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A2M p.Val129=

c.387C>G · rs56202499 · VCV777428

Benign Multiple submitters
Classification
Benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 4 submitters
gnomAD v4.1
Rare
low-frequency (popmax 1.35%, mid)

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 -3.2, phastCons 1
Overall
CADD4.31PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 1.35% Middle Eastern · 82/6,062 alleles
Filtering AF 1.12% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.03%
Overall 0.873% 14,090/1,613,882 alleles · low-frequency
Ancestry group Frequency 1 in
Middle Easterngrpmax 1.35% 74
Ashkenazi Jewishnot grpmax-eligible 1.25% 80
European (non-Finnish) 1.03% 97
Remaining individualsnot grpmax-eligible 0.77% 130
Admixed American 0.692% 145
Finnishnot grpmax-eligible 0.579% 173
Amishnot grpmax-eligible 0.329% 304
African / African-American 0.172% 582
South Asian 0.0933% 1,071

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.Val129=
Coding
c.387C>G
MANE Select
NM_000014
dbSNP
rs56202499
Type
single nucleotide variant
Location
chr12:9112420 (GRCh38)
Gene constraint
LOEUF 0.765 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 81.61 · 13 PDB
Residue 129
a β-strand
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-val129 (accessed [today's date]).

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