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ACO2 c.835+20G>A

rs199847369 · VCV1962969

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00934%, afr)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
Splice regiondonor +20near-intronic (+20 nt from the splice site)
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP -1.3GERP -2.2
Non-coding constraintZ 5.831 kb window · o/e 0.64 · regional · uncalibrated
Overall
CADD2.446PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00934% African / African-American · 7/74,946 alleles
Filtering AF 0.00437% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00309%
Overall 0.000746% 12/1,609,270 alleles · very rare
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.00934% 10,707
South Asian 0.00221% 45,184
European (non-Finnish) 0.000255% 392,556

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.835+20G>A
MANE Select
NM_001098
dbSNP
rs199847369
Type
single nucleotide variant
Location
chr22:41515937 (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-835-plus-20g-a (accessed [today's date]).

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