Send feedback

CSMD2 p.Ala3192Val

c.9575C>T · VCV3497709

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
AlphaMissense
likely benign
0.2381 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0164%, mid)

Computational evidence

Protein change
AlphaMissense0.2381likely benign
REVEL0.412indeterminate
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 9.9GERP 1.9, phastCons 1
Regional constrainto/e 0.76unconstrained · MANE · 48 kb · p 3.4e-16 · regional, not allelic
Overall
CADD27.7PHRED · 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 A3048V vs ClinVar A3192V) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0164% Middle Eastern · 1/6,084 alleles
Filtering AF 0.00133% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000668%
Overall 0.000991% 16/1,614,064 alleles · ultra-rare
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0164% 6,084
Admixed American 0.005% 20,000
Remaining individualsnot grpmax-eligible 0.0048% 20,830
East Asian 0.00223% 44,892
African / African-American 0.00134% 74,900
South Asian 0.0011% 91,094
European (non-Finnish) 0.000508% 196,674

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
CSMD2
Protein
p.Ala3192Val
Coding
c.9575C>T
MANE Select
NM_001281956
Type
single nucleotide variant
Location
chr1:33540581 (GRCh38)
Gene constraint
LOEUF 0.364 · pLI 1.00 (gnomAD)
Residue 3192
a disulfide bond; the sushi 26 domain
Full CSMD2 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/csmd2-p-ala3192val (accessed [today's date]).

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