GRHPR — 591 ClinVar variants

All ClinVar germline GRHPR variants across every classification, each assembled from ClinVar, gnomAD, AlphaMissense, conservation and more. 130 flagged for review →

52 Pathogenic · 28 Pathogenic/Likely pathogenic · 75 Likely pathogenic · 23 Conflicting · 19 Benign · 10 Benign/Likely benign · 252 Likely benign · 132 Uncertain significance

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

⚑ Evidence disagreements 130

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.

Predictors agree, ClinVar conflicts 10

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

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.

Predictors split 73

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

All GRHPR variants

Pathogenic 52

Pathogenic/Likely pathogenic 28

  • c.404+3_404+6del Multiple submitters primary hyperoxaluria type 2
  • c.404+5G>A Multiple submitters primary hyperoxaluria type 2
  • c.493+2T>A Multiple submitters primary hyperoxaluria type 2
  • c.494-2A>G Multiple submitters primary hyperoxaluria type 2
  • c.734+1G>A Multiple submitters primary hyperoxaluria type 2
  • c.735-1G>A Multiple submitters primary hyperoxaluria type 2
  • c.83+1G>C Multiple submitters primary hyperoxaluria type 2
  • c.865+1G>A Multiple submitters primary hyperoxaluria type 2
  • c.865+1G>T Multiple submitters primary hyperoxaluria type 2
  • p.Ala197fs Multiple submitters primary hyperoxaluria type 2
  • p.Ala206fs Multiple submitters primary hyperoxaluria type 2
  • p.Ala52fs Multiple submitters primary hyperoxaluria type 2
  • p.Arg302Cys Multiple submitters primary hyperoxaluria type 2
  • p.Arg47Ter Multiple submitters GRHPR-related disorder
  • p.Gln166Ter Multiple submitters primary hyperoxaluria type 2
  • p.Gln208Ter Multiple submitters primary hyperoxaluria type 2
  • p.Glu198fs Multiple submitters primary hyperoxaluria type 2
  • p.Glu320Ter Multiple submitters primary hyperoxaluria type 2
  • p.His87fs Multiple submitters primary hyperoxaluria type 2
  • p.Ile93fs Multiple submitters primary hyperoxaluria type 2
  • p.Leu181fs Multiple submitters primary hyperoxaluria type 2
  • p.Pro203fs Multiple submitters primary hyperoxaluria type 2
  • p.Ser209Phe Multiple submitters primary hyperoxaluria type 2
  • p.Trp138Arg Multiple submitters primary hyperoxaluria type 2
  • p.Trp34_Glu38delinsTer Multiple submitters primary hyperoxaluria type 2
  • p.Trp34fs Multiple submitters primary hyperoxaluria type 2
  • p.Trp34Ter Multiple submitters primary hyperoxaluria type 2
  • p.Val77fs Multiple submitters primary hyperoxaluria type 2

Likely pathogenic 75

  • c.206_214+11del Multiple submitters primary hyperoxaluria type 2
  • c.735-2del Multiple submitters primary hyperoxaluria type 2
  • c.-4_-3delinsAT Multiple submitters primary hyperoxaluria type 2
  • p.Arg124Cys Multiple submitters primary hyperoxaluria type 2
  • p.Asp269Gly Multiple submitters primary hyperoxaluria type 2
  • p.Glu113Lys Multiple submitters primary hyperoxaluria type 2
  • p.Met322Arg Multiple submitters primary hyperoxaluria type 2
  • p.Ser140Leu Multiple submitters primary hyperoxaluria type 2 ⚠
  • p.Ser260fs Multiple submitters primary hyperoxaluria type 2
  • p.Thr202fs Multiple submitters primary hyperoxaluria type 2
  • c.107_214+25del Single submitter
  • c.214+1G>A Single submitter primary hyperoxaluria type 2
  • c.214+1G>T Single submitter primary hyperoxaluria type 2
  • c.214+2T>G Single submitter primary hyperoxaluria type 2
  • c.215-2_215-1del Single submitter primary hyperoxaluria type 2
  • c.287+2T>C Single submitter primary hyperoxaluria type 2
  • c.288-1G>C Single submitter primary hyperoxaluria type 2
  • c.403_404+1del Single submitter primary hyperoxaluria type 2
  • c.404+1G>T Single submitter
  • c.405-1G>C Single submitter
  • c.493+1G>A Single submitter primary hyperoxaluria type 2
  • c.598+1G>T Single submitter primary hyperoxaluria type 2
  • c.599-1G>A Single submitter primary hyperoxaluria type 2
  • c.599-1G>C Single submitter primary hyperoxaluria type 2
  • c.737dup Single submitter primary hyperoxaluria type 2
  • c.83+1G>A Single submitter primary hyperoxaluria type 2
  • c.865+1del Single submitter primary hyperoxaluria type 2
  • c.865+2T>C Single submitter primary hyperoxaluria type 2
  • c.866-2A>G Single submitter primary hyperoxaluria type 2
  • c.866-34_866-8del Single submitter primary hyperoxaluria type 2
  • p.Ala167fs Single submitter primary hyperoxaluria type 2
  • p.Ala297Thr Single submitter primary hyperoxaluria type 2
  • p.Arg179fs Single submitter primary hyperoxaluria type 2
  • p.Arg318fs Single submitter primary hyperoxaluria type 2
  • p.Arg96His Single submitter primary hyperoxaluria type 2 ⚠
  • p.Asn311fs Single submitter primary hyperoxaluria type 2
  • p.Asn312Asp Single submitter primary hyperoxaluria type 2
  • p.Asp109fs Single submitter primary hyperoxaluria type 2
  • p.Cys147fs Single submitter primary hyperoxaluria type 2
  • p.Cys226fs Single submitter primary hyperoxaluria type 2
  • p.Cys288fs Single submitter primary hyperoxaluria type 2
  • p.Cys57Tyr Single submitter primary hyperoxaluria type 2
  • p.Gln153Ter Single submitter primary hyperoxaluria type 2
  • p.Gln196fs Single submitter primary hyperoxaluria type 2
  • p.Gln33fs Single submitter primary hyperoxaluria type 2
  • p.Glu113fs Single submitter primary hyperoxaluria type 2
  • p.Glu46Ter Single submitter primary hyperoxaluria type 2
  • p.Gly261fs Single submitter primary hyperoxaluria type 2
  • p.Gly84fs Single submitter primary hyperoxaluria type 2
  • p.His87_Asp91del Single submitter primary hyperoxaluria type 2
  • p.Leu107fs Single submitter primary hyperoxaluria type 2
  • p.Leu118fs Single submitter primary hyperoxaluria type 2
  • p.Leu282_Leu283insTer Single submitter primary hyperoxaluria type 2
  • p.Leu291fs Single submitter primary hyperoxaluria type 2
  • p.Leu59fs Single submitter primary hyperoxaluria type 2
  • p.Lys262Ter Single submitter primary hyperoxaluria type 2
  • p.Met322fs Single submitter primary hyperoxaluria type 2
  • p.Phe199fs Single submitter primary hyperoxaluria type 2
  • p.Ser117fs Single submitter primary hyperoxaluria type 2
  • p.Tyr102Ter Single submitter primary hyperoxaluria type 2
  • p.Val21fs Single submitter primary hyperoxaluria type 2
  • c.214+1G>C No assertion criteria primary hyperoxaluria type 2
  • c.405-1G>A No assertion criteria primary hyperoxaluria type 2
  • c.598+1del No assertion criteria primary hyperoxaluria type 2
  • p.Asn135fs No assertion criteria primary hyperoxaluria type 2
  • p.Asp269His No assertion criteria primary hyperoxaluria type 2
  • p.Gln166fs No assertion criteria primary hyperoxaluria type 2
  • p.Glu320fs No assertion criteria primary hyperoxaluria type 2
  • p.Leu120Pro No assertion criteria primary hyperoxaluria type 2
  • p.Leu172fs No assertion criteria primary hyperoxaluria type 2
  • p.Met1Arg No assertion criteria primary hyperoxaluria type 2
  • p.Met1Leu No assertion criteria primary hyperoxaluria type 2
  • p.Thr284fs No assertion criteria primary hyperoxaluria type 2
  • p.Trp145fs No assertion criteria primary hyperoxaluria type 2
  • p.Val63fs No assertion criteria primary hyperoxaluria type 2

Conflicting classifications of pathogenicity 23

Benign 19

Benign/Likely benign 10

  • c.493+9C>T Multiple submitters primary hyperoxaluria type 2
  • c.734+9G>A Multiple submitters primary hyperoxaluria type 2
  • c.*146A>G Multiple submitters primary hyperoxaluria type 2
  • p.Arg170Gln Multiple submitters primary hyperoxaluria type 2 ⚠
  • p.Arg171His Multiple submitters primary hyperoxaluria type 2 ⚠
  • p.Ile78= Multiple submitters primary hyperoxaluria type 2
  • p.Leu119= Multiple submitters Nephrolithiasis/nephrocalcinosis
  • p.Leu6Phe Multiple submitters primary hyperoxaluria type 2
  • p.Pro321= Multiple submitters primary hyperoxaluria type 2
  • p.Pro321Leu Multiple submitters Nephrolithiasis/nephrocalcinosis ⚠

Likely benign 252

Uncertain significance 132