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CEP89 p.Ala291=

c.873G>A · rs138753622 · VCV1588608

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0475%, nfe)

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
ConservationphyloP -7.6GERP -3.7
Overall
CADD0.202PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0475% European (non-Finnish) · 561/1,179,828 alleles
Filtering AF 0.0442% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.043%
Overall 0.0387% 624/1,613,616 alleles · ultra-rare exomes 582/1,461,292 · genomes 42/152,324 · joint denominator
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.0475% 2,103
Remaining individualsnot grpmax-eligible 0.0336% 2,975
Middle Eastern 0.033% 3,031
African / African-American 0.0267% 3,750
Admixed American 0.015% 6,659
South Asian 0.0077% 12,990
East Asian 0.00668% 14,961
Finnishnot grpmax-eligible 0.00156% 63,980

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
CEP89
Protein
p.Ala291=
Coding
c.873G>A
MANE Select
NM_032816
dbSNP
rs138753622
Type
single nucleotide variant
Location
chr19:32933464 (GRCh38)
Gene constraint
LOEUF 1.173 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 70.08
Full CEP89 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

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/cep89-p-ala291 (accessed [today's date]).

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