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ACACA p.His1808=

c.5424C>T · rs746913592 · VCV1928678

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.012%, afr)

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 0.33GERP -5.5, phastCons 0.52
Overall
CADD7.044PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.012% African / African-American · 9/74,794 alleles
Filtering AF 0.00624% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00468%
Overall 0.00124% 20/1,609,282 alleles · ultra-rare exomes 14/1,457,258 · genomes 6/152,024 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.012% 8,310
Admixed American 0.00667% 14,996
East Asian 0.00223% 44,808
South Asian 0.0022% 45,500
European (non-Finnish) 0.00034% 294,329

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.His1808=
Coding
c.5424C>T
MANE Select
NM_198834
dbSNP
rs746913592
Type
single nucleotide variant
Location
chr17:37155706 (GRCh38)
Gene constraint
LOEUF 0.374 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 83.05 · 10 PDB
Residue 1808
an α-helix; the coa carboxyltransferase n-terminal domain; the 'carboxyltransferase' region
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-his1808 (accessed [today's date]).

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