ASNS — 750 ClinVar variants

All ClinVar germline ASNS variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 229 flagged for review →

59 Pathogenic · 22 Pathogenic/Likely pathogenic · 64 Likely pathogenic · 22 Conflicting · 26 Benign · 6 Benign/Likely benign · 329 Likely benign · 222 Uncertain significance

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

⚑ Evidence disagreements 229

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 5

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

Predictors agree, ClinVar conflicts 12

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

Predictors lean, ClinVar uncertain 121

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

Predictors split 91

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

All ASNS variants

Pathogenic 59

Pathogenic/Likely pathogenic 22

  • p.Arg236fs Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Arg33Cys Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Arg424Ter Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Arg465Ter Multiple submitters Inborn genetic diseases
  • p.Arg49Gln Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Arg550His Multiple submitters Inborn genetic diseases ⚠
  • p.Arg63Ter Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Asn456fs Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Asn75Ser Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Asp250fs Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Gln486Ter Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Gln93Ter Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Glu160fs Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Glu229Ter Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Glu389Ter Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Leu145Ter Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Leu181fs Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Lys354fs Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Met1Thr Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Phe362Val Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Tyr398Cys Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Tyr398Ser Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠

Likely pathogenic 64

  • c.1030+1G>A Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1137+200_1137+205del Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1138-1G>A Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1239-1del Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1239-2A>T Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1320+1G>C Multiple submitters Inborn genetic diseases
  • c.1320+1G>T Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1476+2T>C Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.250-1G>A Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.904-3_904-1del Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Arg340Cys Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Arg404His Multiple submitters spinocerebellar ataxia, autosomal recessive 29
  • p.Arg519His Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1030+1G>T Single submitter
  • c.1031-1G>A Single submitter
  • c.1031-6_1041del Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1237_1238+5del Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1238+1G>C Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1239-1G>T Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1320+1G>A Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1321-1G>A Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.487+1G>A Single submitter
  • c.487+1G>T Single submitter
  • c.487+2T>C Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.488-1G>C Single submitter
  • c.673+1G>A Single submitter
  • c.673+2T>A Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.776-2A>T Single submitter
  • c.776-2del Single submitter
  • c.903+2T>G Single submitter
  • c.904-1G>A Single submitter
  • p.Arg252fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Arg417Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Arg550Leu Single submitter
  • p.Asn233fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Asp138Ala Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Asp30fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Gln280Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Gln322fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Gln86fs Single submitter
  • p.Glu186Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.His525fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Leu393fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Met1Val Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Phe377fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Pro68Thr Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Ser20Arg Single submitter ⚠
  • p.Ser427Pro Single submitter ⚠
  • p.Thr475Asn Single submitter ⚠
  • p.Trp481Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Tyr105Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Tyr516Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Tyr526Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Tyr67Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Tyr79fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Val199fs Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1321-1G>C No assertion criteria Abnormal cerebral morphology
  • p.Glu387Gly No assertion criteria congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Glu389Gln No assertion criteria congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Lys162Asn No assertion criteria Abnormal cerebral morphology
  • p.Phe47Val No assertion criteria
  • p.Ser349fs No assertion criteria congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Thr451Arg No assertion criteria Abnormal cerebral morphology ⚠
  • p.Tyr517Ter No assertion criteria congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome

Conflicting classifications of pathogenicity 22

  • c.1138-8T>C Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Ala171Thr Single submitter Inborn genetic diseases ⚠
  • p.Ala405Thr Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Arg246Cys Single submitter ⚠
  • p.Arg340His Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Arg404Cys Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Arg407Ter Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Asn80Ser Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Asp138Val Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Asp295Asn Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Asp531Glu Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.His205Pro Single submitter ⚠
  • p.Met290Val Single submitter Inborn genetic diseases ⚠
  • p.Met538Ile Single submitter Inborn genetic diseases ⚠
  • p.Met84Leu Single submitter Inborn genetic diseases ⚠
  • p.Ser455Phe Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Ser480Phe Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Thr475Ile Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Tyr428Cys Single submitter ⚠
  • p.Tyr488= Single submitter
  • p.Val489Ile Single submitter congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠
  • p.Tyr40Cys No assertion criteria congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome ⚠

Benign 26

Benign/Likely benign 6

  • c.1238+142G>C Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • c.1239-11dup Multiple submitters
  • p.Ala277Thr Multiple submitters ⚠
  • p.Arg529= Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Glu388= Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome
  • p.Val96= Multiple submitters congenital microcephaly - severe encephalopathy - progressive cerebral atrophy syndrome

Likely benign 329

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

Uncertain significance 222