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NECTIN4 p.Arg142=

c.424C>A · rs370578623 · VCV1947478

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0213%, afr)

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 2.2GERP 0.42, phastCons 1
Overall
CADD8.846PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0213% African / African-American · 16/75,026 alleles
Filtering AF 0.0133% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0109%
Overall 0.00125% 20/1,603,938 alleles · ultra-rare exomes 10/1,451,590 · genomes 10/152,348 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.0213% 4,689
Middle Eastern 0.0165% 6,054
Remaining individualsnot grpmax-eligible 0.00481% 20,778

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
NECTIN4
Protein
p.Arg142=
Coding
c.424C>A
MANE Select
NM_030916
dbSNP
rs370578623
Type
single nucleotide variant
Location
chr1:161079605 (GRCh38)
Gene constraint
LOEUF 0.538 · pLI 0.86 (gnomAD)
Structure
AlphaFold pLDDT 79.79 · 5 PDB
Residue 142
a β-strand; the ig-like v-type domain
Full NECTIN4 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/nectin4-p-arg142 (accessed [today's date]).

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