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CLDN19 p.Phe166=

c.498C>T · rs776225389 · VCV875466

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0162%, afr)
Conditions
1
renal hypomagnesemia 5 with ocular involvement

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.583indeterminate
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -7.6GERP -3.4
Overall
CADD1.041PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0162% African / African-American · 12/74,248 alleles
Filtering AF 0.00929% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00728%
Overall 0.00863% 136/1,575,376 alleles · ultra-rare
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.018% 5,543
African / African-Americangrpmax 0.0162% 6,187
Admixed American 0.0132% 7,596
South Asian 0.0105% 9,553
European (non-Finnish) 0.00835% 11,978

Remaining individuals shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
CLDN19
Protein
p.Phe166=
Coding
c.498C>T
MANE Select
NM_148960
dbSNP
rs776225389
Type
single nucleotide variant
Location
chr1:42736006 (GRCh38)
Gene constraint
LOEUF 1.254 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 81.08
Full CLDN19 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

renal hypomagnesemia 5 with ocular involvement — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Primary hypomagnesemia with hypercalciuria and nephrocalcinosis (Orphanet):

Inheritance
Autosomal recessive
Onset
Childhood, Infancy

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/cldn19-p-phe166 (accessed [today's date]).

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