Is CTSD p.Ala410= (c.1230C>T) pathogenic?

CTSD p.Ala410= (c.1230C>T) is classified Likely benign in CTSD (ClinVar, Multiple submitters, 3 submitters; last evaluated 2025-11-11). Rare (popmax 0.14%, eas); Associated with neuronal ceroid lipofuscinosis.

What condition is associated with CTSD p.Ala410= (c.1230C>T)?

CTSD p.Ala410= (c.1230C>T) is associated with neuronal ceroid lipofuscinosis (ClinVar).

How common is CTSD p.Ala410= (c.1230C>T) in the general population?

CTSD p.Ala410= (c.1230C>T) is rare (popmax 0.14%, eas) (gnomAD).

CTSD p.Ala410=

c.1230C>T · rs772742148 · VCV390033

Likely benign Multiple submitters

Classification

Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

gnomAD v4.1

Rare

rare (popmax 0.14%, eas)

Conditions

neuronal ceroid lipofuscinosis

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
Conservation	phyloP 0.6	phastCons 0.034
Overall
CADD	2.777	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.14% East Asian · 63/44,870 alleles

Filtering AF 0.113% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.103%

Overall 0.00428% 69/1,612,822 alleles · rare

Ancestry group	Frequency	1 in
East Asiangrpmax	0.14%	712
Remaining individualsnot grpmax-eligible	0.0064%	15,615
South Asian	0.0022%	45,544

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: CTSD
Protein: p.Ala410=
Coding: c.1230C>T
MANE Select: NM_001909
dbSNP: rs772742148
Type: single nucleotide variant
Location: chr11:1753512 (GRCh38)
Gene constraint: LOEUF 0.886 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 85.69 · 9 PDB

Full CTSD gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

neuronal ceroid lipofuscinosis — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

CTSD p.Ala410Gly Uncertain significance ★ ⚠ same residue
CTSD p.Ala410Pro Uncertain significance ★ ⚠ same residue
CTSD c.228+1G>A Likely pathogenic ★★ same condition
CTSD p.Glu82Ter Pathogenic/Likely pathogenic ★★ same condition
CTSD c.828-3C>A Uncertain significance ★★ same condition
CTSD p.Ala10Ser Uncertain significance ★★ ⚠ same condition
CTSD p.Ala18Pro Uncertain significance ★★ ⚠ same condition
CTSD p.Ala18Thr Uncertain significance ★★ ⚠ same condition

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/ctsd-p-ala410 (accessed [today's date]).

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