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LDLR p.Asp354=

c.1062T>C · rs2147241169 · VCV1079082

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00223%, eas)
Conditions
1
familial hypercholesterolemia

Computational evidence

Protein change
Missense predictors do not apply to this variant type; conservation carries the signal.
Splicing
SpliceAI<0.2all four deltas below 0.2 · T>G here scores Δ0.30 · evaluated, not missing
Constraint at this position
ConservationphyloP -0.47GERP -3.2, phastCons 0.14
Overall
CADD7.346PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00223% East Asian · 1/44,840 alleles
Overall 6.2e-05% 1/1,613,250 alleles · very rare exomes 1/1,460,972 · genomes 0/152,278 · 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
LDLR
Protein
p.Asp354=
Coding
c.1062T>C
MANE Select
NM_000527
dbSNP
rs2147241169
Type
single nucleotide variant
Location
chr19:11111515 (GRCh38)
Gene constraint
LOEUF 1.091 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 75.81 · 36 PDB
Residue 354
the egf-like 2; calcium-binding domain; a UniProt-annotated variant site (in fhcl1; uncertain significance; munster-2); a UniProt-annotated variant site (in fhcl1; uncertain significance; oklahoma)
Full LDLR 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/ldlr-p-asp354 (accessed [today's date]).

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