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CTSB p.Asp148=

c.444C>T · rs145256597 · VCV1660242

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0176%, nfe)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2all four deltas below 0.2 · G>C here scores Δ0.22 · evaluated, not missing
Constraint at this position
ConservationphyloP -15GERP -3.5
Overall
CADD0.018PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0176% European (non-Finnish) · 207/1,177,452 alleles
Filtering AF 0.0156% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0148%
Overall 0.0134% 216/1,610,390 alleles · ultra-rare
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.0176% 5,688
African / African-American 0.00802% 12,473
Remaining individualsnot grpmax-eligible 0.00321% 31,154
Finnishnot grpmax-eligible 0.00157% 63,560

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
CTSB
Protein
p.Asp148=
Coding
c.444C>T
MANE Select
NM_001908
dbSNP
rs145256597
Type
single nucleotide variant
Location
chr8:11849048 (GRCh38)
Gene constraint
LOEUF 1.756 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
Structure
AlphaFold pLDDT 91.95 · 21 PDB
Residue 148
a disulfide bond
Full CTSB 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/ctsb-p-asp148 (accessed [today's date]).

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