Is IDS p.Asp46Tyr (c.136G>T) pathogenic?

IDS p.Asp46Tyr (c.136G>T) is classified Likely pathogenic in IDS (ClinVar, Multiple submitters, 3 submitters; last evaluated 2024-06-07). AlphaMissense: likely pathogenic (0.9918); No allele count reported in gnomAD v4.1 (AN 1,209,023); Associated with mucopolysaccharidosis type 2.

What condition is associated with IDS p.Asp46Tyr (c.136G>T)?

IDS p.Asp46Tyr (c.136G>T) is associated with mucopolysaccharidosis type 2 (ClinVar).

How common is IDS p.Asp46Tyr (c.136G>T) in the general population?

IDS p.Asp46Tyr (c.136G>T) is no allele count reported in gnomAD v4.1 (AN 1,209,023) (gnomAD).

How is Mucopolysaccharidosis type 2 inherited?

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

What do computational predictors say about IDS p.Asp46Tyr (c.136G>T)?

AlphaMissense predicts likely pathogenic (score 0.9918) — an in-silico prediction, not a clinical call.

IDS p.Asp46Tyr

c.136G>T · rs2089504816 · VCV988668

Likely pathogenic Multiple submitters

Classification

Likely pathogenic

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 3 submitters

AlphaMissense

likely pathogenic

0.9918 · ACMG-weighted

gnomAD v4.1

Not reported

no allele count reported in gnomAD v4.1 (AN 1,209,023)

Missense predictors

3/3 damaging

AlphaMissense, REVEL, SaProt

Conditions

mucopolysaccharidosis type 2

Computational evidence

Protein change
AlphaMissense	0.9918	likely pathogenic ✓ concordant with ClinVar · top 2% in IDS
REVEL	0.987	strongly pathogenic-leaning
SaProt	LLR -17.46	damaging
⇒ AlphaMissense, REVEL and SaProt all call this damaging.
Splicing
SpliceAI	—	not assessed · no allele here is in the release
Constraint at this position
Conservation	phyloP 7.5	GERP 1.3, phastCons 1
Regional constraint	o/e 0.48	unconstrained · MANE · 118 bp · p 0.0036 · regional, not allelic
Overall
CADD	29.4	PHRED · 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

No allele count reported in gnomAD v4.1 (AN 1,209,023). This is missing data, not an absence: the variant may or may not be present in gnomAD. Rarity (ACMG PM2) and BA1/BS1 cannot be assessed for it.

Variant & gene context

Gene: IDS
Protein: p.Asp46Tyr
Coding: c.136G>T
MANE Select: NM_000202
dbSNP: rs2089504816
Type: single nucleotide variant
Location: chrX:149504261 (GRCh38)
Structure: AlphaFold pLDDT 93.39 · 2 PDB
Residue 46: a binding site

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

Disease context

mucopolysaccharidosis type 2 — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Mucopolysaccharidosis type 2 (Orphanet):

Inheritance: X-linked recessive
Onset: Childhood
Prevalence: 1-9 / 1 000 000 (Europe)

Similar variants

IDS p.Asp46Ala Pathogenic ★ same residue
IDS p.Asp46Asn Pathogenic ★ same residue
IDS p.Asp46Glu Pathogenic ★ same residue
IDS p.Asp46= Likely benign ★ same residue
IDS c.1006+1G>C Pathogenic ★★ same condition
IDS c.1006+1G>T Pathogenic ★★ same condition
IDS c.1007-133A>G Likely pathogenic ★★ same condition
IDS c.1007-1G>A 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/ids-p-asp46tyr (accessed [today's date]).

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