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PYROXD1 p.Ala393=

c.1179G>A · rs146542607 · VCV1571225

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0694%, afr)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2no splice effect predicted · four deltas, not one · how we know
Constraint at this position
ConservationphyloP -1.7GERP -3.8
Overall
CADD1.987PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0694% African / African-American · 52/74,874 alleles
Filtering AF 0.0544% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.049%
Overall 0.0041% 66/1,611,602 alleles · ultra-rare exomes 32/1,459,564 · genomes 34/152,038 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.0694% 1,440
Admixed American 0.01% 9,980
East Asian 0.00223% 44,810
Remaining individualsnot grpmax-eligible 0.0016% 62,398
South Asian 0.0011% 90,918
European (non-Finnish) 0.000424% 235,673

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
PYROXD1
Protein
p.Ala393=
Coding
c.1179G>A
MANE Select
NM_024854
dbSNP
rs146542607
Type
single nucleotide variant
Location
chr12:21467543 (GRCh38)
Gene constraint
LOEUF 1.107 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 88.64 · 2 PDB
Residue 393
an α-helix
Full PYROXD1 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

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/pyroxd1-p-ala393 (accessed [today's date]).

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