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ACO2 p.Asp430=

c.1290C>T · rs746348188 · VCV1659736

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.005%, amr)

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 -16GERP -3.7
Overall
CADD1.568PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.005% Admixed American · 3/60,004 alleles
Filtering AF 0.00133% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00083%
Overall 0.00173% 28/1,614,024 alleles · very rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.005% 20,001
East Asian 0.00445% 22,450
African / African-American 0.00267% 37,476
European (non-Finnish) 0.00161% 62,106
Remaining individualsnot grpmax-eligible 0.0016% 62,482
South Asian 0.0011% 91,080

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.Asp430=
Coding
c.1290C>T
MANE Select
NM_001098
dbSNP
rs746348188
Type
single nucleotide variant
Location
chr22:41522981 (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-asp430 (accessed [today's date]).

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