DRC4 — 384 ClinVar variants

All ClinVar germline DRC4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 138 flagged for review →

12 Pathogenic · 7 Likely pathogenic · 8 Conflicting · 50 Benign · 3 Benign/Likely benign · 170 Likely benign · 134 Uncertain significance

Full DRC4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 138

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 5

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

Predictors lean, ClinVar uncertain 63

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

Predictors split 70

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

All DRC4 variants

Pathogenic 12

  • p.Gln357Ter Multiple submitters GAS8-related disorder
  • p.Arg183Ter Single submitter primary ciliary dyskinesia 33
  • p.Arg334Ter Single submitter primary ciliary dyskinesia 33
  • p.Arg369fs Single submitter primary ciliary dyskinesia 33
  • p.Arg49Ter Single submitter primary ciliary dyskinesia 33
  • p.Gln296fs Single submitter primary ciliary dyskinesia 33
  • p.Gln296Ter Single submitter primary ciliary dyskinesia 33
  • p.Glu266Ter Single submitter primary ciliary dyskinesia 33
  • p.Glu33Ter Single submitter primary ciliary dyskinesia 33
  • p.Glu94fs Single submitter primary ciliary dyskinesia 33
  • p.Ile240fs Single submitter primary ciliary dyskinesia 33
  • p.Trp63Ter Single submitter primary ciliary dyskinesia 33

Likely pathogenic 7

  • c.495+1G>T Multiple submitters primary ciliary dyskinesia 33
  • c.1011+1G>T Single submitter primary ciliary dyskinesia 33
  • c.1011+2T>C Single submitter primary ciliary dyskinesia 33
  • c.1221+1G>T Single submitter primary ciliary dyskinesia 33
  • c.495+1G>A Single submitter primary ciliary dyskinesia 33
  • c.757-1G>C Single submitter primary ciliary dyskinesia 33
  • c.924+2_924+3del Single submitter primary ciliary dyskinesia 33

Conflicting classifications of pathogenicity 8

Benign 50

Benign/Likely benign 3

  • p.Arg278His Multiple submitters primary ciliary dyskinesia 33 ⚠
  • p.Arg369His Multiple submitters primary ciliary dyskinesia 33 ⚠
  • p.Arg82Gln Multiple submitters primary ciliary dyskinesia 33

Likely benign 170

  • c.1221+4G>A Multiple submitters primary ciliary dyskinesia 33
  • c.1287+39C>T Multiple submitters
  • c.1287+44C>T Multiple submitters
  • c.90+11C>T Multiple submitters primary ciliary dyskinesia 33
  • c.91-35C>A Multiple submitters
  • p.Arg49= Multiple submitters primary ciliary dyskinesia 33
  • p.Gln358Arg Multiple submitters primary ciliary dyskinesia 33
  • p.Tyr300= Multiple submitters primary ciliary dyskinesia 33
  • p.Val93Met Multiple submitters primary ciliary dyskinesia 33
  • c.1011+14C>T Single submitter primary ciliary dyskinesia 33
  • c.1011+15G>A Single submitter primary ciliary dyskinesia 33
  • c.1011+19G>T Single submitter primary ciliary dyskinesia 33
  • c.1011+7G>C Single submitter primary ciliary dyskinesia 33
  • c.1012-13G>A Single submitter primary ciliary dyskinesia 33
  • c.1012-14C>T Single submitter primary ciliary dyskinesia 33
  • c.1012-20C>T Single submitter primary ciliary dyskinesia 33
  • c.1012-4A>G Single submitter primary ciliary dyskinesia 33
  • c.1012-55C>T Single submitter
  • c.1012-8C>T Single submitter primary ciliary dyskinesia 33
  • c.1012-9T>C Single submitter primary ciliary dyskinesia 33
  • c.1221+10A>G Single submitter primary ciliary dyskinesia 33
  • c.1221+19C>G Single submitter primary ciliary dyskinesia 33
  • c.1221+19C>T Single submitter primary ciliary dyskinesia 33
  • c.1222-13T>G Single submitter primary ciliary dyskinesia 33
  • c.1222-20C>T Single submitter primary ciliary dyskinesia 33
  • c.1287+10T>A Single submitter primary ciliary dyskinesia 33
  • c.1287+14_1287+15dup Single submitter primary ciliary dyskinesia 33
  • c.1287+20T>C Single submitter primary ciliary dyskinesia 33
  • c.1287+280C>G Single submitter
  • c.1288-13C>T Single submitter primary ciliary dyskinesia 33
  • c.1288-14C>T Single submitter primary ciliary dyskinesia 33
  • c.1288-4A>G Single submitter primary ciliary dyskinesia 33
  • c.288+12C>T Single submitter primary ciliary dyskinesia 33
  • c.288+13G>A Single submitter primary ciliary dyskinesia 33
  • c.289-17C>T Single submitter primary ciliary dyskinesia 33
  • c.289-230C>T Single submitter
  • c.289-6C>T Single submitter primary ciliary dyskinesia 33
  • c.289-92C>T Single submitter
  • c.289-9G>A Single submitter primary ciliary dyskinesia 33
  • c.3+11G>C Single submitter primary ciliary dyskinesia 33
  • c.3+12C>A Single submitter primary ciliary dyskinesia 33
  • c.3+236C>T Single submitter
  • c.3+7_3+12del Single submitter primary ciliary dyskinesia 33
  • c.4-16A>G Single submitter primary ciliary dyskinesia 33
  • c.4-18C>G Single submitter primary ciliary dyskinesia 33
  • c.4-20C>T Single submitter primary ciliary dyskinesia 33
  • c.4-7A>C Single submitter primary ciliary dyskinesia 33
  • c.495+12G>A Single submitter primary ciliary dyskinesia 33
  • c.495+13G>A Single submitter primary ciliary dyskinesia 33
  • c.495+44C>T Single submitter
  • c.495+8T>G Single submitter primary ciliary dyskinesia 33
  • c.496-12C>T Single submitter primary ciliary dyskinesia 33
  • c.496-16G>A Single submitter primary ciliary dyskinesia 33
  • c.496-16G>T Single submitter primary ciliary dyskinesia 33
  • c.496-17C>G Single submitter primary ciliary dyskinesia 33
  • c.496-18C>T Single submitter primary ciliary dyskinesia 33
  • c.550+11C>T Single submitter primary ciliary dyskinesia 33
  • c.550+12G>A Single submitter primary ciliary dyskinesia 33
  • c.550+18T>C Single submitter primary ciliary dyskinesia 33
  • c.551-11C>T Single submitter primary ciliary dyskinesia 33
  • c.551-14C>G Single submitter primary ciliary dyskinesia 33
  • c.756+10G>A Single submitter primary ciliary dyskinesia 33
  • c.756+19G>T Single submitter primary ciliary dyskinesia 33
  • c.756+7T>C Single submitter primary ciliary dyskinesia 33
  • c.756+9C>T Single submitter primary ciliary dyskinesia 33
  • c.757-20G>T Single submitter primary ciliary dyskinesia 33
  • c.757-8_757-3dup Single submitter primary ciliary dyskinesia 33
  • c.757-8G>A Single submitter primary ciliary dyskinesia 33
  • c.90+11C>G Single submitter primary ciliary dyskinesia 33
  • c.90+12G>A Single submitter primary ciliary dyskinesia 33
  • c.90+13G>A Single submitter primary ciliary dyskinesia 33
  • c.90+18T>C Single submitter primary ciliary dyskinesia 33
  • c.91-15A>G Single submitter primary ciliary dyskinesia 33
  • c.91-17C>G Single submitter primary ciliary dyskinesia 33
  • c.91-20G>C Single submitter primary ciliary dyskinesia 33
  • c.91-8C>A Single submitter primary ciliary dyskinesia 33
  • c.91-9C>A Single submitter primary ciliary dyskinesia 33
  • c.924+11C>T Single submitter primary ciliary dyskinesia 33
  • c.924+12G>A Single submitter primary ciliary dyskinesia 33
  • c.924+20C>G Single submitter primary ciliary dyskinesia 33
  • c.925-16C>T Single submitter primary ciliary dyskinesia 33
  • c.925-8T>C Single submitter primary ciliary dyskinesia 33
  • p.Ala298= Single submitter primary ciliary dyskinesia 33
  • p.Ala312= Single submitter primary ciliary dyskinesia 33
  • p.Ala373Val Single submitter primary ciliary dyskinesia 33
  • p.Ala376= Single submitter primary ciliary dyskinesia 33
  • p.Ala377= Single submitter primary ciliary dyskinesia 33
  • p.Ala425= Single submitter primary ciliary dyskinesia 33
  • p.Ala430= Single submitter primary ciliary dyskinesia 33
  • p.Ala444= Single submitter primary ciliary dyskinesia 33
  • p.Ala471= Single submitter primary ciliary dyskinesia 33
  • p.Ala87= Single submitter primary ciliary dyskinesia 33
  • p.Arg164= Single submitter primary ciliary dyskinesia 33
  • p.Arg203= Single submitter primary ciliary dyskinesia 33
  • p.Arg259= Single submitter primary ciliary dyskinesia 33
  • p.Arg302= Single submitter primary ciliary dyskinesia 33
  • p.Arg334= Single submitter primary ciliary dyskinesia 33
  • p.Arg342= Single submitter primary ciliary dyskinesia 33
  • p.Arg347Gln Single submitter Inborn genetic diseases
  • p.Arg39= Single submitter primary ciliary dyskinesia 33
  • p.Arg404Cys Single submitter primary ciliary dyskinesia 33 ⚠
  • p.Arg68= Single submitter primary ciliary dyskinesia 33
  • p.Arg82= Single submitter primary ciliary dyskinesia 33
  • p.Asn162= Single submitter primary ciliary dyskinesia 33
  • p.Asn238= Single submitter primary ciliary dyskinesia 33
  • p.Asn243= Single submitter primary ciliary dyskinesia 33
  • p.Asn276= Single submitter primary ciliary dyskinesia 33
  • p.Asn364= Single submitter primary ciliary dyskinesia 33
  • p.Asn432= Single submitter primary ciliary dyskinesia 33
  • p.Asn451= Single submitter primary ciliary dyskinesia 33
  • p.Asp190= Single submitter primary ciliary dyskinesia 33
  • p.Asp239= Single submitter primary ciliary dyskinesia 33
  • p.Cys309= Single submitter primary ciliary dyskinesia 33
  • p.Cys428= Single submitter primary ciliary dyskinesia 33
  • p.Gln218= Single submitter primary ciliary dyskinesia 33
  • p.Gln325= Single submitter primary ciliary dyskinesia 33
  • p.Glu119= Single submitter primary ciliary dyskinesia 33
  • p.Glu135= Single submitter primary ciliary dyskinesia 33
  • p.Glu207= Single submitter primary ciliary dyskinesia 33
  • p.Glu228= Single submitter primary ciliary dyskinesia 33
  • p.Glu329= Single submitter primary ciliary dyskinesia 33
  • p.Glu41= Single submitter primary ciliary dyskinesia 33
  • p.Gly14= Single submitter primary ciliary dyskinesia 33
  • p.Gly20= Single submitter
  • p.Gly446= Single submitter primary ciliary dyskinesia 33
  • p.Gly475= Single submitter primary ciliary dyskinesia 33
  • p.His131= Single submitter primary ciliary dyskinesia 33
  • p.His209= Single submitter primary ciliary dyskinesia 33
  • p.His226= Single submitter primary ciliary dyskinesia 33
  • p.Ile248= Single submitter primary ciliary dyskinesia 33
  • p.Leu105= Single submitter primary ciliary dyskinesia 33
  • p.Leu106= Single submitter primary ciliary dyskinesia 33
  • p.Leu200= Single submitter primary ciliary dyskinesia 33
  • p.Leu21= Single submitter primary ciliary dyskinesia 33
  • p.Leu247= Single submitter primary ciliary dyskinesia 33
  • p.Leu307= Single submitter primary ciliary dyskinesia 33
  • p.Leu365= Single submitter primary ciliary dyskinesia 33
  • p.Leu367= Single submitter primary ciliary dyskinesia 33
  • p.Leu374= Single submitter primary ciliary dyskinesia 33
  • p.Leu406= Single submitter primary ciliary dyskinesia 33
  • p.Leu434= Single submitter primary ciliary dyskinesia 33
  • p.Lys101= Single submitter primary ciliary dyskinesia 33
  • p.Lys129= Single submitter primary ciliary dyskinesia 33
  • p.Lys359= Single submitter primary ciliary dyskinesia 33
  • p.Lys455= Single submitter primary ciliary dyskinesia 33
  • p.Phe362= Single submitter primary ciliary dyskinesia 33
  • p.Phe445= Single submitter primary ciliary dyskinesia 33
  • p.Pro23= Single submitter primary ciliary dyskinesia 33
  • p.Pro470= Single submitter primary ciliary dyskinesia 33
  • p.Pro477= Single submitter primary ciliary dyskinesia 33
  • p.Ser291= Single submitter primary ciliary dyskinesia 33
  • p.Ser375= Single submitter primary ciliary dyskinesia 33
  • p.Ser412= Single submitter primary ciliary dyskinesia 33
  • p.Thr15= Single submitter primary ciliary dyskinesia 33
  • p.Thr168= Single submitter primary ciliary dyskinesia 33
  • p.Thr221= Single submitter primary ciliary dyskinesia 33
  • p.Thr231= Single submitter primary ciliary dyskinesia 33
  • p.Thr241= Single submitter primary ciliary dyskinesia 33
  • p.Thr416= Single submitter primary ciliary dyskinesia 33
  • p.Thr437= Single submitter primary ciliary dyskinesia 33
  • p.Thr465= Single submitter primary ciliary dyskinesia 33
  • p.Thr465Ile Single submitter ⚠
  • p.Thr465Met Single submitter primary ciliary dyskinesia 33
  • p.Thr478= Single submitter primary ciliary dyskinesia 33
  • p.Tyr51= Single submitter
  • p.Val160= Single submitter primary ciliary dyskinesia 33
  • p.Val18= Single submitter primary ciliary dyskinesia 33
  • p.Val35= Single submitter primary ciliary dyskinesia 33
  • c.*8C>G No assertion criteria GAS8-related disorder
  • p.Glu423= No assertion criteria GAS8-related disorder

Uncertain significance 134