Is CERS1 p.Ala45Val (c.134C>T) pathogenic?

CERS1 p.Ala45Val (c.134C>T) is classified Uncertain significance in CERS1 (ClinVar, Single submitter, 1 submitter; last evaluated 2023-12-20). AlphaMissense: likely benign (0.2162); Very rare (popmax 0.00293%, nfe).

How common is CERS1 p.Ala45Val (c.134C>T) in the general population?

CERS1 p.Ala45Val (c.134C>T) is very rare (popmax 0.00293%, nfe) (gnomAD).

What do computational predictors say about CERS1 p.Ala45Val (c.134C>T)?

AlphaMissense predicts likely benign (score 0.2162) — an in-silico prediction, not a clinical call.

CERS1 p.Ala45Val

c.134C>T · rs1222825953 · VCV3143150

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely benign

0.2162 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00293%, nfe)

Missense predictors

0/3 damaging

AlphaMissense, REVEL, SaProt

Computational evidence

Protein change
AlphaMissense	0.2162	likely benign
REVEL	0.135	moderately benign-leaning
SaProt	LLR -4.80	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 7.3	GERP 0.88, phastCons 1
Regional constraint	o/e 1.00	unconstrained · MANE · 25 kb · p 1 · regional, not allelic
Overall
CADD	21.9	PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00293% European (non-Finnish) · 28/956,364 alleles

Filtering AF 0.00203% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00175%

Overall 0.0028% 29/1,036,936 alleles · very rare

Ancestry group	Frequency	1 in
European (non-Finnish)grpmax	0.00293%	34,156
African / African-American	0.00165%	60,496

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: CERS1
Protein: p.Ala45Val
Coding: c.134C>T
MANE Select: NM_021267
dbSNP: rs1222825953
Type: single nucleotide variant
Location: chr19:18895939 (GRCh38)
Gene constraint: LOEUF 0.685 · pLI 0.17 (gnomAD)
Structure: AlphaFold pLDDT 88.95

Full CERS1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

CERS1 p.Ala45Pro Uncertain significance ★★ ⚠ same residue
GDF1 p.Cys227Ter Pathogenic/Likely pathogenic ★★ same type
GDF1 p.Met364Thr Pathogenic/Likely pathogenic ★★ same type
CERS1 p.Ala117Ser Uncertain significance ★★ ⚠ same type
CERS1 p.Ala165Thr Uncertain significance ★★ ⚠ same type
CERS1 p.Ala266Val Uncertain significance ★★ ⚠ same type
CERS1 p.Ala286Val Uncertain significance ★★ ⚠ same type
CERS1 p.Ala304Val 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/cers1-p-ala45val (accessed [today's date]).

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