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SIX3 p.Ala20=

c.60C>A · rs370774455 · VCV2887093

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00127%, nfe)
Conditions
1
holoprosencephaly 2

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 0.61GERP -1.4, phastCons 1
Overall
CADD12.3PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00127% European (non-Finnish) · 15/1,179,386 alleles
Filtering AF 0.000764% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000606%
Overall 0.000938% 15/1,598,314 alleles · very rare exomes 15/1,446,390 · genomes 0/151,924 · joint denominator

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
SIX3
Protein
p.Ala20=
Coding
c.60C>A
MANE Select
NM_005413
dbSNP
rs370774455
Type
single nucleotide variant
Location
chr2:44942164 (GRCh38)
Gene constraint
LOEUF 0.387 · pLI 0.99 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 70.38
Full SIX3 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/six3-p-ala20 (accessed [today's date]).

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