38)
Gene constraint: LOEUF 0.854 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 69.46
Residue 111: the 'disordered' region

Full CC2D2A gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Meckel syndrome — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: Joubert syndrome

Similar variants

CC2D2A p.Ala111= Likely benign ★★ same residue
CC2D2A p.Ala111Glu Uncertain significance ⚠ same residue
CC2D2A c.1017+1G>A Pathogenic/Likely pathogenic ★★ same condition
CC2D2A c.123+2T>G Likely pathogenic ★★ same condition
CC2D2A c.1359+1G>C Likely pathogenic ★★ same condition
CC2D2A c.1466+1G>A Likely pathogenic ★★ same condition
CC2D2A c.1466+2T>C Likely pathogenic ★★ same condition
CC2D2A c.1608-2A>G Likely pathogenic ★★ 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/cc2d2a-p-ala111val (accessed [today's date]).

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