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CLCN4 p.Val619=

c.1857C>T · rs368976923 · VCV1159338

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0313%, afr)

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 -1.6GERP -4.3
Overall
CADD0.143PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0313% African / African-American · 18/57,474 alleles
Filtering AF 0.0202% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0167%
Overall 0.00165% 20/1,210,624 alleles · ultra-rare
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.0313% 3,193
Admixed American 0.00218% 45,948
European (non-Finnish) 0.000112% 895,255

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
CLCN4
Protein
p.Val619=
Coding
c.1857C>T
MANE Select
NM_001830
dbSNP
rs368976923
Type
single nucleotide variant
Location
chrX:10213961 (GRCh38)
Structure
AlphaFold pLDDT 84.66
Residue 619
the cbs 1 domain
Full CLCN4 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/clcn4-p-val619 (accessed [today's date]).

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