AMACR — 281 ClinVar variants

All ClinVar germline AMACR variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 118 flagged for review →

1 Pathogenic · 2 Likely pathogenic · 13 Conflicting · 15 Benign · 6 Benign/Likely benign · 98 Likely benign · 146 Uncertain significance

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

⚑ Evidence disagreements 118

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 1

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

Predictors lean, ClinVar uncertain 53

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

Predictors split 64

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

All AMACR variants

Pathogenic 1

  • p.Leu107Pro No assertion criteria congenital bile acid synthesis defect 4

Likely pathogenic 2

Conflicting classifications of pathogenicity 13

  • c.247+8C>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.247+9G>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.553-5C>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.740-5C>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.-22C>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Arg81= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Arg97= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.His122= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Leu147= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Pro16= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Pro238= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Val185Ala Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Val323Met Single submitter Inborn genetic diseases ⚠

Benign 15

Benign/Likely benign 6

  • c.*1070C>T Multiple submitters
  • c.*227T>G Multiple submitters
  • c.*617G>T Multiple submitters congenital bile acid synthesis defect 4
  • c.*663G>A Multiple submitters congenital bile acid synthesis defect 4
  • p.Pro146= Multiple submitters alpha-methylacyl-CoA racemase deficiency
  • p.Thr279= Multiple submitters alpha-methylacyl-CoA racemase deficiency

Likely benign 98

  • c.247+13C>G Multiple submitters alpha-methylacyl-CoA racemase deficiency
  • c.391+12A>T Multiple submitters alpha-methylacyl-CoA racemase deficiency
  • c.391+51C>A Multiple submitters
  • c.739+16G>A Multiple submitters alpha-methylacyl-CoA racemase deficiency
  • c.*982C>T Multiple submitters
  • p.Ala281= Multiple submitters alpha-methylacyl-CoA racemase deficiency
  • p.Gly187= Multiple submitters Inborn genetic diseases
  • p.Gly209= Multiple submitters Inborn genetic diseases
  • p.Leu195= Multiple submitters Inborn genetic diseases
  • p.Tyr241= Multiple submitters Inborn genetic diseases
  • c.247+12C>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.247+14C>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.247+15C>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.247+18G>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.247+26C>T Single submitter
  • c.247+7C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.247+8C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.248-16T>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.248-17G>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.248-18C>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.248-22_248-20del Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.248-4T>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.248-60A>G Single submitter
  • c.248-7T>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.248-92G>C Single submitter
  • c.392-20A>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.552+10A>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.552+12T>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.552+14G>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.552+16G>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.552+18T>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.552+77AGA[2] Single submitter
  • c.553-13T>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.553-14C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.553-4A>G Single submitter
  • c.553-5C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.739+13C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.739+15C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.739+17C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.739+242G>A Single submitter
  • c.739+7G>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.740-13_740-12insTGG Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.740-17A>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.740-5del Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.740-8T>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1203A>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*13C>T Single submitter
  • c.*1928T>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*449T>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*752C>T Single submitter
  • c.*976G>A Single submitter
  • p.Ala15= Single submitter
  • p.Ala154= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ala189= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ala235= Single submitter Inborn genetic diseases
  • p.Arg173= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Arg326= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Arg342= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Arg61= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Arg68= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Asn309Ser Single submitter Inborn genetic diseases ⚠
  • p.Asp152= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Asp227= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Asp288= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Asp74= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Cys293= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Gln258= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Gln59= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Glu319= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Gly13= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Gly17= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Gly313= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.His306= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ile353= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Leu11= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Leu203= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Leu244= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Leu88= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Leu90= Single submitter
  • p.Leu95= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Phe194= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Pro143= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Pro296= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Pro325= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Pro344= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Pro60= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ser314= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ser339= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Thr188= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Thr198= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Thr334= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Tyr223= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Tyr41= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Val84= Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ala292= No assertion criteria AMACR-related disorder
  • p.Arg36= No assertion criteria AMACR-related disorder
  • p.Leu3= No assertion criteria AMACR-related disorder
  • p.Leu331= No assertion criteria AMACR-related disorder

Uncertain significance 146

  • c.*233T>C Multiple submitters alpha-methylacyl-CoA racemase deficiency
  • p.Ala15Pro Multiple submitters Inborn genetic diseases ⚠
  • p.Ala189Glu Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Arg106Lys Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Arg171Cys Multiple submitters Inborn genetic diseases ⚠
  • p.Arg171His Multiple submitters Inborn genetic diseases ⚠
  • p.Arg173Cys Multiple submitters Inborn genetic diseases ⚠
  • p.Arg326Cys Multiple submitters Inborn genetic diseases ⚠
  • p.Arg36Trp Multiple submitters Inborn genetic diseases ⚠
  • p.Arg68Leu Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Asp322Val Multiple submitters Inborn genetic diseases ⚠
  • p.Glu351Lys Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gly137Asp Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gly209Arg Multiple submitters Inborn genetic diseases ⚠
  • p.Gly289Ser Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gly313Ser Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.His349Asp Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ile180Val Multiple submitters Inborn genetic diseases ⚠
  • p.Lys50Arg Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Met212Thr Multiple submitters Inborn genetic diseases ⚠
  • p.Met85Val Multiple submitters Inborn genetic diseases ⚠
  • p.Pro146Leu Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Pro296Leu Multiple submitters AMACR-related disorder ⚠
  • p.Ser375Gly Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Thr172Ala Multiple submitters Inborn genetic diseases ⚠
  • p.Thr188Ile Multiple submitters Inborn genetic diseases ⚠
  • p.Thr221Met Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Thr334Ile Multiple submitters alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Val43Arg Multiple submitters alpha-methylacyl-CoA racemase deficiency
  • c.391+3A>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.552+4A>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.553-1G>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.553-3A>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.553-8T>C Single submitter
  • c.740-2del Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.740-3C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1032G>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1110G>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1178G>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1367T>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1560G>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1853G>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1931G>C Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*1942C>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*2088A>T Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*2093A>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*439A>G Single submitter alpha-methylacyl-CoA racemase deficiency
  • c.*774A>G Single submitter Inborn genetic diseases
  • c.*805C>A Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ala154Pro Single submitter Inborn genetic diseases ⚠
  • p.Ala15fs Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ala15Ser Single submitter Inborn genetic diseases ⚠
  • p.Ala15Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ala182Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ala206Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ala206Val Single submitter Inborn genetic diseases ⚠
  • p.Ala235Val Single submitter Inborn genetic diseases ⚠
  • p.Ala2Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ala328Val Single submitter ⚠
  • p.Arg118Trp Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Arg173Leu Single submitter Inborn genetic diseases ⚠
  • p.Arg312Trp Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Arg342Thr Single submitter Inborn genetic diseases ⚠
  • p.Arg361His Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Arg40Pro Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Arg68Cys Single submitter Inborn genetic diseases ⚠
  • p.Asn376Tyr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Asp123Asn Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Asp181Tyr Single submitter spastic ataxia ⚠
  • p.Asp262Val Single submitter ⚠
  • p.Asp273Ala Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Asp343Tyr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gln321Glu Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gln89Ter Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Glu141Asp Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Glu141Lys Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Glu237Gly Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Glu242Lys Single submitter Inborn genetic diseases ⚠
  • p.Gly121Phe Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Gly13Arg Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gly13Val Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gly140Asp Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gly157Ala Single submitter Inborn genetic diseases ⚠
  • p.Gly215Asp Single submitter Inborn genetic diseases ⚠
  • p.Gly358Glu Single submitter Inborn genetic diseases ⚠
  • p.Gly47Cys Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gly5Ser Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Gly62Ter Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ile124Val Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ile346Val Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ile353Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ile364Met Single submitter Inborn genetic diseases ⚠
  • p.Ile372Val Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Leu107Met Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Leu127Ser Single submitter Inborn genetic diseases ⚠
  • p.Leu191Ter Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Leu201= Single submitter
  • p.Leu201Trp Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Leu332Val Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Leu57Arg Single submitter ⚠
  • p.Leu77Gln Single submitter Inborn genetic diseases ⚠
  • p.Leu95Val Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Lys246Arg Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Lys269Gln Single submitter Inborn genetic diseases ⚠
  • p.Lys270Asn Single submitter Inborn genetic diseases ⚠
  • p.Lys270Met Single submitter Inborn genetic diseases ⚠
  • p.Met159Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Met1Leu Single submitter
  • p.Met259Val Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Met267Val Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Met85_Leu88delinsIle Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Met85Ile Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Met85Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Phe169Ser Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Phe275Ser Single submitter Inborn genetic diseases ⚠
  • p.Phe315Tyr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Phe357Ser Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Phe80Leu Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Pro265Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Pro335Ser Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ser115_Gly121del Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Ser115Gly Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ser260Asn Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ser7Thr Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Ser7Trp Single submitter Inborn genetic diseases ⚠
  • p.Ter383Tyr Single submitter
  • p.Thr174Ala Single submitter Inborn genetic diseases ⚠
  • p.Thr279Met Single submitter ⚠
  • p.Thr317Asn Single submitter ⚠
  • p.Thr350Asn Single submitter ⚠
  • p.Trp283Ter Single submitter alpha-methylacyl-CoA racemase deficiency
  • p.Val274Ile Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Val304Phe Single submitter AMACR-related disorder ⚠
  • p.Val323Leu Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Val34Leu Single submitter Inborn genetic diseases ⚠
  • p.Val43Gly Single submitter Inborn genetic diseases ⚠
  • p.Val43Met Single submitter Inborn genetic diseases ⚠
  • p.Val54Leu Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Val54Met Single submitter Inborn genetic diseases ⚠
  • p.Val65Met Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Val75Leu Single submitter alpha-methylacyl-CoA racemase deficiency ⚠
  • p.Arg40Gly No assertion criteria AMACR-related disorder ⚠
  • p.Arg97Gln No assertion criteria AMACR-related disorder ⚠
  • p.Asp291Gly No assertion criteria AMACR-related disorder
  • p.Ile353Leu No assertion criteria AMACR-related disorder ⚠
  • p.Phe300Ser No assertion criteria AMACR-related disorder ⚠