APOA4 — 186 ClinVar variants
All ClinVar germline APOA4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 126 flagged for review →
2 Pathogenic · 3 Conflicting · 26 Benign · 2 Benign/Likely benign · 38 Likely benign · 115 Uncertain significance
Full APOA4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 126
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 2
ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.
-
APOA4 p.Asp33Asn
Pathogenic
No assertion criteria
tubulointerstitial kidney disease, autosomal dominant 6
-
APOA4 p.Leu66Val
Pathogenic
No assertion criteria
tubulointerstitial kidney disease, autosomal dominant 6
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 36
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
- APOA4 p.Ala172Thr Uncertain significance Multiple submitters
- APOA4 p.Ala333Val Uncertain significance Multiple submitters
- APOA4 p.Ala60Asp Uncertain significance Multiple submitters
- APOA4 p.Arg166Ser Uncertain significance Multiple submitters
- APOA4 p.Glu283Ala Uncertain significance Multiple submitters
- APOA4 p.Ser174Gly Uncertain significance Multiple submitters
- APOA4 p.Ser95Leu Uncertain significance Multiple submitters
- APOA4 p.Val210Asp Uncertain significance Multiple submitters
-
APOA4 p.Ala139Thr
Uncertain significance
Single submitter
APOA4-related disorder
- APOA4 p.Ala188Pro Uncertain significance Single submitter
- APOA4 p.Ala268Val Uncertain significance Single submitter
- APOA4 p.Ala333Gly Uncertain significance Single submitter
- APOA4 p.Ala5Thr Uncertain significance Single submitter
- APOA4 p.Arg134Pro Uncertain significance Single submitter
- APOA4 p.Arg180Ser Uncertain significance Single submitter
- APOA4 p.Asn118Thr Uncertain significance Single submitter
- APOA4 p.Asn171Ser Uncertain significance Single submitter
- APOA4 p.Asn235Ser Uncertain significance Single submitter
- APOA4 p.Asp140Glu Uncertain significance Single submitter
- APOA4 p.Asp335Asn Uncertain significance Single submitter
- APOA4 p.Glu301Gln Uncertain significance Single submitter
- APOA4 p.Glu360Ala Uncertain significance Single submitter
- APOA4 p.Gly240Arg Uncertain significance Single submitter
- APOA4 p.Gly276Asp Uncertain significance Single submitter
- APOA4 p.Gly67Glu Uncertain significance Single submitter
- APOA4 p.Gly74Ser Uncertain significance Single submitter
- APOA4 p.His339Gln Uncertain significance Single submitter
- APOA4 p.Leu106Pro Uncertain significance Single submitter
- APOA4 p.Leu135Pro Uncertain significance Single submitter
- APOA4 p.Leu54Phe Uncertain significance Single submitter
- APOA4 p.Lys247Glu Uncertain significance Single submitter
- APOA4 p.Ser121Arg Uncertain significance Single submitter
- APOA4 p.Ser257Ala Uncertain significance Single submitter
- APOA4 p.Val120Ala Uncertain significance Single submitter
- APOA4 p.Val274Leu Uncertain significance Single submitter
- APOA4 p.Val307Leu Uncertain significance Single submitter
Predictors split 87
The independent predictors disagree with each other — read with care.
- APOA4 p.Ala161Ser Benign Multiple submitters
- APOA4 p.Arg134His Benign/Likely benign Multiple submitters
- APOA4 p.Arg275Cys Uncertain significance Multiple submitters
- APOA4 p.Asn127Lys Likely benign Multiple submitters
- APOA4 p.Gln380His Benign Multiple submitters
- APOA4 p.Gln50Arg Uncertain significance Multiple submitters
- APOA4 p.Gln50Lys Uncertain significance Multiple submitters
- APOA4 p.Glu86Gly Uncertain significance Multiple submitters
- APOA4 p.Gly125Arg Uncertain significance Multiple submitters
- APOA4 p.Pro371His Uncertain significance Multiple submitters
- APOA4 p.Thr85Ile Uncertain significance Multiple submitters
- APOA4 p.Val13Met Benign Multiple submitters
- APOA4 p.Val6Met Uncertain significance Multiple submitters
- APOA4 p.Ala161Thr Uncertain significance Single submitter
- APOA4 p.Ala161Val Uncertain significance Single submitter
- APOA4 p.Ala172Asp Uncertain significance Single submitter
- APOA4 p.Ala20Asp Uncertain significance Single submitter
- APOA4 p.Ala20Val Uncertain significance Single submitter
- APOA4 p.Arg112Leu Uncertain significance Single submitter
- APOA4 p.Arg112Trp Uncertain significance Single submitter
- APOA4 p.Arg134Cys Uncertain significance Single submitter
- APOA4 p.Arg134Ser Uncertain significance Single submitter
- APOA4 p.Arg143Cys Uncertain significance Single submitter
- APOA4 p.Arg143Ser Uncertain significance Single submitter
- APOA4 p.Arg154Leu Conflicting Single submitter
- APOA4 p.Arg154Trp Uncertain significance Single submitter
- APOA4 p.Arg163Cys Uncertain significance Single submitter
- APOA4 p.Arg169Trp Uncertain significance Single submitter
- APOA4 p.Arg200Cys Uncertain significance Single submitter
- APOA4 p.Arg200His Uncertain significance Single submitter
- APOA4 p.Arg220Cys Uncertain significance Single submitter
- APOA4 p.Arg220His Uncertain significance Single submitter
- APOA4 p.Arg221Cys Uncertain significance Single submitter
- APOA4 p.Arg221His Uncertain significance Single submitter
- APOA4 p.Arg221Leu Uncertain significance Single submitter
- APOA4 p.Arg264Gln Uncertain significance Single submitter
- APOA4 p.Arg264Trp Uncertain significance Single submitter
- APOA4 p.Arg304Gln Uncertain significance Single submitter
- APOA4 p.Arg305Cys Uncertain significance Single submitter
- APOA4 p.Arg305Ser Uncertain significance Single submitter
- APOA4 p.Arg306Trp Uncertain significance Single submitter
- APOA4 p.Arg90His Uncertain significance Single submitter
- APOA4 p.Asn352Tyr Uncertain significance Single submitter
- APOA4 p.Asp184Asn Uncertain significance Single submitter
- APOA4 p.Asp191Gly Uncertain significance Single submitter
- APOA4 p.Asp335His Uncertain significance Single submitter
- APOA4 p.Asp335Val Uncertain significance Single submitter
- APOA4 p.Gln385Lys Likely benign Single submitter
- APOA4 p.Glu107Val Uncertain significance Single submitter
- APOA4 p.Glu151Lys Uncertain significance Single submitter
- APOA4 p.Glu170Gln Likely benign Single submitter
- APOA4 p.Glu170Lys Likely benign Single submitter
- APOA4 p.Glu185Lys Benign Single submitter
- APOA4 p.Glu207Lys Uncertain significance Single submitter
- APOA4 p.Glu250Lys Benign Single submitter
- APOA4 p.Glu272Lys Uncertain significance Single submitter
- APOA4 p.Glu374Lys Uncertain significance Single submitter
- APOA4 p.Glu382Gly Uncertain significance Single submitter
- APOA4 p.Gly103Arg Likely benign Single submitter
- APOA4 p.Gly17Arg Uncertain significance Single submitter
- APOA4 p.Gly311Arg Uncertain significance Single submitter
- APOA4 p.Gly330Cys Uncertain significance Single submitter
- APOA4 p.His182Arg Uncertain significance Single submitter
- APOA4 p.His332Pro Uncertain significance Single submitter
- APOA4 p.Ile212Thr Uncertain significance Single submitter
- APOA4 p.Ile256Met Uncertain significance Single submitter
- APOA4 p.Leu219Met Uncertain significance Single submitter
- APOA4 p.Leu329Val Uncertain significance Single submitter
- APOA4 p.Leu87Met Uncertain significance Single submitter
- APOA4 p.Leu98Arg Uncertain significance Single submitter
- APOA4 p.Lys104Glu Uncertain significance Single submitter
- APOA4 p.Lys187Glu Uncertain significance Single submitter
- APOA4 p.Pro159Ser Uncertain significance Single submitter
- APOA4 p.Pro393Leu Uncertain significance Single submitter
- APOA4 p.Ser178Leu Uncertain significance Single submitter
- APOA4 p.Ser259Arg Uncertain significance Single submitter
- APOA4 p.Ser353Phe Uncertain significance Single submitter
- APOA4 p.Ser39Arg Uncertain significance Single submitter
- APOA4 p.Ser39Asn Uncertain significance Single submitter
- APOA4 p.Thr202Met Uncertain significance Single submitter
- APOA4 p.Thr29Met Uncertain significance Single submitter
- APOA4 p.Tyr160Cys Uncertain significance Single submitter
- APOA4 p.Tyr310Cys Uncertain significance Single submitter
- APOA4 p.Val194Met Uncertain significance Single submitter
- APOA4 p.Val216Met Uncertain significance Single submitter
- APOA4 p.Val274Met Conflicting Single submitter
- APOA4 p.Val46Met Uncertain significance Single submitter
All APOA4 variants
Pathogenic 2
- p.Asp33Asn No assertion criteria tubulointerstitial kidney disease, autosomal dominant 6 ⚠
- p.Leu66Val No assertion criteria tubulointerstitial kidney disease, autosomal dominant 6 ⚠
Conflicting classifications of pathogenicity 3
- p.Arg154Leu Single submitter ⚠
- p.Val274Met Single submitter ⚠
- p.Val336Met Single submitter ⚠
Benign 26
- c.176+162C>T Multiple submitters
- c.176+21C>T Multiple submitters
- c.176+22G>A Multiple submitters
- c.177-97C>T Multiple submitters
- c.-98G>A Multiple submitters
- p.Ala150= Multiple submitters
- p.Ala161Ser Multiple submitters ⚠
- p.Gln380His Multiple submitters ⚠
- p.Gly74= Multiple submitters
- p.Ser147Asn Multiple submitters
- p.Thr29= Multiple submitters
- p.Thr367Ser Multiple submitters
- p.Tyr72= Multiple submitters
- p.Val13Met Multiple submitters ⚠
- p.Val336= Multiple submitters
- c.176+212T>C Single submitter
- c.177-216C>G Single submitter
- c.*56TGTC[3] Single submitter
- p.376QQEQ[4] Single submitter
- p.Ala260= Single submitter
- p.Asp273= Single submitter
- p.Glu185Lys Single submitter ⚠
- p.Glu250Lys Single submitter ⚠
- p.Leu109= Single submitter
- p.Leu296= Single submitter
- p.Thr282= Single submitter
Benign/Likely benign 2
- p.Arg134His Multiple submitters ⚠
- p.Ser353Ala Multiple submitters
Likely benign 38
- p.Ala11= Multiple submitters
- p.Asn127Lys Multiple submitters ⚠
- p.Thr367Ala Multiple submitters
- p.Tyr160= Multiple submitters
- c.176+17T>C Single submitter
- c.176+17T>G Single submitter
- p.376QQEQ[2] Single submitter
- p.Ala161= Single submitter
- p.Ala16Thr Single submitter
- p.Ala172Val Single submitter
- p.Ala271= Single submitter
- p.Ala333= Single submitter
- p.Ala5= Single submitter
- p.Arg154= Single submitter
- p.Arg264= Single submitter
- p.Arg279= Single submitter
- p.Asn313= Single submitter
- p.Asp335= Single submitter
- p.Gln385Lys Single submitter ⚠
- p.Gln387_Val388insGlnGlnGluGln Single submitter
- p.Glu170Gln Single submitter ⚠
- p.Glu170Lys Single submitter ⚠
- p.Glu323= Single submitter
- p.Glu386= Single submitter
- p.Gly103Arg Single submitter ⚠
- p.Gly293Ser Single submitter
- p.His182= Single submitter
- p.Ile190= Single submitter
- p.Leu113= Single submitter
- p.Leu368= Single submitter
- p.Leu38= Single submitter
- p.Leu98= Single submitter
- p.Phe358= Single submitter
- p.Ser178= Single submitter
- p.Thr85= Single submitter
- p.Tyr310= Single submitter
- p.Val210= Single submitter
- p.Leu3= No assertion criteria APOA4-related disorder
Uncertain significance 115
- p.Ala172Thr Multiple submitters ⚠
- p.Ala333Val Multiple submitters ⚠
- p.Ala60Asp Multiple submitters ⚠
- p.Arg166Ser Multiple submitters ⚠
- p.Arg275Cys Multiple submitters ⚠
- p.Gln50Arg Multiple submitters ⚠
- p.Gln50Lys Multiple submitters ⚠
- p.Glu283Ala Multiple submitters ⚠
- p.Glu86Gly Multiple submitters ⚠
- p.Gly125Arg Multiple submitters ⚠
- p.Pro371His Multiple submitters ⚠
- p.Ser174Gly Multiple submitters ⚠
- p.Ser95Leu Multiple submitters ⚠
- p.Thr85Ile Multiple submitters ⚠
- p.Val210Asp Multiple submitters ⚠
- p.Val6Met Multiple submitters ⚠
- c.176+2_176+5del Single submitter
- p.Ala139Thr Single submitter APOA4-related disorder ⚠
- p.Ala161Thr Single submitter ⚠
- p.Ala161Val Single submitter ⚠
- p.Ala172Asp Single submitter ⚠
- p.Ala188Pro Single submitter ⚠
- p.Ala20Asp Single submitter ⚠
- p.Ala20Val Single submitter ⚠
- p.Ala268Val Single submitter ⚠
- p.Ala333Gly Single submitter ⚠
- p.Ala5Thr Single submitter ⚠
- p.Arg112Leu Single submitter ⚠
- p.Arg112Trp Single submitter ⚠
- p.Arg134Cys Single submitter ⚠
- p.Arg134Pro Single submitter ⚠
- p.Arg134Ser Single submitter ⚠
- p.Arg143Cys Single submitter ⚠
- p.Arg143Ser Single submitter ⚠
- p.Arg154Trp Single submitter ⚠
- p.Arg163Cys Single submitter ⚠
- p.Arg169Trp Single submitter ⚠
- p.Arg180Ser Single submitter ⚠
- p.Arg200Cys Single submitter ⚠
- p.Arg200His Single submitter ⚠
- p.Arg220Cys Single submitter ⚠
- p.Arg220His Single submitter ⚠
- p.Arg221Cys Single submitter ⚠
- p.Arg221His Single submitter ⚠
- p.Arg221Leu Single submitter ⚠
- p.Arg264Gln Single submitter ⚠
- p.Arg264Trp Single submitter ⚠
- p.Arg304Gln Single submitter ⚠
- p.Arg304Ter Single submitter
- p.Arg305Cys Single submitter ⚠
- p.Arg305Ser Single submitter ⚠
- p.Arg306Trp Single submitter ⚠
- p.Arg90His Single submitter ⚠
- p.Asn118Thr Single submitter ⚠
- p.Asn171Ser Single submitter ⚠
- p.Asn235Ser Single submitter ⚠
- p.Asn352Tyr Single submitter ⚠
- p.Asp140Glu Single submitter ⚠
- p.Asp184Asn Single submitter ⚠
- p.Asp191Gly Single submitter ⚠
- p.Asp335Asn Single submitter ⚠
- p.Asp335His Single submitter ⚠
- p.Asp335Val Single submitter ⚠
- p.Gln389Ter Single submitter
- p.Glu107Val Single submitter ⚠
- p.Glu151Lys Single submitter ⚠
- p.Glu207Lys Single submitter ⚠
- p.Glu272Lys Single submitter ⚠
- p.Glu301Gln Single submitter ⚠
- p.Glu360Ala Single submitter ⚠
- p.Glu374Lys Single submitter ⚠
- p.Glu382Gly Single submitter ⚠
- p.Gly17Arg Single submitter ⚠
- p.Gly240Arg Single submitter ⚠
- p.Gly276Asp Single submitter ⚠
- p.Gly311Arg Single submitter ⚠
- p.Gly330Cys Single submitter ⚠
- p.Gly67Glu Single submitter ⚠
- p.Gly74Ser Single submitter ⚠
- p.His182Arg Single submitter ⚠
- p.His332Pro Single submitter ⚠
- p.His339Gln Single submitter ⚠
- p.Ile212Thr Single submitter ⚠
- p.Ile256Met Single submitter ⚠
- p.Leu106Pro Single submitter ⚠
- p.Leu135Pro Single submitter ⚠
- p.Leu219Met Single submitter ⚠
- p.Leu241fs Single submitter
- p.Leu329Val Single submitter ⚠
- p.Leu54Phe Single submitter ⚠
- p.Leu87Met Single submitter ⚠
- p.Leu98Arg Single submitter ⚠
- p.Lys104Glu Single submitter ⚠
- p.Lys187Glu Single submitter ⚠
- p.Lys247Glu Single submitter ⚠
- p.Pro159Ser Single submitter ⚠
- p.Pro393Leu Single submitter ⚠
- p.Ser121Arg Single submitter ⚠
- p.Ser178Leu Single submitter ⚠
- p.Ser257Ala Single submitter ⚠
- p.Ser259Arg Single submitter ⚠
- p.Ser353Phe Single submitter ⚠
- p.Ser369fs Single submitter
- p.Ser39Arg Single submitter ⚠
- p.Ser39Asn Single submitter ⚠
- p.Thr202Met Single submitter ⚠
- p.Thr29Met Single submitter ⚠
- p.Tyr160Cys Single submitter ⚠
- p.Tyr310Cys Single submitter ⚠
- p.Val120Ala Single submitter ⚠
- p.Val194Met Single submitter ⚠
- p.Val216Met Single submitter ⚠
- p.Val274Leu Single submitter ⚠
- p.Val307Leu Single submitter ⚠
- p.Val46Met Single submitter ⚠