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ABCB4 p.Thr593=

c.1779G>A · rs143617209 · VCV2989120

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00446%, eas)

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 -6GERP -3.7
Overall
CADD3.974PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00446% East Asian · 2/44,882 alleles
Filtering AF 0.000739% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000276%
Overall 0.000752% 11/1,461,814 alleles · very rare
Ancestry group Frequency 1 in
East Asiangrpmax 0.00446% 22,441
European (non-Finnish) 0.000763% 131,108

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.Thr593=
Coding
c.1779G>A
MANE Select
NM_000443
dbSNP
rs143617209
Type
single nucleotide variant
Location
chr7:87431518 (GRCh38)
Gene constraint
LOEUF 0.623 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 83.36 · 4 PDB
Residue 593
a UniProt-annotated variant site (in pfic3); a UniProt-annotated variant site (in gbd1); the abc transporter 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-thr593 (accessed [today's date]).

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