Is B2M p.Ala11= (c.33G>C) pathogenic?

B2M p.Ala11= (c.33G>C) is classified Likely benign in B2M (ClinVar, Single submitter, 1 submitter; last evaluated 2024-06-26). Ultra-rare (popmax 0.0165%, mid); Associated with hypoproteinemia, hypercatabolic.

What condition is associated with B2M p.Ala11= (c.33G>C)?

B2M p.Ala11= (c.33G>C) is associated with hypoproteinemia, hypercatabolic (ClinVar).

How common is B2M p.Ala11= (c.33G>C) in the general population?

B2M p.Ala11= (c.33G>C) is ultra-rare (popmax 0.0165%, mid) (gnomAD).

B2M p.Ala11=

c.33G>C · rs781314311 · VCV1645345

Likely benign Single submitter

Classification

Likely benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Rare

ultra-rare (popmax 0.0165%, mid)

Conditions

hypoproteinemia, hypercatabolic

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
Conservation	phyloP -0.5	GERP -3.7
Overall
CADD	4.409	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0165% Middle Eastern · 1/6,062 alleles

Filtering AF 0.00196% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00168%

Overall 0.00223% 36/1,613,816 alleles · ultra-rare

Ancestry group	Frequency	1 in
Middle Easterngrpmax	0.0165%	6,062
Remaining individualsnot grpmax-eligible	0.0032%	31,251
European (non-Finnish)	0.00271%	36,875
African / African-American	0.00133%	75,004

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: B2M
Protein: p.Ala11=
Coding: c.33G>C
MANE Select: NM_004048
dbSNP: rs781314311
Type: single nucleotide variant
Location: chr15:44711579 (GRCh38)
Gene constraint: LOEUF 0.501 · pLI 0.97 (gnomAD)
Structure: AlphaFold pLDDT 94.43 · 1396 PDB
Residue 11: a UniProt-annotated variant site (in imd43; lower levels of b2m, mhc class i and fcgrt proteins)

Full B2M gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hypoproteinemia, hypercatabolic — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

B2M p.Ala11Pro Uncertain significance ★ ⚠ same residue
B2M p.Ala11Val Uncertain significance ★ ⚠ same residue
B2M p.Asp54Asn Uncertain significance ★★ ⚠ same condition
B2M p.Ile55Thr Uncertain significance ★★ ⚠ same condition
B2M p.Lys114Gln Uncertain significance ★★ ⚠ same condition
B2M p.Lys68Glu Uncertain significance ★★ ⚠ same condition
B2M p.Pro92Leu Uncertain significance ★★ ⚠ same condition
B2M c.67+12C>T Likely benign ★★ 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/b2m-p-ala11 (accessed [today's date]).

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