Is HLCS p.Pro242= (c.726C>T) pathogenic?

HLCS p.Pro242= (c.726C>T) is classified Benign/Likely benign in HLCS (ClinVar, Multiple submitters, 6 submitters; last evaluated 2026-01-31). Low-frequency (popmax 1.95%, afr); Associated with holocarboxylase synthetase deficiency.

What condition is associated with HLCS p.Pro242= (c.726C>T)?

HLCS p.Pro242= (c.726C>T) is associated with holocarboxylase synthetase deficiency (ClinVar).

How common is HLCS p.Pro242= (c.726C>T) in the general population?

HLCS p.Pro242= (c.726C>T) is low-frequency (popmax 1.95%, afr) (gnomAD).

How is Holocarboxylase synthetase deficiency inherited?

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

HLCS p.Pro242=

c.726C>T · rs2230182 · VCV137549

Benign/Likely benign Multiple submitters

Classification

Benign/Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 6 submitters

gnomAD v4.1

Rare

low-frequency (popmax 1.95%, afr)

Conditions

holocarboxylase synthetase deficiency

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 -7.8	GERP -4
Overall
CADD	0.178	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 1.95% African / African-American · 1,462/74,980 alleles

Filtering AF 1.87% ClinGen BA1/BS1 input FAF95, joint · FAF99 1.83%

Overall 0.127% 2,057/1,614,046 alleles · low-frequency exomes 1,233/1,461,878 · genomes 824/152,168 · joint denominator

Ancestry group	Frequency	1 in
African / African-Americangrpmax	1.95%	51
Middle Eastern	0.396%	253
Ashkenazi Jewishnot grpmax-eligible	0.243%	411
Remaining individualsnot grpmax-eligible	0.237%	422
Admixed American	0.203%	492
European (non-Finnish)	0.018%	5,566
South Asian	0.0154%	6,505
East Asian	0.00669%	14,958

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: HLCS
Protein: p.Pro242=
Coding: c.726C>T
MANE Select: NM_001352514
dbSNP: rs2230182
Type: single nucleotide variant
Location: chr21:36937160 (GRCh38)
Gene constraint: LOEUF 0.883 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure: AlphaFold pLDDT 77.33

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

Disease context

holocarboxylase synthetase deficiency — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Holocarboxylase synthetase deficiency (Orphanet):

Inheritance: Autosomal recessive
Onset: Childhood, Infancy, Neonatal
Prevalence: 1-9 / 1 000 000 (Europe)

Similar variants

HLCS c.1620+2T>G Likely pathogenic ★★ same condition
HLCS c.1621-2A>G Likely pathogenic ★★ same condition
HLCS c.1892+1G>A Likely pathogenic ★★ same condition
HLCS c.1960+5G>A Pathogenic ★★ same condition
HLCS c.2121+1G>A Pathogenic/Likely pathogenic ★★ same condition
HLCS c.2237-2A>G Likely pathogenic ★★ same condition
HLCS c.2450+2T>A Likely pathogenic ★★ same condition
HLCS c.2451-1G>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/hlcs-p-pro242 (accessed [today's date]).

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