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MTPAP p.Ala220=

c.660G>A · rs556574328 · VCV1957339

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
ultra-rare (popmax 0.0121%, 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 -20GERP -3.3
Overall
CADD0.009PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0121% South Asian · 11/91,034 alleles
Filtering AF 0.00677% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.00522%
Overall 0.00136% 22/1,613,346 alleles · ultra-rare exomes 19/1,461,086 · genomes 3/152,260 · joint denominator
Ancestry group Frequency 1 in
South Asiangrpmax 0.0121% 8,276
East Asian 0.00668% 14,963
Admixed American 0.00167% 60,018
Remaining individualsnot grpmax-eligible 0.0016% 62,440
African / African-American 0.00133% 74,994
European (non-Finnish) 0.000424% 235,985

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
MTPAP
Protein
p.Ala220=
Coding
c.660G>A
MANE Select
NM_018109
dbSNP
rs556574328
Type
single nucleotide variant
Location
chr10:30336923 (GRCh38)
Gene constraint
LOEUF 0.641 · pLI 0.03 (gnomAD)
Structure
AlphaFold pLDDT 83.16 · 1 PDB
Residue 220
a turn
Full MTPAP 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/mtpap-p-ala220 (accessed [today's date]).

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