Is CCDC78 p.Gly35Asp (c.104G>A) pathogenic?

CCDC78 p.Gly35Asp (c.104G>A) is classified Uncertain significance in CCDC78 (ClinVar, Multiple submitters, 3 submitters; last evaluated 2026-01-17). AlphaMissense: likely benign (0.1005); Ultra-rare (popmax 0.0301%, afr); Associated with Inborn genetic diseases.

What condition is associated with CCDC78 p.Gly35Asp (c.104G>A)?

CCDC78 p.Gly35Asp (c.104G>A) is associated with Inborn genetic diseases, congenital myopathy with internal nuclei and atypical cores (ClinVar).

How common is CCDC78 p.Gly35Asp (c.104G>A) in the general population?

CCDC78 p.Gly35Asp (c.104G>A) is ultra-rare (popmax 0.0301%, afr) (gnomAD).

What do computational predictors say about CCDC78 p.Gly35Asp (c.104G>A)?

AlphaMissense predicts likely benign (score 0.1005) — an in-silico prediction, not a clinical call.

CCDC78 p.Gly35Asp

c.104G>A · rs929692414 · VCV447005

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

AlphaMissense

likely benign

0.1005 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.0301%, afr)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.1005	likely benign
REVEL	0.083	moderately benign-leaning
SaProt	LLR -6.50	tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP -0.66	GERP -2.9
Regional constraint	o/e 1.20	unconstrained · MANE · 3,686 bp · p 9.6e-07 · regional, not allelic
Overall
CADD	3.013	PHRED · 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 0.0301% African / African-American · 22/73,046 alleles

Filtering AF 0.0204% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0172%

Overall 0.00207% 32/1,548,406 alleles · ultra-rare

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.0301%	3,320
East Asian	0.00977%	10,231
Remaining individualsnot grpmax-eligible	0.00167%	60,056
European (non-Finnish)	0.000436%	229,347

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: CCDC78
Protein: p.Gly35Asp
Coding: c.104G>A
MANE Select: NM_001378030
dbSNP: rs929692414
Type: single nucleotide variant
Location: chr16:726042 (GRCh38)
Gene constraint: LOEUF 1.615 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 66.65

Full CCDC78 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: congenital myopathy with internal nuclei and atypical cores

Similar variants

CCDC78 p.Gly35Val Uncertain significance ★ ⚠ same residue
CCDC78 c.1053+1G>A Uncertain significance ★★ same condition
CCDC78 c.268-3C>T Uncertain significance ★★ same condition
CCDC78 c.61-1G>A Uncertain significance ★★ same condition
CCDC78 c.61-6C>A Uncertain significance ★★ same condition
CCDC78 c.953+1G>A Uncertain significance ★★ same condition
CCDC78 p.Ala126Val Uncertain significance ★★ ⚠ same condition
CCDC78 p.Ala188Ser 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/ccdc78-p-gly35asp (accessed [today's date]).

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