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A2M p.Arg586=

c.1756C>A · VCV4915606

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0156%, 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 1.2GERP -0.15, phastCons 0.003
Overall
CADD1.747PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0156% East Asian · 7/44,862 alleles
Filtering AF 0.00726% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00515%
Overall 0.000548% 8/1,460,102 alleles · ultra-rare
Ancestry group Frequency 1 in
East Asiangrpmax 0.0156% 6,409
Remaining individualsnot grpmax-eligible 0.0016% 62,454

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
A2M
Protein
p.Arg586=
Coding
c.1756C>A
MANE Select
NM_000014
Type
single nucleotide variant
Location
chr12:9098702 (GRCh38)
Gene constraint
LOEUF 0.765 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 81.61 · 13 PDB
Full A2M 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/a2m-p-arg586 (accessed [today's date]).

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