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MTTP p.Leu267=

c.799T>C · rs7672497 · VCV347028

Conflicting classifications of pathogenicity Conflicting submitters
Classification
Conflicting classifications of pathogenicity
ClinVar
Review
Conflicting submitters ★☆☆☆
ClinVar · 4 submitters
gnomAD v4.1
Rare
ultra-rare (popmax 0.0205%, nfe)
Conditions
1
abetalipoproteinemia

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 0.3GERP -2.7, phastCons 0.009
Overall
CADD2.047PHRED · no single calibrated threshold — expert panels disagree

Population frequency

gnomAD v4.1 · exomes + genomes
Grpmax group 0.0205% European (non-Finnish) · 242/1,179,926 alleles
Filtering AF 0.0183% ClinGen BA1/BS1 input FAF95, joint · FAF99 0.0175%
Overall 0.0177% 285/1,614,066 alleles · ultra-rare
Ancestry group Frequency 1 in
Ashkenazi Jewishnot grpmax-eligible 0.0676% 1,480
European (non-Finnish)grpmax 0.0205% 4,876
Middle Eastern 0.0165% 6,060
Admixed American 0.01% 10,003
Remaining individualsnot grpmax-eligible 0.0096% 10,418
South Asian 0.00769% 13,012
East Asian 0.00223% 44,872
Finnishnot grpmax-eligible 0.00156% 64,032
African / African-American 0.00133% 75,050

Ashkenazi Jewish 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
MTTP
Protein
p.Leu267=
Coding
c.799T>C
MANE Select
NM_001386140
dbSNP
rs7672497
Type
single nucleotide variant
Location
chr4:99594773 (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 267
the vitellogenin domain
Full MTTP gene report on Sugi Atlas → Gene function, pathways, protein structure, interactions & more

Disease context

abetalipoproteinemia — disease report on Sugi Atlas → Associated genes, phenotypes, clinical trials & treatments

For Abetalipoproteinemia (Orphanet):

Inheritance
Autosomal recessive
Onset
Childhood, Infancy
Prevalence
<1 / 1 000 000 (Worldwide)

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-leu267 (accessed [today's date]).

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