Is ACD p.Pro11Leu (c.32C>T) pathogenic?

ACD p.Pro11Leu (c.32C>T) is classified Uncertain significance in ACD (ClinVar, Multiple submitters, 2 submitters; last evaluated 2023-01-08). AlphaMissense: likely pathogenic (0.8071); Very rare (popmax 0.000124%); Associated with dyskeratosis congenita, autosomal dominant 6.

What condition is associated with ACD p.Pro11Leu (c.32C>T)?

ACD p.Pro11Leu (c.32C>T) is associated with dyskeratosis congenita, autosomal dominant 6 (ClinVar).

How common is ACD p.Pro11Leu (c.32C>T) in the general population?

ACD p.Pro11Leu (c.32C>T) is very rare (popmax 0.000124%) (gnomAD).

What do computational predictors say about ACD p.Pro11Leu (c.32C>T)?

AlphaMissense predicts likely pathogenic (score 0.8071) — an in-silico prediction, not a clinical call.

ACD p.Pro11Leu

c.32C>T · rs770184750 · VCV1797564

Uncertain significance Multiple submitters

Classification

Uncertain significance

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

AlphaMissense

likely pathogenic

0.8071 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.000124%)

Missense predictors

1/2 damaging

AlphaMissense, SaProt · REVEL no call

Conditions

dyskeratosis congenita, autosomal dominant 6

Computational evidence

Protein change
AlphaMissense	0.8071	likely pathogenic · top 7% in ACD
REVEL	0.388	indeterminate
SaProt	LLR -7.16	tolerated
⇒ AlphaMissense calls this damaging; SaProt does not; REVEL makes no call.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 9.7	GERP 1.4, phastCons 1
Regional constraint	o/e 0.89	unconstrained · MANE · 2,611 bp · p 0.011 · regional, not allelic
Overall
CADD	23.9	PHRED · 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 0.000124%

Overall 0.000124% 2/1,612,526 alleles · very rare

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: ACD
Protein: p.Pro11Leu
Coding: c.32C>T
MANE Select: NM_001082486
dbSNP: rs770184750
Type: single nucleotide variant
Location: chr16:67660189 (GRCh38)
Gene constraint: LOEUF 0.921 · pLI <0.01 · ClinGen HI 0/3 (gnomAD)
Structure: AlphaFold pLDDT 63.09 · 28 PDB

Full ACD gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

dyskeratosis congenita, autosomal dominant 6 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

ACD p.Met11Ile Uncertain significance ★ same residue
ACD p.Met11Leu Uncertain significance ★ same residue
ACD p.Pro11= Likely benign ★ same residue
ACD c.645+2T>C Uncertain significance ★★ same condition
ACD c.99+5G>A Uncertain significance ★★ same condition
ACD c.-20C>T Uncertain significance ★★ same condition
ACD c.-24C>T Uncertain significance ★★ same condition
ACD c.-26T>G Uncertain significance ★★ same condition

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/acd-p-pro11leu (accessed [today's date]).

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