ATL1 — 653 ClinVar variants

All ClinVar germline ATL1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 295 flagged for review →

37 Pathogenic · 12 Pathogenic/Likely pathogenic · 40 Likely pathogenic · 50 Conflicting · 46 Benign · 13 Benign/Likely benign · 164 Likely benign · 291 Uncertain significance

Full ATL1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 295

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 4

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

Predictors agree, ClinVar conflicts 27

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

Predictors lean, ClinVar uncertain 163

ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification. · showing the 150 best-reviewed of 163

Predictors split 101

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

All ATL1 variants

Pathogenic 37

  • p.Arg501Ter Multiple submitters ATL1-related spastic paraplegia, recessive
  • p.His258Arg Multiple submitters hereditary spastic paraplegia 3A ⚠
  • p.Met408Thr Multiple submitters hereditary spastic paraplegia 3A
  • p.Thr156Ile Multiple submitters hereditary spastic paraplegia 3A
  • c.523-2A>C Single submitter
  • p.Ala350Thr Single submitter hereditary spastic paraplegia 3A
  • p.Arg118Gln Single submitter hereditary spastic paraplegia 3A
  • p.Arg118Ter Single submitter
  • p.Arg239Leu Single submitter hereditary spastic paraplegia 3A
  • p.Arg403fs Single submitter hereditary spastic paraplegia 3A
  • p.Asn355Lys Single submitter Penetrating foot ulcers
  • p.Asn440Thr Single submitter hereditary spastic paraplegia 3A
  • p.Gln174fs Single submitter hereditary spastic paraplegia 3A
  • p.Gln191Arg Single submitter hereditary spastic paraplegia 3A
  • p.Glu195Ala Single submitter hereditary spastic paraplegia 3A
  • p.His189Asp Single submitter hereditary spastic paraplegia 3A
  • p.His258Leu Single submitter hereditary spastic paraplegia 3A ⚠
  • p.Leu157Ser Single submitter hereditary spastic paraplegia 3A
  • p.Leu192His Single submitter hereditary spastic paraplegia 3A
  • p.Leu250Pro Single submitter hereditary spastic paraplegia 3A
  • p.Lys330Ter Single submitter hereditary spastic paraplegia 3A
  • p.Met408Val Single submitter hereditary spastic paraplegia 3A
  • p.Pro342Ser Single submitter hereditary spastic paraplegia 3A
  • p.Pro344fs Single submitter hereditary spastic paraplegia 3A
  • p.Ser259Tyr Single submitter hereditary spastic paraplegia 3A ⚠
  • p.Ser398Phe Single submitter hereditary spastic paraplegia 3A
  • p.Thr18_Tyr19insTer Single submitter hereditary spastic paraplegia 3A
  • p.Trp112Ter Single submitter hereditary spastic paraplegia 3A
  • p.Trp491Ter Single submitter hereditary spastic paraplegia 3A
  • p.Trp515Arg Single submitter hereditary spastic paraplegia 3A
  • p.Tyr336Ter Single submitter hereditary spastic paraplegia 3A
  • p.Tyr367Ter Single submitter hereditary spastic paraplegia 3A
  • p.Tyr496Ter Single submitter hereditary spastic paraplegia 3A
  • p.Val163Ala Single submitter hereditary spastic paraplegia 3A
  • p.Val40Phe Single submitter hereditary spastic paraplegia 3A ⚠
  • p.Leu157Trp No assertion criteria hereditary spastic paraplegia 3A
  • p.Leu199Gln No assertion criteria hereditary spastic paraplegia 3A

Pathogenic/Likely pathogenic 12

  • p.Arg217Gln Multiple submitters hereditary spastic paraplegia 3A
  • p.Arg239Cys Multiple submitters hereditary spastic paraplegia
  • p.Arg415Trp Multiple submitters Inborn genetic diseases ⚠
  • p.Arg495Trp Multiple submitters Inborn genetic diseases
  • p.Asn436del Multiple submitters hereditary spastic paraplegia
  • p.Gly409Cys Multiple submitters hereditary spastic paraplegia 3A
  • p.Gly410Arg Multiple submitters hereditary spastic paraplegia 3A
  • p.Lys407del Multiple submitters hereditary spastic paraplegia 3A
  • p.Lys407Met Multiple submitters Inborn genetic diseases
  • p.Phe402Leu Multiple submitters hereditary spastic paraplegia 3A
  • p.Thr156Pro Multiple submitters hereditary spastic paraplegia 3A
  • p.Val253Ile Multiple submitters hereditary spastic paraplegia ⚠

Likely pathogenic 40

  • p.Arg239His Multiple submitters Spastic paraplegia
  • p.Arg403Pro Multiple submitters hereditary spastic paraplegia 3A
  • c.35-1G>A Single submitter hereditary spastic paraplegia 3A
  • c.417+1G>T Single submitter
  • p.Ala161Val Single submitter hereditary spastic paraplegia 3A
  • p.Ala277Pro Single submitter hereditary spastic paraplegia 3A
  • p.Ala350Ser Single submitter hereditary spastic paraplegia 3A
  • p.Ala352Glu Single submitter
  • p.Arg198Gly Single submitter hereditary spastic paraplegia 3A
  • p.Arg198Ser Single submitter hereditary spastic paraplegia 3A
  • p.Asn356Lys Single submitter hereditary spastic paraplegia 3A
  • p.Asn436Lys Single submitter
  • p.Gln188Arg Single submitter
  • p.Gln509Pro Single submitter hereditary spastic paraplegia 3A
  • p.Glu314Ter Single submitter hereditary spastic paraplegia 3A
  • p.Glu340Lys Single submitter Neurodevelopmental delay
  • p.Glu353Lys Single submitter hereditary spastic paraplegia 3A
  • p.Glu373= Single submitter hereditary spastic paraplegia 3A
  • p.Gly409Ser Single submitter congenital nervous system disorder
  • p.Gly504fs Single submitter hereditary spastic paraplegia 3A
  • p.His247Pro Single submitter
  • p.Ile315Ser Single submitter
  • p.Ile333Lys Single submitter hereditary spastic paraplegia 3A
  • p.Leu157Phe Single submitter hereditary spastic paraplegia 3A ⚠
  • p.Leu341del Single submitter hereditary spastic paraplegia 3A
  • p.Lys345Glu Single submitter hereditary spastic paraplegia 3A
  • p.Lys406Gln Single submitter hereditary spastic paraplegia 3A ⚠
  • p.Lys406Glu Single submitter hereditary spastic paraplegia 3A
  • p.Met347Ile Single submitter hereditary spastic paraplegia 3A
  • p.Met371fs Single submitter neuropathy, hereditary sensory, type 1D
  • p.Phe413Leu Single submitter hereditary spastic paraplegia 3A
  • p.Pro342Leu Single submitter hereditary spastic paraplegia 3A
  • p.Pro344His Single submitter Neurodevelopmental delay
  • p.Ser153Thr Single submitter hereditary spastic paraplegia 3A ⚠
  • p.Ser398Tyr Single submitter hereditary spastic paraplegia 3A
  • p.Ser414Arg Single submitter
  • p.Trp219Ter Single submitter hereditary spastic paraplegia
  • p.Tyr417Asn Single submitter
  • p.Val405Gly Single submitter hereditary spastic paraplegia 3A
  • c.522+1G>T No assertion criteria hereditary spastic paraplegia 3A

Conflicting classifications of pathogenicity 50

Benign 46

Benign/Likely benign 13

  • c.417+3A>G Multiple submitters hereditary spastic paraplegia
  • c.991-3dup Multiple submitters neuropathy, hereditary sensory, type 1D
  • c.991-6T>G Multiple submitters hereditary spastic paraplegia 3A
  • c.*305T>C Multiple submitters hereditary spastic paraplegia 3A
  • p.Asp102Glu Multiple submitters Inborn genetic diseases
  • p.Asp136= Multiple submitters hereditary spastic paraplegia
  • p.Gly231= Multiple submitters hereditary spastic paraplegia 3A
  • p.Gly410= Multiple submitters Inborn genetic diseases
  • p.His391= Multiple submitters Inborn genetic diseases
  • p.Lys207= Multiple submitters Inborn genetic diseases
  • p.Pro307= Multiple submitters neuropathy, hereditary sensory, type 1D
  • p.Ser10= Multiple submitters Inborn genetic diseases
  • p.Tyr223= Multiple submitters hereditary spastic paraplegia

Likely benign 164

  • c.1047+12T>C Multiple submitters hereditary spastic paraplegia 3A
  • c.1120-47A>C Multiple submitters
  • c.1551+11C>G Multiple submitters hereditary spastic paraplegia 3A
  • c.1551+158T>C Multiple submitters
  • c.1551+241A>G Multiple submitters
  • c.1567-78A>G Multiple submitters
  • c.34+16G>A Multiple submitters hereditary spastic paraplegia 3A
  • c.523-13T>C Multiple submitters hereditary spastic paraplegia 3A
  • c.574-24G>C Multiple submitters
  • c.574-6T>C Multiple submitters Inborn genetic diseases
  • c.990+11C>T Multiple submitters hereditary spastic paraplegia 3A
  • p.Ala229= Multiple submitters Inborn genetic diseases
  • p.Arg323= Multiple submitters hereditary spastic paraplegia 3A
  • p.Cys260= Multiple submitters Inborn genetic diseases
  • p.Ser15= Multiple submitters hereditary spastic paraplegia 3A
  • p.Ser211= Multiple submitters hereditary spastic paraplegia 3A
  • p.Ser547= Multiple submitters Inborn genetic diseases
  • p.Ter559= Multiple submitters hereditary spastic paraplegia 3A
  • c.1047+10A>G Single submitter hereditary spastic paraplegia 3A
  • c.1047+17_1047+19del Single submitter hereditary spastic paraplegia 3A
  • c.1047+18G>A Single submitter hereditary spastic paraplegia 3A
  • c.1048-16T>C Single submitter hereditary spastic paraplegia 3A
  • c.1048-20A>G Single submitter hereditary spastic paraplegia 3A
  • c.1048-6C>T Single submitter hereditary spastic paraplegia 3A
  • c.1048-7T>C Single submitter hereditary spastic paraplegia 3A
  • c.1119+19A>G Single submitter hereditary spastic paraplegia 3A
  • c.1119+7G>A Single submitter hereditary spastic paraplegia 3A
  • c.1120-10T>C Single submitter hereditary spastic paraplegia 3A
  • c.1120-11_1120-8del Single submitter hereditary spastic paraplegia 3A
  • c.1120-13C>G Single submitter hereditary spastic paraplegia 3A
  • c.1551+10C>T Single submitter hereditary spastic paraplegia 3A
  • c.1551+41T>C Single submitter
  • c.1551+9A>G Single submitter hereditary spastic paraplegia 3A
  • c.1566+10A>T Single submitter hereditary spastic paraplegia 3A
  • c.1566+10dup Single submitter hereditary spastic paraplegia 3A
  • c.1566+49_1566+51del Single submitter
  • c.1567-12del Single submitter hereditary spastic paraplegia 3A
  • c.1567-13G>A Single submitter hereditary spastic paraplegia 3A
  • c.1567-18T>C Single submitter hereditary spastic paraplegia 3A
  • c.1567-195dup Single submitter
  • c.282+15C>G Single submitter hereditary spastic paraplegia 3A
  • c.282+15C>T Single submitter hereditary spastic paraplegia 3A
  • c.282+18T>G Single submitter hereditary spastic paraplegia 3A
  • c.283-16C>G Single submitter hereditary spastic paraplegia 3A
  • c.283-17A>G Single submitter hereditary spastic paraplegia 3A
  • c.283-20del Single submitter hereditary spastic paraplegia 3A
  • c.283-20T>C Single submitter hereditary spastic paraplegia 3A
  • c.283-56G>A Single submitter
  • c.283-8T>C Single submitter hereditary spastic paraplegia 3A
  • c.34+109del Single submitter
  • c.34+10A>G Single submitter hereditary spastic paraplegia 3A
  • c.34+16G>C Single submitter hereditary spastic paraplegia 3A
  • c.34+16G>T Single submitter hereditary spastic paraplegia 3A
  • c.35-10T>C Single submitter hereditary spastic paraplegia 3A
  • c.35-11C>A Single submitter hereditary spastic paraplegia 3A
  • c.35-15T>C Single submitter hereditary spastic paraplegia 3A
  • c.35-16C>T Single submitter hereditary spastic paraplegia 3A
  • c.35-20G>T Single submitter hereditary spastic paraplegia 3A
  • c.35-8T>C Single submitter hereditary spastic paraplegia 3A
  • c.417+19A>G Single submitter hereditary spastic paraplegia 3A
  • c.417+23_417+27del Single submitter hereditary spastic paraplegia 3A
  • c.417+4T>A Single submitter
  • c.418-14C>G Single submitter hereditary spastic paraplegia 3A
  • c.418-19G>A Single submitter hereditary spastic paraplegia 3A
  • c.418-8G>T Single submitter
  • c.522+10A>G Single submitter hereditary spastic paraplegia 3A
  • c.522+15C>T Single submitter hereditary spastic paraplegia 3A
  • c.522+19T>C Single submitter hereditary spastic paraplegia 3A
  • c.522+19T>G Single submitter hereditary spastic paraplegia 3A
  • c.522+25_522+27del Single submitter hereditary spastic paraplegia 3A
  • c.573+14T>C Single submitter hereditary spastic paraplegia 3A
  • c.574-14A>G Single submitter hereditary spastic paraplegia 3A
  • c.574-19T>C Single submitter hereditary spastic paraplegia 3A
  • c.574-20G>A Single submitter hereditary spastic paraplegia 3A
  • c.630+13T>C Single submitter hereditary spastic paraplegia 3A
  • c.630+15A>T Single submitter hereditary spastic paraplegia 3A
  • c.630+20T>C Single submitter hereditary spastic paraplegia 3A
  • c.630+9G>A Single submitter hereditary spastic paraplegia 3A
  • c.631-166G>A Single submitter
  • c.631-20C>G Single submitter hereditary spastic paraplegia 3A
  • c.631-7T>G Single submitter hereditary spastic paraplegia 3A
  • c.631-9_631-7del Single submitter hereditary spastic paraplegia 3A
  • c.723+10A>C Single submitter hereditary spastic paraplegia 3A
  • c.723+273_723+277del Single submitter
  • c.723+7T>G Single submitter hereditary spastic paraplegia 3A
  • c.862+15A>G Single submitter hereditary spastic paraplegia 3A
  • c.863-12T>C Single submitter hereditary spastic paraplegia 3A
  • c.990+14T>C Single submitter hereditary spastic paraplegia 3A
  • c.990+19G>C Single submitter hereditary spastic paraplegia 3A
  • c.990+281del Single submitter
  • c.990+287T>C Single submitter
  • c.990+9C>G Single submitter hereditary spastic paraplegia 3A
  • c.991-12_991-11del Single submitter hereditary spastic paraplegia 3A
  • c.991-12C>G Single submitter hereditary spastic paraplegia 3A
  • c.991-16T>C Single submitter hereditary spastic paraplegia 3A
  • c.991-19T>A Single submitter hereditary spastic paraplegia 3A
  • c.*87C>G Single submitter
  • p.Ala161= Single submitter hereditary spastic paraplegia 3A
  • p.Ala233= Single submitter hereditary spastic paraplegia 3A
  • p.Ala358= Single submitter hereditary spastic paraplegia 3A
  • p.Ala359= Single submitter hereditary spastic paraplegia 3A
  • p.Ala444= Single submitter hereditary spastic paraplegia 3A
  • p.Ala449= Single submitter hereditary spastic paraplegia 3A
  • p.Arg118= Single submitter hereditary spastic paraplegia 3A
  • p.Arg415= Single submitter hereditary spastic paraplegia 3A
  • p.Arg446= Single submitter hereditary spastic paraplegia 3A
  • p.Arg495= Single submitter hereditary spastic paraplegia 3A
  • p.Arg8= Single submitter hereditary spastic paraplegia 3A
  • p.Asn177= Single submitter hereditary spastic paraplegia 3A
  • p.Asn245= Single submitter hereditary spastic paraplegia 3A
  • p.Asn436= Single submitter hereditary spastic paraplegia 3A
  • p.Asn478= Single submitter hereditary spastic paraplegia 3A
  • p.Asp218= Single submitter hereditary spastic paraplegia 3A
  • p.Asp291= Single submitter hereditary spastic paraplegia 3A
  • p.Asp386= Single submitter hereditary spastic paraplegia 3A
  • p.Asp42= Single submitter hereditary spastic paraplegia 3A
  • p.Asp426= Single submitter
  • p.Asp437= Single submitter hereditary spastic paraplegia 3A
  • p.Asp64= Single submitter hereditary spastic paraplegia 3A
  • p.Gln148= Single submitter hereditary spastic paraplegia 3A
  • p.Glu184= Single submitter hereditary spastic paraplegia 3A
  • p.Glu20= Single submitter hereditary spastic paraplegia 3A
  • p.Glu422= Single submitter hereditary spastic paraplegia 3A
  • p.Gly284= Single submitter hereditary spastic paraplegia 3A
  • p.Gly404= Single submitter
  • p.Gly504= Single submitter hereditary spastic paraplegia 3A
  • p.Leu190= Single submitter hereditary spastic paraplegia 3A
  • p.Leu192= Single submitter hereditary spastic paraplegia 3A
  • p.Leu212= Single submitter hereditary spastic paraplegia 3A
  • p.Leu38= Single submitter hereditary spastic paraplegia 3A
  • p.Leu401= Single submitter hereditary spastic paraplegia 3A
  • p.Leu476= Single submitter hereditary spastic paraplegia 3A
  • p.Leu483= Single submitter hereditary spastic paraplegia 3A
  • p.Leu514= Single submitter hereditary spastic paraplegia 3A
  • p.Leu537= Single submitter hereditary spastic paraplegia 3A
  • p.Leu83= Single submitter hereditary spastic paraplegia 3A
  • p.Lys334= Single submitter hereditary spastic paraplegia 3A
  • p.Lys345= Single submitter hereditary spastic paraplegia 3A
  • p.Lys379= Single submitter hereditary spastic paraplegia 3A
  • p.Phe293= Single submitter hereditary spastic paraplegia 3A
  • p.Pro106= Single submitter hereditary spastic paraplegia 3A
  • p.Ser116= Single submitter hereditary spastic paraplegia 3A
  • p.Ser309= Single submitter hereditary spastic paraplegia 3A
  • p.Ser45= Single submitter hereditary spastic paraplegia 3A
  • p.Ser59= Single submitter hereditary spastic paraplegia 3A
  • p.Thr150= Single submitter hereditary spastic paraplegia 3A
  • p.Thr162= Single submitter
  • p.Thr18= Single submitter hereditary spastic paraplegia 3A
  • p.Thr194= Single submitter hereditary spastic paraplegia 3A
  • p.Thr447= Single submitter hereditary spastic paraplegia 3A
  • p.Thr458= Single submitter hereditary spastic paraplegia 3A
  • p.Thr484= Single submitter hereditary spastic paraplegia 3A
  • p.Thr550= Single submitter hereditary spastic paraplegia 3A
  • p.Thr550Ile Single submitter ⚠
  • p.Tyr332= Single submitter hereditary spastic paraplegia 3A
  • p.Tyr432= Single submitter hereditary spastic paraplegia 3A
  • p.Tyr459= Single submitter hereditary spastic paraplegia 3A
  • p.Val142= Single submitter hereditary spastic paraplegia 3A
  • p.Val37= Single submitter hereditary spastic paraplegia 3A
  • p.Val399= Single submitter hereditary spastic paraplegia 3A
  • p.Val464= Single submitter hereditary spastic paraplegia 3A
  • p.Val506= Single submitter hereditary spastic paraplegia 3A
  • p.Val67Ala Single submitter hereditary spastic paraplegia 3A
  • p.Val70= Single submitter hereditary spastic paraplegia 3A

Uncertain significance 291