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ABCG8 p.Ala588Pro

c.1762G>C · rs748833010 · VCV1779611

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
AlphaMissense
ambiguous
0.3468 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.0011%, sas)
Conditions
1
Cardiovascular phenotype

Computational evidence

Protein change
AlphaMissense0.3468ambiguous
REVEL0.417indeterminate
SaProtLLR -10.65damaging
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -0.14GERP -3.2
Regional constrainto/e 1.29unconstrained · MANE · 39 kb · p 8.8e-18 · regional, not allelic
Overall
CADD8.971PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0011% South Asian · 1/91,062 alleles
Overall 0.000137% 2/1,461,666 alleles · very rare
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.0016% 62,486
South Asiangrpmax 0.0011% 91,062

Remaining individuals shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
ABCG8
Protein
p.Ala588Pro
Coding
c.1762G>C
MANE Select
NM_022437
dbSNP
rs748833010
Type
single nucleotide variant
Location
chr2:43877566 (GRCh38)
Gene constraint
LOEUF 1.329 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 80.94 · 8 PDB
Residue 588
the abc transmembrane type-2 domain; an α-helix
Full ABCG8 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/abcg8-p-ala588pro (accessed [today's date]).

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