Is CFAP46 p.Val2419Met (c.7255G>A) pathogenic?

CFAP46 p.Val2419Met (c.7255G>A) is classified Uncertain significance in CFAP46 (ClinVar, Single submitter, 1 submitter; last evaluated 2025-12-11). AlphaMissense: ambiguous (0.5267); Ultra-rare (popmax 0.017%, mid).

How common is CFAP46 p.Val2419Met (c.7255G>A) in the general population?

CFAP46 p.Val2419Met (c.7255G>A) is ultra-rare (popmax 0.017%, mid) (gnomAD).

What do computational predictors say about CFAP46 p.Val2419Met (c.7255G>A)?

AlphaMissense predicts ambiguous (score 0.5267) — an in-silico prediction, not a clinical call.

CFAP46 p.Val2419Met

c.7255G>A · VCV4652864

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

AlphaMissense

ambiguous

0.5267 · ACMG-weighted

gnomAD v4.1

Rare

ultra-rare (popmax 0.017%, mid)

Computational evidence

Protein change
AlphaMissense	0.5267	ambiguous
REVEL	0.203	benign-leaning
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 3.5	GERP -0.26, phastCons 0.98
Regional constraint	o/e 0.94	unconstrained · MANE · 134 kb · p 0.00093 · regional, not allelic
Overall
CADD	22.4	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 0.017% Middle Eastern · 1/5,878 alleles

Filtering AF 0.00349% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00239%

Overall 0.00362% 57/1,574,982 alleles · ultra-rare

Ancestry group	Frequency	1 in
Middle Easterngrpmax	0.017%	5,878
African / African-American	0.00805%	12,422
South Asian	0.0058%	17,251
East Asian	0.0046%	21,748
Admixed American	0.00377%	26,543
Ashkenazi Jewishnot grpmax-eligible	0.00347%	28,830
European (non-Finnish)	0.00336%	29,766
Remaining individualsnot grpmax-eligible	0.00164%	61,082

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: CFAP46
Protein: p.Val2419Met
Coding: c.7255G>A
MANE Select: NM_001200049
Type: single nucleotide variant
Location: chr10:132814607 (GRCh38)
Gene constraint: LOEUF 0.888 · pLI <0.01 (gnomAD)

Full CFAP46 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

CFAP46 p.Ala1708Val Uncertain significance ★ ⚠ same type
CFAP46 p.Ala1742Glu Uncertain significance ★ ⚠ same type
CFAP46 p.Ala1742Val Uncertain significance ★ ⚠ same type
CFAP46 p.Ala1746Glu Uncertain significance ★ ⚠ same type
CFAP46 p.Ala1788Val Uncertain significance ★ ⚠ same type
CFAP46 p.Ala1806Val Uncertain significance ★ ⚠ same type
CFAP46 p.Ala1811Val Uncertain significance ★ ⚠ same type
CFAP46 p.Ala1871Val 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/cfap46-p-val2419met (accessed [today's date]).

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