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ECHS1 p.Pro163=

c.489G>A · rs140410716 · VCV385034

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 9 submitters
gnomAD v4.1
Rare
low-frequency (popmax 1.05%, eas)
Conditions
1
mitochondrial short-chain Enoyl-Coa hydratase 1 deficiency

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP -12
Overall
CADD0.443PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 1.05% East Asian · 472/44,876 alleles
Filtering AF 0.973% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.942%
Overall 0.0405% 653/1,613,714 alleles · low-frequency exomes 561/1,461,466 · genomes 92/152,248 · joint denominator
Ancestry group Frequency 1 in
East Asiangrpmax 1.05% 95
Remaining individualsnot grpmax-eligible 0.125% 801
South Asian 0.0637% 1,570
Middle Eastern 0.033% 3,030
Admixed American 0.0283% 3,530
African / African-American 0.004% 25,009
European (non-Finnish) 0.00186% 53,633
Finnishnot grpmax-eligible 0.00157% 63,738

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
ECHS1
Protein
p.Pro163=
Coding
c.489G>A
MANE Select
NM_004092
dbSNP
rs140410716
Type
single nucleotide variant
Location
chr10:133368948 (GRCh38)
Gene constraint
LOEUF 0.907 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 91.54 · 6 PDB
Residue 163
an α-helix
Full ECHS1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

mitochondrial short-chain Enoyl-Coa hydratase 1 deficiency — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Mitochondrial short-chain enoyl-CoA hydratase 1 deficiency (Orphanet):

Inheritance
Autosomal recessive
Onset
Childhood, 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/echs1-p-pro163 (accessed [today's date]).

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