Is CUL4B p.Ala236= (c.708A>G) pathogenic?

CUL4B p.Ala236= (c.708A>G) is classified Likely benign in CUL4B (ClinVar, No assertion criteria, 1 submitter; last evaluated 2022-07-06). Very rare (popmax 0.00175%, afr); Associated with CUL4B-related disorder.

What condition is associated with CUL4B p.Ala236= (c.708A>G)?

CUL4B p.Ala236= (c.708A>G) is associated with CUL4B-related disorder (ClinVar).

How common is CUL4B p.Ala236= (c.708A>G) in the general population?

CUL4B p.Ala236= (c.708A>G) is very rare (popmax 0.00175%, afr) (gnomAD).

CUL4B p.Ala236=

c.708A>G · rs1358359776 · VCV3032873

Likely benign No assertion criteria

Classification

Likely benign

ClinVar

Review

No assertion criteria ☆☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Rare

very rare (popmax 0.00175%, afr)

Conditions

CUL4B-related disorder

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 -0.16	GERP -1.5, phastCons 0.73
Overall
CADD	7.003	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00175% African / African-American · 1/57,219 alleles

Overall 0.000166% 2/1,202,259 alleles · very rare exomes 1/1,089,752 · genomes 1/112,507 · joint denominator

Ancestry group	Frequency	1 in
African / African-Americangrpmax	0.00175%	57,219
European (non-Finnish)	0.000113%	888,486

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: CUL4B
Protein: p.Ala236=
Coding: c.708A>G
MANE Select: NM_001079872
dbSNP: rs1358359776
Type: single nucleotide variant
Location: chrX:120547204 (GRCh38)
Structure: AlphaFold pLDDT 80.02 · 5 PDB

Full CUL4B gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

CUL4B-related disorder

Similar variants

CUL4B c.1852+1G>T Pathogenic ★ same condition
CUL4B c.2267-2A>G Likely pathogenic ★ same condition
CUL4B p.Ile318Ser Uncertain significance ★ ⚠ same condition
CUL4B p.Ser456Phe Uncertain significance ★ ⚠ same condition
CUL4B p.Glu221Asp Uncertain significance ⚠ same condition
CUL4B p.Lys782Arg Uncertain significance ⚠ same condition
CUL4B p.Pro681Leu Uncertain significance ⚠ same condition
CUL4B p.Pro78Ala 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/cul4b-p-ala236 (accessed [today's date]).

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