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ALAS2 p.Pro520=

c.1560C>A · rs150055592 · VCV214089

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 8 submitters
gnomAD v4.1
Rare
rare (popmax 0.804%, mid)
Conditions
1
X-linked sideroblastic anemia 1

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 0.027GERP -3.3, phastCons 0.38
Overall
CADD5.321PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.804% Middle Eastern · 35/4,354 alleles
Filtering AF 0.594% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.522%
Overall 0.386% 4,670/1,209,514 alleles · rare exomes 4,261/1,097,916 · genomes 409/111,598 · joint denominator
Ancestry group Frequency 1 in
Amishnot grpmax-eligible 1.6% 62
Middle Easterngrpmax 0.804% 124
Ashkenazi Jewishnot grpmax-eligible 0.654% 153
Finnishnot grpmax-eligible 0.611% 164
Remaining individualsnot grpmax-eligible 0.456% 219
European (non-Finnish) 0.419% 239
Admixed American 0.363% 275
South Asian 0.0776% 1,289
African / African-American 0.0385% 2,597

Amish shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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
ALAS2
Protein
p.Pro520=
Coding
c.1560C>A
MANE Select
NM_000032
dbSNP
rs150055592
Type
single nucleotide variant
Location
chrX:55013526 (GRCh38)
Structure
AlphaFold pLDDT 82.76 · 27 PDB
Residue 520
a UniProt-annotated variant site (in sidba1; likely benign; associated in cis with h-560 in a patient)
Full ALAS2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

X-linked sideroblastic anemia 1 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For X-linked sideroblastic anemia (Orphanet):

Inheritance
X-linked recessive
Onset
All ages

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/alas2-p-pro520 (accessed [today's date]).

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