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CTRB1 p.Ala144=

c.432C>T · VCV4534015

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
rare (popmax 0.111%, eas)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -20GERP -3.4
Overall
CADD3.229PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.111% East Asian · 36/32,568 alleles
Filtering AF 0.082% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0722%
Overall 0.0116% 73/627,120 alleles · rare
Ancestry group Frequency 1 in
East Asiangrpmax 0.111% 905
South Asian 0.0225% 4,437
European (non-Finnish) 0.00623% 16,051
Remaining individualsnot grpmax-eligible 0.00334% 29,946

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
CTRB1
Protein
p.Ala144=
Coding
c.432C>T
MANE Select
NM_001906
Type
single nucleotide variant
Location
chr16:75223564 (GRCh38)
Gene constraint
LOEUF 1.902 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 91.90
Residue 144
the peptidase s1 domain
Full CTRB1 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/ctrb1-p-ala144 (accessed [today's date]).

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