ECM1 — 178 ClinVar variants
All ClinVar germline ECM1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 94 flagged for review →
23 Pathogenic · 3 Pathogenic/Likely pathogenic · 9 Likely pathogenic · 1 Conflicting · 26 Benign · 4 Benign/Likely benign · 18 Likely benign · 94 Uncertain significance
Full ECM1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 94
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 1
ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.
Predictors lean, ClinVar uncertain 56
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
ECM1 p.Ala132Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ala274Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ala458Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ala7Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg155Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg163Trp
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg171Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg171Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg171Trp
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg185His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg205His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg219His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg266Trp
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg282Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg319His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg323His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg399Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg407Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Asn124His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Asn176His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Asn324His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Asp165Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Cys348Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Cys370Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Cys473Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Gln149Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Gln332Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Glu239Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Glu342Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Glu463Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Glu522Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Gly158Trp
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.His256Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.His287Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.His437Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ile339Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Leu113Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Leu164Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Leu366Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Phe167Val
Uncertain significance
Single submitter
ECM1-related disorder
-
ECM1 p.Phe244Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Phe345Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Phe468Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Phe468Ser
Uncertain significance
Single submitter
lipoid proteinosis
-
ECM1 p.Pro168His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro169Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro289Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro46Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro78Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ser293Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Thr534Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Tyr217His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Val303Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Val417Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Val496Ile
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Val75Gly
Uncertain significance
Single submitter
Inborn genetic diseases
Predictors split 37
The independent predictors disagree with each other — read with care.
- ECM1 p.Arg372Trp Benign Multiple submitters
-
ECM1 p.Pro169Ala
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
ECM1 p.Thr130Met
Benign
Multiple submitters
lipoid proteinosis
-
ECM1 p.Ala265Thr
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ala458Asp
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg219Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg229His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg261Trp
Likely benign
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg319Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg323Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg350His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Arg477Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Asn146Tyr
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Asn194Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Glu40Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Glu82Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Gly263Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ile180Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Leu382Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Lys100Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro142Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro275Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro387Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro403Arg
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro403Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro419Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro475His
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro77Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Pro85Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ser250Leu
Uncertain significance
Single submitter
lipoid proteinosis
-
ECM1 p.Ser533Phe
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Ser54Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Thr260Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Thr26Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Thr365Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Val102Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
ECM1 p.Val507Leu
Uncertain significance
Single submitter
Inborn genetic diseases
All ECM1 variants
Pathogenic 23
- p.Arg254Ter Multiple submitters lipoid proteinosis
- p.Arg53Ter Multiple submitters lipoid proteinosis
- c.1304+33_*300del Single submitter lipoid proteinosis
- c.1393-1G>T Single submitter lipoid proteinosis
- p.Ala484fs Single submitter lipoid proteinosis
- p.Ala8fs Single submitter lipoid proteinosis
- p.Arg171fs Single submitter ECM1-related disorder
- p.Arg205fs Single submitter
- p.Arg430fs Single submitter lipoid proteinosis
- p.Arg481Ter Single submitter lipoid proteinosis
- p.Asn404Ter Single submitter lipoid proteinosis
- p.Cys181Ter Single submitter lipoid proteinosis
- p.Gly170fs Single submitter lipoid proteinosis
- p.Trp359Ter Single submitter lipoid proteinosis
- p.Trp362Ter Single submitter lipoid proteinosis
- c.1304+35_*302del No assertion criteria lipoid proteinosis
- c.1305-2A>G No assertion criteria lipoid proteinosis
- c.709-2A>G No assertion criteria lipoid proteinosis
- p.Cys245_Glu246delinsTer No assertion criteria lipoid proteinosis
- p.Gln276fs No assertion criteria lipoid proteinosis
- p.Gln346Ter No assertion criteria lipoid proteinosis
- p.Leu472fs No assertion criteria lipoid proteinosis
- p.Trp160Ter No assertion criteria lipoid proteinosis
Pathogenic/Likely pathogenic 3
- p.Arg416Ter Multiple submitters lipoid proteinosis
- p.Cys269Tyr Multiple submitters lipoid proteinosis
- p.Pro78fs Multiple submitters lipoid proteinosis
Likely pathogenic 9
- c.1392+1G>A Single submitter lipoid proteinosis
- p.Ala17fs Single submitter lipoid proteinosis
- p.Gln197Ter Single submitter lipoid proteinosis
- p.Gln340fs Single submitter lipoid proteinosis
- p.Gln351Ter Single submitter lipoid proteinosis
- p.Gln81fs Single submitter ECM1-related disorder
- p.Gly23Val Single submitter ⚠
- p.Phe167Ile Single submitter lipoid proteinosis
- p.Ser48fs Single submitter lipoid proteinosis
Conflicting classifications of pathogenicity 1
- c.386-5T>G Single submitter Inborn genetic diseases
Benign 26
- c.1083+248C>G Multiple submitters
- c.1305-25C>T Multiple submitters
- c.1393-114G>A Multiple submitters
- c.1393-142T>C Multiple submitters
- c.1393-147T>G Multiple submitters
- c.223+17A>G Multiple submitters
- c.385+80G>A Multiple submitters
- c.386-116A>C Multiple submitters
- c.709-93C>T Multiple submitters
- c.71-111C>T Multiple submitters
- c.71-269C>T Multiple submitters
- c.-97G>A Multiple submitters
- c.*296C>G Multiple submitters
- p.Ala44Thr Multiple submitters
- p.Arg372Trp Multiple submitters ⚠
- p.Arg385His Multiple submitters
- p.Arg448His Multiple submitters
- p.Glu264= Multiple submitters lipoid proteinosis
- p.Gly415Ser Multiple submitters lipoid proteinosis
- p.Pro77= Multiple submitters
- p.Thr130Met Multiple submitters lipoid proteinosis ⚠
- p.Thr260= Multiple submitters
- c.1083+94_1083+95del Single submitter
- c.1304+6_1304+7insCT Single submitter
- c.1393-182T>C Single submitter
- p.Asn516= Single submitter
Benign/Likely benign 4
- c.1083+10C>T Multiple submitters lipoid proteinosis
- p.Asp367Val Multiple submitters lipoid proteinosis
- p.His122= Multiple submitters lipoid proteinosis
- p.Ile414= Multiple submitters
Likely benign 18
- c.223+40G>T Multiple submitters
- c.71-25C>T Multiple submitters
- p.Pro49= Multiple submitters
- c.1084-197C>A Single submitter
- p.Ala94= Single submitter
- p.Arg224His Single submitter Inborn genetic diseases
- p.Arg261Trp Single submitter Inborn genetic diseases ⚠
- p.Asn124Ser Single submitter Inborn genetic diseases
- p.Asp290Gly Single submitter Inborn genetic diseases
- p.Cys259= Single submitter
- p.Glu238= Single submitter
- p.Glu334= Single submitter
- p.Ile215Thr Single submitter Inborn genetic diseases
- p.Leu504= Single submitter
- p.Ser48= Single submitter
- p.Cys269= No assertion criteria ECM1-related disorder
- p.Pro49Gln No assertion criteria ECM1-related disorder
- p.Tyr43= No assertion criteria ECM1-related disorder
Uncertain significance 94
- c.122-3T>G Multiple submitters lipoid proteinosis
- p.Pro169Ala Multiple submitters Inborn genetic diseases ⚠
- c.223+68T>C Single submitter Inborn genetic diseases
- p.Ala132Val Single submitter Inborn genetic diseases ⚠
- p.Ala265Thr Single submitter Inborn genetic diseases ⚠
- p.Ala274Thr Single submitter Inborn genetic diseases ⚠
- p.Ala458Asp Single submitter Inborn genetic diseases ⚠
- p.Ala458Ser Single submitter Inborn genetic diseases ⚠
- p.Ala7Thr Single submitter Inborn genetic diseases ⚠
- p.Arg155Gln Single submitter Inborn genetic diseases ⚠
- p.Arg163Trp Single submitter Inborn genetic diseases ⚠
- p.Arg171Gln Single submitter Inborn genetic diseases ⚠
- p.Arg171Leu Single submitter Inborn genetic diseases ⚠
- p.Arg171Trp Single submitter Inborn genetic diseases ⚠
- p.Arg185His Single submitter Inborn genetic diseases ⚠
- p.Arg205His Single submitter Inborn genetic diseases ⚠
- p.Arg219Cys Single submitter Inborn genetic diseases ⚠
- p.Arg219His Single submitter Inborn genetic diseases ⚠
- p.Arg229His Single submitter Inborn genetic diseases ⚠
- p.Arg266Trp Single submitter Inborn genetic diseases ⚠
- p.Arg282Gln Single submitter Inborn genetic diseases ⚠
- p.Arg319Cys Single submitter Inborn genetic diseases ⚠
- p.Arg319His Single submitter Inborn genetic diseases ⚠
- p.Arg323Cys Single submitter Inborn genetic diseases ⚠
- p.Arg323His Single submitter Inborn genetic diseases ⚠
- p.Arg350His Single submitter Inborn genetic diseases ⚠
- p.Arg399Gln Single submitter Inborn genetic diseases ⚠
- p.Arg407Gln Single submitter Inborn genetic diseases ⚠
- p.Arg477Cys Single submitter Inborn genetic diseases ⚠
- p.Asn124His Single submitter Inborn genetic diseases ⚠
- p.Asn146Tyr Single submitter Inborn genetic diseases ⚠
- p.Asn176His Single submitter Inborn genetic diseases ⚠
- p.Asn194Lys Single submitter Inborn genetic diseases ⚠
- p.Asn324His Single submitter Inborn genetic diseases ⚠
- p.Asp165Gly Single submitter Inborn genetic diseases ⚠
- p.Cys348Gly Single submitter Inborn genetic diseases ⚠
- p.Cys370Gly Single submitter Inborn genetic diseases ⚠
- p.Cys473Arg Single submitter Inborn genetic diseases ⚠
- p.Gln149Arg Single submitter Inborn genetic diseases ⚠
- p.Gln332Arg Single submitter Inborn genetic diseases ⚠
- p.Glu239Ala Single submitter Inborn genetic diseases ⚠
- p.Glu342Gln Single submitter Inborn genetic diseases ⚠
- p.Glu40Lys Single submitter Inborn genetic diseases ⚠
- p.Glu463Lys Single submitter Inborn genetic diseases ⚠
- p.Glu522Gln Single submitter Inborn genetic diseases ⚠
- p.Glu82Lys Single submitter Inborn genetic diseases ⚠
- p.Gly158Trp Single submitter Inborn genetic diseases ⚠
- p.Gly263Glu Single submitter Inborn genetic diseases ⚠
- p.His256Gln Single submitter Inborn genetic diseases ⚠
- p.His287Arg Single submitter Inborn genetic diseases ⚠
- p.His437Pro Single submitter Inborn genetic diseases ⚠
- p.Ile180Met Single submitter Inborn genetic diseases ⚠
- p.Ile339Asn Single submitter Inborn genetic diseases ⚠
- p.Leu113Pro Single submitter Inborn genetic diseases ⚠
- p.Leu164Val Single submitter Inborn genetic diseases ⚠
- p.Leu210Pro Single submitter lipoid proteinosis
- p.Leu366Val Single submitter Inborn genetic diseases ⚠
- p.Leu382Met Single submitter Inborn genetic diseases ⚠
- p.Lys100Asn Single submitter Inborn genetic diseases ⚠
- p.Phe167Val Single submitter ECM1-related disorder ⚠
- p.Phe244Leu Single submitter Inborn genetic diseases ⚠
- p.Phe345Ile Single submitter Inborn genetic diseases ⚠
- p.Phe468Cys Single submitter Inborn genetic diseases ⚠
- p.Phe468Ser Single submitter lipoid proteinosis ⚠
- p.Pro142Leu Single submitter Inborn genetic diseases ⚠
- p.Pro168His Single submitter Inborn genetic diseases ⚠
- p.Pro169Ser Single submitter Inborn genetic diseases ⚠
- p.Pro275Arg Single submitter Inborn genetic diseases ⚠
- p.Pro289Ser Single submitter Inborn genetic diseases ⚠
- p.Pro387Ser Single submitter Inborn genetic diseases ⚠
- p.Pro403Arg Single submitter Inborn genetic diseases ⚠
- p.Pro403Leu Single submitter Inborn genetic diseases ⚠
- p.Pro419Leu Single submitter Inborn genetic diseases ⚠
- p.Pro46Ala Single submitter Inborn genetic diseases ⚠
- p.Pro475His Single submitter Inborn genetic diseases ⚠
- p.Pro77Ser Single submitter Inborn genetic diseases ⚠
- p.Pro78Ser Single submitter Inborn genetic diseases ⚠
- p.Pro85Leu Single submitter Inborn genetic diseases ⚠
- p.Ser250Leu Single submitter lipoid proteinosis ⚠
- p.Ser293Leu Single submitter Inborn genetic diseases ⚠
- p.Ser533Phe Single submitter Inborn genetic diseases ⚠
- p.Ser54Asn Single submitter Inborn genetic diseases ⚠
- p.Thr260Met Single submitter Inborn genetic diseases ⚠
- p.Thr26Met Single submitter Inborn genetic diseases ⚠
- p.Thr365Asn Single submitter Inborn genetic diseases ⚠
- p.Thr534Ala Single submitter Inborn genetic diseases ⚠
- p.Tyr217His Single submitter Inborn genetic diseases ⚠
- p.Val102Met Single submitter Inborn genetic diseases ⚠
- p.Val303Met Single submitter Inborn genetic diseases ⚠
- p.Val417Ile Single submitter Inborn genetic diseases ⚠
- p.Val496Ile Single submitter Inborn genetic diseases ⚠
- p.Val507Leu Single submitter Inborn genetic diseases ⚠
- p.Val75Gly Single submitter Inborn genetic diseases ⚠
- p.Glu248Ter No assertion criteria autism