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ACACA p.Ser789=

c.2367G>A · rs367784761 · VCV3052495

Likely benign No assertion criteria
Classification
Likely benign
ClinVar
Review
No assertion criteria ☆☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.09%, sas)
Conditions
1
ACACA-related disorder

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 -10GERP -4
Overall
CADD1.774PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.09% South Asian · 82/91,064 alleles
Filtering AF 0.0743% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0685%
Overall 0.00576% 93/1,613,942 alleles · ultra-rare exomes 90/1,461,868 · genomes 3/152,074 · joint denominator
Ancestry group Frequency 1 in
South Asiangrpmax 0.09% 1,111
Middle Eastern 0.0164% 6,084
East Asian 0.00668% 14,963
Remaining individualsnot grpmax-eligible 0.0032% 31,245
African / African-American 0.00267% 37,449
European (non-Finnish) 0.000254% 393,331

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.Ser789=
Coding
c.2367G>A
MANE Select
NM_198834
dbSNP
rs367784761
Type
single nucleotide variant
Location
chr17:37246919 (GRCh38)
Gene constraint
LOEUF 0.374 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 83.05 · 10 PDB
Residue 789
a β-strand; the biotinyl-binding domain
Full ACACA gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

ACACA-related disorder

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-ser789 (accessed [today's date]).

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