Is EMC1 p.Ala286= (c.858T>G) pathogenic?

EMC1 p.Ala286= (c.858T>G) is classified Benign/Likely benign in EMC1 (ClinVar, Multiple submitters, 6 submitters; last evaluated 2026-01-28). Rare (popmax 0.924%, mid).

How common is EMC1 p.Ala286= (c.858T>G) in the general population?

EMC1 p.Ala286= (c.858T>G) is rare (popmax 0.924%, mid) (gnomAD).

EMC1 p.Ala286=

c.858T>G · rs143222669 · VCV713445

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 6 submitters

gnomAD v4.1

Rare

rare (popmax 0.924%, mid)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
REVEL	0.038	moderately benign-leaning
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP -0.015	GERP -3.7, phastCons 0.034
Overall
CADD	5.294	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.924% Middle Eastern · 56/6,060 alleles

Filtering AF 0.731% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.661%

Overall 0.161% 2,593/1,614,136 alleles · rare

Ancestry group	Frequency	1 in
Amishnot grpmax-eligible	1.54%	65
Middle Easterngrpmax	0.924%	108
South Asian	0.643%	155
Remaining individualsnot grpmax-eligible	0.152%	658
European (non-Finnish)	0.146%	687
Ashkenazi Jewishnot grpmax-eligible	0.101%	987
Admixed American	0.0783%	1,277
Finnishnot grpmax-eligible	0.0562%	1,778
African / African-American	0.012%	8,340
East Asian	0.00446%	22,439

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: EMC1
Protein: p.Ala286=
Coding: c.858T>G
MANE Select: NM_015047
dbSNP: rs143222669
Type: single nucleotide variant
Location: chr1:19239914 (GRCh38)
Gene constraint: LOEUF 0.913 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 87.67 · 10 PDB
Residue 286: a β-strand

Full EMC1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Similar variants

EMC1 p.Ala286Thr Uncertain significance ★ ⚠ same residue
EMC1 p.Ala286Val Uncertain significance ★ ⚠ same residue
EMC1 c.287-1G>A Likely pathogenic ★★ same type
EMC1 c.787-1G>A Likely pathogenic ★★ same type
EMC1 p.Arg105Ter Pathogenic/Likely pathogenic ★★ same type
EMC1 p.Arg660Ter Pathogenic/Likely pathogenic ★★ same type
EMC1 p.Arg687Ter Pathogenic/Likely pathogenic ★★ same type
EMC1 p.Arg69Ter Pathogenic/Likely pathogenic ★★ same type

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/emc1-p-ala286 (accessed [today's date]).

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