# NM_020745.4(AARS2):c.1755C>T (p.Asp585=)

https://sugi.bio/variant/aars2-p-asp585

## Summary

**AARS2 p.Asp585= (c.1755C>T)** is classified **Likely benign** in AARS2 (ClinVar, Multiple submitters, 3 submitters; last evaluated 2026-03-27). Ultra-rare (popmax 0.0134%, afr).

**At a glance:** Likely benign · review: Multiple submitters · rsID rs937089889 · 3 submitters · ultra-rare (popmax 0.0134%, afr)

## For patients & families {#patients}

This is a change in the AARS2 gene that is classified as likely benign — not considered disease-causing, submitted by 3 submitters.

*Reference information, not medical advice, and not a prediction for any individual. A genetic counselor or clinician can interpret what it means for you and your family.*

**Support & next steps:** [Find a genetic counselor (NSGC)](https://findageneticcounselor.nsgc.org/).

## Identity {#identity}

| Field | Value |
| --- | --- |
| Gene | [AARS2](https://sugi.bio/atlas/gene/AARS2/) |
| Protein change (HGVS p.) | p.Asp585= |
| Coding change (HGVS c.) | c.1755C>T |
| MANE Select transcript | [NM_020745](https://www.ncbi.nlm.nih.gov/nuccore/NM_020745) |
| dbSNP | [rs937089889](https://www.ncbi.nlm.nih.gov/snp/rs937089889/) |
| Variant type | single nucleotide variant |
| Location | chr6:44304531-44304531 (GRCh38) |
| ClinVar | [VCV3609045](https://www.ncbi.nlm.nih.gov/clinvar/variation/3609045/) |

**All HGVS expressions:** `NC_000006.11:g.44272268G>A`, `NC_000006.12:g.44304531G>A`, `NG_028283.4:g.792444G>A`, `NG_031952.1:g.13796C>T`, `NG_031952.2:g.13816C>T`, `NM_020745.3:c.1755C>T`, `NM_020745.4:c.1755C>T`

## Computational & population evidence {#evidence}

**Concordance:** Mixed / partial computational evidence (see below).

- **Missense predictors (AlphaMissense/REVEL/SaProt) do not apply** to this variant type — they score amino-acid substitutions only. For non-missense variants the computational signal comes from conservation and, for splice-region changes, SpliceAI (below), not from a missing predictor score.
- SpliceAI predicts **acceptor gain** (Δ 0.22) — a splice-altering prediction the current classification does not reflect
- Conservation: phyloP -0.058, GERP -4.45, phastCons 0.018 — not a conserved position (phyloP < 0.1, ACGS BP7 cut)
- CADD: **PHRED 5.9**. No single ClinGen-calibrated threshold exists and the expert panels that use CADD disagree — GUCY2D/AIPL1 require ≥ 20.0 for an untranslated-region variant, ABCA4 ≥ 28.1 for a synonymous or indel variant, the Pulmonary Hypertension panel imports Pejaver 2022's missense-calibrated numbers, and the Antibody Deficiencies panel declines CADD entirely for PIK3CD. CADD v1.7 also incorporates Zoonomia phyloP, so it partly re-expresses the conservation above. *Descriptive; no threshold applied.*
- SpliceAI deltas (raw): acceptor loss **0.00**, donor loss **0.00**, acceptor gain **0.22**, donor gain **0.00**. Largest is acceptor gain.
- SpliceAI deltas (masked): acceptor loss **0.00**, donor loss **0.00**, acceptor gain **0.22**, donor gain **0.00**.
- Population frequency (gnomAD v4.1): grpmax **0.0134%** (afr) · FAF95 0.00723% · FAF99 0.0055% · 10/74,906 in the highest group · 19/1,614,022 alleles overall — ultra-rare (popmax 0.0134%, afr).

| Ancestry group | Allele frequency | 1 in |
| --- | --- | --- |
| African / African-American (grpmax) | 0.0134% | 7,491 |
| South Asian | 0.00329% | 30,360 |
| European (non-Finnish) | 0.000508% | 196,670 |

*Computational predictors are not independent (ClinGen Variant Classification guidance): AlphaMissense (Cheng et al. 2023) carries the ACMG weight for missense and conservation (phyloP/GERP/phastCons) for non-missense; REVEL (Pejaver-2022 calibrated strength bands) and SaProt (Su et al. 2023, structure-aware, ClinVar-independent protein language model, raw LLR) are shown as orthogonal agreement signals, not additive. For frequency, the gnomAD v4.1 grpmax filtering allele frequency (FAF95) is ClinGen's designated BA1/BS1 input (gnomAD v4 guidance v3.0, June 2025); BA1/BS1 thresholds are disease-specific, not a blanket 5%. Predictions, not a clinical determination.*

## Gene constraint & dosage {#gene-context}

**AARS2** population constraint: LOEUF 0.752, pLI 1.8233e-15, missense-Z 1.8985; ClinGen dosage — haploinsufficiency 30, triplosensitivity Not yet evaluated (0–3 scale). *Lower LOEUF and higher pLI indicate a gene that tolerates loss-of-function poorly; ClinGen dosage is the curated haploinsufficiency call.*

Curated gene–disease validity (ClinGen):

- **mitochondrial disease** — Definitive (AR)

## Protein context {#protein}


AlphaFold model confidence (whole protein): pLDDT 88.05, 62% of residues very-high.

**3 experimental structure(s)** (PDB): [6NLQ](https://www.rcsb.org/structure/6NLQ), [6NLY](https://www.rcsb.org/structure/6NLY), [6NOW](https://www.rcsb.org/structure/6NOW).

## What this gene does {#gene-function}

*Describes the biological roles of AARS2 (the gene this variant disrupts) — not effects measured for this specific variant. A damaging variant is expected to affect these functions and pathways; the degree depends on the variant.*

**How this variant is thought to act:** AARS2's established molecular role includes alanine-tRNA ligase activity.


### Pathways affected {#pathways}

AARS2 participates in **1 Reactome pathway** (⚕ = disease pathway):

| Pathway (Reactome) | Evidence |
| --- | --- |
| [Mitochondrial tRNA aminoacylation](https://reactome.org/content/detail/R-HSA-379726) | electronic |

### Molecular function & processes (GO — experimentally supported) {#go}

**Molecular function:** alanine-tRNA ligase activity, peptide lactyltransferase (ATP-dependent) activity.

**Biological process:** mitochondrial alanyl-tRNA aminoacylation, negative regulation of cGAS/STING signaling pathway.

## Clinical significance {#significance}

**Likely benign** — review status Multiple submitters *(criteria provided, multiple submitters, no conflicts)*, last evaluated 2026-03-27.

**Submitter consensus:** unanimous (3/3 Likely benign).

**Submission history:** 3 submissions (2023–2026); classifications have been stable.

### Submitter classifications {#submitters}

| Submitter | Classification | Review | Method | Date |
| --- | --- | --- | --- | --- |
| Labcorp Genetics (formerly Invitae), Labcorp | Likely benign | criteria provided, single submitter | clinical testing | 2024-11-03 |
| Molecular Diagnostic Laboratory for Inherited Cardiovascular Disease, Montreal Heart Institute | Likely benign | criteria provided, single submitter | clinical testing | 2026-03-27 |
| Blueprint Genetics | Likely benign | criteria provided, single submitter | clinical testing | 2023-06-06 |

**Reported phenotype names (ClinVar):** not provided, not specified, AllHighlyPenetrant, none provided.

## Similar variants {#similar}

Related AARS2 variant pages (same residue, condition, or type): [AARS2 c.2146-2A>G](/variant/aars2-c-2146-minus-2a-g), [AARS2 c.2255+1G>A](/variant/aars2-c-2255-plus-1g-a), [AARS2 c.2598+1G>T](/variant/aars2-c-2598-plus-1g-t), [AARS2 p.Arg199Cys](/variant/aars2-p-arg199cys), [AARS2 p.Arg521Ter](/variant/aars2-p-arg521ter), [AARS2 p.Arg580Trp](/variant/aars2-p-arg580trp), [AARS2 p.Arg592Trp](/variant/aars2-p-arg592trp), [AARS2 p.Arg958Ter](/variant/aars2-p-arg958ter).

### Data sources & attribution {#sources}

ClinVar (NCBI — public domain, built 2026-10-11); gnomAD v4.1 (Broad Institute, built 2026-10-06); AlphaMissense (Cheng et al. 2023, © Google DeepMind — CC BY 4.0, built 2026-01-27); REVEL (Ioannidis et al. 2016 — ODbL, built 2026-07-13); SaProt (Su et al. 2023 — MIT, built 2026-07-14); SpliceAI (Illumina — free for non-commercial use, built 2026-10-13); CADD (Rentzsch et al. 2019, University of Washington — free for non-commercial use, built 2026-10-10); Conservation (phyloP/phastCons/GERP) (UCSC hg38 470-way mammal (Hiller Lab) + Ensembl Compara, built 2026-07-12); gnomAD Non-coding Constraint (Gnocchi) (Chen et al. 2024, Broad Institute — CC0, built 2026-10-11); gnomAD Regional Missense Constraint (Broad Institute — CC0, built 2026-10-13); Pangolin (Zeng & Li 2022 — CC BY 4.0, built 2026-10-11); Repeat regions (UCSC — RepeatMasker, TRF, segmental duplications, built 2026-10-11); ClinGen (ClinGen, built 2026-09-22); UniProt (CC BY 4.0); Reactome / GO (CC BY 4.0, built 2026-09-23); MaveDB (per-record license, built 2026-10-11); CIViC (CC0, built 2026-09-22); Orphanet (Orphanet, built 2026-06-12)

*Primary record: NCBI ClinVar (variation 3609045). Classifications reflect these databases as of the page's build date and may change. Free reference use — not medical advice; consult the primary submitters and a clinician.*