Is PEX6 p.Arg99= (c.295C>A) pathogenic?

PEX6 p.Arg99= (c.295C>A) is classified Likely benign in PEX6 (ClinVar, Single submitter, 1 submitter; last evaluated 2021-08-01). Absent from gnomAD v4.1; Associated with peroxisome biogenesis disorder.

What condition is associated with PEX6 p.Arg99= (c.295C>A)?

PEX6 p.Arg99= (c.295C>A) is associated with peroxisome biogenesis disorder (ClinVar).

How common is PEX6 p.Arg99= (c.295C>A) in the general population?

PEX6 p.Arg99= (c.295C>A) is absent from gnomAD v4.1 (gnomAD).

PEX6 p.Arg99=

c.295C>A · rs772383329 · VCV1532260

Likely benign Single submitter

Classification

Likely benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Absent

absent from gnomAD v4.1

Conditions

peroxisome biogenesis disorder

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI	<0.2	no splice effect predicted · four deltas, not one · how we know
Constraint at this position
Conservation	phyloP 5.4	GERP 0.5, phastCons 1
Overall
CADD	12.17	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Absent from gnomAD v4.1. Not observed in any sequenced alleles — a rarity signal (ACMG PM2-supporting), not evidence of pathogenicity on its own.

Variant & gene context

Gene: PEX6
Protein: p.Arg99=
Coding: c.295C>A
MANE Select: NM_000287
dbSNP: rs772383329
Type: single nucleotide variant
Location: chr6:42978856 (GRCh38)
Gene constraint: LOEUF 0.799 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 69.87
Residue 99: a UniProt-annotated variant site (in hmlr2; uncertain significance)

Full PEX6 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

peroxisome biogenesis disorder — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

PEX6 p.Arg99Trp Conflicting classifications of pathogenicity ★ same residue
PEX6 p.Arg99Leu Pathogenic ★ ⚠ same residue
PEX6 c.1130+1G>A Likely pathogenic ★★ same condition
PEX6 c.1233+1G>A Likely pathogenic ★★ same condition
PEX6 c.1688+1G>A Pathogenic ★★ same condition
PEX6 c.1689-1G>A Likely pathogenic ★★ same condition
PEX6 c.1885-1G>A Likely pathogenic ★★ same condition
PEX6 c.1962-1G>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/pex6-p-arg99 (accessed [today's date]).

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