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LDLR p.Glu228=

c.684G>A · rs1208216597 · VCV2698636

Likely benign Multiple submitters
Classification
Likely benign
ClinVar
Review
Multiple submitters ★★☆☆
ClinVar · 2 submitters
gnomAD v4.1
Rare
very rare (popmax 0.00133%, afr)
Conditions
2
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
ConservationphyloP 2.4GERP -0.72, phastCons 1
Overall
CADD4.749PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00133% African / African-American · 1/74,952 alleles
Filtering AF 0.00043% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000314%
Overall 0.000825% 12/1,454,508 alleles · very rare
Ancestry group Frequency 1 in
Remaining individualsnot grpmax-eligible 0.00161% 62,086
African / African-Americangrpmax 0.00133% 74,952
European (non-Finnish) 0.000851% 117,537

Remaining individuals shows a higher raw frequency than the grpmax group above it. gnomAD excludes bottlenecked groups — Finnish, Ashkenazi Jewish, Amish and “Remaining individuals” — from grpmax, because founder effects make their frequencies unrepresentative for filtering. The table is sorted by frequency, so an excluded group can sit above the grpmax row.

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.Glu228=
Coding
c.684G>A
MANE Select
NM_000527
dbSNP
rs1208216597
Type
single nucleotide variant
Location
chr19:11105590 (GRCh38)
Gene constraint
LOEUF 1.091 · pLI <0.01 · ClinGen HI 3/3 (gnomAD)
Structure
AlphaFold pLDDT 75.81 · 36 PDB
Residue 228
a UniProt-annotated variant site (in chieti-3); a UniProt-annotated variant site (in fhcl1; pathogenic; french canadian-3/mexico; 2% of french canadians); a UniProt-annotated variant site (in fhcl1; tulsa-2); the 'binding to getah virus e1-e2 spike glycoproteins' region; an α-helix; a disulfide bond; the ldl-receptor class a 5 domain
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-glu228 (accessed [today's date]).

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