ACTC1 — 857 ClinVar variants

All ClinVar germline ACTC1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 329 flagged for review →

5 Pathogenic · 2 Pathogenic/Likely pathogenic · 15 Likely pathogenic · 44 Conflicting · 34 Benign · 35 Benign/Likely benign · 291 Likely benign · 431 Uncertain significance

Full ACTC1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 329

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 1

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.

Predicted LoF vs a conflicting call 1

ClinVar submitters conflict, and it's a predicted loss-of-function change in a gene where LoF causes disease — flagged for review, not resolved (verify NMD-escape for C-terminal truncations). Non-missense.

Predictors lean, ClinVar uncertain 238

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 238

Predictors split 69

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

All ACTC1 variants

Pathogenic 5

Pathogenic/Likely pathogenic 2

  • p.Gly247Asp Multiple submitters hypertrophic cardiomyopathy 11
  • p.Ile289Thr Multiple submitters atrial septal defect 5

Likely pathogenic 15

Conflicting classifications of pathogenicity 44

Benign 34

Benign/Likely benign 35

  • c.129+18dup Multiple submitters
  • c.129+32C>A Multiple submitters
  • c.129+6C>G Multiple submitters atrial septal defect 5
  • c.454+9G>A Multiple submitters hypertrophic cardiomyopathy 11
  • c.616+5GT[4] Multiple submitters hypertrophic cardiomyopathy 11
  • c.617-7T>C Multiple submitters atrial septal defect 5
  • c.809-58TG[14] Multiple submitters Cardiovascular phenotype
  • c.809-58TG[15] Multiple submitters dilated cardiomyopathy 1R
  • c.809-58TG[16] Multiple submitters atrial septal defect 5
  • c.809-58TG[17] Multiple submitters dilated cardiomyopathy 1R
  • c.809-58TG[19] Multiple submitters hypertrophic cardiomyopathy 11
  • c.809-58TG[20] Multiple submitters dilated cardiomyopathy 1R
  • c.809-58TG[22] Multiple submitters dilated cardiomyopathy 1R
  • c.809-58TG[24] Multiple submitters atrial septal defect 5
  • c.809-58TG[25] Multiple submitters atrial septal defect 5
  • c.809-58TG[26] Multiple submitters atrial septal defect 5
  • c.-22-15C>G Multiple submitters
  • c.-50G>A Multiple submitters hypertrophic cardiomyopathy 11
  • c.*137A>T Multiple submitters dilated cardiomyopathy 1R
  • c.*1674C>T Multiple submitters dilated cardiomyopathy 1R
  • c.*22C>T Multiple submitters hypertrophic cardiomyopathy 11
  • c.*269C>T Multiple submitters dilated cardiomyopathy 1R
  • c.*757G>A Multiple submitters dilated cardiomyopathy 1R
  • p.Ala28= Multiple submitters hypertrophic cardiomyopathy
  • p.Arg179= Multiple submitters atrial septal defect 5
  • p.Asn80= Multiple submitters Cardiovascular phenotype
  • p.Gly310= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Ile73= Multiple submitters Cardiovascular phenotype
  • p.Leu351= Multiple submitters Cardiovascular phenotype
  • p.Pro111= Multiple submitters Cardiovascular phenotype
  • p.Pro309= Multiple submitters Cardiovascular phenotype
  • p.Ser350= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Tyr171= Multiple submitters Cardiovascular phenotype
  • p.Tyr364= Multiple submitters Cardiovascular phenotype
  • c.*875G>C Single submitter dilated cardiomyopathy 1R

Likely benign 291

  • c.129+18C>A Multiple submitters hypertrophic cardiomyopathy 11
  • c.130-15T>G Multiple submitters hypertrophic cardiomyopathy 11
  • c.455-10C>T Multiple submitters hypertrophic cardiomyopathy 11
  • c.455-12T>C Multiple submitters hypertrophic cardiomyopathy
  • c.455-14A>G Multiple submitters hypertrophic cardiomyopathy 11
  • c.455-4del Multiple submitters hypertrophic cardiomyopathy 11
  • c.455-4G>A Multiple submitters dilated cardiomyopathy 1R
  • c.455-7C>T Multiple submitters atrial septal defect 5
  • c.455-9C>T Multiple submitters dilated cardiomyopathy 1R
  • c.809-58TG[13] Multiple submitters Cardiovascular phenotype
  • c.809-58TG[18] Multiple submitters hypertrophic cardiomyopathy 11
  • c.809-58TG[27] Multiple submitters dilated cardiomyopathy 1R
  • c.809-58TG[28] Multiple submitters dilated cardiomyopathy 1R
  • c.809-58TG[29] Multiple submitters hypertrophic cardiomyopathy 11
  • c.809-8G>A Multiple submitters cardiomyopathy
  • c.809-8G>T Multiple submitters cardiomyopathy
  • c.809-9C>T Multiple submitters cardiomyopathy
  • c.990+64C>T Multiple submitters
  • c.991-10_991-8del Multiple submitters cardiomyopathy
  • c.991-10C>T Multiple submitters atrial septal defect 5
  • c.991-13T>C Multiple submitters cardiomyopathy
  • c.*781G>A Multiple submitters hypertrophic cardiomyopathy 11
  • p.Ala110= Multiple submitters hypertrophic cardiomyopathy
  • p.Ala133= Multiple submitters Cardiovascular phenotype
  • p.Ala146= Multiple submitters dilated cardiomyopathy 1R
  • p.Ala172= Multiple submitters Cardiovascular phenotype
  • p.Ala233= Multiple submitters Cardiovascular phenotype
  • p.Ala24= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Ala31= Multiple submitters atrial septal defect 5
  • p.Ala60= Multiple submitters Cardiovascular phenotype
  • p.Ala9= Multiple submitters cardiomyopathy
  • p.Arg118= Multiple submitters Cardiovascular phenotype
  • p.Arg149= Multiple submitters dilated cardiomyopathy 1R
  • p.Arg185= Multiple submitters cardiomyopathy
  • p.Arg256= Multiple submitters atrial septal defect 5
  • p.Arg30= Multiple submitters cardiomyopathy
  • p.Arg314= Multiple submitters dilated cardiomyopathy 1R
  • p.Arg39= Multiple submitters Cardiovascular phenotype
  • p.Arg41= Multiple submitters cardiomyopathy
  • p.Asn14= Multiple submitters atrial septal defect 5
  • p.Asn227= Multiple submitters cardiomyopathy
  • p.Asn282= Multiple submitters cardiomyopathy
  • p.Asn298= Multiple submitters atrial septal defect 5
  • p.Asp213= Multiple submitters cardiomyopathy
  • p.Asp246= Multiple submitters cardiomyopathy
  • p.Asp27= Multiple submitters hypertrophic cardiomyopathy
  • p.Asp290= Multiple submitters Cardiovascular phenotype
  • p.Asp3= Multiple submitters dilated cardiomyopathy 1R
  • p.Asp365= Multiple submitters atrial septal defect 5
  • p.Asp4= Multiple submitters hypertrophic cardiomyopathy
  • p.Asp82= Multiple submitters Cardiovascular phenotype
  • p.Cys376= Multiple submitters Cardiovascular phenotype
  • p.Gln123= Multiple submitters Cardiovascular phenotype
  • p.Glu169= Multiple submitters cardiomyopathy
  • p.Glu239= Multiple submitters atrial septal defect 5
  • p.Glu255= Multiple submitters cardiomyopathy
  • p.Glu363= Multiple submitters atrial septal defect 5
  • p.Glu366= Multiple submitters atrial septal defect 5
  • p.Glu59= Multiple submitters Cardiovascular phenotype
  • p.Gly152= Multiple submitters atrial septal defect 5
  • p.Gly17= Multiple submitters dilated cardiomyopathy 1R
  • p.Gly199= Multiple submitters dilated cardiomyopathy 1R
  • p.Gly22= Multiple submitters hypertrophic cardiomyopathy
  • p.Gly247= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Gly25= Multiple submitters hypertrophic cardiomyopathy
  • p.Gly25= Multiple submitters atrial septal defect 5
  • p.His103= Multiple submitters cardiomyopathy
  • p.His175= Multiple submitters cardiomyopathy
  • p.Ile167= Multiple submitters dilated cardiomyopathy 1R
  • p.Ile252= Multiple submitters dilated cardiomyopathy 1R
  • p.Ile36= Multiple submitters Cardiovascular phenotype
  • p.Ile66= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Ile78= Multiple submitters hypertrophic cardiomyopathy
  • p.Leu10= Multiple submitters Cardiovascular phenotype
  • p.Leu155= Multiple submitters Cardiovascular phenotype
  • p.Leu180= Multiple submitters cardiomyopathy
  • p.Leu218= Multiple submitters cardiomyopathy
  • p.Leu301= Multiple submitters Cardiovascular phenotype
  • p.Leu348= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Leu351= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Lys361= Multiple submitters hypertrophic cardiomyopathy
  • p.Phe264= Multiple submitters Cardiovascular phenotype
  • p.Phe377= Multiple submitters Cardiovascular phenotype
  • p.Pro166= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Pro174= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Pro266= Multiple submitters Cardiovascular phenotype
  • p.Pro266= Multiple submitters cardiomyopathy
  • p.Pro335= Multiple submitters atrial septal defect 5
  • p.Pro369= Multiple submitters atrial septal defect 5
  • p.Pro40= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Ser147= Multiple submitters Cardiovascular phenotype
  • p.Ser325= Multiple submitters Cardiovascular phenotype
  • p.Ser346= Multiple submitters hypertrophic cardiomyopathy 11
  • p.Ser352= Multiple submitters Cardiovascular phenotype
  • p.Thr305= Multiple submitters Cardiovascular phenotype
  • p.Thr68= Multiple submitters cardiomyopathy
  • p.Tyr135= Multiple submitters hypertrophic cardiomyopathy
  • p.Tyr168= Multiple submitters cardiomyopathy
  • p.Tyr190= Multiple submitters dilated cardiomyopathy 1R
  • p.Tyr281= Multiple submitters Cardiovascular phenotype
  • p.Tyr55= Multiple submitters Cardiovascular phenotype
  • p.Val136= Multiple submitters Cardiovascular phenotype
  • p.Val141= Multiple submitters Cardiovascular phenotype
  • p.Val203= Multiple submitters atrial septal defect 5
  • p.Val211= Multiple submitters Cardiovascular phenotype
  • p.Val249= Multiple submitters dilated cardiomyopathy 1R
  • p.Val47= Multiple submitters atrial septal defect 5
  • p.Val98= Multiple submitters Cardiovascular phenotype
  • p.Val98= Multiple submitters cardiomyopathy
  • c.129+10C>T Single submitter hypertrophic cardiomyopathy 11
  • c.129+11C>T Single submitter hypertrophic cardiomyopathy 11
  • c.129+12_129+13delinsCT Single submitter
  • c.129+13C>T Single submitter atrial septal defect 5
  • c.129+14C>G Single submitter atrial septal defect 5
  • c.129+14C>T Single submitter atrial septal defect 5
  • c.129+15G>A Single submitter hypertrophic cardiomyopathy 11
  • c.129+15G>C Single submitter atrial septal defect 5
  • c.129+17G>T Single submitter hypertrophic cardiomyopathy 11
  • c.129+18C>T Single submitter atrial septal defect 5
  • c.129+219_129+224del Single submitter
  • c.129+7T>G Single submitter atrial septal defect 5
  • c.129+8T>A Single submitter dilated cardiomyopathy 1R
  • c.130-17A>C Single submitter
  • c.130-17A>G Single submitter atrial septal defect 5
  • c.130-18C>A Single submitter hypertrophic cardiomyopathy 11
  • c.130-18C>G Single submitter hypertrophic cardiomyopathy 11
  • c.130-4A>G Single submitter atrial septal defect 5
  • c.130-4A>T Single submitter hypertrophic cardiomyopathy 11
  • c.130-5C>T Single submitter cardiomyopathy
  • c.454+13C>A Single submitter dilated cardiomyopathy 1R
  • c.454+18G>A Single submitter hypertrophic cardiomyopathy 11
  • c.454+8G>T Single submitter
  • c.455-18G>A Single submitter dilated cardiomyopathy 1R
  • c.455-18G>C Single submitter hypertrophic cardiomyopathy 11
  • c.455-5G>T Single submitter atrial septal defect 5
  • c.455-7C>G Single submitter hypertrophic cardiomyopathy
  • c.616+10T>C Single submitter dilated cardiomyopathy 1R
  • c.616+5GT[6] Single submitter hypertrophic cardiomyopathy 11
  • c.616+7G>A Single submitter hypertrophic cardiomyopathy 11
  • c.616+7G>T Single submitter hypertrophic cardiomyopathy 11
  • c.616+8T>C Single submitter
  • c.617-10A>G Single submitter atrial septal defect 5
  • c.617-11T>C Single submitter dilated cardiomyopathy 1R
  • c.617-12_617-11del Single submitter cardiomyopathy
  • c.808+18G>A Single submitter hypertrophic cardiomyopathy 11
  • c.808+20G>A Single submitter hypertrophic cardiomyopathy 11
  • c.808+8G>T Single submitter hypertrophic cardiomyopathy 11
  • c.808+9T>C Single submitter hypertrophic cardiomyopathy 11
  • c.809-11C>A Single submitter dilated cardiomyopathy 1R
  • c.809-12_809-11del Single submitter cardiomyopathy
  • c.809-12_809-11delinsTGAA Single submitter cardiomyopathy
  • c.809-12_809-11delinsTGTGAA Single submitter cardiomyopathy
  • c.809-12_809-11insGT Single submitter atrial septal defect 5
  • c.809-12_809-11insGTGG Single submitter dilated cardiomyopathy 1R
  • c.809-12_809-11insGTGTGG Single submitter atrial septal defect 5
  • c.809-12A>T Single submitter dilated cardiomyopathy 1R
  • c.809-14T>G Single submitter atrial septal defect 5
  • c.809-16del Single submitter
  • c.809-18_809-17insTGTGTA Single submitter dilated cardiomyopathy 1R
  • c.809-18T>A Single submitter atrial septal defect 5
  • c.809-20_809-19insTGTA Single submitter hypertrophic cardiomyopathy 11
  • c.809-20_809-19insTGTC Single submitter atrial septal defect 5
  • c.809-28_809-11delinsAA Single submitter cardiomyopathy
  • c.809-4C>T Single submitter cardiomyopathy
  • c.809-58TG[12] Single submitter hypertrophic cardiomyopathy 11
  • c.809-58TG[30] Single submitter atrial septal defect 5
  • c.809-58TG[32] Single submitter hypertrophic cardiomyopathy 11
  • c.809-58TG[36] Single submitter
  • c.990+14_990+15insA Single submitter atrial septal defect 5
  • c.990+14G>A Single submitter atrial septal defect 5
  • c.990+15T>C Single submitter dilated cardiomyopathy 1R
  • c.991-15G>A Single submitter hypertrophic cardiomyopathy
  • c.991-18T>G Single submitter hypertrophic cardiomyopathy 11
  • c.991-262C>T Single submitter
  • c.991-4G>A Single submitter atrial septal defect 5
  • c.991-6C>G Single submitter atrial septal defect 5
  • c.991-8T>A Single submitter hypertrophic cardiomyopathy 11
  • c.-17C>G Single submitter
  • c.-36C>G Single submitter
  • c.-36CCGCC[3] Single submitter
  • c.-44G>A Single submitter
  • c.*1004A>G Single submitter dilated cardiomyopathy 1R
  • c.*1513T>C Single submitter dilated cardiomyopathy 1R
  • c.*16C>T Single submitter
  • c.*2053G>T Single submitter hypertrophic cardiomyopathy 11
  • c.*518A>G Single submitter dilated cardiomyopathy 1R
  • c.*688T>G Single submitter hypertrophic cardiomyopathy 11
  • c.*846G>A Single submitter dilated cardiomyopathy 1R
  • c.*856G>A Single submitter hypertrophic cardiomyopathy 11
  • c.*868T>G Single submitter dilated cardiomyopathy 1R
  • p.Ala140= Single submitter atrial septal defect 5
  • p.Ala172= Single submitter cardiomyopathy
  • p.Ala21= Single submitter cardiomyopathy
  • p.Ala222= Single submitter Cardiovascular phenotype
  • p.Ala230= Single submitter Cardiovascular phenotype
  • p.Ala297= Single submitter cardiomyopathy
  • p.Ala321= Single submitter atrial septal defect 5
  • p.Ala323= Single submitter hypertrophic cardiomyopathy 11
  • p.Ala333= Single submitter dilated cardiomyopathy 1R
  • p.Ala60= Single submitter cardiomyopathy
  • p.Arg212= Single submitter dilated cardiomyopathy 1R
  • p.Arg258= Single submitter cardiomyopathy
  • p.Arg30= Single submitter hypertrophic cardiomyopathy 11
  • p.Asn117= Single submitter atrial septal defect 5
  • p.Asp156= Single submitter dilated cardiomyopathy 1R
  • p.Asp186= Single submitter cardiomyopathy
  • p.Cys259= Single submitter Cardiovascular phenotype
  • p.Cys287= Single submitter hypertrophic cardiomyopathy 11
  • p.Gln248= Single submitter dilated cardiomyopathy 1R
  • p.Glu102= Single submitter hypertrophic cardiomyopathy
  • p.Glu109= Single submitter Cardiovascular phenotype
  • p.Glu127= Single submitter cardiomyopathy
  • p.Glu216= Single submitter hypertrophic cardiomyopathy 11
  • p.Glu228= Single submitter Cardiovascular phenotype
  • p.Glu272= Single submitter hypertrophic cardiomyopathy
  • p.Glu278= Single submitter hypertrophic cardiomyopathy
  • p.Glu6= Single submitter cardiomyopathy
  • p.Glu95= Single submitter dilated cardiomyopathy 1R
  • p.Gly148= Single submitter hypertrophic cardiomyopathy
  • p.Gly15= Single submitter hypertrophic cardiomyopathy 11
  • p.Gly160= Single submitter cardiomyopathy
  • p.Gly247= Single submitter cardiomyopathy
  • p.Gly345= Single submitter hypertrophic cardiomyopathy
  • p.Gly368= Single submitter dilated cardiomyopathy 1R
  • p.Gly44= Single submitter atrial septal defect 5
  • p.Gly50= Single submitter hypertrophic cardiomyopathy 11
  • p.Gly65= Single submitter hypertrophic cardiomyopathy 11
  • p.His163= Single submitter atrial septal defect 5
  • p.His373= Single submitter hypertrophic cardiomyopathy 11
  • p.His75= Single submitter Cardiovascular phenotype
  • p.His89= Single submitter hypertrophic cardiomyopathy 11
  • p.Ile124= Single submitter hypertrophic cardiomyopathy 11
  • p.Ile138= Single submitter cardiomyopathy
  • p.Ile153= Single submitter hypertrophic cardiomyopathy 11
  • p.Ile177= Single submitter hypertrophic cardiomyopathy
  • p.Ile284= Single submitter hypertrophic cardiomyopathy 11
  • p.Ile331= Single submitter hypertrophic cardiomyopathy 11
  • p.Ile371= Single submitter atrial septal defect 5
  • p.Ile66= Single submitter hypertrophic cardiomyopathy
  • p.Ile77= Single submitter Cardiovascular phenotype
  • p.Leu10= Single submitter atrial septal defect 5
  • p.Leu106= Single submitter Cardiovascular phenotype
  • p.Leu107= Single submitter hypertrophic cardiomyopathy
  • p.Leu142= Single submitter cardiomyopathy
  • p.Leu142= Single submitter atrial septal defect 5
  • p.Leu144= Single submitter Cardiovascular phenotype
  • p.Leu155= Single submitter cardiomyopathy
  • p.Leu18= Single submitter atrial septal defect 5
  • p.Leu195= Single submitter cardiomyopathy
  • p.Leu238= Single submitter hypertrophic cardiomyopathy 11
  • p.Leu263= Single submitter Cardiovascular phenotype
  • p.Leu263= Single submitter hypertrophic cardiomyopathy 11
  • p.Leu295= Single submitter atrial septal defect 5
  • p.Leu67= Single submitter hypertrophic cardiomyopathy 11
  • p.Leu69= Single submitter hypertrophic cardiomyopathy 11
  • p.Lys193= Single submitter hypertrophic cardiomyopathy 11
  • p.Lys240= Single submitter cardiomyopathy
  • p.Lys86= Single submitter cardiomyopathy
  • p.Phe33= Single submitter atrial septal defect 5
  • p.Pro100= Single submitter hypertrophic cardiomyopathy 11
  • p.Pro104= Single submitter dilated cardiomyopathy 1R
  • p.Pro111= Single submitter atrial septal defect 5
  • p.Pro114= Single submitter hypertrophic cardiomyopathy 11
  • p.Ser143= Single submitter atrial septal defect 5
  • p.Ser157= Single submitter hypertrophic cardiomyopathy 11
  • p.Ser16= Single submitter cardiomyopathy
  • p.Ser201= Single submitter cardiomyopathy
  • p.Ser235= Single submitter dilated cardiomyopathy 1R
  • p.Ser302= Single submitter hypertrophic cardiomyopathy 11
  • p.Ser350= Single submitter cardiomyopathy
  • p.Thr105= Single submitter Cardiovascular phenotype
  • p.Thr108= Single submitter hypertrophic cardiomyopathy 11
  • p.Thr108= Single submitter Cardiovascular phenotype
  • p.Thr122= Single submitter cardiomyopathy
  • p.Thr128= Single submitter dilated cardiomyopathy 1R
  • p.Thr150= Single submitter cardiomyopathy
  • p.Thr204= Single submitter atrial septal defect 5
  • p.Thr231= Single submitter Cardiovascular phenotype
  • p.Thr251= Single submitter hypertrophic cardiomyopathy 11
  • p.Thr262= Single submitter Cardiovascular phenotype
  • p.Thr280= Single submitter
  • p.Thr306= Single submitter
  • p.Thr8= Single submitter Cardiovascular phenotype
  • p.Thr8= Single submitter hypertrophic cardiomyopathy 11
  • p.Tyr308= Single submitter atrial septal defect 5
  • p.Tyr71= Single submitter hypertrophic cardiomyopathy 11
  • p.Val211= Single submitter
  • p.Val221= Single submitter cardiomyopathy
  • p.Val341= Single submitter hypertrophic cardiomyopathy
  • p.Val47= Single submitter atrial septal defect 5
  • p.Arg39His No assertion criteria EBV-positive nodal T- and NK-cell lymphoma

Uncertain significance 431

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