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CFAP99 p.Ala422Val

c.1265C>T · VCV4227257

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.044%, eas)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.018moderately benign-leaning
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -2.9GERP -3.2
Regional constrainto/e 1.08unconstrained · MANE · 36 kb · p 0.016 · regional, not allelic
Overall
CADD0.247PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.044% East Asian · 18/40,910 alleles
Filtering AF 0.0284% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0234%
Overall 0.00443% 68/1,535,810 alleles · ultra-rare
Ancestry group Frequency 1 in
East Asiangrpmax 0.044% 2,273
South Asian 0.00833% 12,004
Admixed American 0.00785% 12,743
Remaining individualsnot grpmax-eligible 0.005% 19,997
European (non-Finnish) 0.00296% 33,731
African / African-American 0.00273% 36,579

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
CFAP99
Protein
p.Ala422Val
Coding
c.1265C>T
MANE Select
NM_001193282
Type
single nucleotide variant
Location
chr4:2458826 (GRCh38)
Gene constraint
LOEUF 1.203 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 77.28
Full CFAP99 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/cfap99-p-ala422val (accessed [today's date]).

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