ERF — 291 ClinVar variants

All ClinVar germline ERF variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 156 flagged for review →

27 Pathogenic · 8 Pathogenic/Likely pathogenic · 22 Likely pathogenic · 8 Conflicting · 14 Benign · 4 Benign/Likely benign · 51 Likely benign · 157 Uncertain significance

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

⚑ Evidence disagreements 156

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 6

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

Predicted LoF vs a conflicting call 1

ClinVar submitters conflict, and it's a predicted loss-of-function change in a gene where LoF causes disease — flagged for review, not resolved (verify NMD-escape for C-terminal truncations). Non-missense.

Predictors lean, ClinVar uncertain 88

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

Predictors split 61

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

All ERF variants

Pathogenic 27

  • p.Arg183Ter Multiple submitters Noonan-like syndrome
  • p.Arg207Ter Multiple submitters Noonan Syndrome-like developmental disorder
  • p.Arg233Ter Multiple submitters Noonan Syndrome-like developmental disorder
  • p.Asp188_Cys189insTer Multiple submitters Lambdoidal craniosynostosis
  • p.Ser304del Multiple submitters TWIST1-related craniosynostosis
  • p.Tyr89Cys Multiple submitters Inborn genetic diseases
  • c.-44_22+11del Single submitter TWIST1-related craniosynostosis
  • p.Arg92fs Single submitter TWIST1-related craniosynostosis
  • p.Gln341fs Single submitter TWIST1-related craniosynostosis
  • p.Gln75Ter Single submitter TWIST1-related craniosynostosis
  • p.Glu35Ter Single submitter Common craniosynostosis syndromes
  • p.Glu41Ter Single submitter TWIST1-related craniosynostosis
  • p.His227fs Single submitter Inborn genetic diseases
  • p.Ile46fs Single submitter Noonan Syndrome-like developmental disorder
  • p.Leu245fs Single submitter TWIST1-related craniosynostosis
  • p.Leu332_His333insTer Single submitter TWIST1-related craniosynostosis
  • p.Leu85fs Single submitter TWIST1-related craniosynostosis
  • p.Met1Val Single submitter
  • p.Met286fs Single submitter TWIST1-related craniosynostosis
  • p.Phe504fs Single submitter Noonan Syndrome-like developmental disorder
  • p.Pro22fs Single submitter Inborn genetic diseases
  • p.Pro262fs Single submitter Inborn genetic diseases
  • p.Pro4fs Single submitter Noonan Syndrome-like developmental disorder
  • p.Ser169Ter Single submitter ERF-related disorder
  • p.Trp48Ter Single submitter TWIST1-related craniosynostosis
  • c.23-2A>G No assertion criteria Lambdoidal craniosynostosis
  • p.Gln424Ter No assertion criteria Lambdoidal craniosynostosis

Pathogenic/Likely pathogenic 8

  • p.Arg143fs Multiple submitters Inborn genetic diseases
  • p.Arg218Ter Multiple submitters Inborn genetic diseases
  • p.Arg86Cys Multiple submitters ERF-related disorder
  • p.Gln263Ter Multiple submitters Inborn genetic diseases
  • p.Gly299fs Multiple submitters Lambdoidal craniosynostosis
  • p.Lys401fs Multiple submitters Noonan Syndrome-like developmental disorder
  • p.Pro358fs Multiple submitters TWIST1-related craniosynostosis
  • p.Ser24Ter Multiple submitters Lambdoidal craniosynostosis

Likely pathogenic 22

Conflicting classifications of pathogenicity 8

Benign 14

  • c.23-221T>C Multiple submitters
  • c.257+80C>T Multiple submitters
  • p.Ala410= Multiple submitters TWIST1-related craniosynostosis
  • p.Arg205= Multiple submitters TWIST1-related craniosynostosis
  • p.Leu225= Multiple submitters TWIST1-related craniosynostosis
  • p.Ser327= Multiple submitters TWIST1-related craniosynostosis
  • p.Ser368= Multiple submitters TWIST1-related craniosynostosis
  • p.Glu509Asp Single submitter
  • p.Gly44= Single submitter TWIST1-related craniosynostosis
  • p.Gly8= Single submitter TWIST1-related craniosynostosis
  • p.Pro136= Single submitter TWIST1-related craniosynostosis
  • p.Ser280= Single submitter TWIST1-related craniosynostosis
  • p.Thr538= Single submitter TWIST1-related craniosynostosis
  • p.Val135= Single submitter TWIST1-related craniosynostosis

Benign/Likely benign 4

  • p.Ala415Val Multiple submitters TWIST1-related craniosynostosis ⚠
  • p.Gly398Ser Multiple submitters TWIST1-related craniosynostosis
  • p.Leu172Phe Multiple submitters TWIST1-related craniosynostosis ⚠
  • p.Pro349Leu Multiple submitters TWIST1-related craniosynostosis

Likely benign 51

  • p.Pro421= Multiple submitters TWIST1-related craniosynostosis
  • p.Pro421Leu Multiple submitters Chitayat syndrome ⚠
  • p.Ser295= Multiple submitters TWIST1-related craniosynostosis
  • p.Ser373del Multiple submitters TWIST1-related craniosynostosis
  • c.23-154A>G Single submitter
  • c.23-9C>T Single submitter TWIST1-related craniosynostosis
  • c.257+8C>T Single submitter TWIST1-related craniosynostosis
  • c.258-12C>G Single submitter TWIST1-related craniosynostosis
  • c.374-16G>A Single submitter TWIST1-related craniosynostosis
  • p.Ala254= Single submitter TWIST1-related craniosynostosis
  • p.Ala397= Single submitter TWIST1-related craniosynostosis
  • p.Ala415= Single submitter TWIST1-related craniosynostosis
  • p.Ala462= Single submitter TWIST1-related craniosynostosis
  • p.Ala537= Single submitter TWIST1-related craniosynostosis
  • p.Arg143Cys Single submitter Inborn genetic diseases ⚠
  • p.Arg344His Single submitter Inborn genetic diseases
  • p.Arg487= Single submitter TWIST1-related craniosynostosis
  • p.Arg83= Single submitter TWIST1-related craniosynostosis
  • p.Arg92= Single submitter
  • p.Asp445= Single submitter TWIST1-related craniosynostosis
  • p.Cys189Gly Single submitter TWIST1-related craniosynostosis
  • p.Glu151= Single submitter TWIST1-related craniosynostosis
  • p.Gly433= Single submitter Inborn genetic diseases
  • p.Gly50= Single submitter
  • p.His95= Single submitter
  • p.Leu275= Single submitter TWIST1-related craniosynostosis
  • p.Leu314= Single submitter
  • p.Leu384= Single submitter TWIST1-related craniosynostosis
  • p.Leu482= Single submitter
  • p.Leu534= Single submitter TWIST1-related craniosynostosis
  • p.Leu94= Single submitter
  • p.Pro12= Single submitter TWIST1-related craniosynostosis
  • p.Pro159= Single submitter TWIST1-related craniosynostosis
  • p.Pro199= Single submitter TWIST1-related craniosynostosis
  • p.Pro220His Single submitter TWIST1-related craniosynostosis ⚠
  • p.Pro262Leu Single submitter Inborn genetic diseases
  • p.Pro381= Single submitter TWIST1-related craniosynostosis
  • p.Pro420= Single submitter TWIST1-related craniosynostosis
  • p.Pro422= Single submitter
  • p.Pro468= Single submitter
  • p.Pro500= Single submitter TWIST1-related craniosynostosis
  • p.Ser150= Single submitter TWIST1-related craniosynostosis
  • p.Thr271= Single submitter TWIST1-related craniosynostosis
  • p.Thr273= Single submitter TWIST1-related craniosynostosis
  • p.Thr273Ser Single submitter Inborn genetic diseases
  • p.Tyr116Cys Single submitter craniosynostosis 4
  • p.Tyr78= Single submitter TWIST1-related craniosynostosis
  • p.Tyr88= Single submitter TWIST1-related craniosynostosis
  • p.Val360= Single submitter
  • p.Val396Ile Single submitter Inborn genetic diseases ⚠
  • p.Pro133= No assertion criteria ERF-related disorder

Uncertain significance 157