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MTTP p.Asp169=

c.507T>C · rs1388191865 · VCV2804178

Likely benign Single submitter
Classification
Likely benign
ClinVar
Review
Single submitter ★☆☆☆
ClinVar · 1 submitter
gnomAD v4.1
Rare
very rare (popmax 0.00268%, afr)

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 Δ0.37 · evaluated, not missing
Constraint at this position
ConservationphyloP 0.008GERP -2.2, phastCons 0.87
Overall
CADD8.038PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.00268% African / African-American · 2/74,640 alleles
Filtering AF 0.000445% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.000166%
Overall 0.000187% 3/1,605,420 alleles · very rare exomes 2/1,453,238 · genomes 1/152,182 · joint denominator
Ancestry group Frequency 1 in
African / African-Americangrpmax 0.00268% 37,320
European (non-Finnish) 8.53e-05% 1,172,374

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
MTTP
Protein
p.Asp169=
Coding
c.507T>C
MANE Select
NM_001386140
dbSNP
rs1388191865
Type
single nucleotide variant
Location
chr4:99591240 (GRCh38)
Gene constraint
LOEUF 0.672 · pLI <0.01 · ClinGen HI gene assoc. with recessive phenotype (gnomAD)
Structure
AlphaFold pLDDT 86.73 · 2 PDB
Residue 169
a UniProt-annotated variant site (in abl; no loss on localization to the endoplasmic reticulum; does not reduce interaction with apob; inhibits interaction with p4hb/pdi; inhibits phospholipid or triglyceride transfer activity; inhibits apolipoprotein b secretion); the vitellogenin domain; a β-strand
Full MTTP 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/mttp-p-asp169 (accessed [today's date]).

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