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ACACA p.Ala1186=

c.3558T>G · rs149049072 · VCV3021287

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0789%, nfe)

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 0.63GERP -3.3, phastCons 0.88
Overall
CADD8.554PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0789% European (non-Finnish) · 923/1,170,366 alleles
Filtering AF 0.0746% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0729%
Overall 0.0623% 999/1,603,578 alleles · ultra-rare exomes 931/1,451,226 · genomes 68/152,352 · joint denominator
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.0789% 1,268
Remaining individualsnot grpmax-eligible 0.0499% 2,006
Finnishnot grpmax-eligible 0.0359% 2,784
African / African-American 0.0187% 5,344
Admixed American 0.0133% 7,502

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
ACACA
Protein
p.Ala1186=
Coding
c.3558T>G
MANE Select
NM_198834
dbSNP
rs149049072
Type
single nucleotide variant
Location
chr17:37223518 (GRCh38)
Gene constraint
LOEUF 0.374 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 83.05 · 10 PDB
Residue 1186
a β-strand
Full ACACA 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/acaca-p-ala1186 (accessed [today's date]).

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