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ABCA1 p.Arg219=

c.655A>C · rs778562903 · VCV2577057

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0483%, sas)

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 0.81GERP -1.8
Overall
CADD6.277PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0483% South Asian · 44/91,086 alleles
Filtering AF 0.0369% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.033%
Overall 0.00315% 46/1,461,874 alleles · ultra-rare
Ancestry group Frequency 1 in
South Asiangrpmax 0.0483% 2,070
Remaining individualsnot grpmax-eligible 0.0032% 31,255

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
ABCA1
Protein
p.Arg219=
Coding
c.655A>C
MANE Select
NM_005502
dbSNP
rs778562903
Type
single nucleotide variant
Location
chr9:104858587 (GRCh38)
Gene constraint
LOEUF 0.563 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 73.50 · 7 PDB
Residue 219
an α-helix; a disulfide bond; a UniProt-annotated variant site (in)
Full ABCA1 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/abca1-p-arg219 (accessed [today's date]).

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