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ACO2 p.Arg656=

c.1968G>A · rs377371545 · VCV1671587

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.012%, afr)

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 1.9GERP 0.46, phastCons 1
Overall
CADD7.557PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.012% African / African-American · 9/74,930 alleles
Filtering AF 0.00623% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00467%
Overall 0.00062% 10/1,614,076 alleles · ultra-rare exomes 5/1,461,864 · genomes 5/152,212 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.012% 8,326
European (non-Finnish) 8.47e-05% 1,180,025

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
Protein
p.Arg656=
Coding
c.1968G>A
MANE Select
NM_001098
dbSNP
rs377371545
Type
single nucleotide variant
Location
chr22:41527302 (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-p-arg656 (accessed [today's date]).

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