ADNP — 883 ClinVar variants

All ClinVar germline ADNP variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 421 flagged for review →

105 Pathogenic · 5 Pathogenic/Likely pathogenic · 44 Likely pathogenic · 64 Conflicting · 30 Benign · 35 Benign/Likely benign · 208 Likely benign · 392 Uncertain significance

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

⚑ Evidence disagreements 421

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 39

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

Predicted LoF vs a conflicting call 3

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 232

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 232

Predictors split 146

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

All ADNP variants

Pathogenic 105

  • p.Arg173Ter Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Arg216Ter Multiple submitters intellectual disability
  • p.Asn832fs Multiple submitters Inborn genetic diseases
  • p.Glu218_Ser219insTer Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys773fs Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys829fs Multiple submitters
  • p.Ser738fs Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ser738Ter Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Thr64fs Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Thr718_Tyr719insTer Multiple submitters ADNP-related disorder
  • p.Trp446Ter Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr378Ter Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr719Ter Multiple submitters Inborn genetic diseases
  • p.Tyr818Ter Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Val180fs Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Val19fs Multiple submitters
  • c.-5-1G>C Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ala430fs Single submitter
  • p.Arg264Ter Single submitter
  • p.Arg306Ter Single submitter
  • p.Arg644fs Single submitter
  • p.Arg644Ter Single submitter
  • p.Arg646fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Arg705fs Single submitter
  • p.Arg730fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asn214fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asn398Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asn776fs Single submitter
  • p.Asp551fs Single submitter
  • p.Asp60fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asp877fs Single submitter
  • p.Gln162Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Gln238Ter Single submitter
  • p.Gln345_Ser346insTer Single submitter
  • p.Gln368Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Gln3Ter Single submitter
  • p.Gln414fs Single submitter ADNP-related disorder
  • p.Gln414Ter Single submitter intellectual disability
  • p.Gln556Ter Single submitter
  • p.Gln778Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Glu202Ter Single submitter
  • p.Glu245Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Glu723fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Glu744Ter Single submitter
  • p.Glu747Ter Single submitter
  • p.Gly282fs Single submitter
  • p.His510fs Single submitter
  • p.Ile35fs Single submitter
  • p.Leu121Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Leu12Ter Single submitter
  • p.Leu152_Lys153insTer Single submitter
  • p.Leu176_Tyr177insTer Single submitter Inborn genetic diseases
  • p.Leu23fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Leu28fs Single submitter
  • p.Leu314fs Single submitter
  • p.Leu369fs Single submitter
  • p.Leu412fs Single submitter
  • p.Leu626fs Single submitter
  • p.Leu726fs Single submitter
  • p.Leu793Ter Single submitter
  • p.Lys20fs Single submitter
  • p.Lys274fs Single submitter
  • p.Lys32fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys467fs Single submitter
  • p.Lys729fs Single submitter
  • p.Lys731_Leu732insTer Single submitter
  • p.Lys757fs Single submitter
  • p.Lys807fs Single submitter
  • p.Lys809fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys833fs Single submitter Inborn genetic diseases
  • p.Met1Thr Single submitter
  • p.Met1Val Single submitter
  • p.Met828fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Phe770_Leu771insTer Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Pro5fs Single submitter
  • p.Pro604fs Single submitter
  • p.Pro703fs Single submitter
  • p.Ser1045Ter Single submitter
  • p.Ser1071fs Single submitter
  • p.Ser24fs Single submitter
  • p.Ser24Ter Single submitter
  • p.Ser403fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ser678Ter Single submitter
  • p.Ser763fs Single submitter Inborn genetic diseases
  • p.Ser769fs Single submitter
  • p.Thr113fs Single submitter
  • p.Thr544fs Single submitter Inborn genetic diseases
  • p.Thr622fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Trp796Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr111fs Single submitter
  • p.Tyr378fs Single submitter
  • p.Tyr569Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr719_Glu720delinsTer Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr719fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr764Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr774fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr774Ter Single submitter Inborn genetic diseases
  • p.Tyr818fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Val343fs Single submitter
  • p.Val834fs Single submitter Inborn genetic diseases
  • p.Gln345Ter No assertion criteria ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys935_Tyr936insTer No assertion criteria ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ser300fs No assertion criteria ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ser396fs No assertion criteria intellectual disability
  • p.Ser404Ter No assertion criteria ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder

Pathogenic/Likely pathogenic 5

  • p.Arg225Ter Multiple submitters Global developmental delay
  • p.Arg730Ter Multiple submitters Inborn genetic diseases
  • p.Ile22fs Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Leu831fs Multiple submitters Inborn genetic diseases
  • p.Ser955fs Multiple submitters Inborn genetic diseases

Likely pathogenic 44

  • p.Asn905Ter Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • c.108+1G>A Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • c.202-5_202-1del Single submitter ADNP-related disorder
  • c.-89-3923_201+2793inv Single submitter intellectual disability
  • p.Asn108fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asn585fs Single submitter
  • p.Asn857fs Single submitter
  • p.Asp277fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asp762fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asp983fs Single submitter
  • p.Cys109Tyr Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Cys667Phe Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Gln67His Single submitter Inborn genetic diseases ⚠
  • p.Gln697fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Gln980Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Glu36fs Single submitter
  • p.Glu42Ter Single submitter Neurodevelopmental delay
  • p.Glu468fs Single submitter
  • p.Glu760fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Glu760Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Gly438fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ile179fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Leu394fs Single submitter
  • p.Leu732fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Leu823Trp Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys148fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys279fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys408fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys777fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Met722fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Phe143fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Pro739fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ser711fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ser802Phe Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Ser889fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Thr443Ala Single submitter ⚠
  • p.Tyr172Ter Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Tyr461_Ser462delinsTer Single submitter
  • p.Val237fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asp573fs No assertion criteria ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Gln423fs No assertion criteria ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Leu349fs No assertion criteria ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ter1103LeuextTer? No assertion criteria
  • p.Val751fs No assertion criteria autism spectrum disorder

Conflicting classifications of pathogenicity 64

  • p.Ala1017fs Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Ala235Gly Single submitter Inborn genetic diseases ⚠
  • p.Ala355Thr Single submitter Inborn genetic diseases ⚠
  • p.Ala390Gly Single submitter Inborn genetic diseases ⚠
  • p.Ala583Ser Single submitter Inborn genetic diseases ⚠
  • p.Arg1007Lys Single submitter ADNP-related disorder ⚠
  • p.Arg1023fs Single submitter ADNP-related disorder ⚠
  • p.Arg1056Cys Single submitter Inborn genetic diseases ⚠
  • p.Arg173Gln Single submitter Inborn genetic diseases ⚠
  • p.Arg376Lys Single submitter ⚠
  • p.Arg717His Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Arg730Gln Single submitter Inborn genetic diseases ⚠
  • p.Arg813Cys Single submitter Inborn genetic diseases ⚠
  • p.Asn1079del Single submitter
  • p.Asn1079Ser Single submitter Inborn genetic diseases ⚠
  • p.Asn115Ser Single submitter Inborn genetic diseases ⚠
  • p.Asn294Asp Single submitter Inborn genetic diseases ⚠
  • p.Asn867Ser Single submitter Inborn genetic diseases ⚠
  • p.Asp850del Single submitter Inborn genetic diseases
  • p.Asp873Tyr Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Cys223= Single submitter
  • p.Cys514Gly Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Gln1061fs Single submitter Inborn genetic diseases ⚠
  • p.Gln329Glu Single submitter Inborn genetic diseases ⚠
  • p.Glu1086Asp Single submitter Inborn genetic diseases ⚠
  • p.Glu242Lys Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Glu924Asp Single submitter ⚠
  • p.Glu937Lys Single submitter Inborn genetic diseases ⚠
  • p.Glu973Asp Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Glu990Lys Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Gly288Ser Single submitter Inborn genetic diseases ⚠
  • p.Gly340Ser Single submitter Inborn genetic diseases ⚠
  • p.Gly890Asp Single submitter ⚠
  • p.His326Asp Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.His950Arg Single submitter Inborn genetic diseases ⚠
  • p.Ile221Ser Single submitter Inborn genetic diseases ⚠
  • p.Ile35Val Single submitter Inborn genetic diseases ⚠
  • p.Ile786Met Single submitter Inborn genetic diseases ⚠
  • p.Ile800= Single submitter Inborn genetic diseases
  • p.Ile916Thr Single submitter Inborn genetic diseases ⚠
  • p.Ile939Phe Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Leu205Val Single submitter Inborn genetic diseases ⚠
  • p.Leu370Val Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Leu58= Single submitter
  • p.Leu913Met Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Lys1016del Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys119Arg Single submitter Inborn genetic diseases ⚠
  • p.Lys596Asn Single submitter Inborn genetic diseases ⚠
  • p.Lys926Glu Single submitter Inborn genetic diseases ⚠
  • p.Phe742del Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Pro131Leu Single submitter Inborn genetic diseases ⚠
  • p.Pro285Gln Single submitter Inborn genetic diseases ⚠
  • p.Pro993Arg Single submitter ⚠
  • p.Ser1031Asn Single submitter Inborn genetic diseases ⚠
  • p.Ser1032Cys Single submitter Inborn genetic diseases ⚠
  • p.Ser1058Pro Single submitter Inborn genetic diseases ⚠
  • p.Ser134Asn Single submitter Inborn genetic diseases ⚠
  • p.Ser280Asn Single submitter Inborn genetic diseases ⚠
  • p.Ser289Cys Single submitter Inborn genetic diseases ⚠
  • p.Ser854Phe Single submitter Inborn genetic diseases ⚠
  • p.Ser889Arg Single submitter Inborn genetic diseases ⚠
  • p.Thr946Ala Single submitter ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder ⚠
  • p.Tyr1033= Single submitter
  • p.Val261Ala Single submitter ⚠

Benign 30

Benign/Likely benign 35

  • p.Ala1093= Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ala388Val Multiple submitters Inborn genetic diseases
  • p.Arg717Cys Multiple submitters Inborn genetic diseases ⚠
  • p.Asn585Ser Multiple submitters Inborn genetic diseases
  • p.Asp906Asn Multiple submitters Inborn genetic diseases
  • p.Asp928His Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Asp998= Multiple submitters Inborn genetic diseases
  • p.Gln1020Glu Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Gln584= Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Glu909Lys Multiple submitters
  • p.Gly825= Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Gly977= Multiple submitters Inborn genetic diseases
  • p.Ile1062Thr Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ile179Val Multiple submitters Inborn genetic diseases
  • p.Ile359Val Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Ile939Leu Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Leu412Val Multiple submitters
  • p.Lys279del Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys773Glu Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Lys852Glu Multiple submitters Inborn genetic diseases
  • p.Met303Ile Multiple submitters Inborn genetic diseases
  • p.Met347Val Multiple submitters Inborn genetic diseases
  • p.Met991Val Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Phe770= Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Pro131= Multiple submitters Inborn genetic diseases
  • p.Pro267= Multiple submitters
  • p.Pro917Ser Multiple submitters Inborn genetic diseases
  • p.Ser141dup Multiple submitters Inborn genetic diseases
  • p.Ser393= Multiple submitters Inborn genetic diseases
  • p.Ser889Thr Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Thr553= Multiple submitters
  • p.Thr64Met Multiple submitters Inborn genetic diseases ⚠
  • p.Val915Ile Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder
  • p.Val962Asp Multiple submitters Inborn genetic diseases
  • p.Val981= Multiple submitters ADNP-related multiple congenital anomalies - intellectual disability - autism spectrum disorder

Likely benign 208

Uncertain significance 392

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