GNAL — 285 ClinVar variants
All ClinVar germline GNAL variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 63 flagged for review →
14 Pathogenic · 11 Likely pathogenic · 4 Conflicting · 65 Benign · 5 Benign/Likely benign · 95 Likely benign · 91 Uncertain significance
Full GNAL gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 63
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.
-
GNAL p.Asp13Tyr
Likely pathogenic
Single submitter
dystonic disorder
Predictors agree, ClinVar conflicts 1
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
-
GNAL p.Ala312Thr
Conflicting
Single submitter
Inborn genetic diseases
Predictors lean, ClinVar uncertain 45
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
GNAL p.Arg400Lys
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
GNAL p.Arg437His
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
GNAL p.Asp220Asn
Uncertain significance
Multiple submitters
dystonic disorder
-
GNAL p.Gly417Ser
Uncertain significance
Multiple submitters
dystonic disorder
-
GNAL p.Ile351Thr
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
GNAL p.Ala430Thr
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Arg295Lys
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Asn325Asp
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Asn328Ser
Uncertain significance
Single submitter
dystonia 25
-
GNAL p.Asn7Ile
Uncertain significance
Single submitter
dystonic disorder
- GNAL p.Asp17Asn Uncertain significance Single submitter
-
GNAL p.Asp442Asn
Uncertain significance
Single submitter
dystonic disorder
- GNAL p.Asp442Gly Uncertain significance Single submitter
- GNAL p.Cys226Arg Uncertain significance Single submitter
- GNAL p.Gln138Arg Uncertain significance Single submitter
-
GNAL p.Gln358Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Glu221Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Glu228Asp
Uncertain significance
Single submitter
Inborn genetic diseases
- GNAL p.Glu273Lys Uncertain significance Single submitter
-
GNAL p.Glu294Asp
Uncertain significance
Single submitter
Inborn genetic diseases
- GNAL p.Glu332Ala Uncertain significance Single submitter
-
GNAL p.Gly419Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.His143Gln
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.His421Asp
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Ile170Val
Uncertain significance
Single submitter
dystonic disorder
- GNAL p.Ile177Leu Uncertain significance Single submitter
- GNAL p.Leu457Arg Uncertain significance Single submitter
-
GNAL p.Lys402Asn
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Phe272Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Phe404Cys
Uncertain significance
Single submitter
dystonic disorder
- GNAL p.Ser269Cys Uncertain significance Single submitter
- GNAL p.Thr11Met Uncertain significance Single submitter
-
GNAL p.Thr176Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Thr176Ile
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Thr255Ile
Uncertain significance
Single submitter
dystonia 25
- GNAL p.Thr306Ile Uncertain significance Single submitter
-
GNAL p.Thr327Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Trp218Cys
Uncertain significance
Single submitter
dystonic disorder
- GNAL p.Tyr194Cys Uncertain significance Single submitter
-
GNAL p.Val16Phe
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Val171Ile
Uncertain significance
Single submitter
dystonia 25
-
GNAL p.Val249Leu
Uncertain significance
Single submitter
dystonic disorder
- GNAL p.Val281Glu Uncertain significance Single submitter
-
GNAL p.Val398Leu
Uncertain significance
Single submitter
dystonic disorder
- GNAL p.Val431Met Uncertain significance Single submitter
Predictors split 16
The independent predictors disagree with each other — read with care.
-
GNAL p.Thr414Met
Uncertain significance
Multiple submitters
dystonic disorder
-
GNAL p.Ala388Thr
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Arg411Thr
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Asp212His
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Asp304Asn
Likely pathogenic
Single submitter
dystonia 25
-
GNAL p.Gly417Cys
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Ile167Met
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Ile405Phe
Uncertain significance
Single submitter
Inborn genetic diseases
- GNAL p.Ile446Val Uncertain significance Single submitter
-
GNAL p.Lys164Thr
Uncertain significance
Single submitter
dystonic disorder
-
GNAL p.Lys40Asn
Uncertain significance
Single submitter
dystonic disorder
- GNAL p.Pro377Ser Uncertain significance Single submitter
-
GNAL p.Pro425Gln
Uncertain significance
Single submitter
Inborn genetic diseases
-
GNAL p.Thr169Ala
Conflicting
Single submitter
dystonic disorder
-
GNAL p.Val214Met
Uncertain significance
Single submitter
dystonia 25
-
GNAL p.Val249Ile
Uncertain significance
Single submitter
dystonic disorder
All GNAL variants
Pathogenic 14
- p.Arg322Ter Multiple submitters dystonic disorder
- p.Arg22fs Single submitter dystonic disorder
- p.Asp237fs Single submitter dystonic disorder
- p.Gln31Ter Single submitter dystonic disorder
- p.Lys155fs Single submitter
- p.Met1Ile Single submitter dystonic disorder
- p.Ser172fs Single submitter GNAL-related disorder
- p.Val223Met Single submitter dystonic disorder
- p.Val431Ala Single submitter dystonic disorder
- p.Arg21Ter No assertion criteria dystonia 25
- p.Arg275fs No assertion criteria dystonia 25
- p.Arg275Ter No assertion criteria GNAL-related disorder
- p.Glu232Lys No assertion criteria dystonia 25
- p.Ser370Ter No assertion criteria dystonia 25
Likely pathogenic 11
- c.504+1G>T Single submitter
- c.722+1G>A Single submitter dystonic disorder
- p.Ala239fs Single submitter GNAL-related disorder
- p.Asp13Tyr Single submitter dystonic disorder ⚠
- p.Asp304Asn Single submitter dystonia 25 ⚠
- p.Glu150Ter Single submitter
- p.Lys357Glu Single submitter dystonia 25
- p.Thr134Ile Single submitter
- p.Tyr424Ter Single submitter dystonia 25
- p.Val311Ile Single submitter dystonia 25
- p.Ser130Phe No assertion criteria Limb dystonia
Conflicting classifications of pathogenicity 4
- p.Ala312Thr Single submitter Inborn genetic diseases ⚠
- p.Asn303= Single submitter dystonic disorder
- p.Asp387= Single submitter dystonic disorder
- p.Thr169Ala Single submitter dystonic disorder ⚠
Benign 65
- c.1032-93G>T Multiple submitters
- c.1162+119T>C Multiple submitters
- c.1163-7T>G Multiple submitters dystonic disorder
- c.376+81T>C Multiple submitters
- c.377-116C>G Multiple submitters
- c.449+19C>A Multiple submitters dystonic disorder
- c.450-140G>A Multiple submitters
- c.450-165T>C Multiple submitters
- c.504+35G>A Multiple submitters
- c.624+48T>C Multiple submitters
- c.624+90T>C Multiple submitters
- c.625-31T>G Multiple submitters dystonia 25
- c.625-37T>A Multiple submitters
- c.625-88A>G Multiple submitters
- c.777+249T>C Multiple submitters
- c.851+102A>G Multiple submitters
- c.851+115A>G Multiple submitters
- c.851+118A>G Multiple submitters
- c.910+72C>T Multiple submitters
- c.-111C>T Multiple submitters
- c.-41T>C Multiple submitters dystonia 25
- p.Ala415= Multiple submitters dystonic disorder
- p.Arg46Lys Multiple submitters dystonic disorder
- p.Glu87= Multiple submitters dystonic disorder
- p.Leu38_Ala39dup Multiple submitters dystonic disorder
- c.1031+253G>A Single submitter
- c.1031+335C>T Single submitter
- c.1032-113C>T Single submitter
- c.1032-125C>G Single submitter
- c.1162+176C>A Single submitter
- c.1163-189_1163-174dup Single submitter
- c.1163-298T>C Single submitter
- c.1163-300G>T Single submitter
- c.1231-14G>A Single submitter dystonic disorder
- c.376+241A>C Single submitter
- c.376+61_376+80dup Single submitter
- c.376+6675C>T Single submitter dystonic disorder
- c.377-307_377-302del Single submitter dystonic disorder
- c.377-850C>T Single submitter
- c.377-864T>G Single submitter
- c.449+13A>C Single submitter dystonic disorder
- c.449+145del Single submitter
- c.449+299del Single submitter
- c.450-221A>T Single submitter
- c.625-145C>G Single submitter
- c.625-217_625-216insT Single submitter
- c.625-220C>T Single submitter
- c.625-221dup Single submitter
- c.625-222_625-221insTAA Single submitter
- c.625-26dup Single submitter
- c.625-289G>A Single submitter
- c.722+198G>C Single submitter
- c.722+212C>T Single submitter
- c.852-15C>T Single submitter dystonic disorder
- c.910+11del Single submitter dystonic disorder
- c.910+11dup Single submitter dystonic disorder
- c.910+19C>G Single submitter dystonic disorder
- c.910+5T>C Single submitter dystonic disorder
- c.911-231del Single submitter
- c.*190G>A Single submitter
- p.Arg406= Single submitter dystonic disorder
- p.Leu38_Ala39del Single submitter
- p.Ser197= Single submitter dystonic disorder
- p.Ser248= Single submitter dystonic disorder
- p.Thr119= Single submitter dystonic disorder
Benign/Likely benign 5
Likely benign 95
- c.1031+76G>A Multiple submitters
- c.1231-69G>A Multiple submitters
- c.450-19C>A Multiple submitters dystonic disorder
- c.450-82C>T Multiple submitters
- c.851+73A>C Multiple submitters
- p.Ala89_Ala94dup Multiple submitters
- p.Asp418= Multiple submitters dystonic disorder
- p.Gly16= Multiple submitters dystonic disorder
- p.Pro180= Multiple submitters dystonic disorder
- p.Pro36Leu Multiple submitters
- p.Thr414= Multiple submitters dystonic disorder
- c.1031+13G>C Single submitter
- c.1031+18T>C Single submitter dystonic disorder
- c.1032-5T>G Single submitter dystonic disorder
- c.1162+17C>T Single submitter dystonic disorder
- c.1163-17A>G Single submitter dystonic disorder
- c.1163-209G>A Single submitter
- c.1163-6C>G Single submitter dystonic disorder
- c.1230+104C>T Single submitter
- c.1230+113C>A Single submitter
- c.1230+11T>A Single submitter dystonic disorder
- c.1231-11C>G Single submitter dystonic disorder
- c.1231-11C>T Single submitter dystonic disorder
- c.1231-15C>T Single submitter dystonic disorder
- c.1231-20G>A Single submitter dystonic disorder
- c.1231-20G>T Single submitter
- c.376+124C>T Single submitter
- c.376+80_376+81insCGGCGGGCACCGGGGAGCGGCGGCGGGCACCGGGGAGCGG Single submitter
- c.377-16T>C Single submitter dystonic disorder
- c.377-829C>G Single submitter
- c.377-857C>T Single submitter
- c.377-8G>C Single submitter dystonic disorder
- c.449+21del Single submitter dystonic disorder
- c.449+264T>C Single submitter
- c.449+8T>C Single submitter
- c.450-143T>C Single submitter
- c.450-17A>C Single submitter dystonic disorder
- c.504+14T>A Single submitter dystonic disorder
- c.504+18T>C Single submitter dystonic disorder
- c.505-24A>T Single submitter
- c.505-26A>T Single submitter
- c.505-27C>T Single submitter
- c.624+324T>C Single submitter
- c.624+8A>G Single submitter dystonic disorder
- c.624+8A>T Single submitter dystonic disorder
- c.625-26del Single submitter
- c.625-27_625-26dup Single submitter
- c.722+15G>C Single submitter dystonic disorder
- c.722+17A>G Single submitter dystonic disorder
- c.777+14G>A Single submitter dystonic disorder
- c.778-36A>G Single submitter
- c.778-5C>T Single submitter dystonic disorder
- c.851+11T>A Single submitter dystonic disorder
- c.851+217T>G Single submitter
- c.852-12G>C Single submitter dystonic disorder
- c.910+15CT[2] Single submitter
- c.910+238A>T Single submitter
- c.910+8T>G Single submitter dystonic disorder
- c.911-16T>G Single submitter dystonic disorder
- c.911-270C>T Single submitter
- c.911-330T>C Single submitter
- c.*27G>T Single submitter
- p.Ala41= Single submitter dystonic disorder
- p.Ala430= Single submitter dystonic disorder
- p.Ala89_Ala94del Single submitter
- p.Arg191= Single submitter dystonic disorder
- p.Asn145= Single submitter dystonic disorder
- p.Asn343= Single submitter dystonic disorder
- p.Asp203= Single submitter dystonic disorder
- p.Asp219= Single submitter dystonic disorder
- p.Asp258= Single submitter dystonic disorder
- p.Cys20= Single submitter
- p.Gln189= Single submitter dystonic disorder
- p.Glu129= Single submitter dystonic disorder
- p.Glu18= Single submitter dystonic disorder
- p.Gly270= Single submitter dystonic disorder
- p.Gly368= Single submitter dystonic disorder
- p.Gly5= Single submitter dystonic disorder
- p.His143= Single submitter dystonic disorder
- p.His213= Single submitter dystonic disorder
- p.Ile105= Single submitter
- p.Ile167= Single submitter
- p.Ile299= Single submitter dystonic disorder
- p.Leu3= Single submitter dystonic disorder
- p.Leu48= Single submitter dystonic disorder
- p.Leu52= Single submitter
- p.Lys216= Single submitter dystonic disorder
- p.Lys369= Single submitter dystonic disorder
- p.Pro149= Single submitter dystonic disorder
- p.Pro425= Single submitter dystonic disorder
- p.Ser250= Single submitter dystonic disorder
- p.Thr416= Single submitter dystonic disorder
- p.Tyr379= Single submitter dystonic disorder
- p.Val249= Single submitter dystonic disorder
- c.377-265del No assertion criteria GNAL-related disorder
Uncertain significance 91
- p.Arg400Lys Multiple submitters Inborn genetic diseases ⚠
- p.Arg437His Multiple submitters Inborn genetic diseases ⚠
- p.Arg65Trp Multiple submitters dystonia 25
- p.Asp220Asn Multiple submitters dystonic disorder ⚠
- p.Gly417Ser Multiple submitters dystonic disorder ⚠
- p.Ile351Thr Multiple submitters Inborn genetic diseases ⚠
- p.Thr414Met Multiple submitters dystonic disorder ⚠
- c.1031+6A>T Single submitter dystonic disorder
- c.376+2T>C Single submitter
- c.377-1344G>A Single submitter
- c.377-259_377-258delinsAT Single submitter dystonic disorder
- c.377-261G>C Single submitter dystonia 25
- c.377-3C>T Single submitter
- c.504+5G>C Single submitter dystonic disorder
- c.505-5T>C Single submitter dystonic disorder
- p.Ala21= Single submitter
- p.Ala30Gly Single submitter
- p.Ala388Thr Single submitter dystonic disorder ⚠
- p.Ala430Thr Single submitter dystonic disorder ⚠
- p.Ala83= Single submitter
- p.Ala89_Lys90insGluGluArgGluAlaAla Single submitter
- p.Ala89Thr Single submitter
- p.Arg110His Single submitter
- p.Arg295Lys Single submitter dystonic disorder ⚠
- p.Arg411Thr Single submitter dystonic disorder ⚠
- p.Arg65Gln Single submitter dystonic disorder
- p.Arg65Pro Single submitter
- p.Arg92= Single submitter
- p.Asn325Asp Single submitter Inborn genetic diseases ⚠
- p.Asn328Ser Single submitter dystonia 25 ⚠
- p.Asn343del Single submitter
- p.Asn7Ile Single submitter dystonic disorder ⚠
- p.Asp17Asn Single submitter ⚠
- p.Asp212His Single submitter Inborn genetic diseases ⚠
- p.Asp442Asn Single submitter dystonic disorder ⚠
- p.Asp442Gly Single submitter ⚠
- p.Cys226Arg Single submitter ⚠
- p.Gln138Arg Single submitter ⚠
- p.Gln358Pro Single submitter Inborn genetic diseases ⚠
- p.Glu221Ala Single submitter Inborn genetic diseases ⚠
- p.Glu228Asp Single submitter Inborn genetic diseases ⚠
- p.Glu24Gly Single submitter
- p.Glu273Lys Single submitter ⚠
- p.Glu294Asp Single submitter Inborn genetic diseases ⚠
- p.Glu332Ala Single submitter ⚠
- p.Glu91Lys Single submitter dystonic disorder
- p.Gly104Asp Single submitter dystonia 25
- p.Gly16Arg Single submitter dystonic disorder
- p.Gly417Cys Single submitter dystonic disorder ⚠
- p.Gly419Ser Single submitter Inborn genetic diseases ⚠
- p.His143Gln Single submitter dystonic disorder ⚠
- p.His421Asp Single submitter dystonic disorder ⚠
- p.Ile167Met Single submitter Inborn genetic diseases ⚠
- p.Ile170Val Single submitter dystonic disorder ⚠
- p.Ile177Leu Single submitter ⚠
- p.Ile405Phe Single submitter Inborn genetic diseases ⚠
- p.Ile446Val Single submitter ⚠
- p.Leu457Arg Single submitter ⚠
- p.Lys164Thr Single submitter dystonic disorder ⚠
- p.Lys402Asn Single submitter Inborn genetic diseases ⚠
- p.Lys40Asn Single submitter dystonic disorder ⚠
- p.Lys453Gln Single submitter dystonic disorder
- p.Lys90Glu Single submitter dystonic disorder
- p.Lys9del Single submitter dystonic disorder
- p.Phe272Ser Single submitter Inborn genetic diseases ⚠
- p.Phe354_Leu355del Single submitter dystonic disorder
- p.Phe404Cys Single submitter dystonic disorder ⚠
- p.Pro377Ser Single submitter ⚠
- p.Pro425Gln Single submitter Inborn genetic diseases ⚠
- p.Ser23= Single submitter dystonic disorder
- p.Ser269Cys Single submitter ⚠
- p.Thr11Met Single submitter ⚠
- p.Thr176Ala Single submitter Inborn genetic diseases ⚠
- p.Thr176Ile Single submitter dystonic disorder ⚠
- p.Thr255Ile Single submitter dystonia 25 ⚠
- p.Thr306Ile Single submitter ⚠
- p.Thr327Ala Single submitter Inborn genetic diseases ⚠
- p.Thr51Pro Single submitter Inborn genetic diseases
- p.Trp218Cys Single submitter dystonic disorder ⚠
- p.Tyr194Cys Single submitter ⚠
- p.Val168Met Single submitter
- p.Val16Phe Single submitter dystonic disorder ⚠
- p.Val171Ile Single submitter dystonia 25 ⚠
- p.Val214Met Single submitter dystonia 25 ⚠
- p.Val249Ile Single submitter dystonic disorder ⚠
- p.Val249Leu Single submitter dystonic disorder ⚠
- p.Val281Glu Single submitter ⚠
- p.Val311= Single submitter dystonic disorder
- p.Val398Leu Single submitter dystonic disorder ⚠
- p.Val431Met Single submitter ⚠
- p.Gly126Arg No assertion criteria GNAL-related disorder