GPC4 — 147 ClinVar variants
All ClinVar germline GPC4 variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 83 flagged for review →
7 Pathogenic · 9 Likely pathogenic · 7 Conflicting · 8 Benign · 2 Benign/Likely benign · 33 Likely benign · 81 Uncertain significance
Full GPC4 gene report on Sugi Atlas → Gene function, pathways, protein structure, constraint & interactions⚑ Evidence disagreements 83
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.
-
GPC4 p.Arg412Lys
Likely pathogenic
Single submitter
Distal shortening of limbs
Predictors agree, ClinVar conflicts 6
ClinVar submitters conflict, but the independent predictors unanimously agree — a QC review flag, not a reclassification.
- GPC4 p.Cys341Tyr Conflicting Single submitter
-
GPC4 p.Gln69Glu
Conflicting
Single submitter
Inborn genetic diseases
-
GPC4 p.Ile273Val
Conflicting
Single submitter
Inborn genetic diseases
-
GPC4 p.Met466Val
Conflicting
Single submitter
Inborn genetic diseases
-
GPC4 p.Ser362Gly
Conflicting
Single submitter
Inborn genetic diseases
-
GPC4 p.Val151Met
Conflicting
Single submitter
Inborn genetic diseases
Predictors lean, ClinVar uncertain 66
ClinVar classifies these uncertain (VUS), but the independent predictors unanimously lean one way — a triage signal for review, not a reclassification.
-
GPC4 p.Ala217Val
Uncertain significance
Multiple submitters
Keipert syndrome
-
GPC4 p.Arg219His
Uncertain significance
Multiple submitters
Keipert syndrome
-
GPC4 p.Asn514Ser
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
GPC4 p.Asn92Ser
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
GPC4 p.Lys26Glu
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
GPC4 p.Pro343Leu
Uncertain significance
Multiple submitters
Inborn genetic diseases
-
GPC4 p.Ala299Thr
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Ala360Gly Uncertain significance Single submitter
- GPC4 p.Ala378Ser Uncertain significance Single submitter
-
GPC4 p.Ala467Val
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Ala519Ser Uncertain significance Single submitter
-
GPC4 p.Arg148His
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Arg205His Uncertain significance Single submitter
-
GPC4 p.Arg258Trp
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Arg364His Uncertain significance Single submitter
- GPC4 p.Arg384Gln Uncertain significance Single submitter
- GPC4 p.Arg469Gln Uncertain significance Single submitter
-
GPC4 p.Arg533Cys
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Arg533His
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Asn290Lys Uncertain significance Single submitter
- GPC4 p.Asn406Asp Uncertain significance Single submitter
-
GPC4 p.Asn45Asp
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Asn480Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Asn53Ser
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Asp283Tyr Uncertain significance Single submitter
-
GPC4 p.Asp410Asn
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Asp483Asn Uncertain significance Single submitter
-
GPC4 p.Asp488Gly
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Asp517Asn Uncertain significance Single submitter
-
GPC4 p.Asp517Val
Uncertain significance
Single submitter
Keipert syndrome
- GPC4 p.Cys408Tyr Uncertain significance Single submitter
- GPC4 p.Gln451Arg Uncertain significance Single submitter
- GPC4 p.Glu114Ala Uncertain significance Single submitter
-
GPC4 p.Glu73Asp
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Gly259Asp
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Gly418Ser Uncertain significance Single submitter
- GPC4 p.Gly426Arg Uncertain significance Single submitter
-
GPC4 p.Gly501Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Ile292Val
Uncertain significance
Single submitter
Keipert syndrome
- GPC4 p.Ile308Val Uncertain significance Single submitter
-
GPC4 p.Ile315Val
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Ile459Val
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Ile52Met Uncertain significance Single submitter
- GPC4 p.Leu112Arg Uncertain significance Single submitter
- GPC4 p.Lys264Asn Uncertain significance Single submitter
-
GPC4 p.Lys26Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Lys345Glu Uncertain significance Single submitter
-
GPC4 p.Lys521Glu
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Lys58Gln
Uncertain significance
Single submitter
Keipert syndrome
- GPC4 p.Met274Val Uncertain significance Single submitter
- GPC4 p.Met475Lys Uncertain significance Single submitter
- GPC4 p.Pro240Ser Uncertain significance Single submitter
-
GPC4 p.Pro343Ser
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Pro404Ala
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Pro404Leu
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Pro448Ser Uncertain significance Single submitter
- GPC4 p.Ser310Leu Uncertain significance Single submitter
-
GPC4 p.Ser473Asn
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Ser473Gly Uncertain significance Single submitter
-
GPC4 p.Ser490Asn
Uncertain significance
Single submitter
GPC4-related disorder
- GPC4 p.Tyr193Phe Uncertain significance Single submitter
-
GPC4 p.Val151Gly
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Val407Ile
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Val470Ala Uncertain significance Single submitter
-
GPC4 p.Val484Met
Uncertain significance
Single submitter
Keipert syndrome
-
GPC4 p.Arg219Cys
Uncertain significance
No assertion criteria
GPC4-related disorder
Predictors split 10
The independent predictors disagree with each other — read with care.
- GPC4 p.Val216Leu Benign/Likely benign Multiple submitters
- GPC4 p.Ala116Val Uncertain significance Single submitter
- GPC4 p.Arg354His Uncertain significance Single submitter
-
GPC4 p.Gln223Arg
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Gln327Arg Uncertain significance Single submitter
-
GPC4 p.Glu195Lys
Uncertain significance
Single submitter
Inborn genetic diseases
- GPC4 p.Gly497Val Uncertain significance Single submitter
- GPC4 p.Ile323Val Uncertain significance Single submitter
-
GPC4 p.Ser68Pro
Uncertain significance
Single submitter
Inborn genetic diseases
-
GPC4 p.Leu13Gln
Likely benign
No assertion criteria
GPC4-related disorder
All GPC4 variants
Pathogenic 7
- p.Gln506Ter Multiple submitters Keipert syndrome
- p.Arg219fs Single submitter
- p.Glu496Ter Single submitter Keipert syndrome
- p.Asp106fs No assertion criteria Keipert syndrome
- p.Leu248fs No assertion criteria Keipert syndrome
- p.Pro508fs No assertion criteria Keipert syndrome
- p.Val235fs No assertion criteria Keipert syndrome
Likely pathogenic 9
- p.Arg351Ter Single submitter Keipert syndrome
- p.Arg412Lys Single submitter Distal shortening of limbs ⚠
- p.Cys502_Glu503delinsTer Single submitter Keipert syndrome
- p.Gln395Ter Single submitter
- p.Lys345fs Single submitter
- p.Tyr504Ter Single submitter Keipert syndrome
- p.Gln505Ter No assertion criteria Keipert syndrome
- p.Ser500fs No assertion criteria Keipert syndrome
- p.Val152fs No assertion criteria craniosynostosis
Conflicting classifications of pathogenicity 7
- p.Cys341Tyr Single submitter ⚠
- p.Gln537Ter Single submitter GPC4-related disorder
- p.Gln69Glu Single submitter Inborn genetic diseases ⚠
- p.Ile273Val Single submitter Inborn genetic diseases ⚠
- p.Met466Val Single submitter Inborn genetic diseases ⚠
- p.Ser362Gly Single submitter Inborn genetic diseases ⚠
- p.Val151Met Single submitter Inborn genetic diseases ⚠
Benign 8
- c.160+96A>G Multiple submitters
- c.320-15del Multiple submitters Simpson-Golabi-Behmel syndrome type 1
- c.-20C>T Multiple submitters Keipert syndrome
- p.Ala442Val Multiple submitters Keipert syndrome
- p.Glu391Asp Multiple submitters Keipert syndrome
- c.161-276T>C Single submitter
- c.320-16_320-15del Single submitter
- c.712-293T>A Single submitter
Benign/Likely benign 2
- c.1469-16dup Multiple submitters
- p.Val216Leu Multiple submitters ⚠
Likely benign 33
- c.1008+15A>T Single submitter
- c.1009-11C>T Single submitter
- c.1009-20C>T Single submitter
- c.1468+19A>G Single submitter
- c.1468+9T>C Single submitter
- c.1469-4C>T Single submitter
- c.1469-8del Single submitter
- c.161-14T>C Single submitter
- c.320-17_320-15dup Single submitter
- c.320-19_320-15del Single submitter
- c.320-20_320-15del Single submitter
- c.320-22_320-15del Single submitter
- c.320-8G>T Single submitter
- c.711+15T>C Single submitter
- c.711+18T>C Single submitter
- c.878-10C>T Single submitter
- p.Ala228= Single submitter
- p.Ala527= Single submitter
- p.Arg258Gln Single submitter Inborn genetic diseases
- p.Gln95= Single submitter
- p.Glu372= Single submitter
- p.His368Tyr Single submitter Inborn genetic diseases
- p.Leu541= Single submitter
- p.Met413Ile Single submitter Inborn genetic diseases
- p.Phe108= Single submitter
- p.Phe221= Single submitter
- p.Thr194Met Single submitter Inborn genetic diseases
- p.Val144Ile Single submitter Inborn genetic diseases
- c.878-7A>C No assertion criteria GPC4-related disorder
- p.Glu185= No assertion criteria GPC4-related disorder
- p.Leu13Gln No assertion criteria GPC4-related disorder ⚠
- p.Lys427= No assertion criteria
- p.Phe143= No assertion criteria GPC4-related disorder
Uncertain significance 81
- p.Ala217Val Multiple submitters Keipert syndrome ⚠
- p.Arg219His Multiple submitters Keipert syndrome ⚠
- p.Asn514Ser Multiple submitters Inborn genetic diseases ⚠
- p.Asn92Ser Multiple submitters Inborn genetic diseases ⚠
- p.Lys26Glu Multiple submitters Inborn genetic diseases ⚠
- p.Pro343Leu Multiple submitters Inborn genetic diseases ⚠
- c.1469-5A>G Single submitter
- p.Ala116Val Single submitter ⚠
- p.Ala299Thr Single submitter Inborn genetic diseases ⚠
- p.Ala360Gly Single submitter ⚠
- p.Ala378Ser Single submitter ⚠
- p.Ala467Val Single submitter Inborn genetic diseases ⚠
- p.Ala519Ser Single submitter ⚠
- p.Arg148His Single submitter Inborn genetic diseases ⚠
- p.Arg171Gln Single submitter Keipert syndrome
- p.Arg205His Single submitter ⚠
- p.Arg258Trp Single submitter Inborn genetic diseases ⚠
- p.Arg354His Single submitter ⚠
- p.Arg364His Single submitter ⚠
- p.Arg384Gln Single submitter ⚠
- p.Arg469Gln Single submitter ⚠
- p.Arg533Cys Single submitter Inborn genetic diseases ⚠
- p.Arg533His Single submitter Inborn genetic diseases ⚠
- p.Asn290Lys Single submitter ⚠
- p.Asn406Asp Single submitter ⚠
- p.Asn45Asp Single submitter Inborn genetic diseases ⚠
- p.Asn480Ser Single submitter Inborn genetic diseases ⚠
- p.Asn53Ser Single submitter Inborn genetic diseases ⚠
- p.Asp283Tyr Single submitter ⚠
- p.Asp285Asn Single submitter Inborn genetic diseases
- p.Asp410Asn Single submitter Inborn genetic diseases ⚠
- p.Asp483Asn Single submitter ⚠
- p.Asp488Gly Single submitter Inborn genetic diseases ⚠
- p.Asp517Asn Single submitter ⚠
- p.Asp517Val Single submitter Keipert syndrome ⚠
- p.Cys408Tyr Single submitter ⚠
- p.Gln223Arg Single submitter Inborn genetic diseases ⚠
- p.Gln327Arg Single submitter ⚠
- p.Gln451Arg Single submitter ⚠
- p.Glu114Ala Single submitter ⚠
- p.Glu195Lys Single submitter Inborn genetic diseases ⚠
- p.Glu303Val Single submitter Inborn genetic diseases
- p.Glu73Asp Single submitter Inborn genetic diseases ⚠
- p.Gly259Asp Single submitter Inborn genetic diseases ⚠
- p.Gly418Ser Single submitter ⚠
- p.Gly426Arg Single submitter ⚠
- p.Gly497Val Single submitter ⚠
- p.Gly501Ser Single submitter Inborn genetic diseases ⚠
- p.Ile292Val Single submitter Keipert syndrome ⚠
- p.Ile308Val Single submitter ⚠
- p.Ile315Val Single submitter Inborn genetic diseases ⚠
- p.Ile323Val Single submitter ⚠
- p.Ile459Val Single submitter Inborn genetic diseases ⚠
- p.Ile52Met Single submitter ⚠
- p.Leu112Arg Single submitter ⚠
- p.Lys264Asn Single submitter ⚠
- p.Lys26Arg Single submitter Inborn genetic diseases ⚠
- p.Lys345Glu Single submitter ⚠
- p.Lys476del Single submitter Keipert syndrome
- p.Lys521Glu Single submitter Inborn genetic diseases ⚠
- p.Lys58Gln Single submitter Keipert syndrome ⚠
- p.Met274Val Single submitter ⚠
- p.Met471_Thr472insMet Single submitter
- p.Met471Thr Single submitter
- p.Met475Lys Single submitter ⚠
- p.Pro240Ser Single submitter ⚠
- p.Pro343Ser Single submitter Inborn genetic diseases ⚠
- p.Pro404Ala Single submitter Inborn genetic diseases ⚠
- p.Pro404Leu Single submitter Inborn genetic diseases ⚠
- p.Pro448Ser Single submitter ⚠
- p.Ser310Leu Single submitter ⚠
- p.Ser473Asn Single submitter Inborn genetic diseases ⚠
- p.Ser473Gly Single submitter ⚠
- p.Ser490Asn Single submitter GPC4-related disorder ⚠
- p.Ser68Pro Single submitter Inborn genetic diseases ⚠
- p.Tyr193Phe Single submitter ⚠
- p.Val151Gly Single submitter Inborn genetic diseases ⚠
- p.Val407Ile Single submitter Inborn genetic diseases ⚠
- p.Val470Ala Single submitter ⚠
- p.Val484Met Single submitter Keipert syndrome ⚠
- p.Arg219Cys No assertion criteria GPC4-related disorder ⚠