ACAD9 — 1115 ClinVar variants

All ClinVar germline ACAD9 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 272 flagged for review →

38 Pathogenic · 41 Pathogenic/Likely pathogenic · 102 Likely pathogenic · 48 Conflicting · 73 Benign · 11 Benign/Likely benign · 540 Likely benign · 262 Uncertain significance

Full ACAD9 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 272

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 7

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

Predictors agree, ClinVar conflicts 20

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

Predictors lean, ClinVar uncertain 100

ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.

Predictors split 145

The independent predictors disagree with each other — read with care.

All ACAD9 variants

Pathogenic 38

Pathogenic/Likely pathogenic 41

  • c.1029+1dup Multiple submitters mitochondrial complex I deficiency
  • c.1030-1G>A Multiple submitters
  • c.1359-1G>A Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.151-1_151del Multiple submitters mitochondrial complex I deficiency
  • c.153_156del Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1563+1G>A Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1765+2T>A Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1A>G Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Ala326Pro Multiple submitters mitochondrial complex I deficiency
  • p.Ala390Thr Multiple submitters acyl-CoA dehydrogenase 9 deficiency ⚠
  • p.Arg266Gln Multiple submitters acyl-CoA dehydrogenase 9 deficiency ⚠
  • p.Arg266Trp Multiple submitters mitochondrial complex I deficiency ⚠
  • p.Arg414Cys Multiple submitters acyl-CoA dehydrogenase 9 deficiency ⚠
  • p.Arg414Ser Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Arg417Cys Multiple submitters mitochondrial complex I deficiency
  • p.Arg477Ter Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Arg518Cys Multiple submitters mitochondrial complex I deficiency ⚠
  • p.Arg518His Multiple submitters acyl-CoA dehydrogenase 9 deficiency ⚠
  • p.Arg532Trp Multiple submitters mitochondrial complex I deficiency ⚠
  • p.Arg609Ter Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Arg85Ter Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Asp62fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Gln585fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Gln69Ter Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Glu114Ter Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Glu173fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Glu324fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Glu324Ter Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Glu413Lys Multiple submitters mitochondrial complex I deficiency
  • p.Gly488Ter Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Ile319fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Ile431fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Leu606fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Leu6fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Met1Leu Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Phe120fs Multiple submitters mitochondrial complex I deficiency
  • p.Phe275fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Thr462fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Tyr165_Leu166insTer Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Tyr354fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Val533fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency

Likely pathogenic 102

  • c.1150-2A>G Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1278+1G>T Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1279-2A>C Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1358+2T>G Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1359-45_1383del Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.150+1G>T Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1674_1692+34del Multiple submitters mitochondrial complex I deficiency
  • c.1692+1G>A Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.346+1G>A Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.453+1G>A Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.453+2T>A Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.634-1G>A Multiple submitters mitochondrial complex I deficiency
  • c.882+1G>A Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Arg532Gln Multiple submitters acyl-CoA dehydrogenase 9 deficiency ⚠
  • p.Gln585fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Glu564Lys Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Leu98Ser Multiple submitters mitochondrial complex I deficiency ⚠
  • p.Thr449fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • p.Val463fs Multiple submitters acyl-CoA dehydrogenase 9 deficiency
  • c.1029+1G>A Single submitter
  • c.1029+1G>T Single submitter
  • c.1030-2A>T Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.1149+1G>A Single submitter
  • c.1278+2T>G Single submitter
  • c.1279-1G>A Single submitter
  • c.1279-1G>C Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.1358+1G>C Single submitter
  • c.1358+1G>T Single submitter
  • c.1359-104_1387del Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.1359-2A>G Single submitter
  • c.1485+2T>G Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.1486-2A>G Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.151-1G>C Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.151-2A>G Single submitter
  • c.1563+2T>G Single submitter
  • c.1564-2A>G Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.1632_1692+6del Single submitter
  • c.1671_1693-79delinsCTGAT Single submitter
  • c.1692+2T>A Single submitter
  • c.1693-1G>A Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.1693-2A>C Single submitter
  • c.1693-2A>G Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.245-2A>G Single submitter
  • c.347-1G>A Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.347-1G>T Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.454-10_455del Single submitter
  • c.454-1G>T Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.554+1G>A Single submitter
  • c.554+1G>C Single submitter
  • c.633+1G>A Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.633+2T>A Single submitter
  • c.633+2T>G Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.808+2T>C Single submitter
  • c.809-1G>A Single submitter acyl-CoA dehydrogenase 9 deficiency
  • c.958+2T>C Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ala220Pro Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ala220Val Single submitter hypertrophic cardiomyopathy
  • p.Ala495fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ala498fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Arg127Ter Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Arg15Cys Single submitter ⚠
  • p.Arg414fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Asn284Asp Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Asp240fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Cys271fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Gln399Ter Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Glu159fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Glu260Ter Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Glu338fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Glu607Ter Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Gly172Arg Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Gly252fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Gly440fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Gly72fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ile222Asn Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ile242fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ile447_Leu448insTer Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Leu109fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Leu286Pro Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Leu416fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Leu432fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Leu438fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Leu475fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Leu98fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Lys211Arg Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Lys228_Glu230delinsGlnTer Single submitter
  • p.Lys459_Ser461delinsThrCys Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Lys600fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Met1fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Phe425fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Phe44Ile Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Phe70fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Pro281Leu Single submitter acyl-CoA dehydrogenase 9 deficiency ⚠
  • p.Ser268Phe Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ser493fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ser602fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Ser602Phe Single submitter mitochondrial complex I deficiency
  • p.Thr11fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Thr224fs Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Tyr115Ter Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Val384Met Single submitter acyl-CoA dehydrogenase 9 deficiency
  • p.Val467fs Single submitter acyl-CoA dehydrogenase 9 deficiency

Conflicting classifications of pathogenicity 48

Benign 73

Benign/Likely benign 11

Likely benign 540

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

Uncertain significance 262