CYP4F22 — 307 ClinVar variants

All ClinVar germline CYP4F22 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 120 flagged for review →

37 Pathogenic · 4 Pathogenic/Likely pathogenic · 15 Likely pathogenic · 22 Conflicting · 54 Benign · 4 Benign/Likely benign · 59 Likely benign · 112 Uncertain significance

Full CYP4F22 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 120

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 5

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

Predictors lean, ClinVar uncertain 50

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

Predictors split 61

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

All CYP4F22 variants

Pathogenic 37

  • p.Arg156Cys Multiple submitters autosomal recessive congenital ichthyosis 5
  • p.Arg243His Multiple submitters lamellar ichthyosis
  • p.Arg326Ter Multiple submitters autosomal recessive congenital ichthyosis 5
  • p.Arg362Ter Multiple submitters lamellar ichthyosis
  • p.His435Tyr Multiple submitters lamellar ichthyosis
  • p.Ile21fs Multiple submitters autosomal recessive congenital ichthyosis 5
  • p.Trp99Ter Multiple submitters autosomal recessive congenital ichthyosis 5
  • c.1007-2A>G Single submitter
  • p.Arg282Trp Single submitter lamellar ichthyosis
  • p.Arg495Cys Single submitter ⚠
  • p.Asn219fs Single submitter
  • p.Cys46fs Single submitter
  • p.Gln223Ter Single submitter autosomal recessive congenital ichthyosis 5
  • p.Gly81Asp Single submitter lamellar ichthyosis
  • p.Thr403fs Single submitter lamellar ichthyosis
  • p.Tyr465Ter Single submitter
  • p.Val241fs Single submitter autosomal recessive congenital ichthyosis 5
  • c.1137-18_1137-4del No assertion criteria autosomal recessive congenital ichthyosis 5
  • c.1138del No assertion criteria autosomal recessive congenital ichthyosis 5
  • c.367+1G>A No assertion criteria autosomal recessive congenital ichthyosis 5
  • c.421+1G>A No assertion criteria autosomal recessive congenital ichthyosis 5
  • c.549+5G>C No assertion criteria autosomal recessive congenital ichthyosis 5
  • c.550-2A>T No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Arg156His No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Arg283Trp No assertion criteria autosomal recessive congenital ichthyosis 5 ⚠
  • p.Arg362Gly No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Arg451Pro No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Asp198Tyr No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Glu328fs No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Glu511Gly No assertion criteria autosomal recessive congenital ichthyosis 5 ⚠
  • p.His436Asp No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Ile233Leu No assertion criteria autosomal recessive congenital ichthyosis 5 ⚠
  • p.Ile306Thr No assertion criteria autosomal recessive congenital ichthyosis 5 ⚠
  • p.Phe165_Ile167delinsLeuAspPhe No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Thr388Lys No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Trp521Ter No assertion criteria autosomal recessive congenital ichthyosis 5
  • p.Val215fs No assertion criteria autosomal recessive congenital ichthyosis 5

Pathogenic/Likely pathogenic 4

  • p.Arg243Cys Multiple submitters lamellar ichthyosis
  • p.Arg362Gln Multiple submitters lamellar ichthyosis ⚠
  • p.Leu144fs Multiple submitters autosomal recessive congenital ichthyosis 5
  • p.Phe59Leu Multiple submitters lamellar ichthyosis

Likely pathogenic 15

  • c.223-10C>G Multiple submitters
  • c.940-1G>A Multiple submitters lamellar ichthyosis
  • p.Arg372Trp Multiple submitters lamellar ichthyosis ⚠
  • c.1419-1G>A Single submitter
  • p.Arg397Cys Single submitter lamellar ichthyosis
  • p.Arg407Cys Single submitter autosomal recessive congenital ichthyosis 5
  • p.Arg451Cys Single submitter autosomal recessive congenital ichthyosis 5
  • p.Glu328Lys Single submitter lamellar ichthyosis
  • p.Glu79Gly Single submitter autosomal recessive congenital ichthyosis 5
  • p.Ile254fs Single submitter lamellar ichthyosis
  • p.Leu404fs Single submitter autosomal recessive congenital ichthyosis 5
  • p.Leu520Pro Single submitter autosomal recessive congenital ichthyosis 5
  • p.Lys393del Single submitter autosomal recessive congenital ichthyosis 5
  • p.Phe496Leu Single submitter lamellar ichthyosis
  • p.Val308fs Single submitter autosomal recessive congenital ichthyosis 5

Conflicting classifications of pathogenicity 22

  • c.1006+13G>A Single submitter autosomal recessive congenital ichthyosis 5
  • c.1137-15C>G Single submitter autosomal recessive congenital ichthyosis 5
  • c.222+15G>A Single submitter autosomal recessive congenital ichthyosis 5
  • c.672-9C>T Single submitter autosomal recessive congenital ichthyosis 5
  • p.Ala162Gly Single submitter Inborn genetic diseases ⚠
  • p.Ala23Val Single submitter Inborn genetic diseases ⚠
  • p.Ala259Gly Single submitter autosomal recessive congenital ichthyosis 5 ⚠
  • p.Ala291= Single submitter autosomal recessive congenital ichthyosis 5
  • p.Arg157His Single submitter autosomal recessive congenital ichthyosis 5 ⚠
  • p.Arg246Cys Single submitter autosomal recessive congenital ichthyosis 5 ⚠
  • p.Arg246His Single submitter Inborn genetic diseases ⚠
  • p.Arg282Gln Single submitter ⚠
  • p.Arg54Cys Single submitter Inborn genetic diseases ⚠
  • p.Arg7His Single submitter autosomal recessive congenital ichthyosis 5 ⚠
  • p.Asn219Lys Single submitter Inborn genetic diseases ⚠
  • p.Asp129= Single submitter autosomal recessive congenital ichthyosis 5
  • p.Glu511Gln Single submitter Inborn genetic diseases ⚠
  • p.His155Tyr Single submitter ⚠
  • p.Leu251= Single submitter autosomal recessive congenital ichthyosis 5
  • p.Pro117Leu Single submitter autosomal recessive congenital ichthyosis 5 ⚠
  • p.Pro127Ser Single submitter Inborn genetic diseases ⚠
  • p.Ser220Thr Single submitter autosomal recessive congenital ichthyosis 5 ⚠

Benign 54

Benign/Likely benign 4

Likely benign 59

Uncertain significance 112