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MRPS22 p.Ala2=

c.6G>A · rs144902770 · VCV138252

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 4 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0493%, mid)
Conditions
1
hypotonia with lactic acidemia and hyperammonemia

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
ConservationphyloP 0.14GERP -3.9, phastCons 0.002
Overall
CADD4.939PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0493% Middle Eastern · 3/6,084 alleles
Filtering AF 0.0134% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0109%
Overall 0.00867% 140/1,614,012 alleles · ultra-rare exomes 116/1,461,890 · genomes 24/152,122 · joint denominator
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.236% 423
Middle Easterngrpmax 0.0493% 2,028
African / African-American 0.0214% 4,681
Remaining individualsnot grpmax-eligible 0.0192% 5,207
Admixed American 0.0117% 8,573
European (non-Finnish) 0.00263% 38,066
Finnishnot grpmax-eligible 0.00156% 64,030

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
MRPS22
Protein
p.Ala2=
Coding
c.6G>A
MANE Select
NM_020191
dbSNP
rs144902770
Type
single nucleotide variant
Location
chr3:139344032 (GRCh38)
Gene constraint
LOEUF 0.927 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 82.51 · 86 PDB
Full MRPS22 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

hypotonia with lactic acidemia and hyperammonemia — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Hypotonia with lactic acidemia and hyperammonemia (Orphanet):

Inheritance
Autosomal recessive
Onset
Antenatal, 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/mrps22-p-ala2 (accessed [today's date]).

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