DHFR — 200 ClinVar variants
All ClinVar germline DHFR variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 54 flagged for review →
2 Pathogenic · 3 Likely pathogenic · 14 Conflicting · 8 Benign · 17 Benign/Likely benign · 97 Likely benign · 59 Uncertain significance
Full DHFR gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 54
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 3
ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.
-
DHFR p.Asp153Val
Pathogenic
No assertion criteria
constitutional megaloblastic anemia with severe neurologic disease
-
DHFR p.Leu80Phe
Pathogenic
No assertion criteria
constitutional megaloblastic anemia with severe neurologic disease
-
DHFR p.Pro26Leu
Likely pathogenic
No assertion criteria
constitutional megaloblastic anemia with severe neurologic disease
Predictors agree, ClinVar conflicts 4
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
-
DHFR c.-369G>C
Conflicting
Single submitter
hereditary neoplastic syndrome
-
DHFR c.-384G>C
Conflicting
Single submitter
familial adenomatous polyposis 4
-
DHFR c.-419C>G
Conflicting
Single submitter
familial adenomatous polyposis 4
- DHFR c.-425G>C Conflicting Single submitter
Predictors lean, ClinVar uncertain 19
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
DHFR c.-381T>G
Uncertain significance
Multiple submitters
hereditary neoplastic syndrome
-
DHFR c.-440C>G
Uncertain significance
Multiple submitters
hereditary neoplastic syndrome
-
DHFR c.-473T>G
Uncertain significance
Multiple submitters
hereditary neoplastic syndrome
-
DHFR c.-451G>T
Uncertain significance
Single submitter
hereditary neoplastic syndrome
- DHFR p.Arg29Lys Uncertain significance Single submitter
- DHFR p.Arg66Gly Uncertain significance Single submitter
- DHFR p.Arg92Gly Uncertain significance Single submitter
- DHFR p.Asn6Lys Uncertain significance Single submitter
- DHFR p.Asp142Glu Uncertain significance Single submitter
- DHFR p.Asp95Glu Uncertain significance Single submitter
- DHFR p.Gly118Asp Uncertain significance Single submitter
-
DHFR p.Gly21Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- DHFR p.Gly70Asp Uncertain significance Single submitter
- DHFR p.His131Arg Uncertain significance Single submitter
-
DHFR p.Met112Arg
Uncertain significance
Single submitter
constitutional megaloblastic anemia with severe neurologic disease
- DHFR p.Met112Leu Uncertain significance Single submitter
-
DHFR p.Pro27Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- DHFR p.Thr101Ile Uncertain significance Single submitter
- DHFR p.Tyr122His Uncertain significance Single submitter
Predictors split 28
The independent predictors disagree with each other — read with care.
-
DHFR c.-264C>A
Uncertain significance
Multiple submitters
hereditary neoplastic syndrome
-
DHFR c.-303G>T
Uncertain significance
Multiple submitters
hereditary neoplastic syndrome
-
DHFR c.-411G>A
Benign/Likely benign
Multiple submitters
familial adenomatous polyposis 4
-
DHFR c.-416C>G
Benign/Likely benign
Multiple submitters
hereditary neoplastic syndrome
-
DHFR c.-425G>A
Uncertain significance
Multiple submitters
hereditary neoplastic syndrome
-
DHFR c.-444G>A
Uncertain significance
Multiple submitters
hereditary neoplastic syndrome
-
DHFR p.Asn30Lys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
DHFR p.Asn65Ser
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
DHFR p.Pro104Ala
Uncertain significance
Multiple submitters
Inborn genetic diseases
- DHFR p.Ala125Thr Uncertain significance Single submitter
- DHFR p.Ala87Gly Uncertain significance Single submitter
- DHFR p.Ala87Thr Uncertain significance Single submitter
-
DHFR p.Asp153His
Uncertain significance
Single submitter
Inborn genetic diseases
- DHFR p.Asp95His Uncertain significance Single submitter
- DHFR p.Gln171Arg Uncertain significance Single submitter
- DHFR p.Glu184Lys Uncertain significance Single submitter
-
DHFR p.Glu184Val
Uncertain significance
Single submitter
Inborn genetic diseases
- DHFR p.Glu63Gln Uncertain significance Single submitter
- DHFR p.Glu63Lys Uncertain significance Single submitter
- DHFR p.His128Asn Uncertain significance Single submitter
- DHFR p.His88Asn Uncertain significance Single submitter
- DHFR p.Ile115Leu Uncertain significance Single submitter
- DHFR p.Lys69Met Uncertain significance Single submitter
- DHFR p.Lys81Arg Uncertain significance Single submitter
- DHFR p.Pro150Ala Uncertain significance Single submitter
- DHFR p.Thr147Met Uncertain significance Single submitter
-
DHFR p.Thr40Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
DHFR p.Val113Phe
Uncertain significance
Single submitter
Inborn genetic diseases
All DHFR variants
Pathogenic 2
- p.Asp153Val No assertion criteria constitutional megaloblastic anemia with severe neurologic disease ⚠
- p.Leu80Phe No assertion criteria constitutional megaloblastic anemia with severe neurologic disease ⚠
Likely pathogenic 3
- c.-476C>G Multiple submitters hereditary neoplastic syndrome
- p.Gly18Val No assertion criteria constitutional megaloblastic anemia with severe neurologic disease
- p.Pro26Leu No assertion criteria constitutional megaloblastic anemia with severe neurologic disease ⚠
Conflicting classifications of pathogenicity 14
- c.-231C>A Single submitter familial adenomatous polyposis 4
- c.-319G>A Single submitter hereditary neoplastic syndrome
- c.-369G>C Single submitter hereditary neoplastic syndrome ⚠
- c.-384G>C Single submitter familial adenomatous polyposis 4 ⚠
- c.-406CGCTGCAGC[3] Single submitter hereditary neoplastic syndrome
- c.-416_-415insTGGGGG Single submitter hereditary neoplastic syndrome
- c.-417_-416insGCG Single submitter hereditary neoplastic syndrome
- c.-418_-392del Single submitter endometrial carcinoma
- c.-419C>G Single submitter familial adenomatous polyposis 4 ⚠
- c.-420_-419insGGGGCGCTGCGGCCGCTG Single submitter familial adenomatous polyposis 4
- c.-425G>C Single submitter ⚠
- c.-437GGGGCGCTG[3] Single submitter hereditary neoplastic syndrome
- c.-437GGGGCGCTG[6] Single submitter hereditary neoplastic syndrome
- p.Phe59= Single submitter
Benign 8
- c.-425_-417dup Multiple submitters familial adenomatous polyposis 4
- c.-442_-434del Multiple submitters hereditary neoplastic syndrome
- c.-473T>C Multiple submitters endometrial carcinoma
- c.137-398G>T Single submitter
- c.486-8del Single submitter
- c.86+8C>T Single submitter
- c.-420_-419insGGGGCGCTGCGGGCGCTG Single submitter
- p.Ala107= Single submitter
Benign/Likely benign 17
- c.-197G>A Multiple submitters
- c.-259C>T Multiple submitters endometrial carcinoma
- c.-349G>A Multiple submitters hereditary neoplastic syndrome
- c.-367T>C Multiple submitters familial adenomatous polyposis 4
- c.-400A>G Multiple submitters endometrial carcinoma
- c.-406CGCTGCAGC[1] Multiple submitters hereditary neoplastic syndrome
- c.-411G>A Multiple submitters familial adenomatous polyposis 4 ⚠
- c.-416C>G Multiple submitters hereditary neoplastic syndrome ⚠
- c.-417_-416insGCGCTGCGGCCGCTGCGG Multiple submitters endometrial carcinoma
- c.-418GGCCGCTGC[1] Multiple submitters hereditary neoplastic syndrome
- c.-418GGCCGCTGC[3] Multiple submitters hereditary neoplastic syndrome
- c.-420G[5]CG[1] Multiple submitters hereditary neoplastic syndrome
- c.-420G[5]CGCTGGGGGCG[1] Multiple submitters hereditary neoplastic syndrome
- c.-428G>C Multiple submitters hereditary neoplastic syndrome
- c.-437GGGGCGCTG[1] Multiple submitters endometrial carcinoma
- c.-437GGGGCGCTG[4] Multiple submitters familial adenomatous polyposis 4
- c.-437GGGGCGCTG[5] Multiple submitters familial adenomatous polyposis 4
Likely benign 97
- c.-334T>G Multiple submitters familial adenomatous polyposis 4
- c.-379C>T Multiple submitters hereditary neoplastic syndrome
- c.-391A>G Multiple submitters hereditary neoplastic syndrome
- c.-397C>G Multiple submitters hereditary neoplastic syndrome
- c.-403T>G Multiple submitters familial adenomatous polyposis 4
- c.-412T>G Multiple submitters hereditary neoplastic syndrome
- c.-442A>C Multiple submitters hereditary neoplastic syndrome
- p.Ile115= Multiple submitters
- p.Thr147= Multiple submitters
- p.Tyr157= Multiple submitters
- c.136+10G>A Single submitter
- c.136+14A>G Single submitter
- c.136+19G>A Single submitter
- c.136+9G>A Single submitter
- c.136+9G>T Single submitter
- c.137-16_137-13del Single submitter
- c.137-19T>C Single submitter
- c.137-20C>A Single submitter
- c.242+15A>G Single submitter
- c.242+15A>T Single submitter
- c.242+20T>C Single submitter
- c.242+8C>T Single submitter
- c.242+9C>G Single submitter
- c.243-16C>G Single submitter
- c.369+16G>A Single submitter
- c.369+19A>G Single submitter
- c.369+7G>A Single submitter
- c.370-14_370-12del Single submitter
- c.370-15T>C Single submitter
- c.370-18T>C Single submitter
- c.370-25_370-19del Single submitter
- c.370-6T>A Single submitter
- c.485+10A>C Single submitter
- c.485+11G>A Single submitter
- c.485+12G>A Single submitter
- c.485+13T>C Single submitter
- c.485+14T>C Single submitter
- c.485+14T>G Single submitter
- c.485+8T>C Single submitter
- c.485+9A>G Single submitter
- c.486-14A>T Single submitter
- c.486-20_486-19dup Single submitter
- c.486-4A>G Single submitter
- c.486-8T>C Single submitter
- c.86+10G>A Single submitter
- c.86+10G>C Single submitter
- c.86+14C>A Single submitter
- c.86+14C>T Single submitter
- c.86+7G>T Single submitter
- c.86+9C>G Single submitter
- c.87-10T>C Single submitter
- c.87-13C>T Single submitter
- c.87-20G>C Single submitter
- c.87-4G>A Single submitter
- c.87-9A>T Single submitter
- c.-189G>C Single submitter
- c.-204T>A Single submitter
- c.-209G>A Single submitter
- c.-213G>C Single submitter
- c.-214C>T Single submitter
- c.-420GGGGGCGCT[2]G[5]CG[1] Single submitter
- c.-424_-420CGCTGGGGG[2]CGCTGGGGCCGCTG[1] Single submitter
- c.-425GCGCTGCGG[3] Single submitter
- c.-428_-411dup Single submitter
- p.Ala10= Single submitter
- p.Ala87= Single submitter
- p.Arg33= Single submitter
- p.Asn186= Single submitter
- p.Asn65= Single submitter
- p.Gln13= Single submitter
- p.Gln171= Single submitter
- p.Glu173= Single submitter
- p.Glu184= Single submitter
- p.Gly16= Single submitter
- p.Gly21= Single submitter
- p.Gly46= Single submitter
- p.Ile139= Single submitter
- p.Leu167= Single submitter
- p.Leu23= Single submitter
- p.Leu5= Single submitter
- p.Leu80= Single submitter
- p.Leu94= Single submitter
- p.Leu98= Single submitter
- p.Lys19= Single submitter
- p.Lys55= Single submitter
- p.Met140Leu Single submitter
- p.Pro104= Single submitter
- p.Pro24= Single submitter
- p.Pro67= Single submitter
- p.Ser12= Single submitter
- p.Ser4= Single submitter
- p.Thr101= Single submitter
- p.Thr41= Single submitter
- p.Val170= Single submitter
- p.Val182= Single submitter
- p.Val75= Single submitter
- c.-437GGGGCGCTG[7] No assertion criteria
Uncertain significance 59
- c.-239T>A Multiple submitters hereditary neoplastic syndrome
- c.-264C>A Multiple submitters hereditary neoplastic syndrome ⚠
- c.-303G>T Multiple submitters hereditary neoplastic syndrome ⚠
- c.-381T>G Multiple submitters hereditary neoplastic syndrome ⚠
- c.-425G>A Multiple submitters hereditary neoplastic syndrome ⚠
- c.-440C>G Multiple submitters hereditary neoplastic syndrome ⚠
- c.-444G>A Multiple submitters hereditary neoplastic syndrome ⚠
- c.-473T>G Multiple submitters hereditary neoplastic syndrome ⚠
- p.Asn30Lys Multiple submitters Inborn genetic diseases ⚠
- p.Asn65Ser Multiple submitters Inborn genetic diseases ⚠
- p.Pro104Ala Multiple submitters Inborn genetic diseases ⚠
- c.136+1G>A Single submitter
- c.137-546T>C Single submitter
- c.137-583C>G Single submitter
- c.242+3A>G Single submitter
- c.486-1G>T Single submitter
- c.86+4T>G Single submitter
- c.87-3T>C Single submitter
- c.-231C>T Single submitter familial adenomatous polyposis 4
- c.-425_-399del Single submitter
- c.-451G>T Single submitter hereditary neoplastic syndrome ⚠
- p.Ala125Thr Single submitter ⚠
- p.Ala87Gly Single submitter ⚠
- p.Ala87Thr Single submitter ⚠
- p.Arg29Lys Single submitter ⚠
- p.Arg66Gly Single submitter ⚠
- p.Arg92Gly Single submitter ⚠
- p.Asn6Lys Single submitter ⚠
- p.Asp142Glu Single submitter ⚠
- p.Asp153His Single submitter Inborn genetic diseases ⚠
- p.Asp95Glu Single submitter ⚠
- p.Asp95His Single submitter ⚠
- p.Gln171Arg Single submitter ⚠
- p.Glu184Lys Single submitter ⚠
- p.Glu184Val Single submitter Inborn genetic diseases ⚠
- p.Glu45fs Single submitter
- p.Glu63Gln Single submitter ⚠
- p.Glu63Lys Single submitter ⚠
- p.Gly118Asp Single submitter ⚠
- p.Gly21Arg Single submitter Inborn genetic diseases ⚠
- p.Gly70Asp Single submitter ⚠
- p.His128Asn Single submitter ⚠
- p.His131Arg Single submitter ⚠
- p.His88Asn Single submitter ⚠
- p.Ile115Leu Single submitter ⚠
- p.Lys69Met Single submitter ⚠
- p.Lys81Arg Single submitter ⚠
- p.Met112Arg Single submitter constitutional megaloblastic anemia with severe neurologic disease ⚠
- p.Met112Leu Single submitter ⚠
- p.Pro150Ala Single submitter ⚠
- p.Pro27Ser Single submitter Inborn genetic diseases ⚠
- p.Pro67_Leu68insTer Single submitter
- p.Ser4Ter Single submitter
- p.Ser77= Single submitter
- p.Thr101Ile Single submitter ⚠
- p.Thr147Met Single submitter ⚠
- p.Thr40Ile Single submitter Inborn genetic diseases ⚠
- p.Tyr122His Single submitter ⚠
- p.Val113Phe Single submitter Inborn genetic diseases ⚠