Is CELSR2 p.Gln398Arg (c.1193A>G) pathogenic?

CELSR2 p.Gln398Arg (c.1193A>G) is classified Uncertain significance in CELSR2 (ClinVar, Single submitter, 1 submitter; last evaluated 2025-06-15). AlphaMissense: likely benign (0.1767); Rare (popmax 0.125%, nfe).

How common is CELSR2 p.Gln398Arg (c.1193A>G) in the general population?

CELSR2 p.Gln398Arg (c.1193A>G) is rare (popmax 0.125%, nfe) (gnomAD).

What do computational predictors say about CELSR2 p.Gln398Arg (c.1193A>G)?

AlphaMissense predicts likely benign (score 0.1767) — an in-silico prediction, not a clinical call.

CELSR2 p.Gln398Arg

c.1193A>G · rs200447397 · VCV2844877

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely benign

0.1767 · ACMG-weighted

gnomAD v4.1

Rare

rare (popmax 0.125%, nfe)

Computational evidence

Protein change
AlphaMissense	0.1767	likely benign
REVEL	0.293	indeterminate
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 11	GERP 2.1, phastCons 1
Regional constraint	o/e 0.90	unconstrained · MANE · 1,783 bp · p 0.0042 · regional, not allelic
Overall
CADD	26.0	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 0.125% European (non-Finnish) · 1,478/1,179,994 alleles

Filtering AF 0.12% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.118%

Overall 0.0988% 1,595/1,613,994 alleles · rare

Ancestry group	Frequency	1 in
Remaining individualsnot grpmax-eligible	0.128%	781
European (non-Finnish)grpmax	0.125%	798
African / African-American	0.0253%	3,947
Admixed American	0.025%	4,001
Finnishnot grpmax-eligible	0.00313%	31,998
South Asian	0.0011%	91,050

Remaining individuals shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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: CELSR2
Protein: p.Gln398Arg
Coding: c.1193A>G
MANE Select: NM_001408
dbSNP: rs200447397
Type: single nucleotide variant
Location: chr1:109251272 (GRCh38)
Gene constraint: LOEUF 0.396 · pLI 1.00 (gnomAD)
Residue 398: the cadherin 2 domain

Full CELSR2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

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CELSR2 p.Ala1114Val Uncertain significance ★★ ⚠ same type
CELSR2 p.Ala2145Thr Uncertain significance ★★ ⚠ same type
CELSR2 p.Ala2574Thr Uncertain significance ★★ ⚠ same type
CELSR2 p.Arg1171Gln Uncertain significance ★★ ⚠ same type
CELSR2 p.Arg1328His Uncertain significance ★★ ⚠ same type
CELSR2 p.Arg1400His Uncertain significance ★★ same type
CELSR2 p.Arg1978Gln Uncertain significance ★★ ⚠ same type

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/celsr2-p-gln398arg (accessed [today's date]).

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