Is ACTA2 p.Glu102fs (c.303del) pathogenic?

ACTA2 p.Glu102fs (c.303del) is classified Uncertain significance in ACTA2 (ClinVar, Single submitter, 1 submitter; last evaluated 2025-09-10). Associated with aortic aneurysm, familial thoracic 6.

What condition is associated with ACTA2 p.Glu102fs (c.303del)?

ACTA2 p.Glu102fs (c.303del) is associated with aortic aneurysm, familial thoracic 6 (ClinVar).

ACTA2 p.Glu102fs

Q: How is Multisystemic smooth muscle dysfunction syndrome inherited?

Typically Unknown (Orphanet). A genetic counselor can assess individual risk for a family.

c.303del · VCV4278184

Uncertain significance Single submitter

Classification

Uncertain significance

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

Consequence

frameshift

predicted LoF

gnomAD v4.1

Rare

Conditions

aortic aneurysm, familial thoracic 6

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Consequence	frameshift	predicted loss-of-function in a LoF-intolerant gene
NMD	predicted	premature termination codon in exon 4 of 9
Splicing
SpliceAI	—	not assessed · substitutions only
Constraint at this position
Conservation	phyloP 7.6	GERP 2, phastCons 1

Predicted loss-of-function is descriptive, not an applied PVS1 code.

Variant & gene context

Gene: ACTA2
Protein: p.Glu102fs
Coding: c.303del
MANE Select: NM_001613
Type: Deletion
Location: chr10:88943863 (GRCh38)
Gene constraint: LOEUF 0.472 · pLI 0.99 · ClinGen HI 1/3 (gnomAD)
Structure: AlphaFold pLDDT 95.43

Full ACTA2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

aortic aneurysm, familial thoracic 6 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Multisystemic smooth muscle dysfunction syndrome (Orphanet):

Inheritance: Unknown
Onset: Infancy

Similar variants

ACTA2 p.Glu102Ala Uncertain significance ★ ⚠ same residue
ACTA2 c.259-17del Likely benign ★★ same condition
ACTA2 c.455-3del Conflicting classifications of pathogenicity ★ same condition
ACTA2 p.Cys376fs Uncertain significance ★ same condition
ACTA2 p.Glu109fs Conflicting classifications of pathogenicity ★ ⚠ same condition
ACTA2 p.His175fs Uncertain significance ★ same condition
ACTA2 p.Thr353fs Uncertain significance ★ same condition
ACTA2 p.Glu102= Likely benign ★ same residue

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/acta2-p-glu102fs (accessed [today's date]).

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