GCH1 — 601 ClinVar variants

All ClinVar germline GCH1 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 190 flagged for review →

67 Pathogenic · 13 Pathogenic/Likely pathogenic · 34 Likely pathogenic · 37 Conflicting · 28 Benign · 8 Benign/Likely benign · 167 Likely benign · 247 Uncertain significance

Full GCH1 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions

⚑ Evidence disagreements 190

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 16

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

Predictors lean, ClinVar uncertain 152

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 152

Predictors split 22

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

All GCH1 variants

Pathogenic 67

Pathogenic/Likely pathogenic 13

Likely pathogenic 34

Conflicting classifications of pathogenicity 37

Benign 28

Benign/Likely benign 8

  • c.-69G>C Multiple submitters GTP cyclohydrolase I deficiency
  • c.*1122A>T Multiple submitters GTP cyclohydrolase I deficiency
  • c.*12T>C Multiple submitters GTP cyclohydrolase I deficiency
  • c.*677G>A Multiple submitters GTP cyclohydrolase I deficiency
  • p.Leu71= Multiple submitters GTP cyclohydrolase I deficiency
  • c.*1130C>G Single submitter GTP cyclohydrolase I deficiency
  • c.*1176C>G Single submitter GTP cyclohydrolase I deficiency
  • c.*256A>G Single submitter GTP cyclohydrolase I deficiency

Likely benign 167

  • c.343+7G>A Multiple submitters GTP cyclohydrolase I deficiency
  • c.343+9G>T Multiple submitters GTP cyclohydrolase I deficiency
  • c.344-93C>T Multiple submitters
  • c.509+19T>C Multiple submitters GTP cyclohydrolase I deficiency
  • c.542-18T>A Multiple submitters dystonia 5
  • p.Arg198= Multiple submitters GTP cyclohydrolase I deficiency
  • p.Asn118= Multiple submitters dystonia 5
  • p.Asp119= Multiple submitters dystonia 5
  • p.Leu68= Multiple submitters dystonia 5
  • p.Pro9= Multiple submitters GTP cyclohydrolase I deficiency
  • p.Val202= Multiple submitters GTP cyclohydrolase I deficiency
  • c.343+10C>A Single submitter dystonia 5
  • c.343+10C>T Single submitter GTP cyclohydrolase I deficiency
  • c.343+11C>T Single submitter dystonia 5
  • c.343+12C>A Single submitter GTP cyclohydrolase I deficiency
  • c.343+12C>G Single submitter GTP cyclohydrolase I deficiency
  • c.343+12dup Single submitter GTP cyclohydrolase I deficiency
  • c.343+13G>T Single submitter GTP cyclohydrolase I deficiency
  • c.343+14_343+15del Single submitter GTP cyclohydrolase I deficiency
  • c.343+14C>G Single submitter GTP cyclohydrolase I deficiency
  • c.343+15G>C Single submitter
  • c.343+16G>A Single submitter dystonia 5
  • c.343+17G>A Single submitter GTP cyclohydrolase I deficiency
  • c.343+286T>G Single submitter
  • c.343+7G>T Single submitter GTP cyclohydrolase I deficiency
  • c.343+8C>A Single submitter dystonia 5
  • c.343+9G>C Single submitter dystonia 5
  • c.344-14G>C Single submitter GTP cyclohydrolase I deficiency
  • c.344-15A>G Single submitter GTP cyclohydrolase I deficiency
  • c.344-16715G>C Single submitter GTP cyclohydrolase I deficiency
  • c.344-16715G>T Single submitter GTP cyclohydrolase I deficiency
  • c.344-9del Single submitter GTP cyclohydrolase I deficiency
  • c.440_453+9dup Single submitter GTP cyclohydrolase I deficiency
  • c.453+11C>G Single submitter dystonia 5
  • c.453+14T>C Single submitter GTP cyclohydrolase I deficiency
  • c.453+15G>T Single submitter GTP cyclohydrolase I deficiency
  • c.453+16T>C Single submitter GTP cyclohydrolase I deficiency
  • c.453+271del Single submitter
  • c.453+90A>G Single submitter
  • c.454-11C>T Single submitter dystonia 5
  • c.454-13C>G Single submitter GTP cyclohydrolase I deficiency
  • c.454-15G>A Single submitter dystonia 5
  • c.454-16C>T Single submitter GTP cyclohydrolase I deficiency
  • c.509+12T>A Single submitter GTP cyclohydrolase I deficiency
  • c.509+12T>C Single submitter GTP cyclohydrolase I deficiency
  • c.509+14T>C Single submitter GTP cyclohydrolase I deficiency
  • c.509+16C>T Single submitter GTP cyclohydrolase I deficiency
  • c.509+20G>C Single submitter GTP cyclohydrolase I deficiency
  • c.509+9G>A Single submitter GTP cyclohydrolase I deficiency
  • c.509+9G>T Single submitter GTP cyclohydrolase I deficiency
  • c.510-13C>A Single submitter GTP cyclohydrolase I deficiency
  • c.510-13C>G Single submitter dystonia 5
  • c.510-14T>A Single submitter GTP cyclohydrolase I deficiency
  • c.510-16A>G Single submitter dystonia 5
  • c.510-18C>T Single submitter GTP cyclohydrolase I deficiency
  • c.510-19A>G Single submitter GTP cyclohydrolase I deficiency
  • c.510-19A>T Single submitter dystonia 5
  • c.510-8T>C Single submitter GTP cyclohydrolase I deficiency
  • c.510-9C>G Single submitter dystonia 5
  • c.541+10A>G Single submitter GTP cyclohydrolase I deficiency
  • c.541+15T>C Single submitter GTP cyclohydrolase I deficiency
  • c.541+209C>T Single submitter
  • c.542-13A>G Single submitter GTP cyclohydrolase I deficiency
  • c.542-20G>A Single submitter GTP cyclohydrolase I deficiency
  • c.542-4A>G Single submitter GTP cyclohydrolase I deficiency
  • c.542-9C>T Single submitter GTP cyclohydrolase I deficiency
  • c.626+17C>G Single submitter GTP cyclohydrolase I deficiency
  • c.626+18T>A Single submitter GTP cyclohydrolase I deficiency
  • c.626+20T>C Single submitter GTP cyclohydrolase I deficiency
  • c.626+279dup Single submitter
  • c.626+7C>G Single submitter GTP cyclohydrolase I deficiency
  • c.626+7C>T Single submitter dystonia 5
  • c.626+9G>C Single submitter GTP cyclohydrolase I deficiency
  • c.627-10del Single submitter GTP cyclohydrolase I deficiency
  • c.627-14_627-10del Single submitter GTP cyclohydrolase I deficiency
  • c.627-19G>T Single submitter GTP cyclohydrolase I deficiency
  • c.627-20T>C Single submitter GTP cyclohydrolase I deficiency
  • c.627-9A>G Single submitter
  • c.*173T>C Single submitter
  • c.*205T>C Single submitter
  • c.*231A>G Single submitter
  • c.*950C>T Single submitter
  • c.*989C>T Single submitter
  • p.Ala10= Single submitter GTP cyclohydrolase I deficiency
  • p.Ala101= Single submitter GTP cyclohydrolase I deficiency
  • p.Ala120= Single submitter GTP cyclohydrolase I deficiency
  • p.Ala196= Single submitter GTP cyclohydrolase I deficiency
  • p.Ala47= Single submitter GTP cyclohydrolase I deficiency
  • p.Ala50= Single submitter GTP cyclohydrolase I deficiency
  • p.Ala73= Single submitter GTP cyclohydrolase I deficiency
  • p.Ala98= Single submitter dystonia 5
  • p.Arg14= Single submitter dystonia 5
  • p.Arg235= Single submitter dystonia 5
  • p.Arg241= Single submitter GTP cyclohydrolase I deficiency
  • p.Arg25= Single submitter GTP cyclohydrolase I deficiency
  • p.Asn64= Single submitter GTP cyclohydrolase I deficiency
  • p.Asn85= Single submitter GTP cyclohydrolase I deficiency
  • p.Asp123= Single submitter dystonia 5
  • p.Asp136= Single submitter dystonia 5
  • p.Asp51= Single submitter dystonia 5
  • p.Glu11= Single submitter dystonia 5
  • p.Glu111= Single submitter GTP cyclohydrolase I deficiency
  • p.Glu183= Single submitter GTP cyclohydrolase I deficiency
  • p.Glu2= Single submitter GTP cyclohydrolase I deficiency
  • p.Glu24= Single submitter GTP cyclohydrolase I deficiency
  • p.Glu37= Single submitter GTP cyclohydrolase I deficiency
  • p.Glu56= Single submitter GTP cyclohydrolase I deficiency
  • p.Glu61= Single submitter GTP cyclohydrolase I deficiency
  • p.Glu62= Single submitter dystonia 5
  • p.Glu84= Single submitter dystonia 5
  • p.Gly108= Single submitter dystonia 5
  • p.Gly217= Single submitter dystonia 5
  • p.Gly31= Single submitter GTP cyclohydrolase I deficiency
  • p.Gly4= Single submitter dystonia 5
  • p.Gly52= Single submitter GTP cyclohydrolase I deficiency
  • p.Gly55= Single submitter dystonia 5
  • p.Gly83= Single submitter GTP cyclohydrolase I deficiency
  • p.Gly90= Single submitter GTP cyclohydrolase I deficiency
  • p.His144= Single submitter GTP cyclohydrolase I deficiency
  • p.Ile113= Single submitter GTP cyclohydrolase I deficiency
  • p.Ile189= Single submitter GTP cyclohydrolase I deficiency
  • p.Ile78= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu117= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu145= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu168= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu185= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu231= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu66= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu79= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu82= Single submitter GTP cyclohydrolase I deficiency
  • p.Leu91= Single submitter GTP cyclohydrolase I deficiency
  • p.Lys160= Single submitter GTP cyclohydrolase I deficiency
  • p.Lys239= Single submitter GTP cyclohydrolase I deficiency
  • p.Lys54= Single submitter GTP cyclohydrolase I deficiency
  • p.Phe22= Single submitter GTP cyclohydrolase I deficiency
  • p.Phe244= Single submitter dystonia 5
  • p.Pro13= Single submitter dystonia 5
  • p.Pro158= Single submitter dystonia 5
  • p.Pro23= Single submitter GTP cyclohydrolase I deficiency
  • p.Pro238= Single submitter GTP cyclohydrolase I deficiency
  • p.Pro27= Single submitter dystonia 5
  • p.Pro30= Single submitter dystonia 5
  • p.Pro32= Single submitter GTP cyclohydrolase I deficiency
  • p.Pro40= Single submitter GTP cyclohydrolase I deficiency
  • p.Pro42= Single submitter GTP cyclohydrolase I deficiency
  • p.Pro49= Single submitter GTP cyclohydrolase I deficiency
  • p.Pro49Ala Single submitter GTP cyclohydrolase I deficiency
  • p.Pro58= Single submitter GTP cyclohydrolase I deficiency
  • p.Pro86= Single submitter GTP cyclohydrolase I deficiency
  • p.Ser100= Single submitter GTP cyclohydrolase I deficiency
  • p.Ser114= Single submitter
  • p.Ser166= Single submitter dystonia 5
  • p.Ser81= Single submitter dystonia 5
  • p.Ter251= Single submitter GTP cyclohydrolase I deficiency
  • p.Thr112= Single submitter GTP cyclohydrolase I deficiency
  • p.Thr225= Single submitter GTP cyclohydrolase I deficiency
  • p.Thr229= Single submitter GTP cyclohydrolase I deficiency
  • p.Tyr109= Single submitter GTP cyclohydrolase I deficiency
  • p.Tyr175= Single submitter GTP cyclohydrolase I deficiency
  • p.Tyr75= Single submitter dystonia 5
  • p.Val116= Single submitter dystonia 5
  • p.Val130= Single submitter GTP cyclohydrolase I deficiency
  • p.Val162= Single submitter GTP cyclohydrolase I deficiency
  • p.Val191= Single submitter GTP cyclohydrolase I deficiency
  • p.Val205= Single submitter GTP cyclohydrolase I deficiency
  • p.Val206= Single submitter
  • p.Val214= Single submitter dystonia 5

Uncertain significance 247