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ABCA2 p.Ala20=

c.60T>C · rs4880189 · VCV1249256

Benign/Likely benign Multiple submitters
Classification
Benign/Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Common
common (popmax 84.1%, afr) — too common for a highly-penetrant pathogenic allele

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 -0.29GERP -0.93
Overall
CADD7.811PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 84.1% African / African-American · 52,503/62,434 alleles
Filtering AF 83.5% ClinGen BA1/BS1 input FAF95, joint · FAF99 83.2%
Overall 72.9% 944,154/1,295,756 alleles · common exomes 828,870/1,143,574 · genomes 115,284/152,182 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 84.1% 1
East Asian 76% 1
South Asian 75.7% 1
Ashkenazi Jewishnot grpmax-eligible 75.5% 1
Admixed American 73.5% 1
Remaining individualsnot grpmax-eligible 73% 1
European (non-Finnish) 72% 1
Amishnot grpmax-eligible 71.8% 1
Finnishnot grpmax-eligible 69.7% 1
Middle Eastern 68.4% 1

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
ABCA2
Protein
p.Ala20=
Coding
c.60T>C
MANE Select
NM_001606 · reported on NM_212533
dbSNP
rs4880189
Type
single nucleotide variant
Location
chr9:137028813 (GRCh38)
Gene constraint
LOEUF 0.436 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 71.46
Full ABCA2 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/abca2-p-ala20 (accessed [today's date]).

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