CUL4B — 446 ClinVar variants

All ClinVar germline CUL4B variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 155 flagged for review →

34 Pathogenic · 1 Pathogenic/Likely pathogenic · 26 Likely pathogenic · 13 Conflicting · 32 Benign · 22 Benign/Likely benign · 133 Likely benign · 185 Uncertain significance

Full CUL4B gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 155

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.

Predictors agree, ClinVar conflicts 7

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

Predictors lean, ClinVar uncertain 116

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

Predictors split 30

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

All CUL4B variants

Pathogenic 34

  • p.Arg370Ter Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Gln241Ter Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Ile318fs Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Leu714fs Multiple submitters
  • c.1741_1741+8del Single submitter X-linked intellectual disability, Cabezas type
  • c.1742-2A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.1852+1G>T Single submitter CUL4B-related X-linked intellectual disability
  • c.2439+2T>C Single submitter
  • c.777-1G>A Single submitter
  • p.Arg451Ter Single submitter
  • p.Arg554Cys Single submitter X-linked intellectual disability, Cabezas type
  • p.Arg828fs Single submitter
  • p.Arg838Ter Single submitter intellectual disability
  • p.Asn450fs Single submitter
  • p.Gln253fs Single submitter intellectual disability
  • p.Gln416Ter Single submitter
  • p.Gln649Ter Single submitter
  • p.Gln726Ter Single submitter
  • p.Glu389Ter Single submitter Inborn genetic diseases
  • p.Glu720Ter Single submitter
  • p.Glu756Ter Single submitter X-linked intellectual disability, Cabezas type
  • p.Leu268fs Single submitter
  • p.Leu290fs Single submitter
  • p.Leu360Ter Single submitter X-linked intellectual disability, Cabezas type
  • p.Leu846fs Single submitter
  • p.Lys401fs Single submitter X-linked intellectual disability, Cabezas type
  • p.Lys691fs Single submitter X-linked intellectual disability, Cabezas type
  • p.Phe462fs Single submitter X-linked intellectual disability, Cabezas type
  • p.Phe730fs Single submitter
  • p.Tyr647fs Single submitter
  • p.Val469fs Single submitter X-linked intellectual disability, Cabezas type
  • c.847-2A>G No assertion criteria X-linked intellectual disability, Cabezas type
  • p.Leu262Met No assertion criteria X-linked intellectual disability, Cabezas type ⚠
  • p.Thr561fs No assertion criteria X-linked intellectual disability, Cabezas type

Pathogenic/Likely pathogenic 1

  • p.Thr813= Multiple submitters X-linked intellectual disability, Cabezas type

Likely pathogenic 26

  • p.Arg351Ter Multiple submitters X-linked intellectual disability, Cabezas type
  • c.1444-1G>A Single submitter X-linked intellectual disability, Cabezas type
  • c.1637-3T>A Single submitter X-linked intellectual disability, Cabezas type
  • c.1741+4_1741+7del Single submitter X-linked intellectual disability, Cabezas type
  • c.1852+1del Single submitter Inborn genetic diseases
  • c.1852+1G>A Single submitter Inborn genetic diseases
  • c.2267-2A>G Single submitter CUL4B-related disorders
  • c.2592+1G>T Single submitter
  • c.777-2dup Single submitter
  • p.Arg402Gly Single submitter Inborn genetic diseases
  • p.Arg466Ter Single submitter X-linked intellectual disability, Cabezas type
  • p.Arg596Leu Single submitter
  • p.Asn141Ser Single submitter ⚠
  • p.Asp879fs Single submitter
  • p.Gln241fs Single submitter X-linked intellectual disability, Cabezas type
  • p.Gln475fs Single submitter X-linked intellectual disability, Cabezas type
  • p.Gln858_Leu859insTer Single submitter X-linked intellectual disability, Cabezas type
  • p.Gln890Ter Single submitter
  • p.Glu259Ter Single submitter X-linked intellectual disability, Cabezas type
  • p.His249fs Single submitter
  • p.His798fs Single submitter X-linked intellectual disability, Cabezas type
  • p.Phe801fs Single submitter X-linked intellectual disability, Cabezas type
  • p.Trp476Ter Single submitter X-linked intellectual disability, Cabezas type
  • p.Tyr232Ter Single submitter X-linked intellectual disability, Cabezas type
  • p.Ile336fs No assertion criteria X-linked intellectual disability, Cabezas type
  • p.Trp307_Asp308delinsTer No assertion criteria X-linked intellectual disability, Cabezas type

Conflicting classifications of pathogenicity 13

  • c.1257-5T>C Single submitter
  • c.67+10T>C Single submitter X-linked intellectual disability, Cabezas type
  • c.920+9G>A Single submitter X-linked intellectual disability, Cabezas type
  • c.*7G>A Single submitter
  • p.Ala437Thr Single submitter Inborn genetic diseases ⚠
  • p.Arg596Cys Single submitter X-linked intellectual disability, Cabezas type ⚠
  • p.Arg878Gln Single submitter syndromic X-linked intellectual disability 5 ⚠
  • p.Gly7Glu Single submitter Inborn genetic diseases ⚠
  • p.His255Tyr Single submitter ⚠
  • p.Leu107Val Single submitter X-linked intellectual disability, Cabezas type ⚠
  • p.Leu435Phe Single submitter X-linked intellectual disability, Cabezas type ⚠
  • p.Ser126_Ser128del Single submitter X-linked intellectual disability, Cabezas type
  • p.Pro32Leu No assertion criteria X-linked intellectual disability, Cabezas type ⚠

Benign 32

Benign/Likely benign 22

  • c.1257-19T>C Multiple submitters X-linked intellectual disability, Cabezas type
  • c.1257-9del Multiple submitters X-linked intellectual disability, Cabezas type
  • c.1257-9dup Multiple submitters X-linked intellectual disability, Cabezas type
  • c.1742-5C>T Multiple submitters X-linked intellectual disability, Cabezas type
  • c.1939-19T>C Multiple submitters X-linked intellectual disability, Cabezas type
  • c.2046+6A>C Multiple submitters X-linked intellectual disability, Cabezas type
  • c.2161-15T>G Multiple submitters X-linked intellectual disability, Cabezas type
  • c.2266+4T>A Multiple submitters X-linked intellectual disability, Cabezas type
  • c.557-20A>G Multiple submitters X-linked intellectual disability, Cabezas type
  • c.777-12C>T Multiple submitters X-linked intellectual disability, Cabezas type
  • c.847-10del Multiple submitters Inborn genetic diseases
  • p.Ala381= Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Arg878= Multiple submitters Inborn genetic diseases
  • p.Cys619= Multiple submitters Inborn genetic diseases
  • p.Gln388= Multiple submitters Inborn genetic diseases
  • p.Gly22Asp Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Gly9Glu Multiple submitters Inborn genetic diseases
  • p.His249= Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Pro654= Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Ser122= Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Ser47_Ser49del Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Val599= Multiple submitters Inborn genetic diseases

Likely benign 133

  • c.1256+47C>T Multiple submitters
  • c.1257-14T>C Multiple submitters X-linked intellectual disability, Cabezas type
  • c.672+13A>G Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Asp550= Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Asp884= Multiple submitters Inborn genetic diseases
  • p.Gln281= Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Glu404= Multiple submitters X-linked intellectual disability, Cabezas type
  • p.Ile574= Multiple submitters Inborn genetic diseases
  • p.Leu565= Multiple submitters Inborn genetic diseases
  • p.Leu85= Multiple submitters
  • p.Ser128del Multiple submitters X-linked intellectual disability, Cabezas type
  • c.1173+16G>A Single submitter X-linked intellectual disability, Cabezas type
  • c.1173+18C>G Single submitter
  • c.1256+12A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.1256+18A>T Single submitter X-linked intellectual disability, Cabezas type
  • c.1256+194GT[14] Single submitter
  • c.1256+194GT[20] Single submitter
  • c.1256+4del Single submitter Inborn genetic diseases
  • c.1257-10_1257-9del Single submitter
  • c.1324+9C>A Single submitter X-linked intellectual disability, Cabezas type
  • c.1325-292A>G Single submitter
  • c.1325-4A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.1444-35C>T Single submitter
  • c.1444-4T>G Single submitter X-linked intellectual disability, Cabezas type
  • c.1636+13G>A Single submitter X-linked intellectual disability, Cabezas type
  • c.1852+69C>T Single submitter
  • c.1853-37C>T Single submitter
  • c.1938+136dup Single submitter
  • c.1939-4A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.2160+8G>A Single submitter X-linked intellectual disability, Cabezas type
  • c.2161-137C>T Single submitter
  • c.2266+245G>A Single submitter
  • c.2266+33C>G Single submitter
  • c.2267-248G>A Single submitter
  • c.2439+11C>A Single submitter X-linked intellectual disability, Cabezas type
  • c.2593-16T>C Single submitter X-linked intellectual disability, Cabezas type
  • c.2593-18A>C Single submitter X-linked intellectual disability, Cabezas type
  • c.2593-221dup Single submitter
  • c.556+266T>C Single submitter
  • c.557-11A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.672+154G>A Single submitter
  • c.672+18T>C Single submitter X-linked intellectual disability, Cabezas type
  • c.672+301G>T Single submitter
  • c.672+3A>G Single submitter
  • c.672+4T>G Single submitter
  • c.673-10A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.673-16T>C Single submitter
  • c.68-788G>C Single submitter
  • c.776+12A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.776+13A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.776+224T>C Single submitter
  • c.777-11A>G Single submitter X-linked intellectual disability, Cabezas type
  • c.777-160T>A Single submitter
  • c.777-9A>G Single submitter
  • c.847-184A>T Single submitter
  • c.847-237C>T Single submitter
  • c.847-95A>G Single submitter
  • c.921-225A>G Single submitter
  • c.-13-198G>A Single submitter
  • c.-14G>A Single submitter
  • c.-48A>G Single submitter
  • p.Ala316Thr Single submitter
  • p.Ala90= Single submitter X-linked intellectual disability, Cabezas type
  • p.Arg377= Single submitter
  • p.Arg464= Single submitter X-linked intellectual disability, Cabezas type
  • p.Arg466= Single submitter X-linked intellectual disability, Cabezas type
  • p.Asn445= Single submitter
  • p.Asp346= Single submitter Inborn genetic diseases
  • p.Cys515= Single submitter Inborn genetic diseases
  • p.Gln706= Single submitter X-linked intellectual disability, Cabezas type
  • p.Gly484= Single submitter X-linked intellectual disability, Cabezas type
  • p.Gly5= Single submitter X-linked intellectual disability, Cabezas type
  • p.Gly770= Single submitter
  • p.His317Tyr Single submitter
  • p.Ile283= Single submitter X-linked intellectual disability, Cabezas type
  • p.Ile318= Single submitter X-linked intellectual disability, Cabezas type
  • p.Leu357= Single submitter X-linked intellectual disability, Cabezas type
  • p.Leu446= Single submitter X-linked intellectual disability, Cabezas type
  • p.Leu760= Single submitter X-linked intellectual disability, Cabezas type
  • p.Leu764= Single submitter X-linked intellectual disability, Cabezas type
  • p.Lys558= Single submitter X-linked intellectual disability, Cabezas type
  • p.Phe623= Single submitter
  • p.Pro191= Single submitter X-linked intellectual disability, Cabezas type
  • p.Pro3= Single submitter X-linked intellectual disability, Cabezas type
  • p.Pro72= Single submitter X-linked intellectual disability, Cabezas type
  • p.Ser126= Single submitter X-linked intellectual disability, Cabezas type
  • p.Ser261= Single submitter X-linked intellectual disability, Cabezas type
  • p.Ser29Thr Single submitter Inborn genetic diseases
  • p.Ser348= Single submitter X-linked intellectual disability, Cabezas type
  • p.Ser463= Single submitter X-linked intellectual disability, Cabezas type
  • p.Ser625= Single submitter
  • p.Thr133= Single submitter
  • p.Thr18Ala Single submitter Inborn genetic diseases
  • p.Thr328= Single submitter X-linked intellectual disability, Cabezas type
  • p.Val774= Single submitter X-linked intellectual disability, Cabezas type
  • c.1257-7dup No assertion criteria CUL4B-related disorder
  • c.1257-9T>C No assertion criteria CUL4B-related disorder
  • c.1852+4G>T No assertion criteria CUL4B-related disorder
  • c.1852+9C>G No assertion criteria CUL4B-related disorder
  • c.2440-6del No assertion criteria CUL4B-related disorder
  • c.28+9G>C No assertion criteria CUL4B-related disorder
  • c.67+9dup No assertion criteria CUL4B-related disorder
  • p.Ala117= No assertion criteria CUL4B-related disorder
  • p.Ala236= No assertion criteria CUL4B-related disorder
  • p.Arg315= No assertion criteria CUL4B-related disorder
  • p.Asp14= No assertion criteria CUL4B-related disorder
  • p.Gln136= No assertion criteria CUL4B-related disorder
  • p.Gln137= No assertion criteria CUL4B-related disorder
  • p.Gln200= No assertion criteria CUL4B-related disorder
  • p.Gln210= No assertion criteria CUL4B-related disorder
  • p.Glu192= No assertion criteria CUL4B-related disorder
  • p.Glu394= No assertion criteria CUL4B-related disorder
  • p.Gly600= No assertion criteria CUL4B-related disorder
  • p.Ile663= No assertion criteria CUL4B-related disorder
  • p.Ile784= No assertion criteria CUL4B-related disorder
  • p.Ile805= No assertion criteria CUL4B-related disorder
  • p.Leu238= No assertion criteria CUL4B-related disorder
  • p.Leu501= No assertion criteria CUL4B-related disorder
  • p.Leu597= No assertion criteria CUL4B-related disorder
  • p.Leu612= No assertion criteria CUL4B-related disorder
  • p.Leu695= No assertion criteria CUL4B-related disorder
  • p.Lys201= No assertion criteria CUL4B-related disorder
  • p.Lys601= No assertion criteria CUL4B-related disorder
  • p.Lys702= No assertion criteria CUL4B-related disorder
  • p.Lys723= No assertion criteria CUL4B-related disorder
  • p.Phe483= No assertion criteria CUL4B-related disorder
  • p.Phe790= No assertion criteria CUL4B-related disorder
  • p.Pro670= No assertion criteria CUL4B-related disorder
  • p.Ser5= No assertion criteria CUL4B-related disorder
  • p.Ser79= No assertion criteria CUL4B-related disorder
  • p.Thr198= No assertion criteria CUL4B-related disorder
  • p.Thr532= No assertion criteria CUL4B-related disorder
  • p.Thr692= No assertion criteria CUL4B-related disorder

Uncertain significance 185