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ACY1 p.Phe158=

c.474C>T · rs745793135 · VCV493362

Uncertain significance Single submitter
Classification
Uncertain significance
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0166%, mid)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI—not looked up on this page · why
Constraint at this position
ConservationphyloP -7.4GERP -3.2
Overall
CADD7.35PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0166% Middle Eastern · 1/6,022 alleles
Filtering AF 0.000292% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000211%
Overall 0.00062% 10/1,613,182 alleles · ultra-rare
Ancestry group Frequency 1 in
Middle Easterngrpmax 0.0166% 6,022
Ashkenazi Jewishnot grpmax-eligible 0.00338% 29,588
European (non-Finnish) 0.000678% 147,455

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
ACY1
Protein
p.Phe158=
Coding
c.474C>T
MANE Select
NM_000666
dbSNP
rs745793135
Type
single nucleotide variant
Location
chr3:51986452 (GRCh38)
Full ACY1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

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/acy1-p-phe158 (accessed [today's date]).

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