LDLRAP1 R238W - GET-Evidence

Note: This variant has not been sufficiently evaluated by a GET-Evidence editor.

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(LDLRAP1 Arg238Trp)

Short summary

This variant was seen in a homozygous fashion in siblings with familial hypercholesterolemia who also had a frameshift mutation in the same gene. Hubacek et al. studied the frequency of this variant in high and low cholesterol groups and conclude that this variant has little effect, if any, on cholesterol levels.

Variant evidence
Computational 2

NBLOSUM = 4, gene is associated with this disease.

Functional -
Case/Control -1

Data from Hubacek et al. suggests this variant does not have a strong effect, if any.

See Hubacek JA et al. 2004 (15497461).

Familial -
Clinical importance
Severity 1

If this variant has an effect, it is not very significant.

Treatability 3

Treatment with statins.

Penetrance -


Insufficiently evaluated pathogenic

(The "insufficiently evaluated" qualifier is assigned automatically based on the above evidence and importance scores.)

Inheritance pattern


Summary of published research, and additional commentary


Allele frequency

  • T @ chr1:25890247: 3.5% (374/10758) in EVS
  • T @ chr1:25762833: 1.6% (2/122) in GET-Evidence
  • Frequency shown in summary reports: 3.5% (374/10758)


Eden ER, Patel DD, Sun XM, Burden JJ, Themis M, Edwards M, Lee P, Neuwirth C, Naoumova RP, Soutar AK. Restoration of LDL receptor function in cells from patients with autosomal recessive hypercholesterolemia by retroviral expression of ARH1. J Clin Invest. 2002 Dec;110(11):1695-702. PubMed PMID: 12464675; PubMed Central PMCID: PMC151635.

This variant was seen in a homozygous fashion together with a homozygous frameshift yielding a termination codon at codon 219. Both male English siblings were diagnosed with recessive familial Hypercholesterolemia at ages 7 and 9. Their normal sister had neither variant and their (presumed?) normal mother was heterozygous for both alleles.

Hubacek JA, Hyatt T. ARH missense polymorphisms and plasma cholesterol levels. Clin Chem Lab Med. 2004;42(9):989-90. PubMed PMID: 15497461.

In a comparison of high and low plasma cholesterol groups (100 males in each), the authors did not see a higher concentration of this variant in the high cholesterol group. They conclude that this polymorphism is unlikely to be an important genetic determinant of plasma cholesterol levels in Caucasians. Counting chromosomes, high+: 5, high-: 195, low+: 9, low-: 191.


hu034DB1 - CGI sample GS00253-DNA_A02_200_37
het T @ chr1:25890247




Other external references

  • rs41291058
  • Score: 0.961 (probably damaging)
    Web search results (0 hits -- see all)

Other in silico analyses

  • NBLOSUM100 score = 7
  • GET-Evidence autoscore = 3

Edit history

Gene search

"GENE" or "GENE A123C":

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