Is CDKN2A p.Ala42= (c.126T>G) pathogenic?

CDKN2A p.Ala42= (c.126T>G) is classified Benign/Likely benign in CDKN2A (ClinVar, Multiple submitters, 2 submitters; last evaluated 2025-08-12). Absent from gnomAD v4.1; Associated with melanoma-pancreatic cancer syndrome.

What condition is associated with CDKN2A p.Ala42= (c.126T>G)?

CDKN2A p.Ala42= (c.126T>G) is associated with melanoma-pancreatic cancer syndrome, familial melanoma (ClinVar).

How common is CDKN2A p.Ala42= (c.126T>G) in the general population?

CDKN2A p.Ala42= (c.126T>G) is absent from gnomAD v4.1 (gnomAD).

CDKN2A p.Ala42=

Q: How is Familial atypical multiple mole melanoma syndrome inherited?

Typically Autosomal dominant (Orphanet). A genetic counselor can assess individual risk for a family.

c.126T>G · rs759238530 · VCV1089517

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

gnomAD v4.1

Absent

absent from gnomAD v4.1

Conditions

melanoma-pancreatic cancer syndrome

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
Conservation	phyloP -0.86	GERP -2.5
Overall
CADD	8.627	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: CDKN2A
Protein: p.Ala42=
Coding: c.126T>G
MANE Select: NM_000077 · reported on NM_058195
dbSNP: rs759238530
Type: single nucleotide variant
Location: chr9:21994206 (GRCh38)
Gene constraint: LOEUF 0.791 · pLI 0.62 · ClinGen HI 3/3 (gnomAD)
Structure: AlphaFold pLDDT 77.02 · 5 PDB
Residue 42: an α-helix; the 'interaction with cdk5rap3 and mdm2' region

Full CDKN2A gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

melanoma-pancreatic cancer syndrome — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: familial melanoma

For Familial atypical multiple mole melanoma syndrome (Orphanet):

Inheritance: Autosomal dominant
Onset: All ages

Similar variants

CDKN2A p.Ala42Ser Uncertain significance ★★ same residue
CDKN2A p.Ala42Thr Uncertain significance ★★ same residue
CDKN2A p.Asn42Ser Uncertain significance ★★ ⚠ same residue
CDKN2A p.Asn42= Benign/Likely benign ★★ same residue
CDKN2A p.Asn42Asp Uncertain significance ★ ⚠ same residue
CDKN2A p.Ala42Val Uncertain significance ★ same residue
CDKN2A c.150+1G>A Likely pathogenic ★★ same condition
CDKN2A c.150+2T>G Likely pathogenic ★★ 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/cdkn2a-p-ala42 (accessed [today's date]).

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