Send feedback

EARS2 p.Val292Ile

c.874G>A · rs199575087 · VCV318551

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 6 submitters
AlphaMissense
likely benign
0.0734 · ACMG-weighted
gnomAD v4.1
Rare
ultra-rare (popmax 0.0344%, mid)
Missense predictors
0/3 damaging
AlphaMissense, REVEL, SaProt
Conditions
2
leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome

Computational evidence

Protein change
AlphaMissense0.0734likely benign
REVEL0.083moderately benign-leaning
SaProtLLR -6.61tolerated
⇒ AlphaMissense, REVEL and SaProt all call this tolerated.
Splicing
SpliceAI—not assessed · no allele here is in the release
Constraint at this position
ConservationphyloP 2.9GERP 0.62, phastCons 1
Regional constrainto/e 0.94unconstrained · MANE · 11 kb · p 0.22 · regional, not allelic
Overall
CADD15.26PHRED · 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 0.0344% Middle Eastern · 2/5,820 alleles
Filtering AF 0.0198% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0167%
Overall 0.0197% 318/1,611,634 alleles · ultra-rare exomes 282/1,459,322 · genomes 36/152,312 · joint denominator
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.352% 284
Remaining individualsnot grpmax-eligible 0.0433% 2,310
Middle Easterngrpmax 0.0344% 2,910
African / African-American 0.0293% 3,410
Admixed American 0.0217% 4,607
European (non-Finnish) 0.0126% 7,909
South Asian 0.0011% 90,888

Ashkenazi Jewish 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
EARS2
Protein
p.Val292Ile
Coding
c.874G>A
MANE Select
NM_001083614
dbSNP
rs199575087
Type
single nucleotide variant
Location
chr16:23534972 (GRCh38)
Gene constraint
LOEUF 1.138 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 89.84
Full EARS2 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Also linked: mitochondrial disease

For Leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome (Orphanet):

Inheritance
No data available
Onset
Infancy, Neonatal

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/ears2-p-val292ile (accessed [today's date]).

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