Send feedback

ACBD5 p.Glu493Lys

c.1477G>A · rs144945606 · VCV939196

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
AlphaMissense
likely benign
0.2606 · ACMG-weighted
gnomAD v4.1
Rare
very rare (popmax 0.005%, nfe)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
1
Inborn genetic diseases

Computational evidence

Protein change
AlphaMissense0.2606likely benign
REVEL0.1moderately benign-leaning
SaProtLLR -8.04tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI<0.2all four deltas below 0.2 · C>A here scores Δ0.24 · evaluated, not missing
Constraint at this position
ConservationphyloP 4.8GERP 1.7, phastCons 1
Regional constrainto/e 0.87unconstrained · MANE · 43 kb · p 0.00076 · regional, not allelic
Overall
CADD24.2PHRED · no single calibrated threshold — expert panels disagree

ClinVar classifies this uncertain; the computational predictors unanimously lean tolerated — a triage signal, not a reclassification

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

⚠ Isoform check: AlphaMissense numbered on a different transcript (AM E502K vs ClinVar E493K) — verify the residue.

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.005% European (non-Finnish) · 59/1,179,916 alleles
Filtering AF 0.00394% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00361%
Overall 0.00378% 61/1,613,822 alleles · very rare
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.005% 19,999
East Asian 0.00223% 44,874
Remaining individualsnot grpmax-eligible 0.0016% 62,476

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
ACBD5
Protein
p.Glu493Lys
Coding
c.1477G>A
MANE Select
NM_145698
dbSNP
rs144945606
Type
single nucleotide variant
Location
chr10:27204528 (GRCh38)
Gene constraint
LOEUF 0.734 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 57.49 · 1 PDB
Full ACBD5 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/acbd5-p-glu493lys (accessed [today's date]).

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