Is CDON p.Arg437His (c.1310G>A) pathogenic?

CDON p.Arg437His (c.1310G>A) is classified Conflicting classifications of pathogenicity in CDON (ClinVar, Conflicting submitters, 3 submitters; last evaluated 2025-08-08). AlphaMissense: likely benign (0.1188); Rare (popmax 0.662%, afr); Associated with holoprosencephaly 11.

What condition is associated with CDON p.Arg437His (c.1310G>A)?

CDON p.Arg437His (c.1310G>A) is associated with holoprosencephaly 11 (ClinVar).

How common is CDON p.Arg437His (c.1310G>A) in the general population?

CDON p.Arg437His (c.1310G>A) is rare (popmax 0.662%, afr) (gnomAD).

What do computational predictors say about CDON p.Arg437His (c.1310G>A)?

AlphaMissense predicts likely benign (score 0.1188) — an in-silico prediction, not a clinical call.

CDON p.Arg437His

c.1310G>A · rs114866803 · VCV539750

Conflicting classifications of pathogenicity Conflicting submitters

Classification

Conflicting classifications of pathogenicity

ClinVar

Review

Conflicting submitters ★☆☆☆

ClinVar · 3 submitters

AlphaMissense

likely benign

0.1188 · ACMG-weighted

gnomAD v4.1

Rare

rare (popmax 0.662%, afr)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

holoprosencephaly 11

Computational evidence

Protein change
AlphaMissense	0.1188	likely benign
REVEL	0.084	moderately benign-leaning
SaProt	LLR -9.08	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 1.1	GERP -0.34, phastCons 0.61
Regional constraint	o/e 0.93	unconstrained · MANE · 63 kb · p 0.0032 · regional, not allelic
Overall
CADD	20.4	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 0.662% African / African-American · 497/75,020 alleles

Filtering AF 0.614% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.595%

Overall 0.0401% 647/1,614,074 alleles · rare

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.662%	151
Remaining individualsnot grpmax-eligible	0.0544%	1,838
Admixed American	0.0416%	2,401
Middle Eastern	0.033%	3,030
European (non-Finnish)	0.00729%	13,720
East Asian	0.00223%	44,880
South Asian	0.0022%	45,537

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: CDON
Protein: p.Arg437His
Coding: c.1310G>A
MANE Select: NM_001378964
dbSNP: rs114866803
Type: single nucleotide variant
Location: chr11:126010583 (GRCh38)
Gene constraint: LOEUF 0.733 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 62.62 · 3 PDB
Residue 437: a disulfide bond; the ig-like c2-type 5 domain

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

Disease context

holoprosencephaly 11 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

CDON c.3276+1G>T Uncertain significance ★★ same condition
CDON c.640+1G>A Uncertain significance ★★ same condition
CDON c.*1805A>G Uncertain significance ★★ same condition
CDON c.*1816C>T Uncertain significance ★★ same condition
CDON c.*2349A>C Uncertain significance ★★ same condition
CDON c.*2377T>C Uncertain significance ★★ same condition
CDON c.*2760A>G Uncertain significance ★★ same condition
CDON p.Ala1099Val 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/cdon-p-arg437his (accessed [today's date]).

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