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ABCB4 p.Ser381=

c.1143A>G · rs142671969 · VCV386067

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0103%, nfe)

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation/SpliceAI carries the signal.
Splicing
SpliceAIΔ0.31acceptor loss, 6 bp away · masked 0 · deltas
Constraint at this position
ConservationphyloP 2.4GERP 1.9, phastCons 1
Overall
CADD12.68PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0103% European (non-Finnish) · 121/1,179,642 alleles
Filtering AF 0.00876% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0082%
Overall 0.00775% 125/1,613,532 alleles · ultra-rare
Ancestry group Frequency 1 in
European (non-Finnish)grpmax 0.0103% 9,749
Remaining individualsnot grpmax-eligible 0.0048% 20,819
Admixed American 0.00167% 59,996

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.Ser381=
Coding
c.1143A>G
MANE Select
NM_000443
dbSNP
rs142671969
Type
single nucleotide variant
Location
chr7:87443750 (GRCh38)
Gene constraint
LOEUF 0.623 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 83.36 · 4 PDB
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-ser381 (accessed [today's date]).

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