AP4S1 — 153 ClinVar variants
All ClinVar germline AP4S1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 33 flagged for review →
11 Pathogenic · 3 Pathogenic/Likely pathogenic · 10 Likely pathogenic · 4 Conflicting · 20 Benign · 3 Benign/Likely benign · 50 Likely benign · 52 Uncertain significance
Full AP4S1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 33
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 lean, ClinVar uncertain 20
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
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AP4S1 p.Arg97Gln
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
AP4S1 p.Glu45Lys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
AP4S1 p.Thr33Arg
Uncertain significance
Multiple submitters
Spastic paraplegia
-
AP4S1 p.Arg15Gln
Uncertain significance
Single submitter
hereditary spastic paraplegia 52
-
AP4S1 p.Arg42Gln
Uncertain significance
Single submitter
Spastic paraplegia
-
AP4S1 p.Arg60Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Asn44Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Asp102Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Glu77Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Gly12Arg
Uncertain significance
Single submitter
Spastic paraplegia
-
AP4S1 p.Ile103Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Ile67Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Ile67Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Leu135Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Leu91Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Lys140Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Lys18Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Thr29Arg
Uncertain significance
Single submitter
Spastic paraplegia
-
AP4S1 p.Tyr59His
Uncertain significance
Single submitter
Spastic paraplegia
-
AP4S1 p.Val23Met
Uncertain significance
Single submitter
Inborn genetic diseases
Predictors split 13
The independent predictors disagree with each other — read with care.
-
AP4S1 p.Arg28Cys
Uncertain significance
Multiple submitters
Spastic paraplegia
-
AP4S1 p.Arg28His
Uncertain significance
Multiple submitters
Spastic paraplegia
-
AP4S1 p.Asp24Asn
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
AP4S1 p.Tyr52His
Benign
Multiple submitters
Spastic paraplegia
-
AP4S1 p.Val90Ile
Uncertain significance
Multiple submitters
Spastic paraplegia
-
AP4S1 p.Arg97Leu
Uncertain significance
Single submitter
Spastic paraplegia
-
AP4S1 p.Asp54Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Glu51Gly
Uncertain significance
Single submitter
hereditary spastic paraplegia 52
-
AP4S1 p.Glu75Asp
Uncertain significance
Single submitter
Spastic paraplegia
-
AP4S1 p.Ile123Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
AP4S1 p.Lys10Arg
Conflicting
Single submitter
Spastic paraplegia
-
AP4S1 p.Met78Ile
Uncertain significance
Single submitter
Inborn genetic diseases
- AP4S1 p.Met7Ile Uncertain significance Single submitter
All AP4S1 variants
Pathogenic 11
- c.138+3_138+6del Multiple submitters neurodevelopmental disorder
- p.Arg15Ter Multiple submitters hereditary spastic paraplegia 52
- p.Arg42Ter Multiple submitters Spastic paraplegia
- c.294+1G>A Single submitter Spastic paraplegia
- p.Glu34fs Single submitter Spastic paraplegia
- p.Glu77Ter Single submitter Inborn genetic diseases
- p.Phe49fs Single submitter
- p.Phe4fs Single submitter Spastic paraplegia
- p.Ser48fs Single submitter Spastic paraplegia
- c.294+1G>C No assertion criteria
- p.Cys122Ter No assertion criteria hereditary spastic paraplegia 52
Pathogenic/Likely pathogenic 3
- c.294+1G>T Multiple submitters Spastic paraplegia
- c.295-3C>A Multiple submitters Spastic Paraplegia 52
- p.Arg97Ter Multiple submitters hereditary spastic paraplegia 52
Likely pathogenic 10
- c.138+1G>A Multiple submitters neurodevelopmental disorder
- c.139-2A>G Multiple submitters hereditary spastic paraplegia 52
- p.Met1Thr Multiple submitters Spastic paraplegia
- c.138+2T>G Single submitter hereditary spastic paraplegia 52
- c.226-2A>G Single submitter Spastic paraplegia
- c.295-1G>A Single submitter hereditary spastic paraplegia 52
- p.Leu6Pro Single submitter Inborn genetic diseases
- p.Glu51fs No assertion criteria AP4S1-related disorder
- p.Ile80fs No assertion criteria Spastic paraplegia
- p.Ser17fs No assertion criteria Spastic paraplegia
Conflicting classifications of pathogenicity 4
- c.306+3006del Single submitter hereditary spastic paraplegia 52
- c.306+4191A>G Single submitter Inborn genetic diseases
- p.Arg42= Single submitter Spastic paraplegia
- p.Lys10Arg Single submitter Spastic paraplegia ⚠
Benign 20
- c.138+63G>C Multiple submitters hereditary spastic paraplegia 52
- c.139-110A>G Multiple submitters hereditary spastic paraplegia 52
- c.139-65C>G Multiple submitters hereditary spastic paraplegia 52
- c.294+239A>C Multiple submitters
- c.294+247A>G Multiple submitters
- c.294+283T>C Multiple submitters
- c.294+284A>G Multiple submitters
- c.294+300A>G Multiple submitters
- c.295-160T>C Multiple submitters
- c.295-34T>G Multiple submitters hereditary spastic paraplegia 52
- c.-77G>A Multiple submitters
- p.Tyr52His Multiple submitters Spastic paraplegia ⚠
- c.138+216C>G Single submitter
- c.226-172_226-169del Single submitter
- c.226-227dup Single submitter
- c.294+227del Single submitter
- c.294+227dup Single submitter
- c.306+3930T>G Single submitter
- c.-71-215C>T Single submitter
- c.-71-275A>G Single submitter
Benign/Likely benign 3
- c.306+4182dup Multiple submitters Spastic paraplegia
- c.306+4283C>T Multiple submitters Spastic paraplegia
- c.306+42G>A Multiple submitters Spastic paraplegia
Likely benign 50
- c.294+288T>C Multiple submitters
- c.294+293A>G Multiple submitters
- c.306+4190A>G Multiple submitters Spastic paraplegia
- p.Gly70= Multiple submitters Spastic paraplegia
- c.139-13G>T Single submitter Spastic paraplegia
- c.139-20T>C Single submitter Spastic paraplegia
- c.139-275C>G Single submitter
- c.139-90C>T Single submitter
- c.225+12G>C Single submitter Spastic paraplegia
- c.225+13A>G Single submitter Spastic paraplegia
- c.226-198C>A Single submitter
- c.226-19C>T Single submitter Spastic paraplegia
- c.226-7A>C Single submitter Spastic paraplegia
- c.226-9T>C Single submitter Spastic paraplegia
- c.294+145A>G Single submitter
- c.294+296T>A Single submitter
- c.295-13T>C Single submitter Spastic paraplegia
- c.295-16T>C Single submitter Spastic paraplegia
- c.306+4167T>C Single submitter Spastic paraplegia
- c.306+4172G>C Single submitter Spastic paraplegia
- c.306+4178T>G Single submitter Spastic paraplegia
- c.306+4179T>G Single submitter Spastic paraplegia
- c.306+4229C>T Single submitter Spastic paraplegia
- c.306+4232G>A Single submitter Spastic paraplegia
- c.306+4275G>C Single submitter hereditary spastic paraplegia
- c.306+4277C>T Single submitter Spastic paraplegia
- c.306+4280C>T Single submitter Spastic paraplegia
- c.306+4345C>G Single submitter
- c.306+4377C>T Single submitter
- c.306+45C>T Single submitter Spastic paraplegia
- c.306+48T>C Single submitter Spastic paraplegia
- c.306+57T>C Single submitter Spastic paraplegia
- c.306+74G>A Single submitter Spastic paraplegia
- c.306+78G>A Single submitter Spastic paraplegia
- c.307-4G>A Single submitter
- c.-71-245C>T Single submitter
- p.Arg60= Single submitter Spastic paraplegia
- p.Asn76= Single submitter Spastic paraplegia
- p.Asp102= Single submitter Spastic paraplegia
- p.Asp73= Single submitter Spastic paraplegia
- p.Glu93= Single submitter Spastic paraplegia
- p.Leu31= Single submitter
- p.Leu57= Single submitter Spastic paraplegia
- p.Leu91= Single submitter Spastic paraplegia
- p.Thr74= Single submitter Spastic paraplegia
- c.306+2937_306+2938dup No assertion criteria AP4S1-related disorder
- c.306+2938del No assertion criteria AP4S1-related disorder
- c.*3G>A No assertion criteria AP4S1-related disorder
- p.Leu135= No assertion criteria AP4S1-related disorder
- p.Pro134= No assertion criteria AP4S1-related disorder
Uncertain significance 52
- c.306+4273C>A Multiple submitters Inborn genetic diseases
- c.306+50G>T Multiple submitters Inborn genetic diseases
- p.Arg28Cys Multiple submitters Spastic paraplegia ⚠
- p.Arg28His Multiple submitters Spastic paraplegia ⚠
- p.Arg97Gln Multiple submitters Inborn genetic diseases ⚠
- p.Asp24Asn Multiple submitters Inborn genetic diseases ⚠
- p.Glu45Lys Multiple submitters Inborn genetic diseases ⚠
- p.Thr33Arg Multiple submitters Spastic paraplegia ⚠
- p.Val90Ile Multiple submitters Spastic paraplegia ⚠
- c.225+5G>A Single submitter Spastic paraplegia
- c.226_294del Single submitter hereditary spastic paraplegia 52
- c.306+35G>A Single submitter Spastic paraplegia
- c.306+40A>G Single submitter Spastic paraplegia
- c.306+4182T>A Single submitter Spastic paraplegia
- c.306+4214C>A Single submitter
- c.306+4219C>T Single submitter Spastic paraplegia
- c.306+4234A>G Single submitter Spastic paraplegia
- c.306+4251G>C Single submitter hereditary spastic paraplegia
- c.306+4253C>A Single submitter
- c.306+4254_306+4255insAGC Single submitter
- c.306+4254A>G Single submitter Inborn genetic diseases
- c.306+4255G>T Single submitter
- c.306+4260T>A Single submitter Inborn genetic diseases
- c.306+4281A>G Single submitter hereditary spastic paraplegia 52
- c.306+4297G>C Single submitter Spastic paraplegia
- c.306+50G>C Single submitter Spastic paraplegia
- c.-71-11661C>T Single submitter hereditary spastic paraplegia 52
- c.-72+11228T>C Single submitter hereditary spastic paraplegia 52
- p.Arg15Gln Single submitter hereditary spastic paraplegia 52 ⚠
- p.Arg42Gln Single submitter Spastic paraplegia ⚠
- p.Arg60Gln Single submitter Inborn genetic diseases ⚠
- p.Arg97Leu Single submitter Spastic paraplegia ⚠
- p.Asn44Ile Single submitter Inborn genetic diseases ⚠
- p.Asp102Val Single submitter Inborn genetic diseases ⚠
- p.Asp54Tyr Single submitter Inborn genetic diseases ⚠
- p.Glu51Gly Single submitter hereditary spastic paraplegia 52 ⚠
- p.Glu75Asp Single submitter Spastic paraplegia ⚠
- p.Glu77Lys Single submitter Inborn genetic diseases ⚠
- p.Gly12Arg Single submitter Spastic paraplegia ⚠
- p.Ile103Val Single submitter Inborn genetic diseases ⚠
- p.Ile123Val Single submitter Inborn genetic diseases ⚠
- p.Ile67Thr Single submitter Inborn genetic diseases ⚠
- p.Ile67Val Single submitter Inborn genetic diseases ⚠
- p.Leu135Val Single submitter Inborn genetic diseases ⚠
- p.Leu91Ser Single submitter Inborn genetic diseases ⚠
- p.Lys140Glu Single submitter Inborn genetic diseases ⚠
- p.Lys18Glu Single submitter Inborn genetic diseases ⚠
- p.Met78Ile Single submitter Inborn genetic diseases ⚠
- p.Met7Ile Single submitter ⚠
- p.Thr29Arg Single submitter Spastic paraplegia ⚠
- p.Tyr59His Single submitter Spastic paraplegia ⚠
- p.Val23Met Single submitter Inborn genetic diseases ⚠