CLDN19 — 208 ClinVar variants

All ClinVar germline CLDN19 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 72 flagged for review →

9 Pathogenic · 3 Pathogenic/Likely pathogenic · 15 Likely pathogenic · 7 Conflicting · 13 Benign · 2 Benign/Likely benign · 47 Likely benign · 112 Uncertain significance

Full CLDN19 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 72

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 1

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

Predictors agree, ClinVar conflicts 2

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

Predictors lean, ClinVar uncertain 48

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

Predictors split 21

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

All CLDN19 variants

Pathogenic 9

  • p.Leu143fs Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • c.389-2A>G Single submitter
  • c.474-1G>C Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Tyr67Ter Single submitter
  • p.Gln57Glu No assertion criteria renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Gln57Ter No assertion criteria renal hypomagnesemia 5 with ocular involvement
  • p.Gln61Ter No assertion criteria renal hypomagnesemia 5 with ocular involvement
  • p.Gly130Cys No assertion criteria renal hypomagnesemia 5 with ocular involvement
  • p.Leu90Pro No assertion criteria renal hypomagnesemia 5 with ocular involvement

Pathogenic/Likely pathogenic 3

  • p.Gly20Asp Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • p.Gly75Ser Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Leu90Arg Multiple submitters renal hypomagnesemia 5 with ocular involvement

Likely pathogenic 15

  • p.Pro28Leu Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • c.223+1G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.474-1G>A Single submitter
  • p.Arg81Trp Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Asp74fs Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Cys54Ter Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Gly162Cys Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Gly179Arg Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Gly60fs Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Gly75Arg Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Gly91fs Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Leu131Arg Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Leu177Arg Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Leu46_Tyr47insTer Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Val88Glu Single submitter renal hypomagnesemia 5 with ocular involvement

Conflicting classifications of pathogenicity 7

  • c.626+7C>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Gly179Ser Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ile77Val Single submitter Inborn genetic diseases ⚠
  • p.Leu143= Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Phe166= Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Val176Met Single submitter Inborn genetic diseases ⚠
  • p.Val93Met Single submitter ⚠

Benign 13

  • c.626+15C>T Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • c.626+333T>G Multiple submitters
  • c.627-50C>T Multiple submitters
  • c.*1642T>C Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • c.*1733G>A Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • c.*231A>G Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • c.*91A>G Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • p.Arg200Gln Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Pro187= Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • c.*1018G>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1327T>C Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1760C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*873A>G Single submitter renal hypomagnesemia 5 with ocular involvement

Benign/Likely benign 2

  • c.*158G>A Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • p.Leu13Phe Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠

Likely benign 47

Uncertain significance 112

  • c.-150C>T Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • p.Ala216Thr Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ala218Thr Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ala55Thr Multiple submitters Inborn genetic diseases ⚠
  • p.Arg106Gln Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Arg106Trp Multiple submitters Inborn genetic diseases ⚠
  • p.Arg117Cys Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Arg117His Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Arg208Gln Multiple submitters Inborn genetic diseases ⚠
  • p.Arg208Ter Multiple submitters renal hypomagnesemia 5 with ocular involvement
  • p.Asn193Lys Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Glu209Gly Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Gly220Cys Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ile22Thr Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Leu50Ile Multiple submitters Inborn genetic diseases ⚠
  • p.Leu50Phe Multiple submitters Inborn genetic diseases ⚠
  • p.Pro112Leu Multiple submitters Inborn genetic diseases ⚠
  • p.Pro187Leu Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ser69Leu Multiple submitters CLDN19-related disorder ⚠
  • p.Thr105Met Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Trp51Cys Multiple submitters renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Val224Glu Multiple submitters Inborn genetic diseases ⚠
  • c.223+3A>T Single submitter
  • c.473+1G>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.473+8C>T Single submitter
  • c.626+116G>C Single submitter Renal tubulopathies
  • c.626+5G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.-145C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.-146G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1008C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1072C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1073G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1172C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*119C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1312G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1312G>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1336T>C Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1353G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1357C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1428A>G Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1483G>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1621T>C Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1698A>G Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1772A>C Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*177C>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1822C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1829A>G Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1908C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1909G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1919G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1925T>C Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*1965T>G Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*19G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*257C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*285C>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*45G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*491C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*523G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*547C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*598G>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*624C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*639C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*642G>A Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*735G>C Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*800C>T Single submitter renal hypomagnesemia 5 with ocular involvement
  • c.*867C>G Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Ala121Thr Single submitter Inborn genetic diseases ⚠
  • p.Ala129Pro Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ala136Val Single submitter Inborn genetic diseases ⚠
  • p.Ala14Asp Single submitter ⚠
  • p.Ala175Val Single submitter Inborn genetic diseases ⚠
  • p.Ala206Val Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ala207Thr Single submitter ⚠
  • p.Ala36Ser Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Gln61Pro Single submitter Inborn genetic diseases ⚠
  • p.Glu147Lys Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Gly168Val Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Gly17fs Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Gly220Val Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Gly37Ser Single submitter Inborn genetic diseases ⚠
  • p.Gly60Arg Single submitter Inborn genetic diseases ⚠
  • p.Gly75Ala Single submitter Inborn genetic diseases ⚠
  • p.Ile113Thr Single submitter ⚠
  • p.Ile113Val Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ile21Thr Single submitter Inborn genetic diseases ⚠
  • p.Leu134Phe Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Lys219Glu Single submitter Inborn genetic diseases ⚠
  • p.Lys31Arg Single submitter Inborn genetic diseases ⚠
  • p.Met95Leu Single submitter Inborn genetic diseases ⚠
  • p.Met95Val Single submitter ⚠
  • p.Pro187Ser Single submitter Inborn genetic diseases ⚠
  • p.Pro192Arg Single submitter Inborn genetic diseases ⚠
  • p.Pro221Leu Single submitter Inborn genetic diseases ⚠
  • p.Pro28Thr Single submitter Inborn genetic diseases ⚠
  • p.Ser152Asn Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Ser53Thr Single submitter Inborn genetic diseases ⚠
  • p.Ser56= Single submitter renal hypomagnesemia 5 with ocular involvement
  • p.Ser58Ile Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Thr145Ala Single submitter Inborn genetic diseases ⚠
  • p.Thr25Ile Single submitter ⚠
  • p.Thr42Ala Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Tyr11His Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Tyr47Cys Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Val137Phe Single submitter ⚠
  • p.Val176Leu Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • p.Val44Leu Single submitter ⚠
  • p.Val86Ala Single submitter ⚠
  • p.Val88Met Single submitter Inborn genetic diseases ⚠
  • p.Val93Leu Single submitter renal hypomagnesemia 5 with ocular involvement ⚠
  • c.626+15_626+17delinsTGT No assertion criteria
  • p.Ala43Val No assertion criteria ⚠
  • p.Gly101Ser No assertion criteria ⚠