ERCC4 — 987 ClinVar variants

All ClinVar germline ERCC4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 487 flagged for review →

31 Pathogenic · 14 Pathogenic/Likely pathogenic · 21 Likely pathogenic · 46 Conflicting · 52 Benign · 10 Benign/Likely benign · 261 Likely benign · 552 Uncertain significance

Full ERCC4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 487

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 agree, ClinVar conflicts 13

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

Predictors lean, ClinVar uncertain 266

ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification. · showing the 150 best-reviewed of 266

Predictors split 207

The independent predictors disagree with each other — read with care. · showing the 150 best-reviewed of 207

All ERCC4 variants

Pathogenic 31

Pathogenic/Likely pathogenic 14

  • p.Ala400fs Multiple submitters Cockayne syndrome
  • p.Arg314fs Multiple submitters XFE progeroid syndrome
  • p.Arg468fs Multiple submitters XFE progeroid syndrome
  • p.Arg589Trp Multiple submitters autosomal recessive cerebellar ataxia
  • p.Arg772Ter Multiple submitters xeroderma pigmentosum group F
  • p.Asn308fs Multiple submitters Fanconi anemia complementation group Q
  • p.Cys236Arg Multiple submitters xeroderma pigmentosum group F
  • p.Cys723Ter Multiple submitters Fanconi anemia complementation group Q
  • p.Gln473fs Multiple submitters xeroderma pigmentosum group F
  • p.Glu628fs Multiple submitters xeroderma pigmentosum group F
  • p.Phe186fs Multiple submitters Cockayne syndrome
  • p.Ser459Ter Multiple submitters xeroderma pigmentosum group F
  • p.Trp450Ter Multiple submitters XFE progeroid syndrome
  • c.388+1164_792+795del No assertion criteria XFE progeroid syndrome

Likely pathogenic 21

Conflicting classifications of pathogenicity 46

Benign 52

Benign/Likely benign 10

  • c.389-5C>T Multiple submitters Fanconi anemia complementation group Q
  • c.*2577C>A Multiple submitters xeroderma pigmentosum group F
  • p.Arg415Gln Multiple submitters xeroderma pigmentosum group F ⚠
  • p.Glu482= Multiple submitters Fanconi anemia complementation group Q
  • p.Glu875Gly Multiple submitters xeroderma pigmentosum group F
  • p.Glu883Lys Multiple submitters xeroderma pigmentosum group F
  • p.Ile873Val Multiple submitters xeroderma pigmentosum group F
  • p.Leu84= Multiple submitters xeroderma pigmentosum group F
  • p.Thr885= Multiple submitters xeroderma pigmentosum group F
  • p.Val81Phe Multiple submitters xeroderma pigmentosum group F ⚠

Likely benign 261

  • c.793-69G>T Multiple submitters
  • c.974-72A>G Multiple submitters
  • c.*1056A>G Multiple submitters xeroderma pigmentosum group F
  • p.Ala279= Multiple submitters Fanconi anemia complementation group Q
  • p.Arg483= Multiple submitters Fanconi anemia complementation group Q
  • p.Asp302= Multiple submitters Cockayne syndrome
  • p.Gln682= Multiple submitters xeroderma pigmentosum group F
  • p.Glu448Gln Multiple submitters xeroderma pigmentosum group F ⚠
  • p.His868= Multiple submitters Cockayne syndrome
  • p.His869= Multiple submitters xeroderma pigmentosum group F
  • p.Leu240= Multiple submitters Fanconi anemia complementation group Q
  • p.Leu620= Multiple submitters xeroderma pigmentosum group F
  • p.Phe544= Multiple submitters Cockayne syndrome
  • p.Pro839= Multiple submitters xeroderma pigmentosum
  • p.Ser246= Multiple submitters xeroderma pigmentosum group F
  • p.Ser3= Multiple submitters xeroderma pigmentosum group F
  • p.Tyr610= Multiple submitters xeroderma pigmentosum group F
  • p.Tyr898= Multiple submitters xeroderma pigmentosum group F
  • c.1102+14T>C Single submitter xeroderma pigmentosum group F
  • c.1102+20C>T Single submitter xeroderma pigmentosum group F
  • c.1102+36dup Single submitter xeroderma pigmentosum group F
  • c.1102+7T>A Single submitter Fanconi anemia complementation group Q
  • c.1213+18G>A Single submitter xeroderma pigmentosum group F
  • c.1213+214G>A Single submitter
  • c.1213+8A>G Single submitter xeroderma pigmentosum group F
  • c.1214-10C>A Single submitter xeroderma pigmentosum group F
  • c.1214-19T>C Single submitter xeroderma pigmentosum group F
  • c.1214-4T>G Single submitter xeroderma pigmentosum group F
  • c.1214-8A>G Single submitter xeroderma pigmentosum group F
  • c.1811+10A>G Single submitter
  • c.1811+15A>G Single submitter xeroderma pigmentosum group F
  • c.1811+16T>C Single submitter xeroderma pigmentosum group F
  • c.1811+9T>A Single submitter xeroderma pigmentosum group F
  • c.1811+9T>G Single submitter Cockayne syndrome
  • c.1812-17T>C Single submitter xeroderma pigmentosum group F
  • c.1812-6A>G Single submitter xeroderma pigmentosum group F
  • c.1904+190G>A Single submitter
  • c.1904+4_1904+6dup Single submitter xeroderma pigmentosum group F
  • c.1904+7C>G Single submitter Cockayne syndrome
  • c.1904+7C>T Single submitter Cockayne syndrome
  • c.1905-140A>T Single submitter
  • c.1905-20G>A Single submitter xeroderma pigmentosum group F
  • c.1905-20G>C Single submitter Fanconi anemia complementation group Q
  • c.1905-4A>G Single submitter xeroderma pigmentosum group F
  • c.1905-7C>G Single submitter Cockayne syndrome
  • c.2017+19del Single submitter xeroderma pigmentosum group F
  • c.2018-18C>G Single submitter xeroderma pigmentosum group F
  • c.2018-19A>T Single submitter Fanconi anemia complementation group Q
  • c.2018-20T>C Single submitter xeroderma pigmentosum group F
  • c.207+13T>A Single submitter Cockayne syndrome
  • c.207+13T>C Single submitter Fanconi anemia complementation group Q
  • c.207+16C>G Single submitter Fanconi anemia complementation group Q
  • c.207+19G>T Single submitter Cockayne syndrome
  • c.207+79G>C Single submitter
  • c.208-17A>G Single submitter xeroderma pigmentosum group F
  • c.208-19C>G Single submitter xeroderma pigmentosum group F
  • c.208-6A>G Single submitter xeroderma pigmentosum group F
  • c.208-7G>T Single submitter xeroderma pigmentosum group F
  • c.388+13A>G Single submitter Fanconi anemia complementation group Q
  • c.388+15T>C Single submitter Cockayne syndrome
  • c.388+16C>A Single submitter xeroderma pigmentosum group F
  • c.388+18T>C Single submitter Cockayne syndrome
  • c.388+19A>C Single submitter xeroderma pigmentosum group F
  • c.388+20_388+25del Single submitter xeroderma pigmentosum group F
  • c.389-17A>C Single submitter xeroderma pigmentosum group F
  • c.389-206C>T Single submitter
  • c.389-376C>T Single submitter
  • c.389-5C>A Single submitter xeroderma pigmentosum group F
  • c.389-8C>G Single submitter Fanconi anemia complementation group Q
  • c.389-9C>A Single submitter Cockayne syndrome
  • c.584+14T>G Single submitter xeroderma pigmentosum group F
  • c.585-10G>A Single submitter xeroderma pigmentosum group F
  • c.585-14A>G Single submitter Cockayne syndrome
  • c.585-18A>C Single submitter xeroderma pigmentosum group F
  • c.792+7T>C Single submitter xeroderma pigmentosum group F
  • c.792+7T>G Single submitter xeroderma pigmentosum group F
  • c.793-17T>C Single submitter Fanconi anemia complementation group Q
  • c.793-18A>G Single submitter xeroderma pigmentosum group F
  • c.793-9T>G Single submitter xeroderma pigmentosum group F
  • c.973+17C>T Single submitter Cockayne syndrome
  • c.973+20A>G Single submitter xeroderma pigmentosum group F
  • c.973+7G>A Single submitter Cockayne syndrome
  • c.974-15A>G Single submitter Cockayne syndrome
  • c.974-17T>C Single submitter Cockayne syndrome
  • c.974-20_974-16del Single submitter Cockayne syndrome
  • c.974-8C>T Single submitter Fanconi anemia complementation group Q
  • c.*1353G>A Single submitter xeroderma pigmentosum group F
  • c.*1708G>A Single submitter xeroderma pigmentosum group F
  • c.*2139A>C Single submitter xeroderma pigmentosum group F
  • c.*2577del Single submitter
  • c.*2816A>T Single submitter xeroderma pigmentosum group F
  • c.*3200A>G Single submitter xeroderma pigmentosum group F
  • c.*3439G>A Single submitter xeroderma pigmentosum group F
  • c.*3537C>T Single submitter xeroderma pigmentosum group F
  • c.*3727G>T Single submitter xeroderma pigmentosum group F
  • c.*3911C>T Single submitter xeroderma pigmentosum group F
  • c.*558A>C Single submitter xeroderma pigmentosum group F
  • c.*675G>T Single submitter xeroderma pigmentosum group F
  • c.*701A>T Single submitter xeroderma pigmentosum group F
  • c.*947T>C Single submitter xeroderma pigmentosum group F
  • p.Ala109= Single submitter Fanconi anemia complementation group Q
  • p.Ala11= Single submitter xeroderma pigmentosum group F
  • p.Ala136= Single submitter xeroderma pigmentosum group F
  • p.Ala235= Single submitter Fanconi anemia complementation group Q
  • p.Ala315= Single submitter xeroderma pigmentosum group F
  • p.Ala41= Single submitter xeroderma pigmentosum group F
  • p.Ala583= Single submitter xeroderma pigmentosum group F
  • p.Ala596= Single submitter Cockayne syndrome
  • p.Ala661= Single submitter xeroderma pigmentosum group F
  • p.Ala808= Single submitter xeroderma pigmentosum group F
  • p.Ala810= Single submitter xeroderma pigmentosum group F
  • p.Ala825= Single submitter Cockayne syndrome
  • p.Ala826= Single submitter xeroderma pigmentosum group F
  • p.Arg112= Single submitter xeroderma pigmentosum group F
  • p.Arg138= Single submitter xeroderma pigmentosum group F
  • p.Arg180= Single submitter Cockayne syndrome
  • p.Arg43= Single submitter xeroderma pigmentosum group F
  • p.Arg477= Single submitter Fanconi anemia complementation group Q
  • p.Arg576= Single submitter Cockayne syndrome
  • p.Arg589= Single submitter xeroderma pigmentosum group F
  • p.Arg624= Single submitter Cockayne syndrome
  • p.Arg646= Single submitter Cockayne syndrome
  • p.Arg689= Single submitter xeroderma pigmentosum group F
  • p.Arg740= Single submitter Cockayne syndrome
  • p.Arg754= Single submitter
  • p.Arg772= Single submitter xeroderma pigmentosum group F
  • p.Arg8= Single submitter Fanconi anemia complementation group Q
  • p.Asn308= Single submitter xeroderma pigmentosum group F
  • p.Asn653= Single submitter xeroderma pigmentosum group F
  • p.Asn738= Single submitter xeroderma pigmentosum group F
  • p.Asn845= Single submitter xeroderma pigmentosum group F
  • p.Asn890= Single submitter xeroderma pigmentosum group F
  • p.Asp121= Single submitter xeroderma pigmentosum group F
  • p.Asp457= Single submitter xeroderma pigmentosum group F
  • p.Asp541= Single submitter xeroderma pigmentosum group F
  • p.Asp655= Single submitter xeroderma pigmentosum group F
  • p.Asp882= Single submitter Cockayne syndrome
  • p.Asp899= Single submitter xeroderma pigmentosum group F
  • p.Cys723= Single submitter Fanconi anemia complementation group Q
  • p.Gln406= Single submitter Cockayne syndrome
  • p.Gln5= Single submitter xeroderma pigmentosum group F
  • p.Gln75= Single submitter xeroderma pigmentosum group F
  • p.Gln822= Single submitter Fanconi anemia complementation group Q
  • p.Glu372= Single submitter Cockayne syndrome
  • p.Glu397= Single submitter xeroderma pigmentosum group F
  • p.Glu429= Single submitter xeroderma pigmentosum group F
  • p.Glu527= Single submitter xeroderma pigmentosum group F
  • p.Glu533= Single submitter xeroderma pigmentosum group F
  • p.Glu725= Single submitter Cockayne syndrome
  • p.Glu811= Single submitter xeroderma pigmentosum group F
  • p.Gly325= Single submitter xeroderma pigmentosum
  • p.Gly38= Single submitter Cockayne syndrome
  • p.Gly427= Single submitter xeroderma pigmentosum group F
  • p.Gly499= Single submitter xeroderma pigmentosum group F
  • p.Gly559= Single submitter Fanconi anemia complementation group Q
  • p.His197= Single submitter Cockayne syndrome
  • p.His275= Single submitter xeroderma pigmentosum group F
  • p.His807= Single submitter xeroderma pigmentosum group F
  • p.His83= Single submitter xeroderma pigmentosum group F
  • p.His902= Single submitter xeroderma pigmentosum group F
  • p.Ile128= Single submitter xeroderma pigmentosum group F
  • p.Ile140= Single submitter Fanconi anemia complementation group Q
  • p.Ile357= Single submitter xeroderma pigmentosum group F
  • p.Ile363= Single submitter Cockayne syndrome
  • p.Ile518= Single submitter xeroderma pigmentosum group F
  • p.Ile699= Single submitter xeroderma pigmentosum group F
  • p.Ile706= Single submitter
  • p.Ile729= Single submitter xeroderma pigmentosum group F
  • p.Ile73= Single submitter Cockayne syndrome
  • p.Ile873= Single submitter xeroderma pigmentosum group F
  • p.Leu119= Single submitter xeroderma pigmentosum group F
  • p.Leu127= Single submitter xeroderma pigmentosum group F
  • p.Leu15= Single submitter Cockayne syndrome
  • p.Leu185= Single submitter xeroderma pigmentosum group F
  • p.Leu237= Single submitter Cockayne syndrome
  • p.Leu252= Single submitter Cockayne syndrome
  • p.Leu27= Single submitter xeroderma pigmentosum group F
  • p.Leu284= Single submitter
  • p.Leu291= Single submitter xeroderma pigmentosum group F
  • p.Leu32= Single submitter xeroderma pigmentosum group F
  • p.Leu375= Single submitter xeroderma pigmentosum group F
  • p.Leu384= Single submitter Cockayne syndrome
  • p.Leu39= Single submitter xeroderma pigmentosum group F
  • p.Leu420= Single submitter Cockayne syndrome
  • p.Leu433= Single submitter Fanconi anemia complementation group Q
  • p.Leu44= Single submitter Fanconi anemia complementation group Q
  • p.Leu49= Single submitter xeroderma pigmentosum group F
  • p.Leu492= Single submitter xeroderma pigmentosum group F
  • p.Leu504= Single submitter xeroderma pigmentosum group F
  • p.Leu558= Single submitter xeroderma pigmentosum group F
  • p.Leu566= Single submitter xeroderma pigmentosum group F
  • p.Leu58= Single submitter xeroderma pigmentosum group F
  • p.Leu60= Single submitter Fanconi anemia complementation group Q
  • p.Leu633= Single submitter Fanconi anemia complementation group Q
  • p.Leu732= Single submitter xeroderma pigmentosum group F
  • p.Leu736= Single submitter xeroderma pigmentosum group F
  • p.Leu741= Single submitter xeroderma pigmentosum group F
  • p.Leu758= Single submitter xeroderma pigmentosum group F
  • p.Leu769= Single submitter Fanconi anemia complementation group Q
  • p.Leu798= Single submitter xeroderma pigmentosum group F
  • p.Leu801= Single submitter xeroderma pigmentosum group F
  • p.Leu812= Single submitter Cockayne syndrome
  • p.Leu816= Single submitter xeroderma pigmentosum group F
  • p.Leu879= Single submitter xeroderma pigmentosum group F
  • p.Leu897= Single submitter xeroderma pigmentosum group F
  • p.Lys282= Single submitter xeroderma pigmentosum group F
  • p.Lys354= Single submitter xeroderma pigmentosum group F
  • p.Lys356= Single submitter xeroderma pigmentosum group F
  • p.Lys438= Single submitter xeroderma pigmentosum group F
  • p.Lys460= Single submitter xeroderma pigmentosum group F
  • p.Phe440= Single submitter xeroderma pigmentosum group F
  • p.Phe587= Single submitter Cockayne syndrome
  • p.Phe776= Single submitter xeroderma pigmentosum group F
  • p.Phe900= Single submitter Fanconi anemia complementation group Q
  • p.Pro124= Single submitter xeroderma pigmentosum group F
  • p.Pro14= Single submitter xeroderma pigmentosum group F
  • p.Pro272= Single submitter Fanconi anemia complementation group Q
  • p.Pro55= Single submitter xeroderma pigmentosum group F
  • p.Pro550= Single submitter Cockayne syndrome
  • p.Pro556= Single submitter xeroderma pigmentosum group F
  • p.Pro563= Single submitter Cockayne syndrome
  • p.Pro708= Single submitter Fanconi anemia complementation group Q
  • p.Pro755= Single submitter xeroderma pigmentosum group F
  • p.Ser142= Single submitter xeroderma pigmentosum group F
  • p.Ser334= Single submitter xeroderma pigmentosum group F
  • p.Ser540= Single submitter Cockayne syndrome
  • p.Ser666= Single submitter xeroderma pigmentosum group F
  • p.Ser805= Single submitter Cockayne syndrome
  • p.Ser880= Single submitter Fanconi anemia complementation group Q
  • p.Ser904= Single submitter xeroderma pigmentosum group F
  • p.Thr102= Single submitter xeroderma pigmentosum group F
  • p.Thr227= Single submitter xeroderma pigmentosum group F
  • p.Thr305= Single submitter xeroderma pigmentosum group F
  • p.Thr316= Single submitter Fanconi anemia complementation group Q
  • p.Thr369= Single submitter Cockayne syndrome
  • p.Thr416= Single submitter
  • p.Thr439= Single submitter xeroderma pigmentosum group F
  • p.Thr484= Single submitter Fanconi anemia complementation group Q
  • p.Thr586= Single submitter xeroderma pigmentosum group F
  • p.Thr667= Single submitter xeroderma pigmentosum group F
  • p.Thr837= Single submitter
  • p.Thr93Ala Single submitter Inborn genetic diseases
  • p.Tyr101= Single submitter xeroderma pigmentosum group F
  • p.Tyr134= Single submitter Cockayne syndrome
  • p.Tyr423= Single submitter Fanconi anemia complementation group Q
  • p.Tyr581= Single submitter Fanconi anemia complementation group Q
  • p.Tyr742= Single submitter Fanconi anemia complementation group Q
  • p.Tyr98= Single submitter Cockayne syndrome
  • p.Val133= Single submitter
  • p.Val178= Single submitter Fanconi anemia complementation group Q
  • p.Val187= Single submitter Cockayne syndrome
  • p.Val23= Single submitter xeroderma pigmentosum group F
  • p.Val449= Single submitter xeroderma pigmentosum group F
  • p.Val61= Single submitter Cockayne syndrome
  • p.Val657= Single submitter xeroderma pigmentosum group F
  • p.Val685= Single submitter xeroderma pigmentosum group F
  • p.Val858= Single submitter Cockayne syndrome
  • p.Val908= Single submitter xeroderma pigmentosum group F
  • p.Ile546= No assertion criteria ERCC4-related disorder
  • p.Phe630= No assertion criteria ERCC4-related disorder
  • p.Pro526= No assertion criteria ERCC4-related disorder

Uncertain significance 552

Showing the top 300 by review status; the full set is in the sitemap.