Is CEP164 p.Pro495Arg (c.1484C>G) pathogenic?

CEP164 p.Pro495Arg (c.1484C>G) is classified Benign/Likely benign in CEP164 (ClinVar, Multiple submitters, 3 submitters; last evaluated 2026-02-02). AlphaMissense: likely benign (0.0778); Low-frequency (popmax 4.28%, sas); Associated with nephronophthisis 15.

What condition is associated with CEP164 p.Pro495Arg (c.1484C>G)?

CEP164 p.Pro495Arg (c.1484C>G) is associated with nephronophthisis 15 (ClinVar).

How common is CEP164 p.Pro495Arg (c.1484C>G) in the general population?

CEP164 p.Pro495Arg (c.1484C>G) is low-frequency (popmax 4.28%, sas) (gnomAD).

How is Senior-Loken syndrome inherited?

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

What do computational predictors say about CEP164 p.Pro495Arg (c.1484C>G)?

AlphaMissense predicts likely benign (score 0.0778) — an in-silico prediction, not a clinical call.

CEP164 p.Pro495Arg

c.1484C>G · rs59763167 · VCV235424

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

AlphaMissense

likely benign

0.0778 · ACMG-weighted

gnomAD v4.1

Rare

low-frequency (popmax 4.28%, sas)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

nephronophthisis 15

Computational evidence

Protein change
AlphaMissense	0.0778	likely benign
REVEL	0.151	moderately benign-leaning
SaProt	LLR -6.48	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 -4.6	GERP -2.8
Regional constraint	o/e 0.97	unconstrained · MANE · 74 kb · p 0.19 · regional, not allelic
Overall
CADD	0.17	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 4.28% South Asian · 3,779/88,310 alleles

Filtering AF 4.17% ClinGen BA1/BS1 input FAF95, joint · FAF99 4.12%

Overall 0.318% 5,073/1,597,284 alleles · low-frequency

Ancestry group	Frequency	1 in
South Asiangrpmax	4.28%	23
East Asian	1.75%	57
Remaining individualsnot grpmax-eligible	0.51%	196
Middle Eastern	0.117%	852
African / African-American	0.0469%	2,134
European (non-Finnish)	0.0133%	7,510
Admixed American	0.0103%	9,687
Ashkenazi Jewishnot grpmax-eligible	0.00343%	29,150

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: CEP164
Protein: p.Pro495Arg
Coding: c.1484C>G
MANE Select: NM_014956
dbSNP: rs59763167
Type: single nucleotide variant
Location: chr11:117381775 (GRCh38)
Gene constraint: LOEUF 1.009 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 63.08 · 4 PDB
Residue 495: the 'disordered' region

Full CEP164 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

nephronophthisis 15 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Senior-Loken syndrome (Orphanet):

Inheritance: Autosomal recessive
Onset: Adolescent, Adult, Childhood, Infancy
Prevalence: 1-9 / 1 000 000 (Worldwide)

Similar variants

CEP164 p.Pro495Thr Uncertain significance ★ ⚠ same residue
CEP164 p.Pro495fs Pathogenic/Likely pathogenic ★★ same residue
CEP164 c.1234-2A>T Likely pathogenic ★★ same condition
CEP164 c.1724+1G>A Likely pathogenic ★★ same condition
CEP164 c.1934+1G>A Likely pathogenic ★★ same condition
CEP164 c.2361+1G>A Likely pathogenic ★★ same condition
CEP164 c.2493+1G>A Likely pathogenic ★★ same condition
CEP164 c.2914-1G>C 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/cep164-p-pro495arg (accessed [today's date]).

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