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ADCY5 p.Pro46=

c.138C>T · rs1263344673 · VCV1560723

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00733%, sas)

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 -1.3GERP -1.7
Overall
CADD11.13PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00733% South Asian · 5/68,198 alleles
Filtering AF 0.00284% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00185%
Overall 0.000783% 11/1,405,670 alleles · very rare exomes 11/1,253,512 · genomes 0/152,158 · joint denominator
Ancestry group Frequency 1 in
South Asiangrpmax 0.00733% 13,640
Remaining individualsnot grpmax-eligible 0.00189% 52,972
European (non-Finnish) 0.000461% 216,711

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
ADCY5
Protein
p.Pro46=
Coding
c.138C>T
MANE Select
NM_183357
dbSNP
rs1263344673
Type
single nucleotide variant
Location
chr3:123448408 (GRCh38)
Gene constraint
LOEUF 0.326 · pLI 1.00 (gnomAD)
Structure
AlphaFold pLDDT 73.91 · 2 PDB
Residue 46
the 'disordered' region
Full ADCY5 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/adcy5-p-pro46 (accessed [today's date]).

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