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CCDC22 p.Arg148Cys

c.442C>T · VCV3264168

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
AlphaMissense
likely benign
0.1085 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00023%, nfe)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense0.1085likely benign
REVEL0.245benign-leaning
SaProtLLR -9.25tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 4.8GERP 0.36, phastCons 1
Regional constrainto/e 0.99unconstrained · MANE · 5,832 bp · p 0.85 · regional, not allelic
Overall
CADD24.7PHRED · 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 0.00023% European (non-Finnish) · 2/868,957 alleles
Filtering AF 3.8e-05% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.4e-05%
Overall 0.00114% 12/1,048,402 alleles · very rare
Ancestry group Frequency 1 in
Finnishnot grpmax-eligible 0.02% 4,996
Remaining individualsnot grpmax-eligible 0.0022% 45,539
European (non-Finnish)grpmax 0.00023% 434,478

Finnish 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
CCDC22
Protein
p.Arg148Cys
Coding
c.442C>T
MANE Select
NM_014008
Type
single nucleotide variant
Location
chrX:49242966 (GRCh38)
Structure
AlphaFold pLDDT 78.95 · 4 PDB
Residue 148
the 'sufficicient and required for interaction with ccdc93' region; the 'sufficient for interaction with commd1' region
Full CCDC22 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/ccdc22-p-arg148cys (accessed [today's date]).

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