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CD40 c.*178G>A

rs565941222 · VCV338580

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
rare (popmax 0.738%, mid)
Conditions
1
hyper-IgM syndrome type 3

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -1.4GERP -3.2
Non-coding constraintZ 3.361 kb window · o/e 0.77 · regional · uncalibrated
Overall
CADD1.602PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.738% Middle Eastern · 21/2,844 alleles
Filtering AF 0.592% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.572%
Overall 0.124% 850/686,298 alleles · rare
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.738% 135
South Asian 0.645% 155
Ashkenazi Jewishnot grpmax-eligible 0.485% 206
Remaining individualsnot grpmax-eligible 0.134% 746
European (non-Finnish) 0.0653% 1,531
Admixed American 0.0611% 1,637
African / African-American 0.0123% 8,154

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
CD40
Coding
c.*178G>A
MANE Select
NM_001250
dbSNP
rs565941222
Type
single nucleotide variant
Location
chr20:46129218 (GRCh38)
Gene constraint
LOEUF 0.677 · pLI 0.03 (gnomAD)
Structure
AlphaFold pLDDT 81.10 · 14 PDB
Full CD40 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/cd40-c-star-178g-a (accessed [today's date]).

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