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APOA4 p.Ala5=

c.15C>T · rs370537175 · VCV3050176

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0467%, 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 -2.5GERP -7.5
Overall
CADD1.571PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0467% Admixed American · 28/60,000 alleles
Filtering AF 0.0331% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0286%
Overall 0.00719% 116/1,613,948 alleles · ultra-rare
Ancestry group Frequency 1 in
Admixed Americangrpmax 0.0467% 2,143
Remaining individualsnot grpmax-eligible 0.016% 6,248
European (non-Finnish) 0.00627% 15,946
South Asian 0.00329% 30,364
African / African-American 0.00133% 74,916

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.Ala5=
Coding
c.15C>T
MANE Select
NM_000482
dbSNP
rs370537175
Type
single nucleotide variant
Location
chr11:116823177 (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-ala5 (accessed [today's date]).

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