Is CERS3 p.Ile150Thr (c.449T>C) pathogenic?

CERS3 p.Ile150Thr (c.449T>C) is classified Uncertain significance in CERS3 (ClinVar, Single submitter, 1 submitter; last evaluated 2025-10-07). AlphaMissense: likely benign (0.093); Absent from gnomAD v4.1; Associated with Inborn genetic diseases.

What condition is associated with CERS3 p.Ile150Thr (c.449T>C)?

CERS3 p.Ile150Thr (c.449T>C) is associated with Inborn genetic diseases (ClinVar).

How common is CERS3 p.Ile150Thr (c.449T>C) in the general population?

CERS3 p.Ile150Thr (c.449T>C) is absent from gnomAD v4.1 (gnomAD).

What do computational predictors say about CERS3 p.Ile150Thr (c.449T>C)?

AlphaMissense predicts likely benign (score 0.093) — an in-silico prediction, not a clinical call.

CERS3 p.Ile150Thr

c.449T>C · VCV4614025

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

likely benign

0.093 · ACMG-weighted

gnomAD v4.1

Absent

absent from gnomAD v4.1

Missense predictors

0/2 damaging

AlphaMissense, SaProt · REVEL indeterminate

Conditions

Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense	0.093	likely benign
REVEL	0.325	indeterminate
SaProt	LLR -8.70	tolerated
⇒ AlphaMissense and SaProt both call this tolerated; REVEL is indeterminate.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 4.8	GERP -0.16, phastCons 1
Regional constraint	o/e 1.02	unconstrained · MANE · 99 kb · p 0.65 · regional, not allelic
Overall
CADD	18.53	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

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: CERS3
Protein: p.Ile150Thr
Coding: c.449T>C
MANE Select: NM_001378789
Type: single nucleotide variant
Location: chr15:100480005 (GRCh38)
Gene constraint: LOEUF 1.14 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 87.52
Residue 150: the tlc domain

Full CERS3 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Inborn genetic diseases — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

CERS3 p.Arg275Cys Uncertain significance ★★ ⚠ same condition
CERS3 p.Ser177Phe Uncertain significance ★★ ⚠ same condition
CERS3 p.Val60Ile Likely benign ★★ same condition
CERS3 p.Ala151Val Uncertain significance ★ ⚠ same condition
CERS3 p.Arg111Gly Uncertain significance ★ ⚠ same condition
CERS3 p.Arg128Met Uncertain significance ★ ⚠ same condition
CERS3 p.Arg339Lys Uncertain significance ★ ⚠ same condition
CERS3 p.Arg54Cys Uncertain significance ★ ⚠ 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/cers3-p-ile150thr (accessed [today's date]).

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