FECH — 298 ClinVar variants
All ClinVar germline FECH variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 84 flagged for review →
49 Pathogenic · 10 Pathogenic/Likely pathogenic · 21 Likely pathogenic · 11 Conflicting · 42 Benign · 7 Benign/Likely benign · 67 Likely benign · 91 Uncertain significance
Full FECH gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 84
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.
-
FECH p.Gln285Arg
Pathogenic/Likely pathogenic
Multiple submitters
protoporphyria, erythropoietic, 1
-
FECH p.Val362Gly
Pathogenic
No assertion criteria
protoporphyria, erythropoietic, 1
Predictors agree, ClinVar conflicts 6
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
- FECH p.Arg35Lys Conflicting Single submitter
-
FECH p.Glu279Lys
Conflicting
Single submitter
protoporphyria, erythropoietic, 1
- FECH p.Met219Arg Conflicting Single submitter
- FECH p.Pro62Arg Conflicting Single submitter
-
FECH p.Thr47Ala
Conflicting
Single submitter
Inborn genetic diseases
- FECH p.Tyr160Cys Conflicting Single submitter
Predictors lean, ClinVar uncertain 51
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
FECH p.Leu4Phe
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
FECH p.Lys320Arg
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
FECH p.Met267Thr
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
FECH p.Ser197Phe
Uncertain significance
Multiple submitters
protoporphyria, erythropoietic, 1
-
FECH p.Ser268Phe
Uncertain significance
Multiple submitters
Inborn genetic diseases
- FECH p.Ala43Val Uncertain significance Single submitter
- FECH p.Arg164Trp Uncertain significance Single submitter
-
FECH p.Arg184Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Arg208Lys
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Asn295Lys Uncertain significance Single submitter
- FECH p.Asp225Asn Uncertain significance Single submitter
- FECH p.Cys196Arg Uncertain significance Single submitter
- FECH p.Glu279Val Uncertain significance Single submitter
-
FECH p.Glu292Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Glu317Asp
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Glu393Lys
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Glu393Val
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Gly162Glu Uncertain significance Single submitter
-
FECH p.Gly39Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Gly5Asp
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Gly78Ser Uncertain significance Single submitter
- FECH p.His157Pro Uncertain significance Single submitter
- FECH p.His230Pro Uncertain significance Single submitter
-
FECH p.His247Asp
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.His52Leu Uncertain significance Single submitter
- FECH p.Ile103Leu Uncertain significance Single submitter
- FECH p.Ile224Thr Uncertain significance Single submitter
-
FECH p.Ile234Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Ile241Val
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Leu245Pro Uncertain significance Single submitter
-
FECH p.Leu311Val
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Leu405Phe Uncertain significance Single submitter
- FECH p.Leu92Pro Uncertain significance Single submitter
- FECH p.Lys379Arg Uncertain significance Single submitter
- FECH p.Phe418Cys Uncertain significance Single submitter
-
FECH p.Phe88Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Phe88Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Pro168Ser Uncertain significance Single submitter
-
FECH p.Pro307Leu
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Pro62Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Ser151Pro Uncertain significance Single submitter
- FECH p.Ser202Arg Uncertain significance Single submitter
- FECH p.Ser222Asn Uncertain significance Single submitter
-
FECH p.Ser318Cys
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Ser38Ala Uncertain significance Single submitter
- FECH p.Thr116Pro Uncertain significance Single submitter
-
FECH p.Thr218Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Thr218Met
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Tyr194Cys Uncertain significance Single submitter
-
FECH p.Gly77Arg
Uncertain significance
No assertion criteria
protoporphyria, erythropoietic, 1
-
FECH p.Val270Phe
Uncertain significance
No assertion criteria
FECH-related disorder
Predictors split 25
The independent predictors disagree with each other — read with care.
- FECH p.Arg96Gln Benign Multiple submitters
- FECH p.Glu172Lys Benign/Likely benign Multiple submitters
-
FECH p.Met267Ile
Uncertain significance
Multiple submitters
protoporphyria, erythropoietic, 1
-
FECH p.Ser197Thr
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
FECH p.Val166Ile
Uncertain significance
Multiple submitters
Inborn genetic diseases
- FECH p.Ala205Thr Uncertain significance Single submitter
- FECH p.Arg164Gln Uncertain significance Single submitter
- FECH p.Arg215Trp Uncertain significance Single submitter
- FECH p.Arg272Lys Uncertain significance Single submitter
-
FECH p.Arg325Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Asp316Gly Uncertain significance Single submitter
- FECH p.Asp383Asn Uncertain significance Single submitter
-
FECH p.Asp87Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
FECH p.Glu121Gly
Conflicting
Single submitter
protoporphyria, erythropoietic, 1
- FECH p.Glu317Lys Benign Single submitter
-
FECH p.Gly16Asp
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Leu18Pro Uncertain significance Single submitter
-
FECH p.Leu232Phe
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Leu265Val Uncertain significance Single submitter
-
FECH p.Met143Val
Uncertain significance
Single submitter
protoporphyria, erythropoietic, 1
-
FECH p.Met219Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Pro404Leu Uncertain significance Single submitter
-
FECH p.Pro67Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- FECH p.Ser151Phe Uncertain significance Single submitter
-
FECH p.Tyr346Cys
Uncertain significance
Single submitter
Inborn genetic diseases
All FECH variants
Pathogenic 49
- c.463+1G>C Multiple submitters protoporphyria, erythropoietic, 1
- c.598+1G>T Multiple submitters protoporphyria, erythropoietic, 1
- c.599-2A>G Multiple submitters FECH-related disorders
- p.Ala14fs Multiple submitters protoporphyria, erythropoietic, 1
- p.Asp274Asn Multiple submitters protoporphyria, erythropoietic, 1
- p.Cys406Tyr Multiple submitters protoporphyria, erythropoietic, 1
- p.Cys411Gly Multiple submitters
- p.Gln59Ter Multiple submitters
- p.Ile319fs Multiple submitters
- p.Leu72fs Multiple submitters
- p.Thr69fs Multiple submitters protoporphyria, erythropoietic, 1
- p.Trp301fs Multiple submitters FECH-related disorder
- p.Trp310Ter Multiple submitters
- p.Tyr194fs Multiple submitters protoporphyria, erythropoietic, 1
- c.1077+1del Single submitter
- c.1078_1137del Single submitter protoporphyria, erythropoietic, 1
- c.1078-1G>A Single submitter
- c.1137+2T>G Single submitter
- c.195-2A>G Single submitter
- c.195-2A>T Single submitter FECH-related disorders
- c.599-2A>C Single submitter
- p.Cys411Ter Single submitter
- p.Gln190Ter Single submitter
- p.Gln32Ter Single submitter
- p.Gln354fs Single submitter
- p.Gln390Ter Single submitter
- p.Gln51Ter Single submitter
- p.Glu292Ter Single submitter
- p.Glu347fs Single submitter
- p.Ile134fs Single submitter protoporphyria, erythropoietic, 1
- p.Ile342fs Single submitter
- p.Leu322fs Single submitter
- p.Pro22fs Single submitter
- p.Ser254fs Single submitter protoporphyria, erythropoietic, 1
- p.Ser281fs Single submitter
- p.Thr338fs Single submitter
- p.Trp227Ter Single submitter
- p.Trp301Ter Single submitter
- p.Tyr207Ter Single submitter
- p.Tyr209Ter Single submitter
- p.Val85fs Single submitter
- c.1077+1G>A No assertion criteria protoporphyria, erythropoietic, 1
- c.194+11A>G No assertion criteria protoporphyria, erythropoietic, 1
- c.314+6A>C No assertion criteria protoporphyria, erythropoietic, 1
- p.Ala185Thr No assertion criteria protoporphyria, erythropoietic, 1
- p.Arg367Ter No assertion criteria FECH-related disorder
- p.Glu351fs No assertion criteria autosomal erythropoietic protoporphyria
- p.Phe417Ser No assertion criteria protoporphyria, erythropoietic, 1
- p.Val362Gly No assertion criteria protoporphyria, erythropoietic, 1 ⚠
Pathogenic/Likely pathogenic 10
- c.1137+3A>G Multiple submitters protoporphyria, erythropoietic, 1
- c.314+2T>G Multiple submitters FECH-related disorders
- p.Arg115Ter Multiple submitters protoporphyria, erythropoietic, 1
- p.Arg298Ter Multiple submitters FECH-related disorders
- p.Arg96Ter Multiple submitters FECH-related disorders
- p.Asp316fs Multiple submitters FECH-related disorders
- p.Gln285Arg Multiple submitters protoporphyria, erythropoietic, 1 ⚠
- p.Glu359= Multiple submitters FECH-related disorders
- p.Lys379fs Multiple submitters protoporphyria, erythropoietic, 1
- p.Pro334Leu Multiple submitters protoporphyria, erythropoietic, 1
Likely pathogenic 21
- c.913-2A>G Multiple submitters
- p.Val305Phe Multiple submitters protoporphyria, erythropoietic, 1
- c.463+1G>T Single submitter
- c.598+1dup Single submitter
- c.598+2T>G Single submitter
- c.705+1G>A Single submitter
- c.706-3C>G Single submitter FECH-related disorders
- c.805-1G>A Single submitter
- p.Ala155Pro Single submitter
- p.Cys236Tyr Single submitter
- p.Gln122fs Single submitter protoporphyria, erythropoietic, 1
- p.Gly16fs Single submitter autosomal erythropoietic protoporphyria
- p.Gly77Glu Single submitter
- p.Ile224Met Single submitter protoporphyria, erythropoietic, 1
- p.Lys397fs Single submitter FECH-related disorders
- p.Met288Thr Single submitter protoporphyria, erythropoietic, 1
- p.Ser264Leu Single submitter
- p.Tyr293Ter Single submitter protoporphyria, erythropoietic, 1
- p.Val17fs Single submitter FECH-related disorders
- c.315-1G>C No assertion criteria FECH-related disorder
- p.Gln61Ter No assertion criteria protoporphyria, erythropoietic, 1
Conflicting classifications of pathogenicity 11
- c.315-48T>C Single submitter autosomal erythropoietic protoporphyria
- c.599-3C>T Single submitter protoporphyria, erythropoietic, 1
- c.68-23C>T Single submitter protoporphyria, erythropoietic, 1
- p.Arg35Lys Single submitter ⚠
- p.Glu121Gly Single submitter protoporphyria, erythropoietic, 1 ⚠
- p.Glu279Lys Single submitter protoporphyria, erythropoietic, 1 ⚠
- p.Gly273= Single submitter
- p.Met219Arg Single submitter ⚠
- p.Pro62Arg Single submitter ⚠
- p.Thr47Ala Single submitter Inborn genetic diseases ⚠
- p.Tyr160Cys Single submitter ⚠
Benign 42
- c.1138-61G>A Multiple submitters
- c.194+187G>A Multiple submitters
- c.194+306C>T Multiple submitters
- c.195-111A>G Multiple submitters
- c.314+23A>G Multiple submitters protoporphyria, erythropoietic, 1
- c.599-112C>G Multiple submitters
- c.67+76C>T Multiple submitters
- c.804+123A>G Multiple submitters
- c.912+94T>A Multiple submitters
- c.913-43A>C Multiple submitters
- c.-252A>G Multiple submitters
- c.*248C>T Multiple submitters
- p.Arg96Gln Multiple submitters ⚠
- p.Pro307= Multiple submitters protoporphyria, erythropoietic, 1
- c.1077+117_1077+123del Single submitter
- c.1077+252T>C Single submitter
- c.1077+35C>T Single submitter
- c.1078-51del Single submitter
- c.194+43C>T Single submitter
- c.315-279T>G Single submitter
- c.463+43C>T Single submitter
- c.464-299A>T Single submitter
- c.598+301G>A Single submitter
- c.599-255G>A Single submitter
- c.705+19G>C Single submitter
- c.705+211A>G Single submitter
- c.706-198T>C Single submitter
- c.804+217dup Single submitter
- c.804+263A>G Single submitter
- c.804+279T>C Single submitter
- c.913-62_913-61del Single submitter
- c.*117C>T Single submitter
- c.*1622T>C Single submitter
- c.*2371T>G Single submitter
- c.*2526T>C Single submitter
- c.*422T>A Single submitter
- c.*481A>G Single submitter
- c.*696C>T Single submitter
- p.Gln61= Single submitter
- p.Glu317Lys Single submitter ⚠
- p.Gly128= Single submitter
- p.Leu12= Single submitter
Benign/Likely benign 7
- c.598+12T>A Multiple submitters protoporphyria, erythropoietic, 1
- c.67+8G>T Multiple submitters
- c.913-7C>T Multiple submitters protoporphyria, erythropoietic, 1
- p.Asp97= Multiple submitters
- p.Glu172Lys Multiple submitters ⚠
- p.Gly55Cys Multiple submitters protoporphyria, erythropoietic, 1
- p.Gly55Ser Multiple submitters
Likely benign 67
- c.913-13A>G Multiple submitters protoporphyria, erythropoietic, 1
- p.Asn105= Multiple submitters Inborn genetic diseases
- p.Thr344= Multiple submitters
- c.1077+12C>T Single submitter
- c.1078-11A>T Single submitter
- c.1137+16C>A Single submitter
- c.1137+16C>T Single submitter
- c.1137+18A>G Single submitter
- c.1137+18A>T Single submitter
- c.1137+8del Single submitter
- c.1138-6T>A Single submitter
- c.1138-9A>G Single submitter
- c.194+20T>C Single submitter
- c.194+7G>A Single submitter
- c.195-11A>G Single submitter
- c.195-4A>G Single submitter
- c.315-14G>C Single submitter
- c.315-19T>C Single submitter
- c.315-7G>T Single submitter
- c.463+18T>A Single submitter
- c.598+4A>T Single submitter
- c.598+7G>A Single submitter
- c.598+8C>A Single submitter
- c.599-13C>G Single submitter
- c.599-7A>G Single submitter
- c.67+12T>C Single submitter
- c.67+20C>T Single submitter
- c.68-20G>A Single submitter
- c.706-5_706-2del Single submitter
- c.804+10A>G Single submitter
- c.805-15G>C Single submitter
- c.912+8G>C Single submitter
- c.913-5C>T Single submitter
- c.913-6G>A Single submitter
- c.913-7C>G Single submitter
- c.*1508G>A Single submitter
- p.Ala382= Single submitter
- p.Ala43= Single submitter
- p.Ala44= Single submitter
- p.Arg272= Single submitter
- p.Asn392= Single submitter
- p.Gln54Arg Single submitter Inborn genetic diseases
- p.Glu292= Single submitter
- p.Gly39= Single submitter
- p.Gly70= Single submitter
- p.Gly77= Single submitter
- p.His52Arg Single submitter Inborn genetic diseases
- p.His86= Single submitter
- p.Ile111= Single submitter
- p.Leu147= Single submitter
- p.Leu150= Single submitter
- p.Leu242= Single submitter
- p.Leu356= Single submitter
- p.Leu4= Single submitter
- p.Lys106= Single submitter
- p.Pro266= Single submitter
- p.Pro62= Single submitter
- p.Pro67= Single submitter
- p.Ser137= Single submitter
- p.Ser197= Single submitter
- p.Ser202= Single submitter
- p.Ser281= Single submitter
- p.Thr218= Single submitter
- p.Thr47Arg Single submitter
- p.Val213= Single submitter
- p.Val45Ala Single submitter Inborn genetic diseases
- p.Leu384= No assertion criteria FECH-related disorder
Uncertain significance 91
- c.67+4A>G Multiple submitters
- p.Leu4Phe Multiple submitters Inborn genetic diseases ⚠
- p.Lys320Arg Multiple submitters Inborn genetic diseases ⚠
- p.Met267Ile Multiple submitters protoporphyria, erythropoietic, 1 ⚠
- p.Met267Thr Multiple submitters Inborn genetic diseases ⚠
- p.Ser197Phe Multiple submitters protoporphyria, erythropoietic, 1 ⚠
- p.Ser197Thr Multiple submitters Inborn genetic diseases ⚠
- p.Ser268Phe Multiple submitters Inborn genetic diseases ⚠
- p.Val166Ile Multiple submitters Inborn genetic diseases ⚠
- c.1078-5T>G Single submitter protoporphyria, erythropoietic, 1
- c.1078-6A>G Single submitter protoporphyria, erythropoietic, 1
- c.314+6A>G Single submitter
- c.464-4A>G Single submitter protoporphyria, erythropoietic, 1
- c.598+3A>G Single submitter
- c.67+6T>G Single submitter
- c.804+5G>A Single submitter
- c.912+14A>G Single submitter protoporphyria, erythropoietic, 1
- c.*1287_*1288insTTTA Single submitter
- c.*2446G>T Single submitter
- p.Ala10Thr Single submitter Inborn genetic diseases
- p.Ala205Thr Single submitter ⚠
- p.Ala43Val Single submitter ⚠
- p.Arg13Ser Single submitter Inborn genetic diseases
- p.Arg164Gln Single submitter ⚠
- p.Arg164Trp Single submitter ⚠
- p.Arg184Ser Single submitter Inborn genetic diseases ⚠
- p.Arg208Lys Single submitter Inborn genetic diseases ⚠
- p.Arg215Trp Single submitter ⚠
- p.Arg272Lys Single submitter ⚠
- p.Arg325Thr Single submitter Inborn genetic diseases ⚠
- p.Asn295Lys Single submitter ⚠
- p.Asp225Asn Single submitter ⚠
- p.Asp316Gly Single submitter ⚠
- p.Asp383Asn Single submitter ⚠
- p.Asp87Asn Single submitter Inborn genetic diseases ⚠
- p.Cys196Arg Single submitter ⚠
- p.Gln422Ter Single submitter
- p.Glu279Val Single submitter ⚠
- p.Glu292Gln Single submitter Inborn genetic diseases ⚠
- p.Glu317Asp Single submitter Inborn genetic diseases ⚠
- p.Glu393Lys Single submitter Inborn genetic diseases ⚠
- p.Glu393Val Single submitter Inborn genetic diseases ⚠
- p.Gly162Glu Single submitter ⚠
- p.Gly16Asp Single submitter Inborn genetic diseases ⚠
- p.Gly39Ser Single submitter Inborn genetic diseases ⚠
- p.Gly5Asp Single submitter Inborn genetic diseases ⚠
- p.Gly5Glu Single submitter
- p.Gly78Ser Single submitter ⚠
- p.His157Pro Single submitter ⚠
- p.His230Pro Single submitter ⚠
- p.His247Asp Single submitter Inborn genetic diseases ⚠
- p.His52Leu Single submitter ⚠
- p.Ile103Leu Single submitter ⚠
- p.Ile224Thr Single submitter ⚠
- p.Ile234Asn Single submitter Inborn genetic diseases ⚠
- p.Ile241Val Single submitter Inborn genetic diseases ⚠
- p.Leu18Pro Single submitter ⚠
- p.Leu232Phe Single submitter Inborn genetic diseases ⚠
- p.Leu245Pro Single submitter ⚠
- p.Leu265Val Single submitter ⚠
- p.Leu311Val Single submitter Inborn genetic diseases ⚠
- p.Leu405Phe Single submitter ⚠
- p.Leu92Pro Single submitter ⚠
- p.Lys379Arg Single submitter ⚠
- p.Met143Val Single submitter protoporphyria, erythropoietic, 1 ⚠
- p.Met1Thr Single submitter
- p.Met219Thr Single submitter Inborn genetic diseases ⚠
- p.Met76Leu Single submitter
- p.Phe418Cys Single submitter ⚠
- p.Phe418del Single submitter
- p.Phe88Cys Single submitter Inborn genetic diseases ⚠
- p.Phe88Leu Single submitter Inborn genetic diseases ⚠
- p.Pro168Ser Single submitter ⚠
- p.Pro266Leu Single submitter
- p.Pro307Leu Single submitter Inborn genetic diseases ⚠
- p.Pro404Leu Single submitter ⚠
- p.Pro62Ser Single submitter Inborn genetic diseases ⚠
- p.Pro67Leu Single submitter Inborn genetic diseases ⚠
- p.Ser151Phe Single submitter ⚠
- p.Ser151Pro Single submitter ⚠
- p.Ser202Arg Single submitter ⚠
- p.Ser222Asn Single submitter ⚠
- p.Ser318Cys Single submitter Inborn genetic diseases ⚠
- p.Ser38Ala Single submitter ⚠
- p.Thr116Pro Single submitter ⚠
- p.Thr218Ala Single submitter Inborn genetic diseases ⚠
- p.Thr218Met Single submitter Inborn genetic diseases ⚠
- p.Tyr194Cys Single submitter ⚠
- p.Tyr346Cys Single submitter Inborn genetic diseases ⚠
- p.Gly77Arg No assertion criteria protoporphyria, erythropoietic, 1 ⚠
- p.Val270Phe No assertion criteria FECH-related disorder ⚠