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CEL p.Ala656Pro

c.1966G>C · rs587780309 · VCV128688

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 5 submitters
gnomAD v4.1
Rare
low-frequency (popmax 1.48%, sas)
Conditions
1
maturity-onset diabetes of the young

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.167moderately benign-leaning
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.012GERP 0.081
Regional constrainto/e 1.11unconstrained · MANE · 642 bp · p 0.096 · regional, not allelic
Overall
CADD18.85PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 1.48% South Asian · 168/11,314 alleles
Filtering AF 1.3% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.23%
Overall 0.343% 557/162,228 alleles · low-frequency
Ancestry group Frequency 1 in
South Asiangrpmax 1.48% 67
Ashkenazi Jewishnot grpmax-eligible 0.793% 126
Middle Eastern 0.598% 167
Amishnot grpmax-eligible 0.556% 180
Finnishnot grpmax-eligible 0.462% 217
Remaining individualsnot grpmax-eligible 0.371% 269
European (non-Finnish) 0.283% 354
Admixed American 0.124% 806
African / African-American 0.0282% 3,547
East Asian 0.0256% 3,913

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
CEL
Protein
p.Ala656Pro
Coding
c.1966G>C
MANE Select
NM_001807
dbSNP
rs587780309
Type
single nucleotide variant
Location
chr9:133071468 (GRCh38)
Gene constraint
LOEUF 0.972 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 84.10 · 7 PDB
Residue 656
the 'disordered' region; the '17 x 11 aa tandem repeats, glycodomain, o-linked (mucin type)' region
Full CEL gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

maturity-onset diabetes of the young — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For MODY (Orphanet):

Inheritance
Autosomal dominant, Not applicable
Onset
Adolescent, Adult, Childhood
Prevalence
1-5 / 10 000 (Europe)

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/cel-p-ala656pro (accessed [today's date]).

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