Is ASL p.Arg236Trp (c.706C>T) pathogenic?

ASL p.Arg236Trp (c.706C>T) is classified Pathogenic/Likely pathogenic in ASL (ClinVar, Multiple submitters, 6 submitters; last evaluated 2026-01-13). AlphaMissense: likely pathogenic (0.8059); Very rare (popmax 0.00167%, amr); Associated with argininosuccinic aciduria.

What condition is associated with ASL p.Arg236Trp (c.706C>T)?

ASL p.Arg236Trp (c.706C>T) is associated with argininosuccinic aciduria (ClinVar).

How common is ASL p.Arg236Trp (c.706C>T) in the general population?

ASL p.Arg236Trp (c.706C>T) is very rare (popmax 0.00167%, amr) (gnomAD).

How is Argininosuccinic aciduria inherited?

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

What do computational predictors say about ASL p.Arg236Trp (c.706C>T)?

AlphaMissense predicts likely pathogenic (score 0.8059) — an in-silico prediction, not a clinical call.

ASL p.Arg236Trp

c.706C>T · rs761268464 · VCV941054

Pathogenic/Likely pathogenic Multiple submitters

Classification

Pathogenic/Likely pathogenic

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 6 submitters

AlphaMissense

likely pathogenic

0.8059 · ACMG-weighted

gnomAD v4.1

Rare

very rare (popmax 0.00167%, amr)

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

argininosuccinic aciduria

Computational evidence

Protein change
AlphaMissense	0.8059	likely pathogenic ✓ concordant with ClinVar
REVEL	0.949	strongly pathogenic-leaning
SaProt	LLR -16.12	damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI	Δ0.51	donor gain · deltas
Pangolin	Δ0.46	gain · loss 0.26 · agrees with SpliceAI · independent
Constraint at this position
Conservation	phyloP 2	GERP -0.83, phastCons 1
Regional constraint	o/e 0.87	unconstrained · MANE · 17 kb · p 0.00078 · regional, not allelic
Overall
CADD	33.0	PHRED · no single calibrated threshold — expert panels disagree

AlphaMissense carries the ACMG weight for missense; REVEL and SaProt are independent agreement signals.

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00167% Admixed American · 1/60,002 alleles

Filtering AF 2.8e-05% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.1e-05%

Overall 0.000205% 3/1,461,840 alleles · very rare

Ancestry group	Frequency	1 in
Admixed Americangrpmax	0.00167%	60,002
European (non-Finnish)	0.000169%	590,009

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: ASL
Protein: p.Arg236Trp
Coding: c.706C>T
MANE Select: NM_000048
dbSNP: rs761268464
Type: single nucleotide variant
Location: chr7:66087779 (GRCh38)
Gene constraint: LOEUF 0.937 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 96.51 · 2 PDB
Residue 236: a UniProt-annotated variant site (in arginsa; complete loss of argininosuccinate lyase activity; no effect on protein expression; no effect on nos complex formation)

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

Disease context

argininosuccinic aciduria — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Argininosuccinic aciduria (Orphanet):

Inheritance: Autosomal recessive
Onset: All ages
Prevalence: 1-9 / 1 000 000 (United States)

Similar variants

ASL p.Arg236Gln Pathogenic/Likely pathogenic ★★ same residue
ASL p.Arg236= Likely benign ★ same residue
ASL p.Arg236Gly Uncertain significance ★ ⚠ same residue
ASL c.1062+5G>C Likely pathogenic ★★ same condition
ASL c.1143+1G>T Pathogenic/Likely pathogenic ★★ same condition
ASL c.13-1G>C Pathogenic/Likely pathogenic ★★ same condition
ASL c.291+1G>T Likely pathogenic ★★ same condition
ASL c.348+1G>A Pathogenic/Likely pathogenic ★★ same condition

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/asl-p-arg236trp (accessed [today's date]).

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