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APOA4 p.Ala333=

c.999G>A · VCV3714191

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00833%, 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 -1.4GERP 1.6
Overall
CADD6.066PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00833% Admixed American · 5/60,018 alleles
Filtering AF 0.00323% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00206%
Overall 0.000991% 16/1,614,094 alleles · very rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.00833% 12,004
African / African-American 0.00534% 18,732
Remaining individualsnot grpmax-eligible 0.0016% 62,490
Finnishnot grpmax-eligible 0.00156% 64,010
South Asian 0.0011% 91,088
European (non-Finnish) 0.000339% 295,016

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
APOA4
Protein
p.Ala333=
Coding
c.999G>A
MANE Select
NM_000482
Type
single nucleotide variant
Location
chr11:116821059 (GRCh38)
Gene constraint
LOEUF 0.985 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 81.14 · 2 PDB
Full APOA4 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/apoa4-p-ala333 (accessed [today's date]).

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