ALDH7A1 — 1117 ClinVar variants

All ClinVar germline ALDH7A1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 304 flagged for review →

86 Pathogenic · 32 Pathogenic/Likely pathogenic · 64 Likely pathogenic · 69 Conflicting · 92 Benign · 18 Benign/Likely benign · 413 Likely benign · 343 Uncertain significance

Full ALDH7A1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 304

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 3

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

Predictors agree, ClinVar conflicts 25

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

Predictors lean, ClinVar uncertain 125

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

Predictors split 151

The independent predictors disagree with each other — read with care. · showing the 150 best-reviewed of 151

All ALDH7A1 variants

Pathogenic 86

  • c.1093+1G>A Multiple submitters pyridoxine-dependent epilepsy
  • c.1489+2T>C Multiple submitters pyridoxine-dependent epilepsy
  • c.1566-1G>T Multiple submitters pyridoxine-dependent epilepsy caused by ALDH7A1 mutant
  • c.312+1G>T Multiple submitters pyridoxine-dependent epilepsy
  • c.518-1G>C Multiple submitters pyridoxine-dependent epilepsy
  • c.871+1G>A Multiple submitters pyridoxine-dependent epilepsy
  • p.Ala490fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Arg110Ter Multiple submitters Inborn genetic diseases
  • p.Arg266Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Arg329fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Arg335Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Arg81Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Asn195Ser Multiple submitters pyridoxine-dependent epilepsy
  • p.Cys478Ser Multiple submitters pyridoxine-dependent epilepsy
  • p.Gln328Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Glu427Gly Multiple submitters pyridoxine-dependent epilepsy
  • p.Glu443Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Gly505Arg Multiple submitters pyridoxine-dependent epilepsy
  • p.Gly63Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Ile168fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Leu471fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Pro197Ser Multiple submitters Seizure
  • p.Ser317fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Trp59Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Tyr354Cys Multiple submitters pyridoxine-dependent epilepsy ⚠
  • p.Tyr516Cys Multiple submitters pyridoxine-dependent epilepsy
  • p.Val65fs Multiple submitters pyridoxine-dependent epilepsy
  • c.1008+1G>A Single submitter pyridoxine-dependent epilepsy
  • c.1093+2T>C Single submitter pyridoxine-dependent epilepsy
  • c.1200+1G>C Single submitter pyridoxine-dependent epilepsy
  • c.1317+2T>C Single submitter
  • c.1412_1415+9delinsGTTGGG Single submitter pyridoxine-dependent epilepsy
  • c.1415+1G>T Single submitter pyridoxine-dependent epilepsy
  • c.1566-1G>A Single submitter pyridoxine-dependent epilepsy
  • c.192+1G>A Single submitter
  • c.312+2T>G Single submitter pyridoxine-dependent epilepsy
  • c.393+2T>G Single submitter pyridoxine-dependent epilepsy
  • c.650+2T>C Single submitter pyridoxine-dependent epilepsy
  • c.651-3_651-1del Single submitter pyridoxine-dependent epilepsy
  • c.695+2T>G Single submitter pyridoxine-dependent epilepsy
  • c.696-1G>T Single submitter pyridoxine-dependent epilepsy
  • c.871+5G>A Single submitter pyridoxine-dependent epilepsy
  • p.Ala495Thr Single submitter pyridoxine-dependent epilepsy
  • p.Arg115fs Single submitter pyridoxine-dependent epilepsy
  • p.Arg79fs Single submitter pyridoxine-dependent epilepsy
  • p.Cys215Ter Single submitter
  • p.Gln126Ter Single submitter
  • p.Gln281fs Single submitter pyridoxine-dependent epilepsy
  • p.Gln281Ter Single submitter pyridoxine-dependent epilepsy
  • p.Gln38Ter Single submitter pyridoxine-dependent epilepsy
  • p.Glu180fs Single submitter pyridoxine-dependent epilepsy
  • p.Glu44Ter Single submitter pyridoxine-dependent epilepsy
  • p.Glu450Ter Single submitter pyridoxine-dependent epilepsy
  • p.Gly111del Single submitter pyridoxine-dependent epilepsy
  • p.Gly392fs Single submitter pyridoxine-dependent epilepsy
  • p.Gly398Arg Single submitter pyridoxine-dependent epilepsy
  • p.Gly398Trp Single submitter pyridoxine-dependent epilepsy
  • p.Gly398Val Single submitter pyridoxine-dependent epilepsy
  • p.Gly399Val Single submitter pyridoxine-dependent epilepsy
  • p.Gly406Arg Single submitter pyridoxine-dependent epilepsy
  • p.Gly493Ter Single submitter pyridoxine-dependent epilepsy
  • p.Gly53= Single submitter pyridoxine-dependent epilepsy
  • p.Ile207_Ala208insTer Single submitter pyridoxine-dependent epilepsy
  • p.Leu178fs Single submitter pyridoxine-dependent epilepsy
  • p.Leu270fs Single submitter pyridoxine-dependent epilepsy
  • p.Phe272fs Single submitter pyridoxine-dependent epilepsy
  • p.Pro167fs Single submitter pyridoxine-dependent epilepsy
  • p.Pro170Leu Single submitter pyridoxine-dependent epilepsy ⚠
  • p.Pro365_Asn366insTer Single submitter pyridoxine-dependent epilepsy
  • p.Ser458Asn Single submitter pyridoxine-dependent epilepsy
  • p.Thr231Arg Single submitter pyridoxine-dependent epilepsy
  • p.Thr31fs Single submitter pyridoxine-dependent epilepsy
  • p.Thr325Arg Single submitter pyridoxine-dependent epilepsy
  • p.Thr415fs Single submitter pyridoxine-dependent epilepsy
  • p.Thr487fs Single submitter pyridoxine-dependent epilepsy
  • p.Thr67fs Single submitter pyridoxine-dependent epilepsy
  • p.Trp203Ter Single submitter pyridoxine-dependent epilepsy
  • p.Trp363Ter Single submitter pyridoxine-dependent epilepsy
  • p.Trp99Ter Single submitter pyridoxine-dependent epilepsy
  • p.Tyr354Ser Single submitter pyridoxine-dependent epilepsy
  • p.Tyr408Ter Single submitter pyridoxine-dependent epilepsy
  • p.Val278= Single submitter pyridoxine-dependent epilepsy
  • p.Val80Gly Single submitter pyridoxine-dependent epilepsy
  • c.312+2T>A No assertion criteria pyridoxine-dependent epilepsy
  • c.388_518-1428del No assertion criteria pyridoxine-dependent epilepsy
  • p.Ala199Val No assertion criteria pyridoxine-dependent epilepsy

Pathogenic/Likely pathogenic 32

  • c.1200+1G>T Multiple submitters pyridoxine-dependent epilepsy
  • c.1318-1G>C Multiple submitters pyridoxine-dependent epilepsy
  • c.1489+5G>A Multiple submitters Inborn genetic diseases
  • c.1565+1G>T Multiple submitters pyridoxine-dependent epilepsy
  • c.192+3A>T Multiple submitters Inborn genetic diseases
  • c.246+1G>A Multiple submitters pyridoxine-dependent epilepsy
  • c.312+1G>A Multiple submitters pyridoxine-dependent epilepsy
  • c.394-1G>C Multiple submitters pyridoxine-dependent epilepsy
  • p.Ala177Glu Multiple submitters pyridoxine-dependent epilepsy ⚠
  • p.Ala533fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Arg335Gln Multiple submitters Inborn genetic diseases
  • p.Arg358Ter Multiple submitters Early-infantile developmental and epileptic encephalopathy
  • p.Arg48fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Arg518Thr Multiple submitters pyridoxine-dependent epilepsy
  • p.Arg96fs Multiple submitters Inborn genetic diseases
  • p.Asn301fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Asn301Ile Multiple submitters pyridoxine-dependent epilepsy
  • p.Asn448Lys Multiple submitters pyridoxine-dependent epilepsy
  • p.Gln148Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Gln287Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Gln82fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Glu391Ter Multiple submitters pyridoxine-dependent epilepsy
  • p.Glu427Asp Multiple submitters pyridoxine-dependent epilepsy
  • p.Glu427Gln Multiple submitters pyridoxine-dependent epilepsy caused by ALDH7A1 mutant
  • p.Gly111Glu Multiple submitters pyridoxine-dependent epilepsy
  • p.Gly202Asp Multiple submitters pyridoxine-dependent epilepsy
  • p.Gly509fs Multiple submitters pyridoxine-dependent epilepsy
  • p.Ile459Phe Multiple submitters pyridoxine-dependent epilepsy
  • p.Pro431Leu Multiple submitters Inborn genetic diseases
  • p.Ser317Leu Multiple submitters pyridoxine-dependent epilepsy
  • p.Trp203Gly Multiple submitters pyridoxine-dependent epilepsy
  • p.Tyr434fs Multiple submitters pyridoxine-dependent epilepsy

Likely pathogenic 64

Conflicting classifications of pathogenicity 69

Benign 92

Benign/Likely benign 18

  • c.1009-6G>A Multiple submitters pyridoxine-dependent epilepsy
  • c.193-20C>T Multiple submitters pyridoxine-dependent epilepsy
  • c.774-18G>A Multiple submitters pyridoxine-dependent epilepsy
  • c.774-19C>T Multiple submitters pyridoxine-dependent epilepsy
  • c.-117G>T Multiple submitters pyridoxine-dependent epilepsy
  • c.-29T>C Multiple submitters pyridoxine-dependent epilepsy
  • c.-34G>C Multiple submitters pyridoxine-dependent epilepsy
  • p.Ala13= Multiple submitters Inborn genetic diseases
  • p.Ala421= Multiple submitters pyridoxine-dependent epilepsy
  • p.Arg81= Multiple submitters Inborn genetic diseases
  • p.Asn205= Multiple submitters Inborn genetic diseases
  • p.Gln356= Multiple submitters pyridoxine-dependent epilepsy
  • p.Ile125Val Multiple submitters Inborn genetic diseases
  • p.Phe429= Multiple submitters pyridoxine-dependent epilepsy
  • p.Thr412Ala Multiple submitters Inborn genetic diseases ⚠
  • p.Thr523Ala Multiple submitters Inborn genetic diseases ⚠
  • p.Val286= Multiple submitters pyridoxine-dependent epilepsy
  • p.Val435= Multiple submitters pyridoxine-dependent epilepsy

Likely benign 413

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

Uncertain significance 343

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