Gene
APOB
apolipoprotein B
- HGNC 603↗(opens in a new tab)
- Ensembl gene ENSG00000084674↗(opens in a new tab)
- NCBI Gene 338↗(opens in a new tab)
Summary
- Cytogenetic location
- 2p24.1
- Coordinates
- Chromosome 2: 21,001,429–21,044,073 (GRCh38)
- Exons
- 29 exons across 42.6 kb
- Protein
- 4,563 amino acids
- Inheritance
- Autosomal recessive
- Also known as
- ApoB-100
- MANE Select transcript
- ENST00000233242.5NM_000384.3
- Locus type
- gene with protein product
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Familial Hypercholesterolemia
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
What knowing changes
Statins, ezetimibe, PCSK9 inhibitors, bempedoic acid, inclisiran
Hereditary Hypolipoproteinemias
- HypobetalipoproteinemiaAutosomal recessive
Includes abetalipoproteinemia (MTTP), familial hypobetalipoproteinemia (APOB, ANGPTL3) and chylomicron retention disease (SAR1B); severe forms cause fat malabsorption and vitamin E deficiency leading to nerve and retinal damage, while mild carrier forms can simply lower LDL cholesterol and may increase liver fat.
- ClinGen rates the link definitive
- 3 GenCC submitters rate it definitive or strong
What knowing changes
Knowing allows a low-fat diet with high-dose vitamin E and other fat-soluble vitamins in the severe forms, which can prevent or limit nerve and eye damage.
Hyperlipidemia
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
- On the ACMG secondary findings list
Inheritance
- Autosomal recessive
- It takes a changed copy from each parent. With one, you are a carrier and usually unaffected; when both parents are carriers, each child has a one-in-four chance of inheriting two.
How APOB is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
- Stretches short reads find hard
- Variants with a page
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 14.1 kb of the gene's 42.6 kb; 13,692 of those bases code for the protein.
How a genome test reads APOB
206
positions in APOB where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 42.6 kb of APOB, introns included, not only the 14.1 kb of exons.
Variants with a page (30)
The APOB variants with a page here, most review stars first. Each page describes ClinVar's public record of the variant, never a result.
| Variant | HGVS c. | Exon or intron | Position (GRCh38) | ClinVar classification | Review status |
|---|---|---|---|---|---|
| c.78_82+5del | Intron 1 | 21,043,858 | Likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts | |
| c.226_237+1del | Intron 3 | 21,042,359 | Pathogenic/likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts | |
| c.537+1G>T | Intron 5 | 21,037,957 | Pathogenic/likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts | |
| c.1830-1G>A | Intron 13 | 21,028,066 | Pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts | |
| c.2604+1G>A | Intron 17 | 21,023,524 | Likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts | |
| E137X | c.409G>T | Exon 5 | 21,038,086 | Pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
| E3493K | c.10477G>A | Exon 26 | 21,006,391 | Likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
| F705Lfs*30 | c.2115del | Exon 15 | 21,026,916 | Pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
| F3039Sfs*5 | c.9115_9119del | Exon 26 | 21,007,748 | Pathogenic/likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
| G3617Afs*6 | c.10848del | Exon 26 | 21,006,019 | Pathogenic/likely pathogenic | ★★★★2 stars out of 4 criteria provided, multiple submitters, no conflicts |
Genes linked to the same conditions
- LDLRlow density lipoprotein receptorShares 2 conditions
- LDLRAP1low density lipoprotein receptor adaptor protein 1Shares 2 conditions
- PCSK9proprotein convertase subtilisin/kexin type 9Shares 2 conditions
- ANGPTL3angiopoietin like 3Shares 1 condition
- APOA5apolipoprotein A5Shares 1 condition
- APOC2apolipoprotein C2Shares 1 condition
- APOEapolipoprotein EShares 1 condition
- CETPcholesteryl ester transfer proteinShares 1 condition
- GPIHBP1glycosylphosphatidylinositol anchored high density lipoprotein binding protein 1Shares 1 condition
- LIPClipase C, hepatic typeShares 1 condition
- LPLlipoprotein lipaseShares 1 condition
- MTTPmicrosomal triglyceride transfer proteinShares 1 condition
Traits linked to APOB
The Human Phenotype Ontology lists these as features of the rare conditions APOB can cause. Each trait's page lists the other genes linked to it.
Abnormality of the cardiovascular system
- Premature hardening of arteries
- Premature plaque build-up in arteries
- Abnormal left ventricular function
- Angina pectoris
- Aortic atherosclerotic lesion
- Heart attack
- Heart murmur
- High blood pressure
Show 11 more traits
- Myocardial steatosis
- Narrowing of kidney artery
- Peripheral arterial stenosis
- Plaque build-up in arteries supplying blood to heart
- Plaque build-up in cerebral artery
- Premature coronary artery disease
- Sudden cardiac death
- Calcification of the aorta
- Mitral regurgitation
- Supravalvular aortic stenosis
- Coronary artery aneurysm
Laboratory abnormality
- Decreased circulating cholesterol level
- Decreased circulating high-density lipoprotein cholesterol
- Decreased circulating LDL-C concentration
- Elevated circulating alanine aminotransferase concentration
- Elevated circulating aspartate aminotransferase concentration
- Elevated lipids in blood
- Elevated serum cholesterol
- Increased circulating LDL level
Show 3 more traits
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). APOB gene: apolipoprotein B. Retrieved 16 October 2026, from https://dantelabs.com/genes/apob
Dante Labs. APOB gene: apolipoprotein B [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/apob
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