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CTR9 c.3095+4G>A

rs1021694407 · VCV2706723

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 4 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00842%, amr)
Conditions
2
Predisposition to Wilms tumor

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
Splice regiondonor +4donor splice region (+4, within the first 6 intronic nt) · inside the BP7-excluded zone
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.14GERP -3.8, phastCons 0.042
Non-coding constraintZ -0.741 kb window · o/e 1.06 · regional · uncalibrated
Overall
CADD9.626PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00842% Admixed American · 5/59,384 alleles
Filtering AF 0.00326% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00208%
Overall 0.000824% 13/1,577,520 alleles · very rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00842% 11,877
African / African-American 0.00542% 18,453
Remaining individualsnot grpmax-eligible 0.00491% 20,386
European (non-Finnish) 8.7e-05% 1,149,502

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
CTR9
Coding
c.3095+4G>A
MANE Select
NM_014633
dbSNP
rs1021694407
Type
single nucleotide variant
Location
chr11:10775637 (GRCh38)
Gene constraint
LOEUF 0.368 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 76.62 · 21 PDB
Full CTR9 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Predisposition to Wilms tumor

Also linked: CTR9-related neurodevelopmental disorder

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/ctr9-c-3095-plus-4g-a (accessed [today's date]).

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