CAST — 260 ClinVar variants

All ClinVar germline CAST variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 98 flagged for review →

6 Pathogenic · 8 Likely pathogenic · 7 Conflicting · 88 Benign · 52 Likely benign · 99 Uncertain significance

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

⚑ Evidence disagreements 98

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 4

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

Predictors lean, ClinVar uncertain 43

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

Predictors split 51

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

All CAST variants

Pathogenic 6

  • p.Gln152Ter Single submitter
  • p.Gly232Ter Single submitter
  • p.Val678fs Single submitter
  • p.Ile244fs No assertion criteria peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome
  • p.Lys183Ter No assertion criteria peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome
  • p.Val625fs No assertion criteria peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome

Likely pathogenic 8

  • c.1626+1G>A Single submitter
  • c.630+1G>T Single submitter peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome
  • c.630+2T>C Single submitter peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome
  • p.Gln499Ter Single submitter CAST-related disorder
  • p.Gln628Ter Single submitter peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome
  • p.Gln97Ter Single submitter peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome
  • p.Glu568Ter Single submitter CAST-related disorder
  • p.Leu392fs Single submitter peeling skin-leukonuchia-acral punctate keratoses-cheilitis-knuckle pads syndrome

Conflicting classifications of pathogenicity 7

Benign 88

Likely benign 52

Uncertain significance 99