Is LDB3 p.Ala434= (c.1302C>G) pathogenic?

LDB3 p.Ala434= (c.1302C>G) is classified Likely benign in LDB3 (ClinVar, Multiple submitters, 2 submitters; last evaluated 2022-12-18). Very rare (popmax 0.00283%, afr); Associated with Cardiovascular phenotype.

What condition is associated with LDB3 p.Ala434= (c.1302C>G)?

LDB3 p.Ala434= (c.1302C>G) is associated with Cardiovascular phenotype, myofibrillar myopathy 4 (ClinVar).

How common is LDB3 p.Ala434= (c.1302C>G) in the general population?

LDB3 p.Ala434= (c.1302C>G) is very rare (popmax 0.00283%, afr) (gnomAD).

LDB3 p.Ala434=

c.1302C>G · rs1291822613 · VCV1645806

Likely benign Multiple submitters

Classification

Likely benign

ClinVar

Review

Multiple submitters ★★☆☆

ClinVar · 2 submitters

gnomAD v4.1

Rare

very rare (popmax 0.00283%, afr)

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 -2.7	GERP -0.97
Overall
CADD	1.087	PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes

Grpmax group 0.00283% African / African-American · 2/70,574 alleles

Filtering AF 0.00047% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000176%

Overall 0.000128% 2/1,564,364 alleles · very rare exomes 2/1,422,016 · genomes 0/142,348 · joint denominator

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: LDB3
Protein: p.Ala434=
Coding: c.1302C>G
MANE Select: NM_007078
dbSNP: rs1291822613
Type: single nucleotide variant
Location: chr10:86716397 (GRCh38)
Gene constraint: LOEUF 0.864 · pLI <0.01 (gnomAD)
Structure: AlphaFold pLDDT 61.98 · 2 PDB
Residue 434: the 'disordered' region

Full LDB3 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

Also linked: myofibrillar myopathy 4

Similar variants

LDB3 p.Ala434Pro Benign/Likely benign ★★ ⚠ same residue
LDB3 p.Ala147Thr Pathogenic/Likely pathogenic ★★ same condition
LDB3 p.Ala165Val Pathogenic/Likely pathogenic ★★ same condition
LDB3 c.1231+4A>C Uncertain significance ★★ same condition
LDB3 c.1858-11C>A Uncertain significance ★★ same condition
LDB3 c.246-3C>T Uncertain significance ★★ same condition
LDB3 c.322-1G>A Uncertain significance ★★ same condition
LDB3 c.859+3G>A 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/ldb3-p-ala434 (accessed [today's date]).

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