ACTN4 — 530 ClinVar variants

All ClinVar germline ACTN4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 198 flagged for review →

6 Pathogenic · 13 Likely pathogenic · 27 Conflicting · 47 Benign · 33 Benign/Likely benign · 174 Likely benign · 230 Uncertain significance

Full ACTN4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 198

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 agree, ClinVar conflicts 13

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

Predictors lean, ClinVar uncertain 129

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

Predictors split 56

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

All ACTN4 variants

Pathogenic 6

  • p.Lys255Glu Multiple submitters focal segmental glomerulosclerosis 1
  • p.Gly195Val Single submitter focal segmental glomerulosclerosis 1
  • p.Ile150del Single submitter
  • p.Thr259Ile Single submitter focal segmental glomerulosclerosis 1
  • p.Gly195Asp No assertion criteria focal segmental glomerulosclerosis 1
  • p.Ser262Pro No assertion criteria focal segmental glomerulosclerosis 1

Likely pathogenic 13

  • c.2338-5G>A Single submitter focal segmental glomerulosclerosis 1
  • p.Ala165Thr Single submitter focal segmental glomerulosclerosis 1
  • p.Ala165Val Single submitter ACTN4-related disorder
  • p.Asp253Asn Single submitter focal segmental glomerulosclerosis 1
  • p.Cys173Arg Single submitter focal segmental glomerulosclerosis 1
  • p.Glu72Gln Single submitter ⚠
  • p.Met240Val Single submitter focal segmental glomerulosclerosis 1
  • p.Met258Thr Single submitter focal segmental glomerulosclerosis 1
  • p.Trp59Arg Single submitter focal segmental glomerulosclerosis 1
  • p.His203Pro No assertion criteria ACTN4-related disorder
  • p.Leu169Arg No assertion criteria ACTN4-related disorder
  • p.Leu171del No assertion criteria focal segmental glomerulosclerosis 1
  • p.Phe153Ser No assertion criteria focal segmental glomerulosclerosis 1

Conflicting classifications of pathogenicity 27

Benign 47

Benign/Likely benign 33

  • c.162+6C>T Multiple submitters
  • c.1692+10C>G Multiple submitters focal segmental glomerulosclerosis 1
  • c.2010+9C>T Multiple submitters focal segmental glomerulosclerosis
  • c.2011-4G>A Multiple submitters focal segmental glomerulosclerosis 1
  • c.2011-5C>T Multiple submitters focal segmental glomerulosclerosis 1
  • c.2190+4C>T Multiple submitters
  • c.2191-5C>T Multiple submitters focal segmental glomerulosclerosis 1
  • c.398-16C>T Multiple submitters focal segmental glomerulosclerosis 1
  • c.484+75C>T Multiple submitters focal segmental glomerulosclerosis 1
  • p.Ala475= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Ala537= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Ala772= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Ala884= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Arg310Gln Multiple submitters focal segmental glomerulosclerosis
  • p.Arg406= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Arg536= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Asp430= Multiple submitters
  • p.Asp634= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Asp800= Multiple submitters focal segmental glomerulosclerosis
  • p.Gln326= Multiple submitters kidney disorder
  • p.Gln666= Multiple submitters focal segmental glomerulosclerosis
  • p.Gly123= Multiple submitters focal segmental glomerulosclerosis
  • p.Ile590= Multiple submitters focal segmental glomerulosclerosis
  • p.Ile672= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Leu505= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Leu82= Multiple submitters focal segmental glomerulosclerosis
  • p.Pro179Leu Multiple submitters focal segmental glomerulosclerosis 1
  • p.Pro578= Multiple submitters
  • p.Pro893= Multiple submitters kidney disorder
  • p.Pro99= Multiple submitters Inborn genetic diseases
  • p.Ser447= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Tyr298= Multiple submitters focal segmental glomerulosclerosis 1
  • p.Val801Met Multiple submitters focal segmental glomerulosclerosis 1

Likely benign 174

Uncertain significance 230