Is APOA5 p.Ser35= (c.105C>T) pathogenic?

APOA5 p.Ser35= (c.105C>T) is classified Likely benign in APOA5 (ClinVar, Single submitter, 1 submitter; last evaluated 2023-09-07). Ultra-rare (popmax 0.0166%, sas); Associated with Cardiovascular phenotype.

What condition is associated with APOA5 p.Ser35= (c.105C>T)?

APOA5 p.Ser35= (c.105C>T) is associated with Cardiovascular phenotype (ClinVar).

How common is APOA5 p.Ser35= (c.105C>T) in the general population?

APOA5 p.Ser35= (c.105C>T) is ultra-rare (popmax 0.0166%, sas) (gnomAD).

APOA5 p.Ser35=

c.105C>T · rs566002026 · VCV2587098

Likely benign Single submitter

Classification

Likely benign

ClinVar

Review

Single submitter ★☆☆☆

ClinVar · 1 submitter

gnomAD v4.1

Rare

ultra-rare (popmax 0.0166%, sas)

Conditions

Cardiovascular phenotype

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
Conservation	phyloP -0.75	GERP -5.2
Overall
CADD	5.763	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.0166% South Asian · 15/90,298 alleles

Filtering AF 0.0101% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00828%

Overall 0.00279% 45/1,610,132 alleles · ultra-rare

Ancestry group	Frequency	1 in
South Asiangrpmax	0.0166%	6,020
Ashkenazi Jewishnot grpmax-eligible	0.00339%	29,522
European (non-Finnish)	0.00238%	42,077
Remaining individualsnot grpmax-eligible	0.0016%	62,358

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: APOA5
Protein: p.Ser35=
Coding: c.105C>T
MANE Select: NM_001371904
dbSNP: rs566002026
Type: single nucleotide variant
Location: chr11:116791642 (GRCh38)
Gene constraint: LOEUF 1.146 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 72.38

Full APOA5 gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

Cardiovascular phenotype — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

Similar variants

APOA5 p.Ser35Asn Uncertain significance ★ ⚠ same residue
APOA5 p.Ser35Gly Uncertain significance ★ ⚠ same residue
APOA5 c.161+3G>A Uncertain significance ★★ same condition
APOA5 c.161+5G>C Uncertain significance ★★ same condition
APOA5 p.Ala244Ser Uncertain significance ★★ ⚠ same condition
APOA5 p.Ala302Val Uncertain significance ★★ ⚠ same condition
APOA5 p.Ala82Val Uncertain significance ★★ ⚠ same condition
APOA5 p.Arg226Cys Uncertain significance ★★ ⚠ same condition

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/apoa5-p-ser35 (accessed [today's date]).

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