ECE1 — 151 ClinVar variants
All ClinVar germline ECE1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 102 flagged for review →
1 Pathogenic · 3 Likely pathogenic · 1 Conflicting · 14 Benign · 1 Benign/Likely benign · 32 Likely benign · 99 Uncertain significance
Full ECE1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 102
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.
-
ECE1 p.Gly656Arg
Likely pathogenic
Single submitter
Hirschsprung disease, cardiac defects, and autonomic dysfunction
-
ECE1 p.Arg754Cys
Pathogenic
No assertion criteria
Hirschsprung disease, cardiac defects, and autonomic dysfunction
Predictors agree, ClinVar conflicts 1
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
Predictors lean, ClinVar uncertain 57
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
- ECE1 p.Ala15Ser Uncertain significance Single submitter
- ECE1 p.Ala15Thr Uncertain significance Single submitter
- ECE1 p.Ala15Val Uncertain significance Single submitter
- ECE1 p.Ala229Thr Uncertain significance Single submitter
- ECE1 p.Ala24Thr Uncertain significance Single submitter
- ECE1 p.Ala534Val Uncertain significance Single submitter
- ECE1 p.Ala567Thr Uncertain significance Single submitter
- ECE1 p.Ala585Pro Uncertain significance Single submitter
- ECE1 p.Arg183His Uncertain significance Single submitter
- ECE1 p.Arg232His Uncertain significance Single submitter
- ECE1 p.Arg2Trp Uncertain significance Single submitter
- ECE1 p.Arg325Cys Uncertain significance Single submitter
- ECE1 p.Arg400Gln Uncertain significance Single submitter
- ECE1 p.Arg400Trp Uncertain significance Single submitter
- ECE1 p.Arg53Gly Uncertain significance Single submitter
- ECE1 p.Arg68Trp Uncertain significance Single submitter
- ECE1 p.Asn249His Uncertain significance Single submitter
- ECE1 p.Asn347Ser Uncertain significance Single submitter
- ECE1 p.Asn502Ser Uncertain significance Single submitter
- ECE1 p.Asp266Tyr Uncertain significance Single submitter
- ECE1 p.Asp371Gly Uncertain significance Single submitter
- ECE1 p.Asp522Gly Uncertain significance Single submitter
- ECE1 p.Gln321Lys Uncertain significance Single submitter
- ECE1 p.Gln46Leu Uncertain significance Single submitter
- ECE1 p.Gln557Glu Uncertain significance Single submitter
- ECE1 p.Glu28Val Uncertain significance Single submitter
- ECE1 p.Glu365Lys Uncertain significance Single submitter
- ECE1 p.Glu37Lys Uncertain significance Single submitter
- ECE1 p.Glu532Asp Uncertain significance Single submitter
- ECE1 p.Glu575Lys Uncertain significance Single submitter
- ECE1 p.Gly44Arg Uncertain significance Single submitter
- ECE1 p.Gly44Asp Uncertain significance Single submitter
- ECE1 p.Gly581Arg Uncertain significance Single submitter
- ECE1 p.Gly690Trp Uncertain significance Single submitter
- ECE1 p.Gly709Ser Uncertain significance Single submitter
- ECE1 p.Gly79Arg Uncertain significance Single submitter
- ECE1 p.His155Asn Uncertain significance Single submitter
- ECE1 p.Leu35Pro Uncertain significance Single submitter
- ECE1 p.Leu482Pro Uncertain significance Single submitter
- ECE1 p.Met418Ile Uncertain significance Single submitter
- ECE1 p.Met511Thr Uncertain significance Single submitter
- ECE1 p.Phe509Leu Uncertain significance Single submitter
- ECE1 p.Pro117Leu Uncertain significance Single submitter
- ECE1 p.Pro358Thr Uncertain significance Single submitter
- ECE1 p.Pro449Ala Uncertain significance Single submitter
- ECE1 p.Pro7Ser Uncertain significance Single submitter
- ECE1 p.Ser170Thr Uncertain significance Single submitter
- ECE1 p.Ser559Arg Uncertain significance Single submitter
- ECE1 p.Thr223Ile Uncertain significance Single submitter
- ECE1 p.Thr228Ile Uncertain significance Single submitter
- ECE1 p.Thr318Ile Uncertain significance Single submitter
- ECE1 p.Trp348Ser Uncertain significance Single submitter
- ECE1 p.Val277Met Uncertain significance Single submitter
- ECE1 p.Val605Met Uncertain significance Single submitter
- ECE1 p.Val81Ala Uncertain significance Single submitter
-
ECE1 p.Ala345Ser
Uncertain significance
No assertion criteria
ECE1-related disorder
-
ECE1 p.Arg618Gln
Uncertain significance
No assertion criteria
ECE1-related disorder
Predictors split 42
The independent predictors disagree with each other — read with care.
-
ECE1 p.Thr312Met
Uncertain significance
Multiple submitters
Hirschsprung disease, cardiac defects, and autonomic dysfunction
- ECE1 p.Thr341Ile Benign Multiple submitters
- ECE1 p.Arg301Trp Uncertain significance Single submitter
- ECE1 p.Arg53Trp Uncertain significance Single submitter
- ECE1 p.Arg590Cys Uncertain significance Single submitter
- ECE1 p.Arg590Leu Uncertain significance Single submitter
- ECE1 p.Arg62Gln Uncertain significance Single submitter
- ECE1 p.Arg718His Uncertain significance Single submitter
- ECE1 p.Asn392Ser Uncertain significance Single submitter
- ECE1 p.Asn554Ser Uncertain significance Single submitter
- ECE1 p.Asn651Lys Uncertain significance Single submitter
- ECE1 p.Asp116Asn Uncertain significance Single submitter
- ECE1 p.Asp218His Uncertain significance Single submitter
- ECE1 p.Asp386Gly Uncertain significance Single submitter
- ECE1 p.Gln179Leu Uncertain significance Single submitter
- ECE1 p.Gln287His Uncertain significance Single submitter
- ECE1 p.Glu188Lys Uncertain significance Single submitter
- ECE1 p.Glu193Asp Uncertain significance Single submitter
- ECE1 p.Glu458Lys Uncertain significance Single submitter
- ECE1 p.Glu643Lys Uncertain significance Single submitter
- ECE1 p.Glu768Lys Uncertain significance Single submitter
-
ECE1 p.Gly293Ser
Uncertain significance
Single submitter
Hirschsprung disease, cardiac defects, and autonomic dysfunction
- ECE1 p.Ile191Val Uncertain significance Single submitter
- ECE1 p.Ile330Leu Uncertain significance Single submitter
- ECE1 p.Ile330Met Uncertain significance Single submitter
- ECE1 p.Ile504Val Uncertain significance Single submitter
- ECE1 p.Lys514Glu Uncertain significance Single submitter
- ECE1 p.Lys622Gln Uncertain significance Single submitter
- ECE1 p.Met115Val Uncertain significance Single submitter
- ECE1 p.Met450Thr Uncertain significance Single submitter
- ECE1 p.Pro138Leu Uncertain significance Single submitter
- ECE1 p.Ser591Pro Uncertain significance Single submitter
- ECE1 p.Ser722Gly Uncertain significance Single submitter
- ECE1 p.Ser746Phe Uncertain significance Single submitter
- ECE1 p.Thr455Ala Uncertain significance Single submitter
- ECE1 p.Tyr240Cys Uncertain significance Single submitter
- ECE1 p.Val277Leu Uncertain significance Single submitter
- ECE1 p.Val635Met Uncertain significance Single submitter
- ECE1 p.Val654Met Likely benign Single submitter
- ECE1 p.Val739Ile Uncertain significance Single submitter
- ECE1 p.Val73Met Uncertain significance Single submitter
-
ECE1 p.Arg627Trp
Likely pathogenic
No assertion criteria
Hirschsprung disease
All ECE1 variants
Pathogenic 1
- p.Arg754Cys No assertion criteria Hirschsprung disease, cardiac defects, and autonomic dysfunction ⚠
Likely pathogenic 3
- p.Gly656Arg Single submitter Hirschsprung disease, cardiac defects, and autonomic dysfunction ⚠
- p.Arg627Trp No assertion criteria Hirschsprung disease ⚠
- p.Phe356Cys No assertion criteria Hirschsprung disease
Conflicting classifications of pathogenicity 1
- p.Leu72Val Single submitter ⚠
Benign 14
- c.1020+15G>A Multiple submitters
- c.1164-5C>T Multiple submitters
- c.1278+7C>T Multiple submitters
- c.1782-4C>A Multiple submitters
- c.828+8T>C Multiple submitters
- p.Asn397Ser Multiple submitters
- p.Asp547= Multiple submitters
- p.Ser570= Multiple submitters
- p.Thr168= Multiple submitters
- p.Thr341Ile Multiple submitters ⚠
- p.Thr385= Multiple submitters
- c.*2201A>T Single submitter
- p.Pro8= No assertion criteria ECE1-related disorder
- p.Thr354Ala No assertion criteria ECE1-related disorder
Benign/Likely benign 1
- p.Ser462Asn Multiple submitters
Likely benign 32
- p.Glu173Lys Multiple submitters
- p.Leu516= Multiple submitters
- p.Pro562= Multiple submitters
- p.Pro628= Multiple submitters
- c.1163+9A>C Single submitter
- c.138+7G>A Single submitter
- c.139-35C>T Single submitter
- c.1671-21_1671-20delinsGG Single submitter
- c.280+13G>C Single submitter
- c.828+9G>A Single submitter
- c.829-15G>T Single submitter
- c.*2220C>T Single submitter
- p.Ala243= Single submitter
- p.Ala546= Single submitter
- p.Ala637= Single submitter
- p.Asn566= Single submitter
- p.Asn689= Single submitter
- p.Asp522= Single submitter
- p.Gly709= Single submitter
- p.His693Gln Single submitter
- p.Leu269= Single submitter
- p.Leu342= Single submitter
- p.Lys622= Single submitter
- p.Phe445= Single submitter
- p.Ser650Gly Single submitter
- p.Ser723= Single submitter
- p.Thr729= Single submitter
- p.Tyr128= Single submitter
- p.Val171= Single submitter
- p.Val654Met Single submitter ⚠
- c.139-43G>A No assertion criteria ECE1-related disorder
- p.Gly673= No assertion criteria ECE1-related disorder
Uncertain significance 99
- p.Thr312Met Multiple submitters Hirschsprung disease, cardiac defects, and autonomic dysfunction ⚠
- c.1849+4C>T Single submitter essential hypertension, genetic
- p.Ala15Ser Single submitter ⚠
- p.Ala15Thr Single submitter ⚠
- p.Ala15Val Single submitter ⚠
- p.Ala229Thr Single submitter ⚠
- p.Ala24Thr Single submitter ⚠
- p.Ala534Val Single submitter ⚠
- p.Ala567Thr Single submitter ⚠
- p.Ala585Pro Single submitter ⚠
- p.Arg183His Single submitter ⚠
- p.Arg232His Single submitter ⚠
- p.Arg2Trp Single submitter ⚠
- p.Arg301Trp Single submitter ⚠
- p.Arg325Cys Single submitter ⚠
- p.Arg400Gln Single submitter ⚠
- p.Arg400Trp Single submitter ⚠
- p.Arg53Gly Single submitter ⚠
- p.Arg53Trp Single submitter ⚠
- p.Arg590Cys Single submitter ⚠
- p.Arg590Leu Single submitter ⚠
- p.Arg62Gln Single submitter ⚠
- p.Arg68Trp Single submitter ⚠
- p.Arg718His Single submitter ⚠
- p.Asn249His Single submitter ⚠
- p.Asn347Ser Single submitter ⚠
- p.Asn392Ser Single submitter ⚠
- p.Asn502Ser Single submitter ⚠
- p.Asn554Ser Single submitter ⚠
- p.Asn651Lys Single submitter ⚠
- p.Asp116Asn Single submitter ⚠
- p.Asp218His Single submitter ⚠
- p.Asp266Tyr Single submitter ⚠
- p.Asp371Gly Single submitter ⚠
- p.Asp386Gly Single submitter ⚠
- p.Asp522Gly Single submitter ⚠
- p.Gln179Leu Single submitter ⚠
- p.Gln287His Single submitter ⚠
- p.Gln321Lys Single submitter ⚠
- p.Gln46Leu Single submitter ⚠
- p.Gln557Glu Single submitter ⚠
- p.Glu188Lys Single submitter ⚠
- p.Glu193Asp Single submitter ⚠
- p.Glu28Val Single submitter ⚠
- p.Glu365Lys Single submitter ⚠
- p.Glu37Lys Single submitter ⚠
- p.Glu458Lys Single submitter ⚠
- p.Glu532Asp Single submitter ⚠
- p.Glu575Lys Single submitter ⚠
- p.Glu643Lys Single submitter ⚠
- p.Glu768Lys Single submitter ⚠
- p.Gly293Ser Single submitter Hirschsprung disease, cardiac defects, and autonomic dysfunction ⚠
- p.Gly44Arg Single submitter ⚠
- p.Gly44Asp Single submitter ⚠
- p.Gly581Arg Single submitter ⚠
- p.Gly690Trp Single submitter ⚠
- p.Gly709Ser Single submitter ⚠
- p.Gly79Arg Single submitter ⚠
- p.His155Asn Single submitter ⚠
- p.Ile191Val Single submitter ⚠
- p.Ile330Leu Single submitter ⚠
- p.Ile330Met Single submitter ⚠
- p.Ile504Val Single submitter ⚠
- p.Leu35Pro Single submitter ⚠
- p.Leu482Pro Single submitter ⚠
- p.Lys514Glu Single submitter ⚠
- p.Lys622Gln Single submitter ⚠
- p.Met115Val Single submitter ⚠
- p.Met418Ile Single submitter ⚠
- p.Met450Thr Single submitter ⚠
- p.Met511Thr Single submitter ⚠
- p.Phe509Leu Single submitter ⚠
- p.Pro117Leu Single submitter ⚠
- p.Pro138Leu Single submitter ⚠
- p.Pro358Thr Single submitter ⚠
- p.Pro449Ala Single submitter ⚠
- p.Pro7Ser Single submitter ⚠
- p.Ser170Thr Single submitter ⚠
- p.Ser559Arg Single submitter ⚠
- p.Ser591Pro Single submitter ⚠
- p.Ser722Gly Single submitter ⚠
- p.Ser746Phe Single submitter ⚠
- p.Thr223Ile Single submitter ⚠
- p.Thr228Ile Single submitter ⚠
- p.Thr318Ile Single submitter ⚠
- p.Thr455Ala Single submitter ⚠
- p.Trp348Ser Single submitter ⚠
- p.Tyr240Cys Single submitter ⚠
- p.Val277Leu Single submitter ⚠
- p.Val277Met Single submitter ⚠
- p.Val605Met Single submitter ⚠
- p.Val635Met Single submitter ⚠
- p.Val739Ile Single submitter ⚠
- p.Val73Met Single submitter ⚠
- p.Val81Ala Single submitter ⚠
- c.139-68C>G No assertion criteria ECE1-related disorder
- c.1488+1G>A No assertion criteria ECE1-related disorder
- p.Ala345Ser No assertion criteria ECE1-related disorder ⚠
- p.Arg618Gln No assertion criteria ECE1-related disorder ⚠