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ACO2 c.36+243G>T

VCV4534764

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00353%, eas)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
Splice regiondonor +243deep intronic (+243 nt into the intron)
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 2.3GERP -1.4, phastCons 0.06
Non-coding constraintZ -0.651 kb window · o/e 1.04 · regional · uncalibrated
Overall
CADD8.842PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00353% East Asian · 1/28,336 alleles
Overall 0.000657% 1/152,236 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
ACO2
Coding
c.36+243G>T
MANE Select
NM_001098
Type
single nucleotide variant
Location
chr22:41469425 (GRCh38)
Gene constraint
LOEUF 0.489 · pLI 0.98 (gnomAD)
Structure
AlphaFold pLDDT 95.44
Full ACO2 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/aco2-c-36-plus-243g-t (accessed [today's date]).

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