EARS2 — 373 ClinVar variants

All ClinVar germline EARS2 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 180 flagged for review →

15 Pathogenic · 7 Pathogenic/Likely pathogenic · 15 Likely pathogenic · 27 Conflicting · 32 Benign · 6 Benign/Likely benign · 86 Likely benign · 185 Uncertain significance

Full EARS2 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 180

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 7

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

Predictors agree, ClinVar conflicts 11

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

Predictors lean, ClinVar uncertain 71

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

Predictors split 91

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

All EARS2 variants

Pathogenic 15

  • p.Lys471fs Multiple submitters
  • p.Ser143Ter Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.(?_-8 Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Gln126Ter Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Gln387Ter Single submitter
  • p.Gln414Ter Single submitter
  • p.Glu249Ter Single submitter
  • p.Glu96Lys Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Gly317Cys Single submitter
  • p.Leu424fs Single submitter
  • p.Lys65Glu Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Lys66fs Single submitter
  • p.Tyr228Ter Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Tyr398Ter Single submitter
  • p.Pro428fs No assertion criteria leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome

Pathogenic/Likely pathogenic 7

  • p.Arg107His Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Arg108Trp Multiple submitters Inborn genetic diseases ⚠
  • p.Cys140fs Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Cys167Tyr Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Gly110Ser Multiple submitters Inborn genetic diseases ⚠
  • p.Met1Val Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Phe71fs Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome

Likely pathogenic 15

  • c.295+2T>C Single submitter
  • c.485+1G>A Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.958+1G>A Single submitter
  • p.Ala112Pro Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Ala98Val Single submitter ⚠
  • p.Cys167Arg Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Gln117Ter Single submitter EARS2-related disorder
  • p.Gln68Ter Single submitter
  • p.Gly240fs Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Gly317Ser Single submitter ⚠
  • p.Leu307Ser Single submitter
  • p.Lys151Ter Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Val234Leu Single submitter
  • p.Arg107Cys No assertion criteria leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Ser316Ter No assertion criteria leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome

Conflicting classifications of pathogenicity 27

  • c.1488+15C>T Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.1488+16G>A Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.1489-14C>T Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.958+4C>T Single submitter
  • c.959-15C>T Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Ala272Thr Single submitter arthrogryposis multiplex congenita ⚠
  • p.Ala88Glu Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Arg190His Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Arg412Cys Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Arg516Gln Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Asp223Asn Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Asp291= Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Asp415Asn Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Gln117= Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Glu349Lys Single submitter mitochondrial disease ⚠
  • p.Gly224Ser Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Gly34Arg Single submitter Inborn genetic diseases ⚠
  • p.Gly431Ala Single submitter Inborn genetic diseases ⚠
  • p.Leu357= Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Leu465Pro Single submitter ⚠
  • p.Met94Val Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Phe293Ser Single submitter Inborn genetic diseases ⚠
  • p.Ser70Asn Single submitter Inborn genetic diseases ⚠
  • p.Ser70Ile Single submitter Inborn genetic diseases ⚠
  • p.Thr426_Arg427insPro Single submitter fetal akinesia deformation sequence 1
  • p.Val292Ile Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Val83Phe Single submitter Inborn genetic diseases ⚠

Benign 32

  • c.1068-5C>T Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.1352+25G>A Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.1488+199A>G Multiple submitters
  • c.1488+34G>A Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.485+109G>A Multiple submitters
  • c.*12T>G Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*1443C>G Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*1594C>T Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*2156T>G Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*400A>G Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Ala88= Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Pro328= Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Ser457Gly Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Thr134= Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Val194Met Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Val202= Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.1489-210dup Single submitter
  • c.295+286A>G Single submitter
  • c.958+231T>C Single submitter
  • c.959-209C>T Single submitter
  • c.-9C>T Single submitter
  • c.+12T>G Single submitter
  • c.*1099A>G Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*1233C>T Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*1362T>C Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*1388C>T Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*1498A>G Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*2294T>C Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*715G>A Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • c.*755C>T Single submitter leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Asp235= Single submitter
  • p.Leu5= Single submitter

Benign/Likely benign 6

  • p.Arg6Gly Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome ⚠
  • p.Arg82= Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Lys287= Multiple submitters
  • p.Lys471Thr Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Phe271= Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome
  • p.Ser439= Multiple submitters leukoencephalopathy-thalamus and brainstem anomalies-high lactate syndrome

Likely benign 86

Uncertain significance 185