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CCDC178 p.Arg758His

c.2273G>A · VCV4220910

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely benign
0.0847 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0781%, nfe)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense0.0847likely benign
REVEL0.038moderately benign-leaning
SaProtLLR -7.99tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -4.7GERP -4.3
Regional constrainto/e 1.04unconstrained · MANE · 474 kb · p 0.17 · regional, not allelic
Overall
CADD10.89PHRED · 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 0.0781% European (non-Finnish) · 906/1,160,046 alleles
Filtering AF 0.0738% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0721%
Overall 0.0746% 1,170/1,568,344 alleles · ultra-rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.393% 254
Finnishnot grpmax-eligible 0.102% 976
European (non-Finnish)grpmax 0.0781% 1,280
Remaining individualsnot grpmax-eligible 0.076% 1,316
Middle Eastern 0.0577% 1,732
Admixed American 0.0337% 2,968
African / African-American 0.0138% 7,248
East Asian 0.0115% 8,662
South Asian 0.00719% 13,909

Ashkenazi Jewish 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
CCDC178
Protein
p.Arg758His
Coding
c.2273G>A
MANE Select
NM_001105528
Type
single nucleotide variant
Location
chr18:33092876 (GRCh38)
Gene constraint
LOEUF 1.347 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 76.69
Full CCDC178 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/ccdc178-p-arg758his (accessed [today's date]).

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