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APOA4 p.Asp273=

c.819C>T · rs146365840 · VCV2056141

Benign Single submitter
Classification
Benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
rare (popmax 0.554%, sas)

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 -3.7GERP -2.4
Overall
CADD0.266PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.554% South Asian · 505/91,080 alleles
Filtering AF 0.514% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.499%
Overall 0.0416% 671/1,613,036 alleles · rare
Ancestry group Frequency 1 in
South Asiangrpmax 0.554% 180
Remaining individualsnot grpmax-eligible 0.056% 1,786
Middle Eastern 0.0495% 2,021
European (non-Finnish) 0.01% 10,000
African / African-American 0.00799% 12,510
Finnishnot grpmax-eligible 0.00477% 20,963
Ashkenazi Jewishnot grpmax-eligible 0.00338% 29,596

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.Asp273=
Coding
c.819C>T
MANE Select
NM_000482
dbSNP
rs146365840
Type
single nucleotide variant
Location
chr11:116821239 (GRCh38)
Gene constraint
LOEUF 0.985 · pLI <0.01 (gnomAD)
Structure
AlphaFold pLDDT 81.14 · 2 PDB
Residue 273
the '13 x 22 aa approximate tandem repeats' region; an α-helix
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-asp273 (accessed [today's date]).

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