Is CCN6 p.Arg60His (c.179G>A) pathogenic?

CCN6 p.Arg60His (c.179G>A) is classified Conflicting classifications of pathogenicity in CCN6 (ClinVar, Conflicting submitters, 2 submitters; last evaluated 2023-12-21). AlphaMissense: likely benign (0.0658); Ultra-rare (popmax 0.0386%, afr); Associated with Inborn genetic diseases.

What condition is associated with CCN6 p.Arg60His (c.179G>A)?

CCN6 p.Arg60His (c.179G>A) is associated with Inborn genetic diseases (ClinVar).

How common is CCN6 p.Arg60His (c.179G>A) in the general population?

CCN6 p.Arg60His (c.179G>A) is ultra-rare (popmax 0.0386%, afr) (gnomAD).

What do computational predictors say about CCN6 p.Arg60His (c.179G>A)?

AlphaMissense predicts likely benign (score 0.0658) — an in-silico prediction, not a clinical call.

CCN6 p.Arg60His

c.179G>A · rs141505678 · VCV1680458

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 2 submitters

AlphaMissense

likely benign

0.0658 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.0386%, afr)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.0658	likely benign
REVEL	0.066	moderately benign-leaning
SaProt	LLR -7.32	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 -0.005	GERP -4
Regional constraint	o/e 0.89	unconstrained · MANE · 15 kb · p 0.028 · regional, not allelic
Overall
CADD	8.631	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 0.0386% African / African-American · 29/75,048 alleles

Filtering AF 0.0276% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0238%

Overall 0.00328% 53/1,614,140 alleles · ultra-rare

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.0386%	2,588
Remaining individualsnot grpmax-eligible	0.0112%	8,929
Admixed American	0.005%	20,001
European (non-Finnish)	0.00119%	84,287

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: CCN6
Protein: p.Arg60His
Coding: c.179G>A
MANE Select: NM_198239
dbSNP: rs141505678
Type: single nucleotide variant
Location: chr6:112061121 (GRCh38)
Gene constraint: LOEUF 1.055 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 74.30
Residue 60: a UniProt-annotated variant site (in pprd); the igfbp n-terminal domain; a UniProt-annotated variant site (in); a disulfide bond

Full CCN6 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

Similar variants

CCN6 p.Arg60Cys Benign ★★ ⚠ same residue
CCN6 p.Cys337Tyr Pathogenic/Likely pathogenic ★★ same condition
CCN6 p.Ala15Thr Uncertain significance ★★ ⚠ same condition
CCN6 p.Asp253Asn Uncertain significance ★★ ⚠ same condition
CCN6 p.Gln133Glu Uncertain significance ★★ ⚠ same condition
CCN6 p.Gln289His Uncertain significance ★★ ⚠ same condition
CCN6 p.Glu123Lys Uncertain significance ★★ ⚠ same condition
CCN6 p.Lys173Glu 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/ccn6-p-arg60his (accessed [today's date]).

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