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CSPP1 p.Arg135His

c.404G>A · rs1386679081 · VCV1507174

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0165%, mid)
Conditions
1
Joubert syndrome 21

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.436indeterminate
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 12GERP 1.7, phastCons 1
Regional constrainto/e 0.96unconstrained · MANE · 121 kb · p 0.15 · regional, not allelic
Overall
CADD33.0PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0165% Middle Eastern · 1/6,066 alleles
Filtering AF 0.00175% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00104%
Overall 0.00118% 19/1,607,608 alleles · ultra-rare
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0165% 6,066
African / African-American 0.00535% 18,684
Remaining individualsnot grpmax-eligible 0.00161% 62,272
European (non-Finnish) 0.00111% 90,447

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
CSPP1
Protein
p.Arg135His
Coding
c.404G>A
MANE Select
NM_001382391
dbSNP
rs1386679081
Type
single nucleotide variant
Location
chr8:67093562 (GRCh38)
Gene constraint
LOEUF 0.876 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 57.34
Full CSPP1 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/cspp1-p-arg135his (accessed [today's date]).

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