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AGRN p.Ala2Asp

c.5C>A · rs776698665 · VCV474165

Uncertain significance Multiple submitters
Classification
Uncertain significance
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 3 submitters
gnomAD v4.1
Rare
rare (popmax 0.254%, afr)
Conditions
1
congenital myasthenic syndrome 8

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL0.165moderately benign-leaning
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 0.14GERP 0.38, phastCons 0.42
Regional constrainto/e 1.03unconstrained · MANE · 26 kb · p 0.29 · regional, not allelic
Overall
CADD19.97PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.254% African / African-American · 164/64,648 alleles
Filtering AF 0.222% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.21%
Overall 0.0157% 210/1,334,040 alleles · rare
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.254% 394
Admixed American 0.0844% 1,185
Remaining individualsnot grpmax-eligible 0.0384% 2,606
Middle Eastern 0.0282% 3,540
European (non-Finnish) 9.58e-05% 1,043,528

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
AGRN
Protein
p.Ala2Asp
Coding
c.5C>A
MANE Select
NM_198576
dbSNP
rs776698665
Type
single nucleotide variant
Location
chr1:1020177 (GRCh38)
Gene constraint
LOEUF 0.73 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 69.79 · 1 PDB
Full AGRN 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/agrn-p-ala2asp (accessed [today's date]).

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