ABCA4 — 4237 ClinVar variants

All ClinVar germline ABCA4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 1377 flagged for review →

769 Pathogenic · 248 Pathogenic/Likely pathogenic · 378 Likely pathogenic · 320 Conflicting · 201 Benign · 35 Benign/Likely benign · 1198 Likely benign · 1088 Uncertain significance

Full ABCA4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 1377

Variants where the independent computational evidence doesn't line up with the clinical picture — a QC signal for a second look, not a reclassification.

Predictors vs ClinVar 128

ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.

Predictors agree, ClinVar conflicts 123

ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.

Predictors lean, ClinVar uncertain 533

ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification. · showing the 150 best-reviewed of 533

Predictors split 593

The independent predictors disagree with each other — read with care. · showing the 150 best-reviewed of 593

All ABCA4 variants

Pathogenic 769

Showing the top 300 by review status; the full set is in the sitemap.

Pathogenic/Likely pathogenic 248

  • c.1100-2A>T Multiple submitters
  • c.1357-2A>G Multiple submitters inherited retinal dystrophy
  • c.160+1G>A Multiple submitters inherited retinal dystrophy
  • c.160+5G>A Multiple submitters retinitis pigmentosa
  • c.160+5G>C Multiple submitters
  • c.1761-2A>G Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.2160+1G>T Multiple submitters inherited retinal dystrophy
  • c.2382+1G>A Multiple submitters Stargardt disease
  • c.2382+4A>G Multiple submitters inherited retinal dystrophy
  • c.2587+2T>C Multiple submitters retinitis pigmentosa 19
  • c.302+1G>A Multiple submitters inherited retinal dystrophy
  • c.302+4A>C Multiple submitters retinitis pigmentosa 19
  • c.3329-1G>A Multiple submitters inherited retinal dystrophy
  • c.3522+1G>A Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.3523-1G>A Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.3523-2A>G Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.4253+4C>T Multiple submitters Inborn genetic diseases
  • c.4253+5G>A Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.4254-1G>C Multiple submitters inherited retinal dystrophy
  • c.4254-5T>A Multiple submitters Stargardt disease
  • c.4352+61G>A Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.442+2T>A Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.4539+2064C>T Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.4634+1del Multiple submitters inherited retinal dystrophy
  • c.4667+1G>A Multiple submitters inherited retinal dystrophy
  • c.4848+1G>A Multiple submitters cone-rod dystrophy 3
  • c.4849-2A>G Multiple submitters retinitis pigmentosa
  • c.5018+5G>A Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.5196+1056A>G Multiple submitters inherited retinal dystrophy
  • c.5196+2T>C Multiple submitters inherited retinal dystrophy
  • c.5196+3_5196+6del Multiple submitters retinitis pigmentosa
  • c.5460+1G>T Multiple submitters inherited retinal dystrophy
  • c.571-1G>T Multiple submitters
  • c.5714+1G>T Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.6005+1G>T Multiple submitters inherited retinal dystrophy
  • c.6148-2A>G Multiple submitters inherited retinal dystrophy
  • c.6479+1G>A Multiple submitters inherited retinal dystrophy
  • c.6479+1G>C Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.67-2A>G Multiple submitters inherited retinal dystrophy
  • c.6729+5_6729+19del Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.6816+2T>A Multiple submitters inherited retinal dystrophy
  • c.6817-2A>G Multiple submitters severe early-childhood-onset retinal dystrophy
  • c.859-9T>C Multiple submitters inherited retinal dystrophy
  • p.Ala1038Val Multiple submitters autosomal recessive ABCA4-related retinopathy ⚠
  • p.Ala1598Asp Multiple submitters inherited retinal dystrophy ⚠
  • p.Ala1794Asp Multiple submitters inherited retinal dystrophy
  • p.Ala1881Val Multiple submitters retinitis pigmentosa 19 ⚠
  • p.Ala2064Thr Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Ala2064Val Multiple submitters inherited retinal dystrophy ⚠
  • p.Ala60Val Multiple submitters cone-rod dystrophy 3
  • p.Ala801Thr Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Arg1098Cys Multiple submitters inherited retinal dystrophy
  • p.Arg1108Cys Multiple submitters Inborn genetic diseases ⚠
  • p.Arg1108Leu Multiple submitters inherited retinal dystrophy
  • p.Arg1129Cys Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Arg1129His Multiple submitters inherited retinal dystrophy ⚠
  • p.Arg1161His Multiple submitters cone-rod dystrophy 3 ⚠
  • p.Arg1368Cys Multiple submitters inherited retinal dystrophy ⚠
  • p.Arg1443Cys Multiple submitters retinitis pigmentosa 19 ⚠
  • p.Arg1443His Multiple submitters ABCA4-related disorder ⚠
  • p.Arg1556Thr Multiple submitters inherited retinal dystrophy
  • p.Arg1640Gln Multiple submitters inherited retinal dystrophy ⚠
  • p.Arg1843Trp Multiple submitters inherited retinal dystrophy ⚠
  • p.Arg1860Trp Multiple submitters retinal disorder ⚠
  • p.Arg18Pro Multiple submitters inherited retinal dystrophy
  • p.Arg1925Ile Multiple submitters inherited retinal dystrophy
  • p.Arg2030Ter Multiple submitters ABCA4-related retinopathy
  • p.Arg2040Gln Multiple submitters age related macular degeneration 2 ⚠
  • p.Arg2077Gly Multiple submitters inherited retinal dystrophy
  • p.Arg2077Trp Multiple submitters cone-rod dystrophy 3
  • p.Arg2106Cys Multiple submitters ABCA4-related retinopathy
  • p.Arg2106His Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Arg220Cys Multiple submitters inherited retinal dystrophy ⚠
  • p.Arg24Cys Multiple submitters cone-rod dystrophy 3 ⚠
  • p.Arg24His Multiple submitters retinitis pigmentosa 19 ⚠
  • p.Arg511Cys Multiple submitters inherited retinal dystrophy ⚠
  • p.Arg537Cys Multiple submitters inherited retinal dystrophy ⚠
  • p.Arg602Gln Multiple submitters ABCA4-related disorder ⚠
  • p.Arg681Ter Multiple submitters age related macular degeneration 2
  • p.Arg785Gly Multiple submitters Stargardt disease ⚠
  • p.Arg943Trp Multiple submitters ABCA4-related disorder ⚠
  • p.Asn1799Asp Multiple submitters inherited retinal dystrophy
  • p.Asn1805Asp Multiple submitters age related macular degeneration 2
  • p.Asn1818fs Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Asn96Asp Multiple submitters inherited retinal dystrophy ⚠
  • p.Asn96His Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Asp1093Glu Multiple submitters inherited retinal dystrophy
  • p.Asp1102Tyr Multiple submitters inherited retinal dystrophy
  • p.Asp1532Asn Multiple submitters inherited retinal dystrophy ⚠
  • p.Asp342fs Multiple submitters inherited retinal dystrophy
  • p.Asp576His Multiple submitters inherited retinal dystrophy
  • p.Asp586Gly Multiple submitters inherited retinal dystrophy ⚠
  • p.Asp846Val Multiple submitters inherited retinal dystrophy
  • p.Asp915Asn Multiple submitters inherited retinal dystrophy ⚠
  • p.Cys1140Trp Multiple submitters ABCA4-related disorder
  • p.Cys1488Arg Multiple submitters inherited retinal dystrophy
  • p.Cys1488Phe Multiple submitters cone-rod dystrophy 3
  • p.Cys1488Tyr Multiple submitters inherited retinal dystrophy
  • p.Cys1502Phe Multiple submitters inherited retinal dystrophy
  • p.Cys2150Tyr Multiple submitters inherited retinal dystrophy
  • p.Cys54Tyr Multiple submitters cone-rod dystrophy 3
  • p.Cys764Tyr Multiple submitters inherited retinal dystrophy ⚠
  • p.Gln1376His Multiple submitters retinitis pigmentosa ⚠
  • p.Gln1523Ter Multiple submitters inherited retinal dystrophy
  • p.Gln1713Arg Multiple submitters
  • p.Gln1713Lys Multiple submitters inherited retinal dystrophy
  • p.Gln1897His Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Gln21Ter Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Gln447Ter Multiple submitters cone-rod dystrophy 3
  • p.Gln635Ter Multiple submitters inherited retinal dystrophy
  • p.Gln841Pro Multiple submitters Stargardt disease ⚠
  • p.Gln876Ter Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Glu1022Lys Multiple submitters ABCA4-related disorder
  • p.Glu1036Lys Multiple submitters retinitis pigmentosa 19 ⚠
  • p.Glu1087Asp Multiple submitters inherited retinal dystrophy
  • p.Glu1228Ter Multiple submitters inherited retinal dystrophy
  • p.Glu1399Lys Multiple submitters inherited retinal dystrophy ⚠
  • p.Glu189fs Multiple submitters inherited retinal dystrophy
  • p.Glu207Lys Multiple submitters Stargardt disease ⚠
  • p.Glu2096Gly Multiple submitters ABCA4-related disorder
  • p.Glu2096Lys Multiple submitters inherited retinal dystrophy
  • p.Glu2131Lys Multiple submitters inherited retinal dystrophy
  • p.Glu328Val Multiple submitters cone-rod dystrophy 3 ⚠
  • p.Glu531Gly Multiple submitters Stargardt disease ⚠
  • p.Glu616Lys Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Glu905fs Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Gly1032Arg Multiple submitters ⚠
  • p.Gly1050Asp Multiple submitters inherited retinal dystrophy ⚠
  • p.Gly1110fs Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Gly1136Glu Multiple submitters inherited retinal dystrophy
  • p.Gly1439Asp Multiple submitters inherited retinal dystrophy ⚠
  • p.Gly1507Arg Multiple submitters ABCA4-related disorder ⚠
  • p.Gly1507Trp Multiple submitters ⚠
  • p.Gly1748Arg Multiple submitters Stargardt disease ⚠
  • p.Gly1771Arg Multiple submitters inherited retinal dystrophy
  • p.Gly1961Arg Multiple submitters ABCA4-related disorder
  • p.Gly1975Arg Multiple submitters inherited retinal dystrophy
  • p.Gly1977Ser Multiple submitters Autosomal recessive ABCA4-related disorders
  • p.Gly2041Asp Multiple submitters Stargardt disease
  • p.Gly2074Val Multiple submitters ABCA4-related disorder
  • p.Gly550Arg Multiple submitters retinitis pigmentosa 19
  • p.Gly631Arg Multiple submitters inherited retinal dystrophy ⚠
  • p.Gly65Glu Multiple submitters cone-rod dystrophy 3
  • p.Gly72Arg Multiple submitters ABCA4-related disorder
  • p.Gly766del Multiple submitters retinitis pigmentosa 19
  • p.Gly978Ser Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Gly991Val Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.His1118Tyr Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.His1406Arg Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.His1838Arg Multiple submitters inherited retinal dystrophy
  • p.His1838Asn Multiple submitters inherited retinal dystrophy ⚠
  • p.His1838Asp Multiple submitters ABCA4-related disorder
  • p.His1838Tyr Multiple submitters inherited retinal dystrophy
  • p.His2032Arg Multiple submitters inherited retinal dystrophy
  • p.Ile1130Thr Multiple submitters ⚠
  • p.Ile1409Val Multiple submitters inherited retinal dystrophy ⚠
  • p.Ile1775Asn Multiple submitters ABCA4-related disorder
  • p.Ile1846Thr Multiple submitters age related macular degeneration 2 ⚠
  • p.Ile619fs Multiple submitters inherited retinal dystrophy
  • p.Ile994fs Multiple submitters inherited retinal dystrophy
  • p.Leu1014Arg Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Leu1138His Multiple submitters inherited retinal dystrophy
  • p.Leu1430Pro Multiple submitters inherited retinal dystrophy ⚠
  • p.Leu1583Pro Multiple submitters ABCA4-related disorder
  • p.Leu1850Pro Multiple submitters inherited retinal dystrophy
  • p.Leu1940Pro Multiple submitters ABCA4-related disorder
  • p.Leu2026Pro Multiple submitters age related macular degeneration 2
  • p.Leu2027Phe Multiple submitters ABCA4-related disorder
  • p.Leu2033Pro Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Leu2109Pro Multiple submitters inherited retinal dystrophy
  • p.Leu210fs Multiple submitters ABCA4-related retinopathy
  • p.Leu2229Pro Multiple submitters retinitis pigmentosa
  • p.Leu244Pro Multiple submitters inherited retinal dystrophy
  • p.Leu296fs Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Leu37fs Multiple submitters inherited retinal dystrophy
  • p.Leu510Pro Multiple submitters
  • p.Leu541fs Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Leu611Pro Multiple submitters cone-rod dystrophy 3
  • p.Lys1437Ter Multiple submitters inherited retinal dystrophy
  • p.Lys1978Glu Multiple submitters age related macular degeneration 2
  • p.Lys2056Ter Multiple submitters inherited retinal dystrophy
  • p.Lys2160Glu Multiple submitters inherited retinal dystrophy ⚠
  • p.Lys678Asn Multiple submitters retinitis pigmentosa
  • p.Met1Thr Multiple submitters Stargardt disease
  • p.Met448Val Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Met669fs Multiple submitters inherited retinal dystrophy
  • p.Phe1440Ser Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Phe1880fs Multiple submitters retinitis pigmentosa
  • p.Phe418Ser Multiple submitters inherited retinal dystrophy
  • p.Phe525Ser Multiple submitters inherited retinal dystrophy
  • p.Phe608Ile Multiple submitters inherited retinal dystrophy
  • p.Phe655Cys Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Phe754Ser Multiple submitters retinitis pigmentosa ⚠
  • p.Phe938Ser Multiple submitters inherited retinal dystrophy
  • p.Pro1438Ala Multiple submitters inherited retinal dystrophy ⚠
  • p.Pro143fs Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Pro143Leu Multiple submitters age related macular degeneration 2 ⚠
  • p.Pro1660Leu Multiple submitters inherited retinal dystrophy
  • p.Pro1776Leu Multiple submitters Stargardt disease
  • p.Pro309Arg Multiple submitters cone-rod dystrophy 3 ⚠
  • p.Pro640Leu Multiple submitters inherited retinal dystrophy
  • p.Pro68Arg Multiple submitters ABCA4-related disorder
  • p.Pro870Leu Multiple submitters ABCA4-related disorder ⚠
  • p.Ser100Pro Multiple submitters inherited retinal dystrophy
  • p.Ser1096Leu Multiple submitters inherited retinal dystrophy ⚠
  • p.Ser1689Pro Multiple submitters inherited retinal dystrophy
  • p.Ser1696Asn Multiple submitters inherited retinal dystrophy
  • p.Ser2080fs Multiple submitters inherited retinal dystrophy
  • p.Ser336Cys Multiple submitters inherited retinal dystrophy
  • p.Ser34_Leu35del Multiple submitters ABCA4-related retinopathy
  • p.Ser445Arg Multiple submitters inherited retinal dystrophy
  • p.Ser728Arg Multiple submitters
  • p.Ser765Asn Multiple submitters Stargardt disease
  • p.Ser795Asn Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Ser84fs Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Thr1019Ala Multiple submitters ABCA4-related retinopathy
  • p.Thr1726fs Multiple submitters age related macular degeneration 2
  • p.Thr1979Ile Multiple submitters inherited retinal dystrophy
  • p.Thr1986_Gly1987insTer Multiple submitters retinitis pigmentosa 19
  • p.Thr2070Arg Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Thr2240Ala Multiple submitters ABCA4-related disorder ⚠
  • p.Thr959Ala Multiple submitters optic atrophy ⚠
  • p.Thr971Asn Multiple submitters cone-rod dystrophy 3
  • p.Thr972Asn Multiple submitters inherited retinal dystrophy
  • p.Thr983Ala Multiple submitters inherited retinal dystrophy ⚠
  • p.Thr983Ile Multiple submitters inherited retinal dystrophy
  • p.Trp1461Cys Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Trp1724Ter Multiple submitters ABCA4-related disorder
  • p.Trp31Ter Multiple submitters inherited retinal dystrophy
  • p.Trp663Ter Multiple submitters retinitis pigmentosa 19
  • p.Tyr1557Cys Multiple submitters inherited retinal dystrophy
  • p.Tyr1779Ter Multiple submitters inherited retinal dystrophy
  • p.Tyr1858Asn Multiple submitters inherited retinal dystrophy ⚠
  • p.Tyr245Ter Multiple submitters retinal disorder
  • p.Tyr340His Multiple submitters inherited retinal dystrophy ⚠
  • p.Tyr340Ser Multiple submitters retinal disorder ⚠
  • p.Tyr603His Multiple submitters inherited retinal dystrophy
  • p.Tyr954Ser Multiple submitters inherited retinal dystrophy
  • p.Val1764fs Multiple submitters inherited retinal dystrophy
  • p.Val1793Met Multiple submitters severe early-childhood-onset retinal dystrophy ⚠
  • p.Val1921Met Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Val2114= Multiple submitters retinitis pigmentosa 19
  • p.Val2236fs Multiple submitters cone-rod dystrophy 3
  • p.Val521fs Multiple submitters severe early-childhood-onset retinal dystrophy
  • p.Val630fs Multiple submitters retinitis pigmentosa 19
  • p.Val675Ile Multiple submitters inherited retinal dystrophy ⚠
  • p.Val767Asp Multiple submitters inherited retinal dystrophy
  • p.Val935Ala Multiple submitters inherited retinal dystrophy ⚠

Likely pathogenic 378

Showing the top 300 by review status; the full set is in the sitemap.

Conflicting classifications of pathogenicity 320

Showing the top 300 by review status; the full set is in the sitemap.

Benign 201

Benign/Likely benign 35

Likely benign 1198

Showing the top 300 by review status; the full set is in the sitemap.

Uncertain significance 1088

Showing the top 300 by review status; the full set is in the sitemap.