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CDH1 p.Gly2Ser

c.4G>A · rs786201212 · VCV183998

Likely benign Expert panel
Classification
Likely benign
ClinVar
Review
Expert panel ★★★☆
ClinVar · 8 submitters
AlphaMissense
likely benign
0.1256 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.00392%, amr)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
3
CDH1-related diffuse gastric and lobular breast cancer syndrome

ClinGen expert panel — CDH1 VCEP

Likely Benign for CDH1-related diffuse gastric and lobular breast cancer. Applied ACMG criteria (verbatim):

BS2

Curation rationale (ClinGen, verbatim)

The CDH1 c.4G>A (p.Gly2Ser) missense variant has a frequency of 0.00002 (2 of 128,626) in gnomAD, with a maximum allele frequency of 0.00008 (2 of 24,378) in the Latino subpopulation (http://gnomad.broadinstitute.org). This variant has been observed in ≥10 individuals without DGC, SRC tumours or LBC and whose families do not suggest HDGC (BS2; unpublished). In summary, the clinical significance of this variant is classified as likely benign based on BS2 alone. ACMG/AMP criteria applied, as specified by the CDH1 Variant Curation Expert Panel (Variant Interpretation Guidelines Version 3.1): BS2.

ClinGen Evidence Repository → · reported verbatim, not re-tallied by Sugi Variant.

Computational evidence

Protein change
AlphaMissense0.1256likely benign
REVEL0.048moderately benign-leaning
SaProtLLR -6.71tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 2.6GERP 1.1, phastCons 1
Regional constrainto/e 1.05unconstrained · MANE · 71 kb · p 0.52 · regional, not allelic
Overall
CADD23.1PHRED · 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 0.00392% Admixed American · 2/51,066 alleles
Filtering AF 0.000649% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000243%
Overall 0.000217% 3/1,381,422 alleles · very rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00392% 25,533
African / African-American 0.00137% 72,822

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
CDH1
Protein
p.Gly2Ser
Coding
c.4G>A
MANE Select
NM_004360
dbSNP
rs786201212
Type
single nucleotide variant
Location
chr16:68737419 (GRCh38)
Gene constraint
LOEUF 0.514 · pLI 0.86 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 79.13 · 22 PDB
Full CDH1 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/cdh1-p-gly2ser (accessed [today's date]).

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