ACE2 (Angiotensin-converting enzyme 2) variants and mutations
ACE2 (also known as Angiotensin-converting enzyme 2) is a human protein-coding gene encoding an angiotensin-converting enzyme 2 protein. By converting angiotensin II to angiotensin-(1-7), it counterbalances vasoconstrictive and pro-inflammatory signaling within the renin-angiotensin system. It also serves as the cellular entry receptor for SARS-CoV-2, making its tissue expression important in coronavirus biology. This analysis covers 907 ACE2 variants and mutations. Of these, 64% have computational variant effect predictions. Disease context includes COVID-19, severe acute respiratory syndrome, and neurodegenerative disease. Example ACE2 variants include S2P, S3N, and L8F.
Variant analysis overview
- Gene: ACE2
- Protein: Angiotensin-converting enzyme 2
- UniProt accession: Q9BYF1
- Organism: Homo sapiens
- Variants analyzed: 907
- Variant scope: all variants
- Completed: 2026-08-22
Variant and mutation evidence
- Variant composition: 705 unspecified-consequence records; 1 stop retained variant; 2 stop lost; 101 missense variants; 9 frameshift variants; 76 synonymous variants; 3 splice-region variants; 1 in-frame insertions; 7 stop-gained variants; 2 in-frame deletions; 4 substitution
- Prediction scores: 584 variants have prediction scores (64% of the analyzed set).
Clinical, disease, and population context
- Disease context: 25 disease associations are represented. Top associations: COVID-19, severe acute respiratory syndrome, neurodegenerative disease, Alzheimer disease, Parkinson disease, multiple sclerosis, lysosomal storage disease, autoimmune disorder of central nervous system, idiopathic pulmonary fibrosis, lung carcinoma, lung cancer, pulmonary arterial hypertension.
Protein structure and variant hotspots
- Protein features: 1 transmembrane segments; 2 domains; 9 binding sites; 9 post-translational modification sites.
- Structural context: 885 variants have structural context.
- PTM context: 11 variants overlap post-translational modification sites.
- Experimental data: 117 protein positions have experimental scores. Source: binding assays.
Data sources
Evidence in this analysis draws on EBI Proteins Variation, UniProt, gnomAD v4, EuropePMC, 3D Hotspot Analysis, Interaction Network Analysis, Protein Data Bank, AlphaFold DB, gnomAD constraint, Open Targets, MaveDB, LitVar.
Notable ACE2 variants
Examples include S2P, S3N, L8F, L9P, S10I, A13S, A13V, A17S. Listed records include available protein-change notation, database identifiers, clinical classifications, computational predictions, population evidence, experimental measurements, and disease context.
- S2P (p.Ser2Pro), ExAC rs760347219, gnomAD rs760347219, REVEL 0.07, CADD 19.30
- S3N (p.Ser3Asn), TOPMed rs1180242786, gnomAD rs1180242786, REVEL 0.02, CADD 14.70
- L8F (p.Leu8Phe), ExAC rs201035388, TOPMed rs201035388, gnomAD rs201035388, REVEL 0.03, CADD 13.20
- L9P (p.Leu9Pro), ExAC rs746202722, TOPMed rs746202722, gnomAD rs746202722, REVEL 0.28, CADD 24.60
- S10I (p.Ser10Ile), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- A13S (p.Ala13Ser), TOPMed rs1482922566, REVEL 0.13, CADD 19.50
- A13V (p.Ala13Val), cosmic curated COSV10804, REVEL 0.19, CADD 23.00
- A17S (p.Ala17Ser), TOPMed rs1238916402, gnomAD rs1238916402, REVEL 0.12, CADD 22.40
- Q18K (p.Gln18Lys), cosmic curated COSV99383, TOPMed rs1928158002, gnomAD rs1928158002, REVEL 0.20, CADD 22.90
- S19P (p.Ser19Pro), 1000Genomes rs73635825, ESP rs73635825, ExAC rs73635825, TOPMed rs73635825, REVEL 0.17, CADD 14.20
- S19Y (p.Ser19Tyr), TOPMed rs1928157493
- T20I (p.Thr20Ile), cosmic curated COSV53027
- I21T (p.Ile21Thr), cosmic curated COSV53024, gnomAD rs1244687367, REVEL 0.03, CADD 0.14
- I21V (p.Ile21Val), cosmic curated COSV53024, ExAC rs778030746, gnomAD rs778030746, REVEL 0.02, CADD 0.78
- E22D (p.Glu22Asp), cosmic curated COSV99382
- E23K (p.Glu23Lys), ExAC rs756231991, TOPMed rs756231991, gnomAD rs756231991, REVEL 0.15, CADD 8.81
- A25T (p.Ala25Thr), TOPMed rs1434130600
- A25V (p.Ala25Val), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- K26E (p.Lys26Glu), gnomAD rs1299103394, REVEL 0.02, CADD 6.41
- K26N (p.Lys26Asn), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53023, Variant assessed as somatic; moderate impact.
- K26R (p.Lys26Arg), rs4646116, ClinGen CA10355551, ClinVar RCV000961241, UniProt VAR 023082, REVEL 0.01, CADD 0.28, Likely benign, not provided
- T27A (p.Thr27Ala), ExAC rs781255386, TOPMed rs781255386, gnomAD rs781255386, REVEL 0.02, CADD 3.03
- F28L (p.Phe28Leu), cosmic curated COSV53027
- N33H (p.Asn33His), Ensembl rs1928155205
- N33S (p.Asn33Ser), TOPMed rs1928154812
- H34N (p.His34Asn), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53027, Variant assessed as somatic; moderate impact.
- E35D (p.Glu35Asp), Ensembl rs778500138
- E35K (p.Glu35Lys), rs1348114695, cosmic curated COSV10877, TOPMed rs1348114695, gnomAD rs1348114695, REVEL 0.02, CADD 1.49, Variant assessed as somatic; moderate impact.
- A36T (p.Ala36Thr), cosmic curated COSV10500, REVEL 0.30, CADD 20.20
- A36V (p.Ala36Val), TOPMed rs1928153991
- E37K (p.Glu37Lys), rs146676783, ESP rs146676783, ExAC rs146676783, TOPMed rs146676783, REVEL 0.16, CADD 23.00, Variant assessed as somatic; moderate impact.
- L39M (p.Leu39Met), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53024, Variant assessed as somatic; moderate impact.
- L39P (p.Leu39Pro), Ensembl rs1928153401
- F40L (p.Phe40Leu), TOPMed rs924799658, gnomAD rs924799658, NCI-TCGA TCGA novel, REVEL 0.05, CADD 0.92, Variant assessed as somatic; moderate impact.
- Q42E (p.Gln42Glu), cosmic curated COSV53024
- S43N (p.Ser43Asn), TOPMed rs1928152672, REVEL 0.07, CADD 3.92
- S43R (p.Ser43Arg), gnomAD rs1447927937, REVEL 0.20, CADD 18.10
- S44L (p.Ser44Leu), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53024, Variant assessed as somatic; moderate impact.
- L45V (p.Leu45Val), cosmic curated COSV10635
- S47C (p.Ser47Cys), cosmic curated COSV53026
- S47P (p.Ser47Pro), gnomAD rs1928152107, REVEL 0.38, CADD 24.30
- W48L (p.Trp48Leu), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- N49S (p.Asn49Ser), Ensembl rs2147184197
- Y50C (p.Tyr50Cys), TOPMed rs1192192618, gnomAD rs1192192618
- Y50F (p.Tyr50Phe), TOPMed rs1192192618, gnomAD rs1192192618, REVEL 0.21, CADD 22.90
- Y50H (p.Tyr50His), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- N51D (p.Asn51Asp), ExAC rs760159085, gnomAD rs760159085, REVEL 0.18, CADD 25.00
- N51S (p.Asn51Ser), Ensembl rs1569243690, REVEL 0.21, CADD 23.10
- T52S (p.Thr52Ser), rs2519715048, ClinGen CA412310224, ClinVar RCV004152024, REVEL 0.19, CADD 23.30, Uncertain significance, not specified
- T55A (p.Thr55Ala), ExAC rs775273812, gnomAD rs775273812, REVEL 0.26, CADD 24.30
- T55I (p.Thr55Ile), TOPMed rs1928151134
- N58D (p.Asn58Asp), TOPMed rs1222417695, gnomAD rs1222417695, REVEL 0.45, CADD 25.90
- N58H (p.Asn58His), TOPMed rs1222417695, gnomAD rs1222417695, REVEL 0.49, CADD 25.30
- N58K (p.Asn58Lys), ExAC rs771621249, gnomAD rs771621249, REVEL 0.23, CADD 24.60
- V59A (p.Val59Ala), Ensembl rs1928150510
- V59D (p.Val59Asp), cosmic curated COSV53024
- Q60E (p.Gln60Glu), cosmic curated COSV53024
- Q60R (p.Gln60Arg), ExAC rs759162332, gnomAD rs759162332, REVEL 0.04, CADD 18.10
- N61K (p.Asn61Lys), cosmic curated COSV53027
- M62I (p.Met62Ile), NCI-TCGA TCGA novel, Ensembl rs1928149922, REVEL 0.17, CADD 25.20, Variant assessed as somatic; moderate impact.
- M62V (p.Met62Val), TOPMed rs1325542104, gnomAD rs1325542104, REVEL 0.12, CADD 19.20
- N64K (p.Asn64Lys), TOPMed rs1199100713, gnomAD rs1199100713, REVEL 0.08, CADD 0.04
- K68E (p.Lys68Glu), ExAC rs755691167, TOPMed rs755691167, gnomAD rs755691167, REVEL 0.09, CADD 8.25
- F72C (p.Phe72Cys), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- F72V (p.Phe72Val), gnomAD rs1256007252, REVEL 0.30, CADD 23.40
- L73* (p.Leu73Ter), NCI-TCGA Cosmic COSV9938, Variant assessed as somatic; high impact.
- L73S (p.Leu73Ser), NCI-TCGA Cosmic COSV9938, cosmic curated COSV99382, Ensembl rs1927926375, Variant assessed as somatic; moderate impact.
- K74T (p.Lys74Thr), cosmic curated COSV53026
- E75G (p.Glu75Gly), Ensembl rs867318181
- Q76* (p.Gln76Ter), TOPMed rs1927926012
- Q76H (p.Gln76His), cosmic curated COSV99383
- S77F (p.Ser77Phe), gnomAD rs1234981462
- A80T (p.Ala80Thr), Ensembl rs1927925500, REVEL 0.20, CADD 18.50
- Q81H (p.Gln81His), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- Q81K (p.Gln81Lys), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- M82I (p.Met82Ile), ExAC rs766996587, TOPMed rs766996587, gnomAD rs766996587, REVEL 0.02, CADD 0.00
- M82T (p.Met82Thr), cosmic curated COSV99382
- Y83* (p.Tyr83Ter), cosmic curated COSV10500
- Y83H (p.Tyr83His), Ensembl rs1927925071, REVEL 0.25, CADD 22.60
- P84A (p.Pro84Ala), cosmic curated COSV53023
- P84Q (p.Pro84Gln), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53023, Variant assessed as somatic; moderate impact.
- P84T (p.Pro84Thr), ExAC rs759134032, gnomAD rs759134032, REVEL 0.06, CADD 1.89
- L85I (p.Leu85Ile), ESP rs376392863, ExAC rs376392863, TOPMed rs376392863, gnomAD rs376392863
- L85P (p.Leu85Pro), TOPMed rs1927924514
- Q86P (p.Gln86Pro), ExAC rs746808776, TOPMed rs746808776, gnomAD rs746808776
- Q86R (p.Gln86Arg), ExAC rs746808776, TOPMed rs746808776, gnomAD rs746808776, REVEL 0.03, CADD 7.37
- T92I (p.Thr92Ile), ExAC rs763395248, gnomAD rs763395248, REVEL 0.03, CADD 0.45
- V93A (p.Val93Ala), TOPMed rs1812857755
- Q96H (p.Gln96His), TOPMed rs1927923958
- A99S (p.Ala99Ser), NCI-TCGA Cosmic COSV9938, cosmic curated COSV99383, Variant assessed as somatic; moderate impact.
- A99T (p.Ala99Thr), TOPMed rs1927923743, gnomAD rs1927923743, REVEL 0.06, CADD 1.05
- Q101R (p.Gln101Arg), TOPMed rs1927923367, REVEL 0.16, CADD 18.20
- Q102K (p.Gln102Lys), TOPMed rs1927923190
- Q102P (p.Gln102Pro), TOPMed rs1395878099, gnomAD rs1395878099, REVEL 0.16, CADD 20.50
- N103D (p.Asn103Asp), ESP rs143158922, ExAC rs143158922, TOPMed rs143158922, gnomAD rs143158922
- N103H (p.Asn103His), ESP rs143158922, ExAC rs143158922, TOPMed rs143158922, gnomAD rs143158922, REVEL 0.12, CADD 15.80
- S105C (p.Ser105Cys), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- S105T (p.Ser105Thr), TOPMed rs1927922165, REVEL 0.04, CADD 9.71
- S106L (p.Ser106Leu), TOPMed rs1038445507, REVEL 0.17, CADD 22.50
- S106P (p.Ser106Pro), cosmic curated COSV10804
- V107A (p.Val107Ala), ESP rs139773121, ExAC rs139773121, TOPMed rs139773121, gnomAD rs139773121, REVEL 0.05, CADD 0.00
- S109L (p.Ser109Leu), cosmic curated COSV53027
- E110V (p.Glu110Val), Ensembl rs2147179570
- D111E (p.Asp111Glu), TOPMed rs1927921800
- R115P (p.Arg115Pro), 1000Genomes rs201900069, ESP rs201900069, ExAC rs201900069, TOPMed rs201900069
- R115Q (p.Arg115Gln), cosmic curated COSV53025, 1000Genomes rs201900069, ESP rs201900069, ExAC rs201900069, REVEL 0.03, CADD 2.29
- R115W (p.Arg115Trp), rs1292756480, NCI-TCGA Cosmic COSV9938, cosmic curated COSV99383, TOPMed rs1292756480, REVEL 0.09, CADD 24.00, Variant assessed as somatic; moderate impact.
- L116* (p.Leu116Ter), gnomAD rs1340886951
- L116F (p.Leu116Phe), cosmic curated COSV53027, NCI-TCGA Cosmic COSV5302, Variant assessed as somatic; moderate impact.
- N117D (p.Asn117Asp), TOPMed rs1927831624, REVEL 0.14, CADD 17.60
- L120I (p.Leu120Ile), NCI-TCGA Cosmic COSV9938, cosmic curated COSV99383, REVEL 0.07, CADD 18.10, Variant assessed as somatic; moderate impact.
- L120Q (p.Leu120Gln), Ensembl rs2147177790
- L120R (p.Leu120Arg), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- N121S (p.Asn121Ser), Ensembl rs1927831245
- S128I (p.Ser128Ile), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53024, Variant assessed as somatic; moderate impact.
- S128T (p.Ser128Thr), ExAC rs751227277, gnomAD rs751227277, REVEL 0.37, CADD 22.90
- K131Q (p.Lys131Gln), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53025, Variant assessed as somatic; moderate impact.
- P135L (p.Pro135Leu), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- P135T (p.Pro135Thr), cosmic curated COSV53027, REVEL 0.04, CADD 3.16
- P138A (p.Pro138Ala), ExAC rs766124365, gnomAD rs766124365, REVEL 0.08, CADD 13.80
- P138L (p.Pro138Leu), TOPMed rs1927830489, gnomAD rs1927830489, REVEL 0.19, CADD 18.20
- P138S (p.Pro138Ser), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53027, REVEL 0.08, CADD 11.00, Variant assessed as somatic; moderate impact.
- C141Y (p.Cys141Tyr), TOPMed rs1391451327, gnomAD rs1391451327, REVEL 0.51, CADD 22.90
- L143F (p.Leu143Phe), Ensembl rs1601703288
- E145* (p.Glu145Ter), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53027, CADD 35.00, Variant assessed as somatic; high impact.
- E145K (p.Glu145Lys), cosmic curated COSV53025
- P146A (p.Pro146Ala), cosmic curated COSV53025
- G147V (p.Gly147Val), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53027, Variant assessed as somatic; moderate impact.
- L148F (p.Leu148Phe), cosmic curated COSV10725, REVEL 0.34, CADD 22.50
- N149I (p.Asn149Ile), Ensembl rs373252182
- N149S (p.Asn149Ser), Ensembl rs373252182, REVEL 0.10, CADD 14.40
- M152V (p.Met152Val), TOPMed rs1927816320
- A153E (p.Ala153Glu), Ensembl rs1927816127, REVEL 0.11, CADD 6.54
- N154K (p.Asn154Lys), TOPMed rs1435872603, gnomAD rs1435872603, REVEL 0.02, CADD 0.00
- L156V (p.Leu156Val), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- Y158* (p.Tyr158Ter), Ensembl rs1927815558
- Y158C (p.Tyr158Cys), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- Y158H (p.Tyr158His), cosmic curated COSV53023, Ensembl rs984704647, REVEL 0.50, CADD 24.30
- N159S (p.Asn159Ser), ExAC rs746034076, TOPMed rs746034076, gnomAD rs746034076, REVEL 0.04, CADD 0.10
- E160G (p.Glu160Gly), cosmic curated COSV99383
- R161K (p.Arg161Lys), rs2519704915, ClinGen CA412340730, ClinVar RCV004120876, NCI-TCGA TCGA novel, Uncertain significance, not specified
- L162F (p.Leu162Phe), NCI-TCGA Cosmic COSV9938, cosmic curated COSV99382, Variant assessed as somatic; moderate impact.
- W163R (p.Trp163Arg), ExAC rs777568369, TOPMed rs777568369, REVEL 0.28, CADD 25.40
- A164G (p.Ala164Gly), TOPMed rs1303797112
- A164S (p.Ala164Ser), gnomAD rs1316799731, REVEL 0.35, CADD 23.90
- A164T (p.Ala164Thr), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- E166G (p.Glu166Gly), Ensembl rs954282708, REVEL 0.28, CADD 25.90
- E166Q (p.Glu166Gln), ExAC rs769593006, gnomAD rs769593006
- S167G (p.Ser167Gly), TOPMed rs1927814018
- W168L (p.Trp168Leu), Ensembl rs1601702930
- R169I (p.Arg169Ile), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53024, REVEL 0.65, CADD 25.10, Variant assessed as somatic; moderate impact.
- E171D (p.Glu171Asp), gnomAD rs1341206593, REVEL 0.05, CADD 6.97
- E171V (p.Glu171Val), ExAC rs748076875, TOPMed rs748076875, gnomAD rs748076875, REVEL 0.04, CADD 13.60
- G173D (p.Gly173Asp), rs865852627, NCI-TCGA Cosmic COSV1043, cosmic curated COSV10438, Ensembl rs865852627, AlphaMissense 0.94, MetaLR 0.45, Variant assessed as somatic; moderate impact.
- G173S (p.Gly173Ser), ExAC rs754511501, gnomAD rs754511501, REVEL 0.30, CADD 24.80
- L176M (p.Leu176Met), cosmic curated COSV10804
- P178L (p.Pro178Leu), ExAC rs779651019, gnomAD rs779651019, REVEL 0.35, CADD 26.10
- P178S (p.Pro178Ser), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- P178T (p.Pro178Thr), cosmic curated COSV10457
- E182D (p.Glu182Asp), NCI-TCGA TCGA novel, Variant assessed as somatic; moderate impact.
- V184A (p.Val184Ala), ExAC rs758142853, TOPMed rs758142853, gnomAD rs758142853, REVEL 0.51, CADD 25.30
- V184G (p.Val184Gly), ExAC rs758142853, TOPMed rs758142853, gnomAD rs758142853
- L186F (p.Leu186Phe), cosmic curated COSV53024
- L186S (p.Leu186Ser), ExAC rs750052167, gnomAD rs750052167, REVEL 0.57, CADD 26.20
- M190L (p.Met190Leu), cosmic curated COSV99078
- M190T (p.Met190Thr), gnomAD rs976723413, REVEL 0.26, CADD 24.70
- A191P (p.Ala191Pro), ExAC rs765733397, gnomAD rs765733397, REVEL 0.67, CADD 25.10
- A193E (p.Ala193Glu), ExAC rs762219565, TOPMed rs762219565, gnomAD rs762219565, REVEL 0.06, CADD 15.70
- A193T (p.Ala193Thr), cosmic curated COSV53027, REVEL 0.11, CADD 19.40
- N194K (p.Asn194Lys), NCI-TCGA Cosmic COSV5302, cosmic curated COSV53026, Variant assessed as somatic; moderate impact.
- H195N (p.His195Asn), ExAC rs764661406, TOPMed rs764661406, gnomAD rs764661406, REVEL 0.05, CADD 10.70
- H195Y (p.His195Tyr), rs764661406, NCI-TCGA Cosmic COSV5302, cosmic curated COSV53024, ExAC rs764661406, REVEL 0.07, CADD 16.30, Variant assessed as somatic; moderate impact.
- Y196C (p.Tyr196Cys), TOPMed rs1927730554, REVEL 0.39, CADD 23.40
- E197G (p.Glu197Gly), gnomAD rs1271221183, REVEL 0.11, CADD 17.10
- D198N (p.Asp198Asn), gnomAD rs1345857521
- Y199C (p.Tyr199Cys), ExAC rs750145841, TOPMed rs750145841, gnomAD rs750145841, REVEL 0.38, CADD 24.90
- Y199H (p.Tyr199His), gnomAD rs1277079227, REVEL 0.23, CADD 22.90
- D201I (p.Asp201Ile), NCI-TCGA TCGA novel, Variant assessed as somatic; high impact.
- D201N (p.Asp201Asn), NCI-TCGA TCGA novel, REVEL 0.22, CADD 22.80, Variant assessed as somatic; moderate impact.
- Y202H (p.Tyr202His), NCI-TCGA Cosmic COSV9938, cosmic curated COSV99382, Variant assessed as somatic; moderate impact.
Public ACE2 analysis runs
- ACE2 analysis run — ACE2 (907 variants) — completed 2026-08-22