GALE — 412 ClinVar variants

All ClinVar germline GALE variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 112 flagged for review →

23 Pathogenic · 10 Pathogenic/Likely pathogenic · 23 Likely pathogenic · 22 Conflicting · 7 Benign · 4 Benign/Likely benign · 202 Likely benign · 121 Uncertain significance

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

⚑ Evidence disagreements 112

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 6

ClinVar calls these pathogenic, but the computational predictors lean tolerated — the highest-value review flag.

Predictors agree, ClinVar conflicts 4

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

Predictors lean, ClinVar uncertain 69

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

Predictors split 33

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

All GALE variants

Pathogenic 23

  • p.Arg219Ter Single submitter galactose epimerase deficiency
  • p.Arg51fs Single submitter galactose epimerase deficiency
  • p.Asp229_Tyr230insTer Single submitter galactose epimerase deficiency
  • p.Asp234fs Single submitter galactose epimerase deficiency
  • p.Asp66fs Single submitter galactose epimerase deficiency
  • p.Gln261Ter Single submitter galactose epimerase deficiency
  • p.Gly123_Val124insTer Single submitter galactose epimerase deficiency
  • p.Gly272fs Single submitter galactose epimerase deficiency
  • p.Ile252fs Single submitter galactose epimerase deficiency
  • p.Leu91fs Single submitter
  • p.Lys259fs Single submitter galactose epimerase deficiency
  • p.Met1Ile Single submitter galactose epimerase deficiency
  • p.Met1Val Single submitter galactose epimerase deficiency
  • p.Phe88fs Single submitter galactose epimerase deficiency
  • p.Pro188fs Single submitter galactose epimerase deficiency
  • p.Ser276fs Single submitter
  • p.Ser312fs Single submitter galactose epimerase deficiency
  • p.Thr232fs Single submitter galactose epimerase deficiency
  • p.Trp178Ter Single submitter galactose epimerase deficiency
  • p.Val212fs Single submitter galactose epimerase deficiency
  • p.Gly90Glu No assertion criteria galactose epimerase deficiency
  • p.Leu313Met No assertion criteria galactose epimerase deficiency ⚠
  • p.Lys78fs No assertion criteria thrombocytopenia 13, syndromic

Pathogenic/Likely pathogenic 10

  • c.796-1G>T Multiple submitters thrombocytopenia 13, syndromic
  • p.Arg169Trp Multiple submitters galactose epimerase deficiency ⚠
  • p.Arg239Trp Multiple submitters thrombocytopenia 13, syndromic
  • p.Gln173fs Multiple submitters galactose epimerase deficiency
  • p.Gly250fs Multiple submitters galactose epimerase deficiency
  • p.Met1Thr Multiple submitters galactose epimerase deficiency
  • p.Ser48fs Multiple submitters galactose epimerase deficiency
  • p.Thr150Met Multiple submitters galactose epimerase deficiency ⚠
  • p.Tyr105_Arg106delinsTer Multiple submitters galactose epimerase deficiency
  • p.Val94Met Multiple submitters galactose epimerase deficiency

Likely pathogenic 23

  • c.122-11_122-1del Multiple submitters galactose epimerase deficiency
  • c.351+1G>T Multiple submitters thrombocytopenia 13, syndromic
  • c.642+1G>A Multiple submitters galactose epimerase deficiency
  • c.643-2A>C Multiple submitters thrombocytopenia 13, syndromic
  • p.Arg335His Multiple submitters GALE-related disorder ⚠
  • p.Gly302Asp Multiple submitters thrombocytopenia 13, syndromic
  • p.Leu183Pro Multiple submitters galactose epimerase deficiency
  • c.351+2T>C Single submitter galactose epimerase deficiency
  • c.528+1G>A Single submitter galactose epimerase deficiency
  • c.709+1G>A Single submitter
  • c.709+2_709+17del Single submitter galactose epimerase deficiency
  • c.795+1G>A Single submitter galactose epimerase deficiency
  • c.873+2T>C Single submitter galactose epimerase deficiency
  • p.Ala72Thr Single submitter galactose epimerase deficiency ⚠
  • p.Asp145fs Single submitter galactose epimerase deficiency
  • p.Asp69Glu Single submitter galactose epimerase deficiency ⚠
  • p.Glu331fs Single submitter galactose epimerase deficiency
  • p.Ile242fs Single submitter galactose epimerase deficiency
  • p.Tyr294Ter Single submitter galactose epimerase deficiency
  • p.Tyr308Ter Single submitter galactose epimerase deficiency
  • c.237+1G>T No assertion criteria galactose epimerase deficiency
  • c.352-1G>C No assertion criteria galactose epimerase deficiency
  • c.710-2A>G No assertion criteria galactose epimerase deficiency

Conflicting classifications of pathogenicity 22

  • c.237+20G>A Single submitter galactose epimerase deficiency
  • c.238-6C>T Single submitter galactose epimerase deficiency
  • c.529-11A>G Single submitter galactose epimerase deficiency
  • c.529-12C>T Single submitter galactose epimerase deficiency
  • c.709+18G>A Single submitter galactose epimerase deficiency
  • c.874-9G>A Single submitter galactose epimerase deficiency
  • c.988+5G>A Single submitter galactose epimerase deficiency
  • c.988+7G>A Single submitter galactose epimerase deficiency
  • c.989-13C>T Single submitter galactose epimerase deficiency
  • p.Ala216= Single submitter galactose epimerase deficiency
  • p.Ala89Val Single submitter galactose epimerase deficiency ⚠
  • p.Arg220Trp Single submitter galactose epimerase deficiency ⚠
  • p.Arg51Trp Single submitter galactose epimerase deficiency ⚠
  • p.Asn34Ser Single submitter galactose epimerase deficiency ⚠
  • p.Glu64= Single submitter galactose epimerase deficiency
  • p.Gly95Asp Single submitter galactose epimerase deficiency ⚠
  • p.Leu223Pro Single submitter galactose epimerase deficiency ⚠
  • p.Pro149= Single submitter galactose epimerase deficiency
  • p.Thr110= Single submitter galactose epimerase deficiency
  • p.Thr150= Single submitter galactose epimerase deficiency
  • p.Tyr136Ter Single submitter galactose epimerase deficiency
  • p.Tyr141= Single submitter galactose epimerase deficiency

Benign 7

Benign/Likely benign 4

  • c.237+11G>A Multiple submitters galactose epimerase deficiency
  • c.873+13G>C Multiple submitters galactose epimerase deficiency
  • p.Leu258= Multiple submitters galactose epimerase deficiency
  • p.Val304= Multiple submitters galactose epimerase deficiency

Likely benign 202

  • c.709+7C>G Multiple submitters galactose epimerase deficiency
  • c.795+8G>C Multiple submitters galactose epimerase deficiency
  • c.873+13_873+14insA Multiple submitters galactose epimerase deficiency
  • c.988+18C>T Multiple submitters galactose epimerase deficiency
  • p.Ala298= Multiple submitters galactose epimerase deficiency
  • p.His122= Multiple submitters galactose epimerase deficiency
  • p.Leu28= Multiple submitters galactose epimerase deficiency
  • p.Phe77= Multiple submitters galactose epimerase deficiency
  • p.Ser48= Multiple submitters galactose epimerase deficiency
  • p.Ser97= Multiple submitters galactose epimerase deficiency
  • p.Thr18= Multiple submitters galactose epimerase deficiency
  • p.Val124= Multiple submitters galactose epimerase deficiency
  • c.121+10G>A Single submitter galactose epimerase deficiency
  • c.121+11C>T Single submitter galactose epimerase deficiency
  • c.121+14T>G Single submitter galactose epimerase deficiency
  • c.121+16G>T Single submitter galactose epimerase deficiency
  • c.121+18G>T Single submitter galactose epimerase deficiency
  • c.121+7G>A Single submitter galactose epimerase deficiency
  • c.122-13T>C Single submitter galactose epimerase deficiency
  • c.122-14A>C Single submitter galactose epimerase deficiency
  • c.122-14A>G Single submitter galactose epimerase deficiency
  • c.122-18C>T Single submitter galactose epimerase deficiency
  • c.122-19C>T Single submitter galactose epimerase deficiency
  • c.122-20G>A Single submitter galactose epimerase deficiency
  • c.122-20G>T Single submitter galactose epimerase deficiency
  • c.122-4C>T Single submitter galactose epimerase deficiency
  • c.122-7del Single submitter galactose epimerase deficiency
  • c.237+19C>A Single submitter galactose epimerase deficiency
  • c.237+19C>T Single submitter galactose epimerase deficiency
  • c.238-16C>T Single submitter galactose epimerase deficiency
  • c.238-17C>T Single submitter galactose epimerase deficiency
  • c.238-20T>C Single submitter galactose epimerase deficiency
  • c.238-6C>G Single submitter galactose epimerase deficiency
  • c.351+16C>A Single submitter galactose epimerase deficiency
  • c.351+17_351+18del Single submitter galactose epimerase deficiency
  • c.351+17A>G Single submitter galactose epimerase deficiency
  • c.351+20del Single submitter galactose epimerase deficiency
  • c.352-14C>G Single submitter galactose epimerase deficiency
  • c.352-15T>C Single submitter galactose epimerase deficiency
  • c.352-16A>G Single submitter galactose epimerase deficiency
  • c.352-19G>A Single submitter galactose epimerase deficiency
  • c.352-4C>T Single submitter galactose epimerase deficiency
  • c.352-7C>T Single submitter galactose epimerase deficiency
  • c.352-9C>T Single submitter galactose epimerase deficiency
  • c.528+18A>G Single submitter galactose epimerase deficiency
  • c.528+19G>A Single submitter galactose epimerase deficiency
  • c.528+8C>G Single submitter galactose epimerase deficiency
  • c.528+8C>T Single submitter galactose epimerase deficiency
  • c.529-10C>T Single submitter galactose epimerase deficiency
  • c.529-17T>C Single submitter galactose epimerase deficiency
  • c.529-18C>G Single submitter galactose epimerase deficiency
  • c.529-5C>T Single submitter galactose epimerase deficiency
  • c.529-6C>T Single submitter galactose epimerase deficiency
  • c.529-8T>A Single submitter galactose epimerase deficiency
  • c.642+11A>G Single submitter galactose epimerase deficiency
  • c.642+16A>C Single submitter galactose epimerase deficiency
  • c.642+16A>G Single submitter galactose epimerase deficiency
  • c.642+18G>A Single submitter galactose epimerase deficiency
  • c.642+7C>T Single submitter galactose epimerase deficiency
  • c.643-10C>T Single submitter galactose epimerase deficiency
  • c.643-15G>C Single submitter galactose epimerase deficiency
  • c.643-17C>T Single submitter galactose epimerase deficiency
  • c.643-19A>G Single submitter galactose epimerase deficiency
  • c.643-5T>A Single submitter galactose epimerase deficiency
  • c.643-6C>T Single submitter galactose epimerase deficiency
  • c.643-7C>T Single submitter galactose epimerase deficiency
  • c.709+14C>T Single submitter galactose epimerase deficiency
  • c.709+15del Single submitter galactose epimerase deficiency
  • c.709+16G>C Single submitter galactose epimerase deficiency
  • c.710-12C>T Single submitter galactose epimerase deficiency
  • c.710-15C>G Single submitter galactose epimerase deficiency
  • c.710-16A>G Single submitter galactose epimerase deficiency
  • c.710-18A>G Single submitter galactose epimerase deficiency
  • c.710-19C>T Single submitter galactose epimerase deficiency
  • c.795+12A>G Single submitter galactose epimerase deficiency
  • c.795+13G>A Single submitter galactose epimerase deficiency
  • c.795+13G>C Single submitter galactose epimerase deficiency
  • c.795+14_795+15del Single submitter galactose epimerase deficiency
  • c.795+16A>G Single submitter galactose epimerase deficiency
  • c.795+20G>T Single submitter galactose epimerase deficiency
  • c.795+7A>C Single submitter galactose epimerase deficiency
  • c.795+9A>C Single submitter galactose epimerase deficiency
  • c.873+12C>G Single submitter galactose epimerase deficiency
  • c.873+14_873+15insCA Single submitter galactose epimerase deficiency
  • c.873+18A>C Single submitter galactose epimerase deficiency
  • c.873+18A>G Single submitter galactose epimerase deficiency
  • c.873+7C>A Single submitter galactose epimerase deficiency
  • c.873+7C>T Single submitter galactose epimerase deficiency
  • c.873+8C>A Single submitter galactose epimerase deficiency
  • c.873+9C>T Single submitter galactose epimerase deficiency
  • c.874-12C>T Single submitter galactose epimerase deficiency
  • c.874-14C>T Single submitter galactose epimerase deficiency
  • c.874-15C>T Single submitter galactose epimerase deficiency
  • c.874-18C>T Single submitter galactose epimerase deficiency
  • c.874-19A>G Single submitter galactose epimerase deficiency
  • c.874-7C>T Single submitter galactose epimerase deficiency
  • c.874-9G>C Single submitter galactose epimerase deficiency
  • c.988+11G>T Single submitter galactose epimerase deficiency
  • c.988+12C>T Single submitter galactose epimerase deficiency
  • c.988+14T>C Single submitter galactose epimerase deficiency
  • c.988+17C>T Single submitter galactose epimerase deficiency
  • c.988+19C>T Single submitter galactose epimerase deficiency
  • c.989-10C>T Single submitter galactose epimerase deficiency
  • c.989-11C>T Single submitter galactose epimerase deficiency
  • c.989-12G>A Single submitter galactose epimerase deficiency
  • c.989-16C>T Single submitter galactose epimerase deficiency
  • c.989-17A>G Single submitter galactose epimerase deficiency
  • c.989-18C>T Single submitter galactose epimerase deficiency
  • c.989-19A>T Single submitter galactose epimerase deficiency
  • c.989-20C>T Single submitter galactose epimerase deficiency
  • c.989-7G>A Single submitter galactose epimerase deficiency
  • c.989-8del Single submitter galactose epimerase deficiency
  • c.989-8T>C Single submitter galactose epimerase deficiency
  • c.989-9G>A Single submitter galactose epimerase deficiency
  • c.-77+241C>G Single submitter galactose epimerase deficiency
  • c.*195T>C Single submitter galactose epimerase deficiency
  • p.Ala121= Single submitter galactose epimerase deficiency
  • p.Ala133= Single submitter galactose epimerase deficiency
  • p.Ala191= Single submitter galactose epimerase deficiency
  • p.Ala193= Single submitter galactose epimerase deficiency
  • p.Ala248= Single submitter galactose epimerase deficiency
  • p.Ala38= Single submitter galactose epimerase deficiency
  • p.Ala84= Single submitter galactose epimerase deficiency
  • p.Ala93= Single submitter galactose epimerase deficiency
  • p.Arg169= Single submitter galactose epimerase deficiency
  • p.Arg184= Single submitter galactose epimerase deficiency
  • p.Arg220= Single submitter galactose epimerase deficiency
  • p.Arg50= Single submitter galactose epimerase deficiency
  • p.Arg51= Single submitter galactose epimerase deficiency
  • p.Asn108= Single submitter galactose epimerase deficiency
  • p.Asn179= Single submitter galactose epimerase deficiency
  • p.Asn207= Single submitter galactose epimerase deficiency
  • p.Asn34= Single submitter galactose epimerase deficiency
  • p.Asp145= Single submitter galactose epimerase deficiency
  • p.Asp170= Single submitter galactose epimerase deficiency
  • p.Asp240= Single submitter galactose epimerase deficiency
  • p.Asp332= Single submitter galactose epimerase deficiency
  • p.Asp69= Single submitter galactose epimerase deficiency
  • p.Cys153= Single submitter galactose epimerase deficiency
  • p.Cys196= Single submitter galactose epimerase deficiency
  • p.Gln282= Single submitter galactose epimerase deficiency
  • p.Gln70= Single submitter
  • p.Glu21= Single submitter galactose epimerase deficiency
  • p.Glu285= Single submitter galactose epimerase deficiency
  • p.Glu3= Single submitter galactose epimerase deficiency
  • p.Glu317= Single submitter galactose epimerase deficiency
  • p.Glu331= Single submitter galactose epimerase deficiency
  • p.Glu63= Single submitter galactose epimerase deficiency
  • p.Glu96= Single submitter galactose epimerase deficiency
  • p.Gly123= Single submitter galactose epimerase deficiency
  • p.Gly152= Single submitter galactose epimerase deficiency
  • p.Gly203= Single submitter galactose epimerase deficiency
  • p.Gly274= Single submitter galactose epimerase deficiency
  • p.Gly319= Single submitter galactose epimerase deficiency
  • p.Gly90= Single submitter galactose epimerase deficiency
  • p.Gly95= Single submitter galactose epimerase deficiency
  • p.His17= Single submitter galactose epimerase deficiency
  • p.His251= Single submitter galactose epimerase deficiency
  • p.Ile118= Single submitter galactose epimerase deficiency
  • p.Ile164= Single submitter galactose epimerase deficiency
  • p.Ile168= Single submitter galactose epimerase deficiency
  • p.Ile217= Single submitter galactose epimerase deficiency
  • p.Ile32= Single submitter galactose epimerase deficiency
  • p.Leu109= Single submitter galactose epimerase deficiency
  • p.Leu115= Single submitter galactose epimerase deficiency
  • p.Leu142= Single submitter galactose epimerase deficiency
  • p.Leu23= Single submitter galactose epimerase deficiency
  • p.Leu269= Single submitter galactose epimerase deficiency
  • p.Leu313= Single submitter
  • p.Leu326= Single submitter galactose epimerase deficiency
  • p.Leu333= Single submitter galactose epimerase deficiency
  • p.Leu49= Single submitter galactose epimerase deficiency
  • p.Leu73= Single submitter galactose epimerase deficiency
  • p.Leu91= Single submitter galactose epimerase deficiency
  • p.Lys100= Single submitter galactose epimerase deficiency
  • p.Lys159= Single submitter galactose epimerase deficiency
  • p.Lys338= Single submitter galactose epimerase deficiency
  • p.Phe162= Single submitter galactose epimerase deficiency
  • p.Pro29= Single submitter galactose epimerase deficiency
  • p.Pro293= Single submitter galactose epimerase deficiency
  • p.Pro46= Single submitter galactose epimerase deficiency
  • p.Ser312= Single submitter galactose epimerase deficiency
  • p.Ser44= Single submitter galactose epimerase deficiency
  • p.Thr134= Single submitter galactose epimerase deficiency
  • p.Thr177= Single submitter galactose epimerase deficiency
  • p.Thr271= Single submitter galactose epimerase deficiency
  • p.Thr346= Single submitter galactose epimerase deficiency
  • p.Tyr136= Single submitter galactose epimerase deficiency
  • p.Tyr157= Single submitter galactose epimerase deficiency
  • p.Tyr241= Single submitter galactose epimerase deficiency
  • p.Tyr308= Single submitter galactose epimerase deficiency
  • p.Val128= Single submitter galactose epimerase deficiency
  • p.Val212= Single submitter galactose epimerase deficiency
  • p.Val225= Single submitter galactose epimerase deficiency
  • p.Val244= Single submitter galactose epimerase deficiency
  • p.Val245= Single submitter galactose epimerase deficiency
  • p.Val281= Single submitter galactose epimerase deficiency
  • p.Val30= Single submitter galactose epimerase deficiency
  • p.Val52= Single submitter galactose epimerase deficiency
  • p.Val60= Single submitter galactose epimerase deficiency
  • p.Val7= Single submitter galactose epimerase deficiency
  • c.121+7G>C No assertion criteria GALE-related disorder

Uncertain significance 121