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ABCB4 p.Phe269=

c.807C>T · rs1421517860 · VCV514795

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.005%, amr)

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 -0.41GERP -3.7, phastCons 0.001
Overall
CADD9.962PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.005% Admixed American · 3/59,988 alleles
Filtering AF 0.00133% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000668%
Overall 0.000558% 9/1,613,992 alleles · very rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.005% 19,996
Remaining individualsnot grpmax-eligible 0.0032% 31,245
European (non-Finnish) 0.000339% 295,004

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
ABCB4
Protein
p.Phe269=
Coding
c.807C>T
MANE Select
NM_000443
dbSNP
rs1421517860
Type
single nucleotide variant
Location
chr7:87449994 (GRCh38)
Gene constraint
LOEUF 0.623 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 83.36 · 4 PDB
Residue 269
the abc transmembrane type-1 1 domain
Full ABCB4 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/abcb4-p-phe269 (accessed [today's date]).

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