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CLEC18B p.Arg429Cys

c.1285C>T · VCV3493530

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
ambiguous
0.5617 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0121%, sas)

Computational evidence

Protein change
AlphaMissense0.5617ambiguous
REVEL0.402indeterminate
SaProtLLR -9.50tolerated
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 8.5GERP 0.5, phastCons 1
Regional constrainto/e 0.01constrained · MANE · 4,052 bp · p 4.3e-68 · regional, not allelic
Overall
CADD32.0PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM R438C vs ClinVar R429C) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0121% South Asian · 11/90,954 alleles
Filtering AF 0.00677% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00523%
Overall 0.00651% 105/1,613,496 alleles · ultra-rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.193% 519
Remaining individualsnot grpmax-eligible 0.0176% 5,680
South Asiangrpmax 0.0121% 8,269
African / African-American 0.012% 8,325
East Asian 0.00223% 44,820
Admixed American 0.00167% 59,936
Finnishnot grpmax-eligible 0.00156% 64,026
European (non-Finnish) 0.00119% 84,271

Ashkenazi Jewish 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
CLEC18B
Protein
p.Arg429Cys
Coding
c.1285C>T
MANE Select
NM_001385193
Type
single nucleotide variant
Location
chr16:74409568 (GRCh38)
Gene constraint
LOEUF 0.34 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 79.28
Residue 429
the c-type lectin domain; a disulfide bond
Full CLEC18B 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/clec18b-p-arg429cys (accessed [today's date]).

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